Lok Sabha Question No. 2018 (UNSTARRED), answered on 2017-12-29
Subject: National Programme for Health Care of the Elderly
Ministry: HEALTH AND FAMILY WELFARE
Asked by: FEROZE VARUN GANDHI

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

LOK SABHA UNSTARRED QUESTION NO. 2018 TO BE ANSWERED ON 29 th DECEMBER, 2017

## NATIONAL PROGRAMME F OR HEALTH CARE OF THE ELDERLY

## 2018. SHRI FEROZE VARUN GANDHI:

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

- (a) the funds allocated and utilized under the National Programme for Health Care of the Elderly (NPHCE) during each of last three years and the current year, State/UT - wise;
- (b)the  details  of  all  the  health  workers are  given  geriatrics  training  to  fulfil the  programme's objectives, State/UTwise;
- (c) whether a timeline has been set for completion of this programme;
- (d) if so, the details of initiatives taken by his Ministry for the elderly to have easy access to holistic healthcare; and
- (e) whether any measures are taken by the Ministry to promote research on diseases affecting the elderly and if so, the details thereof?

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

- (a): The details of funds allocated and utilized under National Programme for Health Car Elderly (NPHCE) are given at Annexure -I & II.
- (b) : State/UT - wise number of health professionals provided geriatric training is at Annexu -III
- (c): Ministry of Health and Family Welfare has planned to implement the National Progra for Health Care of the Elderly (NPHCE) in all the District Hospitals by 2020.
- (d): Under  NPHCE,  outpatient,  inpatient,  laboratory  and  physiotherapy  services  are provided  at  Primary  Health  Centres  (PHCs),Community  Health  Centres  (CHCs)  and  Distr Hospital, Regional Geriatric Centres (RGCs) and National Centres of Ageing (NCAs) . Ason date, 520 districts, 20 RGCs and two NCAs have been sanctioned for implementation of NPHCE.
- (e): There is a provision of research activities through RGCs and NCAs with special fo health and well - being of the very old population.

## Funds released and utilized under NPHCE during 2014-15

| Sl. No   | Name of the States   | 2014-15             | 2014-15                            |
|----------|----------------------|---------------------|------------------------------------|
| Sl. No   | Name of the States   | GIA Released by GOI | Expenditure Reported by the States |
| 1        | Andhra Pradesh       | 0.00                | 0                                  |
| 2        | Assam                | 142.27              | 53.55                              |
| 3        | Bihar                | 150.00              | 84.22                              |
| 4        | Chattisgarh          | 99.00               | 126.71                             |
| 5        | Gujarat              | 215.66              | 230.87                             |
| 6        | Haryana              | 77.62               | 48.81                              |
| 7        | Himachal Pradesh     | 11.85               | 68.04                              |
| 8        | Jammu &Kashmir       | 0.00                | 84.94                              |
| 9        | Jharkhand            | 111.00              | 56.00                              |
| 10       | Karnataka            | 170.95              | 16.33                              |
| 11       | Kerala               | 150.00              | 749.74                             |
| 12       | Madya Pradesh        | 215.34              | 81.54                              |
| 13       | Maharashtra          | 203.64              | 239.44                             |
| 14       | Odisha               | 116.00              | 140.71                             |
| 15       | Punjab               | 111.36              | 48.14                              |
| 16       | Rajasthan            | 87.05               | 86.03                              |
| 17       | Sikkim               | 44.00               | 0                                  |
| 18       | Tamil Nadu           | 0.42                | 0                                  |
| 19       | Uttarakhand          | 0.00                | 11.24                              |
| 20       | Uttar Pradesh        | 0.00                | 0                                  |
| 21       | West Bengal          | 150.00              | 18.58                              |
| 22       | Daman &Diu           | 24.34               | 0                                  |
| 23       | Lakshdweep           | 95.66               | 10.90                              |
| 24       | Mizoram              | 119.06              | 0                                  |
|          | Total                | 2295.22             | 2155.79                            |

Annexure- II Funds Allocated/released/Expenditure under Non- Communicable Diseases (NCD)  flexible pool*

## Rs. in Crore

|         |                          |                                    | 2015-16   | 2015-16     | 2016-17    | 2016-17   | 2016-17     | 2017-18**   | 2017-18**   | 2017-18**   |
|---------|--------------------------|------------------------------------|-----------|-------------|------------|-----------|-------------|-------------|-------------|-------------|
| Sl. No. | Name of State            | Allocation under NCD flexible pool | Release   | Expenditure | Allocation | Release   | Expenditure | Allocation  | Release     | Expenditure |
| 1       | Andaman & Nicobar Island | 0.73                               | 0.55      | 0.00        | 1.21       | 1.21      | 0.00        | 1.06        | 0.79        | 0.00        |
| 2       | Andhra Pradesh           | 17.66                              | 14.78     | 0.00        | 17.49      | 30.82     | 0.00        | 30.23       | 22.67       | 0.94        |
| 3       | Arunachal Pradesh        | 7.81                               | 5.7       | 0.00        | 7.81       | 8.41      | 0.69        | 14.17       | 0.00        | 0.00        |
| 4       | Assam                    | 44.44                              | 35.78     | 1.18        | 44.44      | 55.33     | 3.02        | 80.61       | 0.00        | 0.12        |
| 5       | Bihar                    | 36.43                              | 22.34     | 0.18        | 36.08      | 18.04     | 0.28        | 63.01       | 47.26       | 0.04        |
| 6       | Chandigarh               | 0.25                               | 0.69      | 0.00        | 0.42       | 0.46      | 0.00        | 0.9         | 0.61        | 0.00        |
| 7       | Chhattisgarh             | 14.99                              | 8.47      | 0.26        | 14.85      | 14.85     | 1.59        | 25.93       | 19.45       | 7.92        |
| 8       | Dadra & Nagar Haveli     | 0.66                               | 0.63      | 0.15        | 1.09       | 0.82      | 0.35        | 0.96        | 0.48        | 0.00        |
| 9       | Daman &Diu               | 0.47                               | 0.35      | 0.00        | 0.78       | 0.39      | 0.00        | 0.68        | 0.00        | 0.00        |
| 10      | Delhi                    | 4.05                               | 2.23      | 0.00        | 6.72       | 5.64      | 0.00        | 14.31       | 0.00        | 0.00        |
| 11      | Goa                      | 0.47                               | 0.23      | 0.00        | 0.46       | 0.00      | 0.00        | 0.8         | 0.00        | 0.00        |
| 12      | Gujarat                  | 21.53                              | 20.98     | 1.91        | 21.32      | 21.32     | 1.83        | 36.85       | 27.64       | 0.06        |
| 13      | Haryana                  | 7.67                               | 4.93      | 0.68        | 7.6        | 3.80      | 1.01        | 13.18       | 9.89        | 0.01        |
| 14      | Himachal Pradesh         | 6.55                               | 4.78      | 0.47        | 6.48       | 3.24      | 0.35        | 11.32       | 5.66        | 0.00        |
| 15      | Jammu& Kashmir           | 14.73                              | 8.16      | 0.91        | 14.59      | 14.59     | 0.72        | 25.48       | 19.11       | 0.04        |
| 16      | Jharkhand                | 15.26                              | 10.57     | 0.00        | 15.11      | 15.11     | 0.52        | 26.4        | 0.00        | 0.00        |
| 17      | Karnataka                | 21.56                              | 14.29     | 0.92        | 21.34      | 21.34     | 2.38        | 36.9        | 27.68       | 0.01        |
| 18      | Kerala                   | 9.33                               | 5.18      | 0.76        | 9.24       | 6.93      | 1.28        | 16.07       | 12.05       | 1.40        |
| 19      | Lakshadweep              | 0.12                               | 0.07      | 0.25        | 0.21       | 0.00      | 0.024       | 0.18        | 0.000       | 0.03        |
| 20      | Madhya Pradesh           | 35.75                              | 26.82     | 1.05        | 35.4       | 35.40     | 0.81        | 61.83       | 46.37       | 0.00        |
| 21      | Maharashtra              | 38.05                              | 27.54     | 1.86        | 37.68      | 37.68     | 0.79        | 65.2        | 48.90       | 0.19        |
| 22      | Manipur                  | 5.00                               | 3.08      | 0.60        | 5.00       | 2.50      | 0.00        | 9.07        | 0.00        | 0.00        |
| 23      | Meghalaya                | 5.31                               | 2.46      | 0.00        | 5.31       | 5.31      | 0.00        | 9.62        | 4.33        | 0.00        |
| 24      | Mizoram                  | 2.85                               | 1.42      | 0.07        | 2.85       | 2.14      | 0.64        | 5.17        | 3.49        | 0.06        |
| 25      | Nagaland                 | 3.66                               | 2.63      | 0.00        | 3.66       | 1.83      | 0.00        | 6.64        | 4.48        | 0.00        |
| 26      | Orissa                   | 19.74                              | 16.19     | 0.81        | 19.55      | 19.55     | 0.70        | 34.14       | 17.07       | 0.14        |
| 27      | Pudducherry              | 0.31                               | 0.29      | 0.00        | 0.52       | 0.39      | 0.182       | 2.5         | 1.250       | 0.22        |
| 28      | Punjab                   | 8.43                               | 6.71      | 0.82        | 8.35       | 8.35      | 0.69        | 14.49       | 0.00        | 0.00        |
| 29      | Rajasthan                | 36.05                              | 27.04     | 8.26        | 35.7       | 26.78     | 6.38        | 62.35       | 46.76       | 0.10        |
| 30      | Sikkim                   | 1.27                               | 0.95      | 0.51        | 1.27       | 1.58      | 0.31        | 2.31        | 0.00        | 0.00        |
| 31      | Tamil Nadu               | 21.66                              | 17.16     | 0.00        | 21.45      | 21.45     | 1.26        | 37.22       | 27.91       | 0.00        |

| 32   | Tripura       |   5.32 |   2.55 |   0.00 |   5.32 |   2.66 |    0.00 |   9.65 |   4.34 |   0.00 |
|------|---------------|--------|--------|--------|--------|--------|---------|--------|--------|--------|
| 33   | Uttar Pradesh |  72.51 |  54.39 |   6.28 |  71.81 |  71.81 |  9.15   | 125.4  |  94    |   2.08 |
| 34   | Uttarakhand   |   8.99 |   6.62 |   0    |   8.9  |   8.9  |  0.0044 |  15.54 |   0    |   0.01 |
| 35   | West Bengal   |  25.09 |  13.03 |   0.24 |  24.85 |  24.85 |  0.51   |  43.22 |  21.61 |   0    |
| 36   | Telangana     |  12.63 |   9.41 |   0    |  12.5  |  11.23 |  0      |  21.61 |  16.2  |   0    |
|      | Total         | 527.33 | 379    |  28.16 | 527.36 | 504.71 | 35.47   | 925    | 530    |  13.38 |

*From the F.Y. 2015 - 16 onwards, the programme has been covered under NCD Flxible Pool including 4 other programmes i.e. National Programme for Control of Blindness & Visual Imairment (NPCB&VI),  National Pro Prevention and Control of Cancer, Diabetes, CVD and Stroke (NPCDCS), National Mental Health Programme ( & National Programme for Tobacco Control (NPTC). The allocation and releases are shown under NCD Flexibl and expenditure is for this programme only.

**As on date

## Annexure - III

## Details of Health Professionals, who were imparted geriatric training during 2014 - 2017

|   Sl. No. | Name and Address                                                                                                                                                |   Sl. No. | Name and Address                                                                                                  |
|-----------|-----------------------------------------------------------------------------------------------------------------------------------------------------------------|-----------|-------------------------------------------------------------------------------------------------------------------|
|         1 | Mrs Reeta Behera Master Trainer Members Association for Developmental Action and Training (MADAT) Surya Nagar, Unit - 7, Bhubaneshwar - 751003, Orissa          |         2 | Prof. Dr. Bijayeeni Mohapatra Director State Institute of Health & Family Odisha                                  |
|         3 | Prof J.M. Dewan Professor & HOD, I/C State Institute of Health & Family Welfare, Patna -Bihar                                                                   |         4 | Dr. R.D. Ranjan Director State Institute of Health & Family Patna -Bihar                                          |
|         5 | Mrs Nivedita Saha Programme Coordinator Alzheimer's &Related Disorders Society of India, (Kolkata)                                                              |         6 | Mrs. Srotasi Dey ( Kundu) Associate Care Provider Alzheimer's & Related Disorders Society of India, (Kolkata)     |
|         7 | Dr. G.N. Shivanna Reddy Deputy Director State Institute of Health & Family Welfare Magadi Road, Bangalore - 560023 (Karnataka)                                  |         8 | Ms. Simarjit kaur Director Taran Widows C/o Guild of Service C - 25, Qutub Institutional Area, New - 110016       |
|         9 | Ms. Manu Chaudhary Programm Coordinator G uild of Service C - 25, Qutub Institutional Area, New Delhi - 110016                                                  |        10 | Ms. Madhvi Singh Faculty National Institute of Social Defence West block - 1 Wing - 7, R. Puram New Delhi- 110066 |
|        11 | Mrs. Sobha State Coordinator Welfare Society for Elderly& Destitute People(WSEDP) R - 114, 4th. Floor Street No 7, Joga Bai Ext. Jamia Nagar,New Delhi - 110025 |        12 | Dr. Vijay Rhayakar Resident Manager Athashri Foundation Pune (Maharastra)                                         |
|        13 | Dr. Ramesh Sabharwal Medical Officer, General hospital, Kurkshetra SIHFW (Haryana)                                                                              |        14 | Dr. Harsh kushwaha Medical Officer, General hospital, Ambala, SIHFW (Haryana)                                     |
|        15 | Mr. Aman Mohammad Geriatrics Counselor Cum Coordinator C/o National Institute of Social Defence West block - 1 Wing - 7, R. Puram New Delhi- 110066             |        16 | Dr. Saritha Raghunath State Programme Coordinator, State NCD Cell, Karnataka                                      |
|        17 | Dr. Sujata Veerayya Hasavimath DSO, Distt. SurvillanceOffice Dharwad District 587101 Karnataka                                                                  |        18 | Dr. S.A. Telsang DSO, Distt. Hospital Bagalkol 587101 Karnataka                                                   |
|        19 | Dr. Purushotham T.N DSO, Tumkur District                                                                                                                        |        20 | Dr. Gianender Singh Medical Officer, Civil Hospital, Hisar,                                                       |

Education,

Education,

|    | Karnataka                                                                                                               |    | District Hisar,                                                                                    |
|----|-------------------------------------------------------------------------------------------------------------------------|----|----------------------------------------------------------------------------------------------------|
| 21 | Dr. L. Vikram Singh MD(Community Medicine) CMO Imphal East, Manipur                                                     | 22 | Dr. (Mrs.) Manjubala Panda, Epidemiologist, NPCDCS,NCD Cell, Bolangir, Odisha                      |
| 23 | Dr. (Mrs.) Madhuri Purohit, Epidemiologist, NPCDCS,NCD Cell, Sambalpur, Odisha                                          | 24 | Dr. Shikha Upadhyay Asian Centre for Medical Research & Innovation, Jodhpur,                       |
| 25 | Dr. Virendra Kumar Dy.Director,NHM, 8,Areaa Hills NPHCE, Bhopal, M.P.                                                   | 26 | Dr. Sumeet Sisodiya Nodel Officer, NCD,District Hopital, Dhar, M.P.                                |
| 27 | Dr. Lalchampuii Medical Officer, NPHCE, Civil Hospital, Aizawl, Mizoram                                                 | 28 | Dr. Officer, NPHCE, P.C. Lalthanmawii Medical Civil Hospital, Lunglei, Mizoram                     |
| 29 | Dr.R.Baskeran Splt. Gr.I Medicine Indra GandhiGovt. General Hospital Puducherry - 605001                                | 30 | Dr. Hardik B. Nakshiwala MD, Epidemiologist, NPCDCS NPHCE, Gandhinagar, Gujarat                    |
| 31 | Dr.Kanagaraju CG Infimate ACMO DedhiTransco, Ltd. Shakti Sadan Kotla Road New Delhi- 110002                             | 32 | Mr. Ajay Kumar Solanki Asian Centre for Medical Research & Innovation, Jodhpur,                    |
| 33 | Dr.Arun Gaur Principal Splt. Medicine M.G Hospital, Bhilwara Rajasthan                                                  | 34 | Dr. KVNS Anil Kumar Adl.DMHO Distt.Medical &Health Office Anantapuramu Andhra Pradesh              |
| 35 | Dr. Kamlesh Vatwani Geriatrician Mandore Hospital Jodhpur Rajasthan                                                     | 36 | Dr. Jagdisha H.S Epidemiologist, HFWTC, SIHFW Compound Banglore                                    |
| 37 | Dr. Santosh K Yatnatti Departmentof Community Medicine Yenepoya Medical College Yenepoya University Manglore, Karnataka | 38 | Dr. Madhu K.S Chief Administrative Medical Officer Chikamagalore, G.H Tarikere Banglore, Karnataka |
| 39 | Dr. Ambika Kumari B Medical Officer Deptt. of Medicine MCH RGC Trivandrum,Kerala                                        | 40 | Dr. Surekha. Viggeswarpu Professor & Head Deptt.of Geriatrics CMC, Vellore - 632004                |
| 41 | Dr. M.Beenath Medical Officer Deptt. of Medicine MCH RGC Trivandrum, Kerala                                             | 42 | Dr. Kabita Barua Barman State Programme Officer, NCD, NHM, Assam                                   |
| 43 | Dr. Shalini Pradeep Professor                                                                                           | 44 | Dr. Rahul Kumar Sarmah Specialist (Community Medicine)                                             |

Society

|    | Department of Community Medicine M. S. Ramaiah Medical College Benglore- 54                                                  |          | NHM, Assam.                                                                                       |
|----|------------------------------------------------------------------------------------------------------------------------------|----------|---------------------------------------------------------------------------------------------------|
| 45 | Dr. Arunasree Department of Community Medicine M. S. Ramaiah Medical College Benglore- 54.                                   | 46       | Dr. Binduk Padu State Programme Officer NPHCEA.P. State Health Naharlangum Arunachal Pradesh      |
| 47 | Dr. Siddharth Biswas Nodel Officer, CICMR Programme                                                                          | 48       | Sh. Manash Roy Sub Divisinal Programme Manager Kamal Pur                                          |
| 49 | Dr. Zalak Matariya District Programme Officer Rajkot, Gujrat                                                                 | 50       | Agartala, Tripura - 799001 Dr. Kedar Raikar NCD Officer Directorate of Health Services Panaji Goa |
| 51 | Dr. Baljit Kaur Assistant Director State Programme Officer NPHCE, Punjab Pariwar Kalyan bhawan Plot no 5, Sec. 34 Chandigarh | 52       | Dr. Dipali Mistry District Programme Officer District NCD Cell New Civil Hospital Surat Gujrat    |
| 53 | Dr. W.N. Ezung Jt. Director and State Programme Officer C/O State NCD Cell Nagaland Kohima                                   | NPHCE 54 | Dr.Temsusashi Phyisician distt. NCD Clinic, Distt. hospital Dimapur                               |