Lok Sabha Question No. 4024 (UNSTARRED), answered on 2018-08-10
Subject: Dialysis Facilities for Kidney Patients
Ministry: HEALTH AND FAMILY WELFARE
Asked by: GAJANAN CHANDRAKANT KIRTIKAR, MANSUKHBHAI DHANJIBHAI VASAVA, JANARDAN SINGH SIGRIWAL

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

## LOK SABHA UNSTARRED QUESTION NO. 4024 TO BE ANSWERED ON 10 TH AUGUST, 2018

## DIALYSIS FACILITIES FOR KIDNEY PATIENTS

## 4024. SHRI GAJANAN KIRTIKAR: SHRI MANSUKHBHAI DHANJIBHAI VASAVA: SHRI JANARDAN SINGH SIGRIWAL:

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

(a) the details and objectives of National Dialysis Programme started under the National Health Mission;

(b) whether the Government has taken note of the rise in patients with Kidney diseases in the country and if so, the measures taken by the Government in this regard;

(c) whether the Government has taken note of difficulties being faced by the patients requiring dialysis  due  to  shortage of  dialysis  machines  or  non - availability  of such  facilities  in  various Government hospitals  including  Lady  Hardinge  Medical College  and  Smt.  Sucheta  Kriplani Hospital, New Delhi, if so, the details thereof; and

(d) whether the Gov ernment has also taken note of the fact that a large number of old machines are  not  functional  in  such hospitals,  if  so,  corrective  measures  taken/ being  taken  by  the Government  to  restore dialysis  facilities  in  such  hospitals  including Lady  HardingeMedical College and Smt. Sucheta Kriplani Hospital, New Delhi?

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

(a) to (d) : To  improve  Dialysis  facility  at  District  Hospitals,  Pradhan  Mantri  Natio Dialy sis Programme (PMNDP) is being implemented under the National Heath Mission (NHM) in  PPP  mode.  Guidelines  for  'Pradhan  Mantri  National  Dialysis  Programme'  including  model Request for Proposal (RFP) from the private providers have been issued. As per the gu idelines, the private partner is envisaged to provide medical human resource, dialysis machine alon Reverse Osmosis (RO) water plant infrastructure, dialyzer and consumables, while the s power, and water supply within District Hospitals are to b e provided by the State Governments. Support under NHM is provided to State/UTs for provision of free dialysis services to th Such support is based on the proposals received from States/UTs in their annual Progr Implementation Plans (PIPs).

Nationwide scientific estimation of number of patients of Chronic Kidney Disea (CKDs)  has  not  been  carried  out.    However,  in  some  of  the  small  population  based  stu prevalence was found to be 0.79% in North India and 0.16% in South India.  As per clinicians from  AIIMS,  New  Delhi,  Kidney  Diseases  are  estimated  to  be  increasing,  mostly  due increasing diabetes and hypertension and increasing acute kidney injury.

The  Government  of  India  is  implementing  National  Programme  for  Prevention  and Co ntrol of Cancer, Diabetes, Cardiovascular Diseases and Stroke (NPCDCS) for interventi up to District level under the National Health Mission. It has focus on awareness genera behaviour and life - style changes, screening and early diagnosis of per sons with high level of risk factors  and  their  treatment  and  referral  (if  required)  to  higher  facilities  for management  for  Non - Communicable  Diseases.  Further,  for  early  diagnosis,  population  leve initiative  for  prevention,  control  and  screeni ng  for  common  Non - Communicable  Diseases including  diabetes  and  hypertension,  which  are  the  biological  risk  factors  of  CKD,  ha rolled out in over 150 districts of the country in 2017 - 18 under NHM, as a part of comprehensive primary healthcare.

W hile Health is a State subject, the Central Government supplements the effor State Government in providing Tertiary Health Care including for Dialysis facilities. In to such facilities provided by the State Government Health Institutions, fac ility for Dialysis are also available in many Central Government Hospitals, free of cost or at affordable rates patients. PMNDP is a focused programme for dialysis under NHM. Further, health institut supported under the Pradhan Mantri Swasthya Suraksha Yojana (PMSSY) enhance the tertiary care facilities in the country including for Chronic Kidney Diseases.

As informed by the Lady Hardinge Medical College, presently, there is no DM - qualified nephrologist and Nephrology Department at Lady Hardinge Medical College(LHMC) and Smt. Sucheta Kriplani Hospital(SSKH), New Delhi, as required under regulatory norms, due to wh no dialysis services a r offered at LHMC and SSKH.