Lok Sabha Question No. 1808 (UNSTARRED), answered on 2016-11-25
Subject: Cancer Patients
Ministry: HEALTH AND FAMILY WELFARE
Asked by: SUNIL BALIRAM GAIKWAD, PRITAM GOPINATH MUNDE, GAJANAN CHANDRAKANT KIRTIKAR, DHARMENDRA YADAV, T. RADHAKRISHNAN, KUNWAR HARIBANSH SINGH, SUDHEER GUPTA, VIJAY KUMAR S.R., E. AHAMED, ANANDRAO  ADSUL, JAY PRAKASH NARAYAN YADAV, BIDYUT BARAN MAHATO, ASHOK SHANKARRAO CHAVAN, SHRIKANT EKNATH SHINDE, PR. SENTHILNATHAN, Shrirang Appa Barne, RAHUL RAMESH SHEWALE, P.R. SUNDARAM, VINAYAK BHAURAO RAUT, P.K.SREEMATHI TEACHER, K. GOPAL, RADHESHYAM BISWAS

## GOVERNMENT OF INDIA MINISTRY OF HEALTH AND FAMILY WELFARE DEPARTMENT OF HEALTH AND FAMILY WELFARE

## LOK SABHA UNSTARRED QUESTION NO. 1808 TH

## TO BE ANSWERED ON 25 NOVEMBER, 2016

## CANCER PATIENTS

1808. DR. SUNIL BALIRAM GAIKWAD:

DR. PRITAM GOPINATH MUNDE:

SHRI GAJANAN KIRTIKAR:

SHRI DHARMENDRA YADAV:

SHRI T. RADHAKRISHNAN:

KUNWAR HARIBANSH SINGH:

SHRI SUDHEER GUPTA:

SHRI S.R. VIJAYAKUMAR:

SHRI E. AHAMED:

SHRI ANANDRAO ADSUL:

SHRI JAI PRAKASH NARAYAN YADAV:

SHRI BIDYUT BARAN MAHATO:

SHRI ASHOK SHANKARRAO CHAVAN:

DR. SHRIKANT EKNATH SHINDE:

SHRI PR. SENTHIL NATHAN:

SHRI SHRIRANG APPA BARNE:

SHRI RAHUL SHEWALE:

SHRI P.R. SUNDARAM:

SHRI VINAYAK BHAURAO RAUT:

SHRIMATI P.K. SREEMATHI TEACHER:

DR. K. GOPAL:

SHRI RADHESHYAM BISWAS:

Will the Minister of HEALTH AND FAMILY WELFARE be pleased to state:

- (a) whether the Government has observed 7 November 2016 as World Cancer Awareness Day and if so, the details thereof along with the various new treatments/ innovations being introduced inthe field of cancer globally during the last three years;
- (b) whether the Government intends to adopt such new innovations and if so, the details thereof and if not the reasons therefor;
- (c) whether the Government is contemplating to make cancer test compulsory to all citizens of the country and if so, the details thereof and if not the reasons therefor;
- (d) the details of new initiatives/steps taken by the Government to ensure adequate and timely treatment of cancer patients particularly those belonging to the Economically Weaker Section (EWS) of the society, along with the funds allocated, State/UT - wise; and

(e) the number of Cancer Hospitals functioning in the country along with proposed new cancer hospitals, State/UT wise?

## ANSWER THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE (SHRI FAGGAN SINGH KULASTE)

(a) & (b): The National Cancer Awareness day is observed on 7 th November while World Cancer Day is observed on 4 th February every year. Health is a state subje ct and the activities are carried out by State Governments for awareness of Cancer prevention and control. Th of activities carried out by State Governments is not maintained centrally.

Cancer is diagnosed using various diagnostic modalities. The tr eatment involves surgery, radiotherapy,  chemotherapy  and  palliative  care.  There  are  various  modalities  (speci involved in which there are new methods and innovation which is developed through resea The list of such innovations is not maintained centrally. The concerned State Governments and Institutions are expected to use the innovation after the efficacy and safety of such inn established and regulatory approval are in place.

(c): There  is  no  such  plan  to  make  the  cancer  test  compu lsory  to  all  the  citizens  of  the country. However, Screening guidelines for breast, cervical and oral Cancer have been circul to all the State Governments for implementation under the National Programme for prevention and Control of Cancer, Diabetes, Cardiovascular Diseases and Stroke (NPCDCS).

(d): The Government is providing financial assistance to patients living below poverty li life threatening diseases under the schemes Rashtriya Arogya Nidhi (RAN), Health Minister's Cancer  Patient  Fund  (HMCPF),  State  Illness  Assistance  Fund  (SIAF)  and  Health  Minister's Discretionary Grant (HMDG). The details are given as under:

- I. Rashtriya Arogya Nidhi has been set up to provide  financial assistance to patients below  poverty  line  who  are  suffering  from  major  life  threatening  diseases,  to  r medical treatment at any of the super specialty Government hospital/ institute . Revolving Funds have been set up in 13 Central Government Hospitals/Institutes and funds upto 50 lakhs are placed at their disposal for providing treatment upto Rs. 2 lakh in ea Cases involving treatment beyond 2 lakh are referred to Ministry of Health & Family Welfare, Government of India for providing funds. The details of funds utilized d 2016- 17 under the scheme is at Annexure - I
- II. All  State  Governments/UT  Administrations  have  been  advised  to  set  up  an  Illne Assistance  Fund  in  respect ive  States/UTs.  It  has  been  decided  that  grant - in - aid  from Central Government  would be released to each  of these States/UTs (with  Legislatu where such Funds are set up. The Grant - in - aid to States/UTs would be to the extent of 50% of the contributions ma de by the State Governments/UTs to the State Fund/Society subject to a maximum of Rs. 5 crore to States with higher percentage of population poverty  line  and  Rs.  2  crore  for  smaller  States.  The  Illness  Assistance  Fund

State/UT  level  can  releas financial  assistance  to  patients  living  in  their  respec States/UT  up  to  Rs.  1.50  lakh  in  an  individual  case  and  forward  all  such  cas Rashtriya Arogya Nidhi Headquarters, where the quantum of financial assistance is l to exceed Rs. 1.50 lakh . The details of funds utilized under the scheme is at Annexure II .

- III. Health  Minister's  Cancer  Patient  Fund  (HMCPF)  has  been  set  up  to  provide  financial assistance to the poor patients suffering from cancer. A Corpus Fund of Rs. 100 cro been set up, w hich has been placed in fixed deposit. Interest accrued thereon is utili provide  the  financial  assistance.  The  details  of  funds  utilized  under  the  schem Annexure - III .
- IV. Financial  assistance  towards  treatment  for  cancer  is  provided  to  the  patien ts  having treatment in 27 Regional Cancer Centres (RCC), as per guidelines. Revolving Funds h been set up in 27 RCCs and funds upto 50 lakhs are placed at their disposal for pro treatment  upto  Rs.  2  lakh  in  each  case.  Cases  involving  treatment  bey ond  2  lakh  are referred to Ministry of Health & Family Welfare, Government of India.
- V. Under  the  scheme  Health  Minister's  Discretionary  Grant  (HMDG),  patients  having annual family income of less than Rs. 1,25,000/ - are provided financial assistance upto Rs.  1,25,000/ - as  per  guidelines  of  the  scheme  to  defray  a  part  of  expenditure hospitalization/treatment.  The  details  of  funds  utilized  under  above  schemes  Sta wise is at Annexure - IV .

(e): Government of India is implementing a scheme for enhancing the tertiary care facil for  Cancer  in  the  country.  Under  the  said  scheme,  Government  of  India  is  assisting up/establish 20 State Cancer Institutes (SCI) and 50 Tertiary Care Cancer Cent res (TCCC) in different parts of the country.

In addition to Cancer diagnosis and treatment by the State Governments Health Insti the Central Government Institutions such as All India Institute of Medical   Sciences, Sa Hospital,  Dr  Ram  Man ohar  Lohia  Hospital,  PGIMER  Chandigarh,  JIPMER  Puducherry, Chittaranjan National Cancer Institute, Kolkata, etc. provide facilities for diagnosis and of  Cancer.  Setting  up  of  National  Cancer  Institute  at  Jhajjar,  Haryana  and  2 nd Campus  of Chittar anjan National Cancer Institute, Kolkata has also been approved.

Oncology  in  its  various  aspects  has  focus  in  case  of  new  AIIMS  and  many  upgrade institutions under Pradhan Mantri Swasthya Suraksha Yojna (PMSSY).

## State wise break up of financial assistance provided under Rashtriya Arogya Nidhi (RAN) (Rs. in Lakhs)

| S No.   | Name of State/UT   | 2016-17 (upto 05.11.2016) Amount   |
|---------|--------------------|------------------------------------|
| 1       | Andhra Pradesh     | --                                 |
| 2       | Arunachal Pradesh  | --                                 |
| 3       | Assam              | 11.47                              |
| 4       | Bihar              | 146.25                             |
| 5       | Chandigarh         | --                                 |
| 6       | Chhattisgarh       | 12.5                               |
| 7       | Delhi              | 54.02                              |
| 8       | Gujarat            | 3                                  |
| 9       | Haryana            | 43.4                               |
| 10      | Himachal Pradesh   | 7                                  |
| 11      | Jammu & Kashmir    | 36.4                               |
| 12      | Jharkhand          | 12.6                               |
| 13      | Karnataka          | --                                 |
| 14      | Kerala             | 71.8                               |
| 15      | Madhya Pradesh     | 34.78                              |
| 16      | Maharashtra        | --                                 |
| 17      | Manipur            | 60.1                               |
| 18      | Mizoram            | --                                 |
| 19      | Meghalaya          | --                                 |
| 20      | Nagaland           | --                                 |
| 21      | Odisha             | 29.53                              |
| 22      | Punjab             | 4.75                               |
| 23      | Rajasthan          | 37.01                              |
| 24      | Sikkim             | --                                 |
| 25      | Tamil Nadu         | 5.19                               |
| 26      | Tripura            | --                                 |
| 27      | Uttar Pradesh      | 235.12                             |
| 28      | Uttarakhand        | 26.23                              |
| 29      | West Bengal        | 42.28                              |
| Total   | Total              | 873.43                             |

## Details of funds allocated/released under State Illness Assistance Fund

(Rs. in Lakh)

| S.No   | Name of State     | 2016-17 (upto 5.11.2016)   |
|--------|-------------------|----------------------------|
| 1      | Andhra Pradesh    | -                          |
| 2      | Assam             | -                          |
| 3      | Arunachal Pradesh | -                          |
| 4      | Bihar             | -                          |
| 5      | Chhattisgarh      | -                          |
| 6      | Goa               | -                          |
| 7      | Gujarat           | -                          |
| 8      | Himachal Pradesh  | -                          |
| 9      | Haryana           | -                          |
| 10     | Jammu & Kashmir   | -                          |
| 11     | Jharkhand         | -                          |
| 12     | Karnataka         | -                          |
| 13     | Kerala            | -                          |
| 14     | Madhya Pradesh    | -                          |
| 15     | Maharashtra       | -                          |
| 16     | Manipur           | -                          |
| 17     | Mizoram           | -                          |
| 18     | NCT of Delhi      | -                          |
| 19     | Odisha            | -                          |
| 20     | Puducherry        | 75.50                      |
| 21     | Punjab            | -                          |
| 22     | Rajasthan         | -                          |
| 23     | Sikkim            | -                          |
| 24     | Tamil Nadu        | -                          |
| 25     | Tripura           | -                          |
| 26     | Uttar Pradesh     | -                          |
| 27     | Uttarakhand       | -                          |
| 28     | West Bengal       | 500                        |
| 29     | Nagaland          | -                          |
| 30     | Meghalaya         | -                          |
| Total  | Total             | 575.50                     |

## State  wise  break  up  of  financial  assistance  provided  under  Health  Minister's  Cancer Patient Fund (HMCPF)

(Rs in Lakh)

| S No.   | Name of State/UT   | 2016-17 (upto 05.11.2016) Amount   |
|---------|--------------------|------------------------------------|
| 1       | Andhra Pradesh     | --                                 |
| 2       | Arunachal Pradesh  | --                                 |
| 3       | Assam              | 10                                 |
| 4       | Bihar              | 292.72                             |
| 5       | Chandigarh         | --                                 |
| 6       | Chhattisgarh       | --                                 |
| 7       | Delhi              | 19.6                               |
| 8       | Gujarat            | --                                 |
| 9       | Haryana            | 70.53                              |
| 10      | Himachal Pradesh   | 10                                 |
| 11      | Jammu & Kashmir    | 75.8                               |
| 12      | Jharkhand          | 9.5                                |
| 13      | Karnataka          | --                                 |
| 14      | Kerala             | 7.5                                |
| 15      | Madhya Pradesh     | 21.7                               |
| 16      | Maharashtra        | --                                 |
| 17      | Manipur            | 6                                  |
| 18      | Mizoram            | 2                                  |
| 19      | Meghalaya          | --                                 |
| 20      | Odisha             | --                                 |
| 21      | Punjab             | --                                 |
| 22      | Rajasthan          | 15                                 |
| 23      | Sikkim             | --                                 |
| 24      | Tamil Nadu         | 4.6                                |
| 25      | Tripura            | 2.5                                |
| 26      | Uttar Pradesh      | 334.22                             |
| 27      | Uttarakhand        | 4                                  |
| 28      | West Bengal        | 40                                 |
| Total   | Total              | 925.67                             |

## Details of funds released under Health Minister's Discretionary Grant (HMDG)

(Rs. in Lakh)

| S No.   | Name of State/UT   | 2016-17 (upto 05.11.2016) Amount   |
|---------|--------------------|------------------------------------|
| 1       | Andhra Pradesh     | --                                 |
| 2       | Assam              | 3.75                               |
| 3       | Bihar              | 41.23                              |
| 4       | Chhattisgarh       | --                                 |
| 5       | Delhi              | 26.23                              |
| 6       | Haryana            | 9.7                                |
| 7       | Himachal Pradesh   | 1                                  |
| 8       | Jammu & Kashmir    | 2                                  |
| 9       | Jharkhand          | 1                                  |
| 10      | Karnataka          | --                                 |
| 11      | Kerala             | 11                                 |
| 12      | Madhya Pradesh     | 3.93                               |
| 13      | Maharashtra        | --                                 |
| 14      | Manipur            | --                                 |
| 15      | Meghalaya          | --                                 |
| 16      | Odisha             | 0.7                                |
| 17      | Punjab             | 2                                  |
| 18      | Rajasthan          | 3                                  |
| 19      | Tamil Nadu         | 6.75                               |
| 20      | Uttar Pradesh      | 44.8                               |
| 21      | Uttarakhand        | 1.25                               |
| 22      | West Bengal        | 5.5                                |
| Total   | Total              | 163.84                             |