Lok Sabha Question No. 3886 (UNSTARRED), answered on 2017-03-24
Subject: National Dialysis Programme
Ministry: HEALTH AND FAMILY WELFARE
Asked by: BHARAT SINGH, RAMESH POKHRIYAL NISHANK, MANSHANKAR NINAMA, K. KAMARAAJ

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

## LOK SABHA UNSTARRED QUESTION NO. 3886 TO BE ANSWERED ON 24 th MARCH, 2017

## NATIONAL DIALYSIS PR OGRAMME

## 3886. SHRI BHARAT SINGH:

DR. RAMESH POKHRIYAL 'NISHANK':

SHRI MANSHANKAR NINAMA:

DR. K. KAMARAJ:

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

- (a) whether the Government has taken/ proposed to take any steps to spread awareness among the public about chronic kidney disease and also to increase availability of the number of dialysis machines in Government hospitals and dialysis centres for poor patients across he  ountry;
- (b) if so, the details thereof and the number of district hospitals of the country wherein free of costtreatment facility is being provided under the National Dialysis Programme;
- (c)  the  details  of  schemes  formulated for  the  inaccessible,  bordering,  backward districts  of Himalayan States including Uttarakhand and other remote naxal infested areas; and
- (d)the details of funds utilised and allocated under such schemes as on date including the target fixed for future?

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

- (a) & (b): Public  health  being  a  State  subject,  the  primary  responsibility  of  spre awareness among the public about various health conditions including chronic kidney dis andto  increase  availability  of  the  number  of  dialysis  machines  in  Government  hospital and dialysis centres is that of respective State/ UT governments.

However under National Health Mission (NHM) technical and financial support is bein provided  to  States/  UTs  for  strengthening  of  their  health  care  systems,  including  sup spreading awareness about chronic kidney disease and also to increase availab ility of the number of dialysis machines in Government hospitals and dialysis centres for poor patientsbased proposals submitted by them in their Programme Implementation Plans under NHM.

Under NHM, the Pradhan Mantri National Dialysis Programme (P MNDP) was rolled out in 2016.Detailed guidelines for the PMNDP are available at -http://nhsrcindia.org/recruitment/TENDER%20ENQUIRY%20DOCUMENT.PDF

URL

As on date, approval has been provided for proposals received from States for prov of dialysis fac ility in 519 district hospitals.

(c) & (d): Public  Health  is  a  State  subject,  the  primary  responsibility  to  provide  q health care services to the people including in rural, naxal and hilly areas lies wit Governments.  To  supplement  the  effo rts  of  State  Governments forimproving  the  healthcare services, throughout the country including in inaccessible, bordering, backward ,remote naxal area  etc. National  Rural  Health  Mission  (NRHM)  was  launched  in  2005.  NRHM  has  been subsumed  as  a  Sub  Mission  of  the  overarching  National  Health  Mission  (NHM)  with  the National Urban Health Mission as the other Sub Mission.

Under  NHM,  support  is  provided  to  States /UTs  to  strengthen  their  health  systems including for setting up/upgrading public health facilities, augmenting health human reso contractual basis, drugs and equipment, diagnostics, Ambulances, Mobile Medical Units etc provision  of  equitable, affordable  healthcare  to  all  its  citizens  particularly  the  poor vulnerable population including population in hill and naxal areas based on requirements by the States in their Programme Implementation Plans.

Under NHM, allLWE affected district s, whose composite health index is below State average have been categorized as High Priority Districts (HPD) and all LWE districts that HPDshave  been  designated  as  Special  Focus  Districts  (SFDs) .  These  districts  receive  more resources per capita u nder the NHM as compared to the rest of the districts in the State. T districts  also  receive  focused  attention  and  supportive  supervision.  Norms  for  infras Human resource, ASHAs, MMUs etc. under NHM are relaxed for hilly areas. Allocation and Expenditure under the NHM for last three years is given at Annexure.

## Annexure

## Statement Showing State-wise Allocationand Expenditure under NHM for the F.Y. 2013-14 to 2015-16

Rs. in crore

| Sl. No.   | States                    | 2013-14    | 2013-14   | 2014-15    | 2014-15   | 2015-16    | 2015-16   |
|-----------|---------------------------|------------|-----------|------------|-----------|------------|-----------|
| Sl. No.   | States                    | Allocation | Exp       | Allocation | Exp       | Allocation | Exp       |
| 1         | Andaman & Nicobar Islands | 23.83      | 29.12     | 28.22      | 24.33     | 28.21      | 11.47     |
| 2         | Andhra Pradesh            | 1184.24    | 1044.81   | 707.15     | 902.91    | 616.23     | 1090.17   |
| 3         | Arunachal Pradesh         | 86.31      | 92.03     | 185.65     | 69.50     | 160.01     | 146.27    |
| 4         | Assam                     | 1214.83    | 956.89    | 1095.38    | 915.88    | 941.29     | 1186.01   |
| 5         | Bihar                     | 1487.65    | 1480.68   | 1292.13    | 1427.40   | 1108.61    | 1621.67   |
| 6         | Chandigarh                | 18.53      | 14.42     | 19.40      | 15.26     | 14.24      | 20.98     |
| 7         | Chattisgarh               | 500.72     | 805.50    | 555.66     | 716.04    | 479.38     | 758.28    |
| 8         | Dadra & Nagar Haveli      | 8.73       | 9.83      | 13.99      | 8.56      | 11.37      | 15.54     |
| 9         | Daman & Diu               | 6.48       | 8.40      | 9.69       | 7.67      | 9.11       | 15.69     |
| 10        | Delhi                     | 211.46     | 132.59    | 192.59     | 222.64    | 142.81     | 137.29    |
| 11        | Goa                       | 27.12      | 30.58     | 27.63      | 29.50     | 19.41      | 24.92     |
| 12        | Gujarat                   | 833.94     | 977.48    | 858.47     | 873.66    | 677.65     | 1272.42   |
| 13        | Haryana                   | 313.57     | 423.79    | 317.42     | 438.18    | 249.33     | 493.23    |
| 14        | Himachal Pradesh          | 225.95     | 158.60    | 232.00     | 306.92    | 197.92     | 281.26    |
| 15        | Jammu & Kashmir           | 433.87     | 391.10    | 435.17     | 393.29    | 368.00     | 420.94    |
| 16        | Jharkhand                 | 582.97     | 521.49    | 563.92     | 372.01    | 493.37     | 590.18    |
| 17        | Karnataka                 | 814.17     | 812.56    | 834.09     | 858.18    | 706.09     | 1141.61   |
| 18        | Kerala                    | 424.15     | 673.07    | 373.58     | 509.83    | 305.87     | 632.88    |
| 19        | Lakshadweep               | 3.61       | 2.28      | 5.89       | 1.36      | 4.28       | 2.72      |
| 20        | Madhya Pradesh            | 1141.03    | 1583.60   | 1250.17    | 1738.02   | 1085.37    | 2046.60   |
| 21        | Maharashtra               | 1520.71    | 1806.86   | 1536.58    | 1834.40   | 1282.31    | 1734.44   |
| 22        | Manipur                   | 127.75     | 74.57     | 144.97     | 86.91     | 118.53     | 105.51    |
| 23        | Meghalaya                 | 139.24     | 71.53     | 160.21     | 70.72     | 131.00     | 133.55    |
| 24        | Mizoram                   | 86.20      | 91.89     | 116.53     | 93.29     | 97.87      | 172.38    |
| 25        | Nagaland                  | 114.42     | 90.40     | 131.26     | 63.04     | 108.75     | 81.05     |
| 26        | Orissa                    | 678.99     | 901.65    | 730.09     | 944.10    | 624.71     | 1205.77   |
| 27        | Puducherry                | 21.29      | 25.43     | 25.46      | 23.35     | 17.77      | 21.77     |

| 28        | Punjab        |   362.38 |   437.57 |   351.89 |   460.59 |   284.75 |   649.49 |
|-----------|---------------|----------|----------|----------|----------|----------|----------|
| 29        | Rajasthan     |  1091.2  |  1457.06 |  1238.11 |  1722.69 |  1069.38 |  1799.11 |
| 30        | Sikkim        |    42.32 |    44.82 |    51.42 |    41.36 |    45.86 |    50.71 |
| 31        | Tamil Nadu    |  1020.75 |  1430.28 |   968.18 |  2248.06 |   794.38 |  1633.37 |
| 32        | Tripura       |   165.43 |   101.93 |   161.75 |   130.15 |   139.08 |   118.77 |
| 33        | Uttar Pradesh |  3584.98 |  2924.38 |  2650.25 |  3671.26 |  2299.49 |  4451.78 |
| 34        | Uttarakhand   |   310.55 |   255.28 |   308.1  |   324.42 |   256.6  |   335.95 |
| 35        | West Bengal   |  1179.64 |  1271.71 |  1053.27 |  1196.78 |   883.49 |  1487.62 |
| 36        | Telangana     |     0    |     0    |   506.45 |   334.68 |   440.58 |   505.55 |
| Sub Total | Sub Total     | 19989    | 21134.2  | 19132.7  | 23076.9  | 16213.1  | 26396.9  |
| Others    | Others        |   132.77 |     4.08 |  1211.51 |     0    |  1100    |     0    |
| Total     | Total         | 20121.8  | 21138.3  | 20344.2  | 23076.9  | 17313.1  | 26396.9  |

2. Expenditure includes expenditure against central Release, State release & unspent balances at the

Note: 1. Allocation is per Original outlay/B.E. beginning of the year.