Lok Sabha Question No. 1785 (UNSTARRED), answered on 2017-03-10
Subject: Reproductive Illness among Women
Ministry: HEALTH AND FAMILY WELFARE
Asked by: BHARTRUHARI MAHTAB

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

## LOK SABHA UNSTARRED QUESTION NO. 1785 TO BE ANSWERED ON 10 th MARCH, 2017

## REPRODUCTIVE ILLNESS AMONG WOMEN

## 1785. SHRI BHARTRUHARI MAHTAB:

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

- (a) whether the cases of reproductive illness among women have increased manifold during each of the last three years and the current year;
- (b) if so, the details thereof and the reasons refor;
- (c) whether the Government has conducted any study in this regard and if so, the details and outcome thereof and if not, the reasons therefor;
- (d)  whether  the  Government proposes  a  new  national  health  policy  to address  the  issue  of reproductive illness among women in the country;
- (e) if so, the salient features of the policy along with the time by which the said policy is likely to be implemented; and
- (f) the other steps taken by the Government to curb cases of reproductive illness among women across the country along with achievements thereof?

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

(a) & (b): Reproductive illness among women can be classified into gynaecological causes and obstetric related causes which include Sexually Transmitted Infection /Reproductive Infection (STI/RTI), Poly Cystic Ovary Syndrome (PCOS), cervical cancer and breast cancer

The exact number of cervical and breast cancer cases repor ted is not maintained centrally however the estimated number of cervical and breast cancer incidence during the last two is available, which is placed at Annexure -I .

As per the data reported in Strategic Information Management System (SIMS) of NACO and Health Management Information System (HMIS) of NHM, the cases of STI/RTI managed among women show only a marginal increase during last three years and the current year. Da placed at Annexure -II

Strongefforts of the programme in reaching out to v ulnerable population and improving coverage of services have led to increase in reporting of number of cases.

(c):

- i. A Community Based Study was conducted by ICMR in year 2002 - 03 which has shown the prevalence of Sexually Transmitted Infection /Reproductive Tract Infection amongst sexually active adults at about 5 - 6%.
2. ii.A  community  based  study  conducted  by  National  Institute  of  Research  in  Reproductiv Health (NIRRH) in Mumbai indicates Poly Cystic Ovary Syndrome (PCOS) prevalence of 22.5% among adolescent girls.
3. (d) & (e): Issues of reproductive illness among women are addressed in the draft Natio Health Policy. Salient features of the health policy are:
- i. Provision of uniform standardized services of sexual and reproductive illness across al health facilities from PHC to District hospital and Medical colleges.
5. ii.Provisioning of free drugs for treatment of sexual and reproductive illness.
- iii. Provisioning of counseling services at all the secondary and tertiary level facilities.
7. (f): Steps taken by Government to curb cases of reproductive illness are placed below -
- i. National  Programmefor  Prevention  and  Control  of  Cancer,  Diabetes,  Cardiovascular Diseases  and  Stroke  (NPCDCS)  is  implemented  under  NHM  for  interventions  up  to district level includes awareness generation for prevention, screening, early detec referral  to  an  appropr iate  level  institution  for  treatment  of  breast  ,  cervical  and cancer.
- ii. Operational guidelines for screenings of common cancers have been issued to the S Governments.
- iii. Universal screening of Syphilis in pregnant women.
- iv. Provisioning of Community m obilization and education through grass root level workers like ASHA and anganwadi workers under RCH programme.
- v. Information Education and Communication (IEC) material for mass media, mid media and print media to raise awareness of public on STI/RTI .

## Annexure - I

| Type of Cancer   |   2015 |   2016 |
|------------------|--------|--------|
| Breast Cancer    | 134214 | 142283 |
| Cervical Cancer  |  97909 |  99099 |

Source- ICMR

Annexure - II

Till

| SIMS & HMIS Report                                                                          | SIMS & HMIS Report   | SIMS & HMIS Report   | SIMS & HMIS Report   | SIMS & HMIS Report       |
|---------------------------------------------------------------------------------------------|----------------------|----------------------|----------------------|--------------------------|
| Year                                                                                        | 2013- 14             | 2014- 15             | 2015- 16             | 2016- 17 ( January 2017) |
| STI/RTI cases Managed amongst women (Till District Level)                                   | 42.3 Lakhs           | 46.0 lakhs           | 53.9 Lakhs           | 45.1 lakhs               |
| Number of new cases RTI/STI in females which treatment was initiated (Below District Level) | of for 25.2 Lakhs    | 27.9 Lakhs           | 31.6 Lakhs           | 27.9 Lakhs               |
| Total                                                                                       | 67.5 Lakhs           | 73.9 Lakhs           | 85.5 Lakhs           | 73 Lakhs                 |

Source-SIMS - NACO & HMIS Reports - NHM