Lok Sabha Question No. 268 (STARRED), answered on 2017-03-21
Subject: Cochlear Implant Project
Ministry: SOCIAL JUSTICE AND EMPOWERMENT
Asked by: KIRIT SOMAIYA

## GOVERNMENT OF INDIA

## MINISTRY OF SOCIAL JUSTICE & EMPOWERMENT DEPARTMENT OF EMPOWERMENT OF PERSONS WITH DISABILITIES (DIVYANGJAN) LOK SABHA

STARRED QUESTION NO. *268 TO BE ANSWERED ON 21.03.2017

## Cochlear Implant Project

## *268. DR KIRIT SOMAIYA

## Will the Minister of SOCIAL JUSTICE AND EMPOWERMENT be pleased to state:

- (a) whether the Government has taken up Cochlear Implant Project in the country and if the details and the status of the project; SO,
- whether the Government has appointed a nodal agency for identifying the beneficiaries under the said project and if so, the details thereof along with the number of beneficiaries identified so region and State-wise; far;
- the number of persons who underwent Cochlear implant surgery under the said project in the country including Mumbai;
- whether  the   Government   proposes to expand  the said  project SO that maximum number of deaf persons across the country are able to avail benefit; and
- (e) if s0, the details thereof along with the proposed coverage under the said project in terms of area/region and number of beneficiaries, State-wise?

## ANSWER

## MINISTER OF SOCIAL JUSTICE AND EMPOWERMENT (SHRI THAAWARCHAND GEHLOT)

- (a) to (e) A statement is laid on the Table of the House.

Statement referred to in reply to parts (a) to (e) of Lok Sabha Starred Question No.268 asked by Dr. Kirit Somaiya, MP   regarding 'Cochlear Implant Project' for answer on 21.03.2017.

As per   revised Scheme of Assistance for Purchase/Fitting of Aids and Appliances (ADIP Scheme) Cochlear Implants are provided as a component   under the Scheme. Cochlear  Implant is a modern technology to help young children who have severe to profound deafness in both ears, Because of hearing impairment are not able to speak  Cochlear Implant provides such children to hear normally in one ear and with post surgical speech rehabilitation therapy are able to speak also. they they

Cochlear Implant has been included in the ADIP Scheme for the children up to 5 years having severe to profound sensori-neural hearing loss in both ears since birth (congenital): The age has been extended for post-lingual  hearing loss children (acquired hearing loss at the age of 4-7 years) up to 12 years.

The ADIP Scheme provides fund up to Rs.6.00 lakh per child. The quantum of assistance includes cost of cochlear implant, cost of surgery, cost of mapping and cost of post-operative rehabilitation No funds are provided to beneficiaries Or their parents, directly.

Cochlear Implants are procured by Artificial Limbs Manufacturing Corporation of India Ltd. (ALIMCO); Kanpur, & Central Public Sector Enterprise under the aegis of  Ministry of Social Justice The Cochlear   Implants are delivered by ALIMCO to Ali Yavar National Institute of Speech and Hearing Disabilities (Divyangjan) [A YJNISHD], Mumbai who distributes to empanelled hospitals for Cochlear Implant surgery all over the country. Jung

So far Government and Private)  Hospitals been empanelled by the Government for conducting Cochlear Implant surgeries under ADIP Scheme. For  post-operative   rehabilitation, AYNNISHD has   empanelled Professionals in the area of Audiology, Speech Language Pathology and Special Education of children with hearing impairment: 166 Professionals have been empanelled, from the 172 Hospitals   empanelled for Cochlear   Implant surgery. apart

For the ease of monitoring the project; five zones have been formed viz  North; West-Central, East; North-East and South for maintaining Regional balance. Zonal Coordinators have also been appointed for   monitoring of   Cochlear   Implant surgeries carried out and post-operative rehabilitation:

For Cochlear Implant, funds to the tune of Rs.33.13 crore have been released under ADIP Scheme i.e. Rs.13.13 crore during 2014-15, Rs.9.55 crore 2015-16 & Rs.10.45 crore during 2016-17 (as on 15.03.2017). during

- (b) The Government has appointed Ali Yavar Jung National Institute of Speech and   Hearing Disabilities   (Divyangjan), Mumbai as the Nodal Agency for identifying the beneficiaries under the Cochlear Implant: A total 2520 applications

have been received as on 15.03.2017 for Cochlear Implant surgery since launch of the Cochlear Implant in the country on 03.12.2014. For Cochlear Implant, parents can apply online (Wwwadipcochlearimplantin) for Cochlear Implant surgery of their eligible children: Offline applications are also accepted by AYJNISHD. A Screening Committee is in place for identifying the beneficiaries

(c) 653 cochlear implant surgeries [570 under ADIP + 83 under Corporate Social Responsibility Scheme (CSR)] have been  conducted across the country as on 15.03.2017. State-wise number of beneficiaries who underwent Cochlear Implant who   underwent  Cochlear Implant   surgery under CSR is at Annexure-I and   Annexure-II, respectively. Number of children who underwent Cochlear Implant surgery in Mumbai as on is 48 [37 under   the ADIP Scheme   and 11 under  (CSR)]: 549 beneficiaries whose documents are complete in all respects have been identified and waitlisted, Zone/State-wise details thereof are at Annexure-III; 1318 cases are not eligible or their documents are not complete.

(d & e) ADIP Scheme provides for cochlear implant  The Government is actively involved in expanding the Cochlear Implant by means of providing more Grants under the ADIP. On periodical review, more Hospitals are empanelled s0 as to cover un-served parts of the country s0 that maximum number of persons with hearing   impairment can avail the   facility. Earlier there were 140  hospitals empanelled and the figure has now gone to 172 with the addition of 32 hospitals, recently. The Cochlear Implant surgery program is further extended by associating more Corporate Sectors for sponsorships.

## Annexure-I

| Project' for answer on 21.03.2017 State wise list of Cochlear Implant Surgery conducted under ADIP Scheme during 2014-15, 2015-16 and 2016-17 (as on 15.03.2017)   | Project' for answer on 21.03.2017 State wise list of Cochlear Implant Surgery conducted under ADIP Scheme during 2014-15, 2015-16 and 2016-17 (as on 15.03.2017)   | Project' for answer on 21.03.2017 State wise list of Cochlear Implant Surgery conducted under ADIP Scheme during 2014-15, 2015-16 and 2016-17 (as on 15.03.2017)   | Project' for answer on 21.03.2017 State wise list of Cochlear Implant Surgery conducted under ADIP Scheme during 2014-15, 2015-16 and 2016-17 (as on 15.03.2017)   |
|--------------------------------------------------------------------------------------------------------------------------------------------------------------------|--------------------------------------------------------------------------------------------------------------------------------------------------------------------|--------------------------------------------------------------------------------------------------------------------------------------------------------------------|--------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| State                                                                                                                                                              | 2014-15                                                                                                                                                            | 2015-16                                                                                                                                                            | 2016-17                                                                                                                                                            |
| Punjab                                                                                                                                                             |                                                                                                                                                                    | 2                                                                                                                                                                  | 10                                                                                                                                                                 |
| Chandigarh                                                                                                                                                         |                                                                                                                                                                    |                                                                                                                                                                    |                                                                                                                                                                    |
| Uttar Pradesh                                                                                                                                                      |                                                                                                                                                                    | 5                                                                                                                                                                  | 29                                                                                                                                                                 |
| Haryana                                                                                                                                                            |                                                                                                                                                                    |                                                                                                                                                                    | 13                                                                                                                                                                 |
| Delhi                                                                                                                                                              |                                                                                                                                                                    |                                                                                                                                                                    | 3                                                                                                                                                                  |
| Jammu & Kashmir                                                                                                                                                    |                                                                                                                                                                    |                                                                                                                                                                    |                                                                                                                                                                    |
| Himachal Pradesh                                                                                                                                                   |                                                                                                                                                                    |                                                                                                                                                                    | 1                                                                                                                                                                  |
| Uttarakhand                                                                                                                                                        |                                                                                                                                                                    |                                                                                                                                                                    |                                                                                                                                                                    |
| Gujarat                                                                                                                                                            | 1                                                                                                                                                                  |                                                                                                                                                                    |                                                                                                                                                                    |
| Madhya Pradesh                                                                                                                                                     | 10                                                                                                                                                                 | 83                                                                                                                                                                 | 16                                                                                                                                                                 |
| Maharashtra                                                                                                                                                        | 8                                                                                                                                                                  | 62                                                                                                                                                                 | 23                                                                                                                                                                 |
| Rajasthan                                                                                                                                                          |                                                                                                                                                                    | 19                                                                                                                                                                 | 9                                                                                                                                                                  |
| Chattisgarh                                                                                                                                                        |                                                                                                                                                                    | 5                                                                                                                                                                  | 1                                                                                                                                                                  |
| Goa                                                                                                                                                                |                                                                                                                                                                    |                                                                                                                                                                    |                                                                                                                                                                    |
| Daman & Diu                                                                                                                                                        |                                                                                                                                                                    |                                                                                                                                                                    |                                                                                                                                                                    |
| Dadra & Nagar Haveli                                                                                                                                               |                                                                                                                                                                    |                                                                                                                                                                    |                                                                                                                                                                    |
| Karnataka                                                                                                                                                          | 1                                                                                                                                                                  | 20                                                                                                                                                                 | 13                                                                                                                                                                 |
| Andhra Pradesh                                                                                                                                                     |                                                                                                                                                                    | 23                                                                                                                                                                 | 12                                                                                                                                                                 |
| Telangana                                                                                                                                                          | 7                                                                                                                                                                  | 12                                                                                                                                                                 | 25                                                                                                                                                                 |
| Tamil Nadu                                                                                                                                                         | 1                                                                                                                                                                  |                                                                                                                                                                    |                                                                                                                                                                    |
| Kerala                                                                                                                                                             |                                                                                                                                                                    |                                                                                                                                                                    | 3                                                                                                                                                                  |
| Puducherry                                                                                                                                                         |                                                                                                                                                                    |                                                                                                                                                                    | 2                                                                                                                                                                  |
| Lakshadweep                                                                                                                                                        |                                                                                                                                                                    |                                                                                                                                                                    |                                                                                                                                                                    |
| Odisha                                                                                                                                                             |                                                                                                                                                                    | 9                                                                                                                                                                  | 2                                                                                                                                                                  |
| West Bengal                                                                                                                                                        |                                                                                                                                                                    | 20                                                                                                                                                                 | 15                                                                                                                                                                 |
| Bihar                                                                                                                                                              |                                                                                                                                                                    | 7                                                                                                                                                                  | 2                                                                                                                                                                  |
| Jharkhand                                                                                                                                                          |                                                                                                                                                                    | 2                                                                                                                                                                  | 4                                                                                                                                                                  |
| Andaman & Nicobar                                                                                                                                                  |                                                                                                                                                                    |                                                                                                                                                                    |                                                                                                                                                                    |
| Nagaland                                                                                                                                                           |                                                                                                                                                                    | 3                                                                                                                                                                  |                                                                                                                                                                    |
| Arunachal Pradesh                                                                                                                                                  |                                                                                                                                                                    | 1                                                                                                                                                                  |                                                                                                                                                                    |
| Assam                                                                                                                                                              |                                                                                                                                                                    | 7                                                                                                                                                                  | 7                                                                                                                                                                  |
| Manipur                                                                                                                                                            |                                                                                                                                                                    | 10                                                                                                                                                                 | 12                                                                                                                                                                 |
| Meghalaya                                                                                                                                                          |                                                                                                                                                                    | 2                                                                                                                                                                  | 1                                                                                                                                                                  |
| Mizoram                                                                                                                                                            |                                                                                                                                                                    |                                                                                                                                                                    |                                                                                                                                                                    |
| Sikkim                                                                                                                                                             |                                                                                                                                                                    |                                                                                                                                                                    |                                                                                                                                                                    |
| Tripura                                                                                                                                                            |                                                                                                                                                                    |                                                                                                                                                                    |                                                                                                                                                                    |
| TOTAL                                                                                                                                                              | 38 Total Cochlear Implant Surgery done so far under ADIP Scheme                                                                                                    | 300                                                                                                                                                                | 232                                                                                                                                                                |

| Dr. Kirit Somaiya, MP regarding 'Cochlear Implant Project' for answer on 21.03.2017 State wise list of Cochlear Implant Surgery Conducted under CSR during 2015-16 and 2016-17 (as on 15.03.2017)   | Dr. Kirit Somaiya, MP regarding 'Cochlear Implant Project' for answer on 21.03.2017 State wise list of Cochlear Implant Surgery Conducted under CSR during 2015-16 and 2016-17 (as on 15.03.2017)   | Dr. Kirit Somaiya, MP regarding 'Cochlear Implant Project' for answer on 21.03.2017 State wise list of Cochlear Implant Surgery Conducted under CSR during 2015-16 and 2016-17 (as on 15.03.2017)   |
|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| State                                                                                                                                                                                               | 2015-16 No. of surgeries done                                                                                                                                                                       | 2016-17 No. of surgeries done                                                                                                                                                                       |
| Punjab                                                                                                                                                                                              | 2015-16 No. of surgeries done                                                                                                                                                                       | 2016-17 No. of surgeries done                                                                                                                                                                       |
| Chandigerh                                                                                                                                                                                          |                                                                                                                                                                                                     |                                                                                                                                                                                                     |
| Uttar Pradesh                                                                                                                                                                                       |                                                                                                                                                                                                     |                                                                                                                                                                                                     |
| Haryana                                                                                                                                                                                             |                                                                                                                                                                                                     |                                                                                                                                                                                                     |
| Delhi                                                                                                                                                                                               |                                                                                                                                                                                                     |                                                                                                                                                                                                     |
| Jammu & Kashmir                                                                                                                                                                                     |                                                                                                                                                                                                     |                                                                                                                                                                                                     |
| Himachal Pradesh                                                                                                                                                                                    |                                                                                                                                                                                                     |                                                                                                                                                                                                     |
| Uttarakhand                                                                                                                                                                                         |                                                                                                                                                                                                     |                                                                                                                                                                                                     |
| Gujarat                                                                                                                                                                                             |                                                                                                                                                                                                     |                                                                                                                                                                                                     |
| Madhya Pradesh                                                                                                                                                                                      |                                                                                                                                                                                                     |                                                                                                                                                                                                     |
| Maharashtra                                                                                                                                                                                         | 11                                                                                                                                                                                                  | 21                                                                                                                                                                                                  |
| Rajasthan                                                                                                                                                                                           |                                                                                                                                                                                                     | 2                                                                                                                                                                                                   |
| Chattisgarh                                                                                                                                                                                         |                                                                                                                                                                                                     |                                                                                                                                                                                                     |
| Goa                                                                                                                                                                                                 |                                                                                                                                                                                                     |                                                                                                                                                                                                     |
| Daman & Diu                                                                                                                                                                                         |                                                                                                                                                                                                     |                                                                                                                                                                                                     |
| Dadra & Nagar Haveli _                                                                                                                                                                              |                                                                                                                                                                                                     |                                                                                                                                                                                                     |
| Karnataka                                                                                                                                                                                           |                                                                                                                                                                                                     | 11                                                                                                                                                                                                  |
| Andhra Pradesh                                                                                                                                                                                      |                                                                                                                                                                                                     | 21                                                                                                                                                                                                  |
| Telangana                                                                                                                                                                                           |                                                                                                                                                                                                     | 4                                                                                                                                                                                                   |
| Tamil Nadu                                                                                                                                                                                          |                                                                                                                                                                                                     |                                                                                                                                                                                                     |
| Kerala                                                                                                                                                                                              |                                                                                                                                                                                                     |                                                                                                                                                                                                     |
| Puducherry                                                                                                                                                                                          |                                                                                                                                                                                                     |                                                                                                                                                                                                     |
| Ladshadweep                                                                                                                                                                                         |                                                                                                                                                                                                     |                                                                                                                                                                                                     |
| Odisha                                                                                                                                                                                              |                                                                                                                                                                                                     |                                                                                                                                                                                                     |
| West Bengal                                                                                                                                                                                         |                                                                                                                                                                                                     |                                                                                                                                                                                                     |
| Bihar                                                                                                                                                                                               |                                                                                                                                                                                                     |                                                                                                                                                                                                     |
| Jharkhand                                                                                                                                                                                           |                                                                                                                                                                                                     |                                                                                                                                                                                                     |
| Andaman & Nicobar                                                                                                                                                                                   |                                                                                                                                                                                                     |                                                                                                                                                                                                     |
| Nagaland                                                                                                                                                                                            |                                                                                                                                                                                                     |                                                                                                                                                                                                     |
| Arunachal Pradesh                                                                                                                                                                                   |                                                                                                                                                                                                     |                                                                                                                                                                                                     |
| Assam                                                                                                                                                                                               |                                                                                                                                                                                                     |                                                                                                                                                                                                     |
| Manipur                                                                                                                                                                                             |                                                                                                                                                                                                     |                                                                                                                                                                                                     |
| Meghalaya                                                                                                                                                                                           |                                                                                                                                                                                                     |                                                                                                                                                                                                     |
| Mizoram                                                                                                                                                                                             |                                                                                                                                                                                                     |                                                                                                                                                                                                     |
| Sikkim                                                                                                                                                                                              |                                                                                                                                                                                                     |                                                                                                                                                                                                     |
| Tripura                                                                                                                                                                                             |                                                                                                                                                                                                     |                                                                                                                                                                                                     |
| TOTAL                                                                                                                                                                                               | 13                                                                                                                                                                                                  | 70                                                                                                                                                                                                  |
| GRAND TOTAL (2015-16 +2016-17)                                                                                                                                                                      | GRAND TOTAL (2015-16 +2016-17)                                                                                                                                                                      | 83                                                                                                                                                                                                  |

Annexure referred to in reply to part (c) of Lok Sabha Starred Question No.268 asked by Dr. Kirit   Somaiya, MP regarding   'Cochlear  Implant Project' for answer on 21.03.2017

Total Summary of Zone/State-Wise waitlist cases for Cochlear Implant Surgery (as on 15/03/2017)

| Sr: No:                                     | Zone                                        | Total No. Beneficiaries wait listed   | Total No. Beneficiaries wait listed        |
|---------------------------------------------|---------------------------------------------|---------------------------------------|--------------------------------------------|
|                                             |                                             | Cochlear Implant Allotted             | In waitlist for Cochlear Implant allotment |
| West Central Zone                           | West Central Zone                           | West Central Zone                     | West Central Zone                          |
|                                             | Gujarat_                                    | 4                                     |                                            |
| 2                                           | Madhya Pradesh                              | 13                                    |                                            |
| 3                                           | Maharashtra                                 | 54                                    | 118                                        |
| 4.                                          | Rajasthan                                   | 10                                    | 10                                         |
| 5_                                          | Chattisgarh                                 |                                       |                                            |
|                                             | Total                                       | 82                                    | 136                                        |
| South Zone                                  | South Zone                                  | South Zone                            |                                            |
|                                             | Andhra Pradesh                              |                                       | 74                                         |
| 2.                                          | Telangana                                   |                                       | 25                                         |
| 3_                                          | Karnataka                                   |                                       | 32                                         |
| 5                                           | TamiTNadu                                   |                                       |                                            |
|                                             | Total                                       |                                       | 137                                        |
| North Zone                                  | North Zone                                  | North Zone                            |                                            |
|                                             | Jammu & Kashmir                             |                                       | 1                                          |
|                                             | Haryana                                     |                                       | 13                                         |
| 3_                                          | Delhi                                       |                                       | 5                                          |
| 4                                           | Uttar Pradesh                               |                                       | 31                                         |
| 5_                                          | Punjab                                      |                                       | 1                                          |
| 6.                                          | Chandigarh                                  |                                       |                                            |
|                                             | Total                                       |                                       | 51                                         |
| East Zone                                   | East Zone                                   | East Zone                             |                                            |
| 1                                           | West Bengal                                 | 28                                    | 33                                         |
|                                             | Jharkhand                                   | 3                                     |                                            |
| 3                                           | Bihar                                       |                                       |                                            |
| 4                                           | Odisha                                      | 2                                     |                                            |
| Total                                       |                                             | 37                                    | 37                                         |
| Grand Total Total wait listed beneficiaries | Grand Total Total wait listed beneficiaries | 361 549                               | 361 549                                    |