Lok Sabha Question No. 2274 (UNSTARRED), answered on 2017-07-28
Subject: Non-Communicable Diseases
Ministry: HEALTH AND FAMILY WELFARE
Asked by: GOKARAJU GANGA RAJU

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

LOK SABHA UNSTARRED QUESTION NO. 2274 TO BE ANSWERED ON 28 TH JULY, 2017

## NON - COMMUNICABLE DISEASE S

## 2274. DR. GOKARAJU GANGA RAJU:

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

- (a)  whether  the  National  Health  Policy (NHP),  2017  has  concentrated  on  the  rising Non Communicable Diseases (NCDs) and disabilities in the old population, if so, the details thereof;
- (b) whether the Government has taken measures to reorient health systems to accommodate the need to prevent and control chronic disease, if so, the details thereof; and
- (c) whether the 2014 World Economic Forum suggests that NCDs may cost as much as $4.3 trillion  in  productivity  losses and  healthcare  expenditure  between  2012 and  2030,  if  so,  the details thereof and measures proposed to be taken to control NCDs?

## ANSWER THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE (SMT. ANUPRIYA PATEL )

- (a): The National Health Policy (NHP), 2017 has recognized the growing burden on accoun of Non - Communicable Diseases (NCDs) and advocated the need to halt and reverse the growing incidence of chronic diseases.

This  policy  denotes  important  change  from very  selective  to  comprehensive  primary health care package which includes geriatric health care, palliative care and rehabilit services.

- (b) & (c): As per the report by the World Economic forum and the Harvard School of Publi Health published in November, 2014, India stands to lose $4.58 trillion before 2030 due to N -Communicable Diseases (NCDs) and Mental health conditions.

Public health is a State subject, however, under National Health Mission, financi and technical  support  is  provided  to  States/UTs  to  strengthen  their  healthcare  systems  in setting up of / upgradation of public health facilities, based on the requirements pos States/UTs in their Programme Implementation Plans (PIPs).

Government of India is implementing National Programme for Prevention and Control o Cancer, Diabetes, Cardiovascular Diseases and Stroke (NPCDCS) for interventions up to Dis level under the National Health Mission. Under NPCDCS, diagnosis and treat ment facilities are provided through different levels of healthcare by setting up NCD Clinics in District H and Community Health Centres (CHCs).

For early diagnosis, a programme is initiated for 'Population - based Screening of common NCDs viz. Dia betes, Hypertension and Common cancers (Oral, Breast, Cervical)' utilizing the services of the Frontline - workers and Health - workers under existing Primary Healthcare System.  This process will also generate awareness of risk factors of common NCDs.

Under strengthening of Tertiary Care for Cancer Centre (TCCC) Scheme, Government of India is assisting States to set up / establish State Cancer Institute (SCI) and Tertiary Centres(TCCCs) in different parts of the country.

Government of In dia has also supported implementation of the District Mental Healt Programme (DMHP) in 339 districts of the country for detection, management and treatment mental disorders/ illness at District Hospital level and in rural areas through outreach ies by the DMHP teams. Besides, the Central Government is also providing support for recruit of staff at the Primary Health Centre (PHC) and Community Health Centre (CHC) levels f providing basic mental health services. In addition, support is also p rovided for the training of the  staff  of  District  Hospital,  CHC  and  PHC  for  providing  basic  mental  health  servic integration with the general health services.

The  Central  Government,  through  its  hospitals  augments  the  efforts  of  the  S Governments for  providing  health  services  in  the  country.    Under  Pradhan  Mantri  Swath ya Suraksha Yojana(PMSSY), 6 new AIIMS have been set up and upgradation of identified medica colleges has been undertaken which will also improve health care facilities.