Lok Sabha Question No. 1185 (UNSTARRED), answered on 2018-02-09
Subject: Medical Facilities for Incurable Diseases
Ministry: HEALTH AND FAMILY WELFARE
Asked by: RITI PATHAK

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

LOK SABHA UNSTARRED QUESTION NO. 1185 TO BE ANSWERED ON 9 TH FEBRUARY, 2018

## MEDICAL FAC ILITIES FOR INCURABL E DISEASES

## 1185. SHRIMATI RITI PATHAK:

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

- (a) whether the number of patients suffering from incurable diseases is increasing in the if so, the details thereof;
- (b) whether the Government proposes to enhance the medica l facilities being provided to these patients, if so, the details thereof; and
- (c) the steps taken by the Government to improve the medical facilities all over the cou the details of the amount allocated for this purpose, State/UT - wise?

## ANSWER THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE (SHRI ASHWINI KUMAR CHOUBEY)

- (a)t o  (c) : As  per  the  definition,  'Incurable  diseases'  are  those  diseases  which  are  not amenable to cure and after treatment do not return to pre - illness status.  Most of the cancerous conditions and chronic illness (NCDs) can be deemed as incurable though can be man aged and controlled.  WHO among infectious diseases classifies HIV infection, Hepatitis B, Rabie progressive Neurological diseases etc. as incurable diseases.

As  far  as  various  cancerous  conditions  are  concerned,  as  per  the  Indian  Counci MedicalResearch (ICMR), the number of new cancer patients in the country is estimated to 13.3 lakh, 13.9 lakh and 14.5 lakh for the years 2014, 2015 and 2016 respectively.

The results available from 15 States/UTs of an ongoing ICMR India Diabetes (ICMR -InDA B)  Study  on  the  prevalence  of  diabetes  indicate  overall  prevalence  of  Diabetes  va from 4% to 13 %.

According to the Report of National Commission on Macroeconomics and Health, there were  380  lakh  cases  of  Cardiovascular  Diseases  (CVDs)  in  the  year  20 05  and  these  were estimated to rise to 641 lakh cases in the year 2015.

Contd………

As per National Family Health Survey - 4, about 8.8% women and 13.4% men in the age group of 15 - 49 years were estimated to be having higher than normal Blood pressure.

While public health and hospitals is a state subject, the Central Government supplements the efforts of the State Governments to provide health care including fortertiary level health care for NCDs.  The Government of India is implementing National Progra mme for Prevention and Control of Cancer, Diabetes, Cardiovascular Diseases and Stroke (NPCDCS) for interventi up to District level under the National Health Mission.  It has focus on awareness gen screening and early diagnosis of persons with h igh level of risk factors and their treatment and referral  (if  required)  higher  facilities  for  appropriate  management,  development  of Resource and setting up of infrastructure such as NCD clinics for Non - communicable Disea ses. The  Pradhan  Mantri  Nati onal  Dialysis  Programe  has  been  rolled  out  that  provides  for  fr dialysis services to poor patients .

Government of India is implementing population level screening for diabete hypertension & common cancers vis oral, breast and cervix under which Operational Guidelines have been shared with State Governments with the request to submit their proposal in thei specific Programme Implementation Plans (PIP) under NHM.

The  Central  Government,  through  its  hospi tals,  augments  the  efforts  of  the  State Governments for providing health services in the country.  Under PMSSY, 6 new AIIMS hav been made operational.  Upgradation of identified Government medical colleges/institution higher specialty facilities has been undertaken.

Under Tertiary Care Cancer Centre (TCCC) Scheme, Government of India is assisting States  to  set  up  /  establish  State  Cancer  Institute  (SCI)  and  TCCCs  in  different  par country.   Funds to the tune of Rs.351.9 crores, Rs.126.5 cro res, Rs.277. crores and Rs.179.3 crores were released during the year 2014 - 15, 2015 - 16, 2016 - 17, 2017 - 18 (till date respectively).

AMRIT (Affordable Medicines and Reliable Implants for Treatment) stores are being s up by M/s HLL Life Care Limited, a CPS E, where essential lifesaving medicines for Cancer and CVDs are being provided a a substantial discount vis - à- vis the Maximum Retail Price.

Under National Health Mission, up to district level interventions, the States ar supported to provide access ible, affordable and quality health care.  An amount of Rs.163.9 crores has been released to states under NCD flexi pool.

There is no separate budget head for management of incurable diseases.

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