Lok Sabha Question No. 4073 (UNSTARRED), answered on 2018-08-10
Subject: Expenditure on Deaf and Dumb Children
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Sarfaraz Alam

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

## LOK SABHA UNSTARRED QUESTION NO. 4073 TO BE ANSWERED ON 10 TH AUGUST, 2018

## EXPENDITURE ON DEAF AND DUMB CHILDREN

## 4073. SHRI SARFARAZ ALAM:

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

- (a) the expenditure incurred by the Union and the State Governments on the treatment of deaf and dumb children during the last three years, State/UT - wiseincluding Bihar;
- (b) the details of rules and conditions laid down for the treatment; and
- (c) the details of steps taken by the Government to make people aware of programmes/schemes implemented for the said children?

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

- (a): National  Programme  for  Prevention  and  Control  of  Deafness  (NPPCD)  is  one  of  the centrally  sponsored  schemes,  launched  on  the  pilot  phase  basis  in  January  2007  coverin districts.  At  present,  the  approvals  have  b een  given  for  implementing  the  Programme  in  436 districts  of  35  States  and  Union  Territories,  including  Bihar.  The  State/UT - wise  details  of expenditure incurred on NPPCD for the last three years are at Annexure .
- (b) : There are no specific rules and conditions laid down for the treatment of deaf and children.  However,  the  following  measures  are  being  taken  to  prevent  and  control  dea across the country to improve ear care services under NPPCD : -
- Basic  treatment is  given  at  Primary  Health  Centres  (PHCs)  and  Community  Health Centres (CHCs) for common ear diseases. For advance and complicated cases, patien are referred to ENT surgeons at District Hospitals and/or Medical Colleges.
- Provision of hearing aids and C ochlear Implant under Assistance to Disabled Persons for Purchase / Fitting of Aids and Appliances ( ADIP)  scheme  through  Ministry  of  Social Justice and Empowerment.
- Provision of human resource like ENT surgeon, Audiologist, Audiometric Assistant a Instru ctor through Programme Implementation Plan under National Health Mission.
- Under National Health Mission, Government of India is also implementing Rashtriya B Swasthya Karyakram (RBSK) from 2013 for screening of children from 0 - 18  years  of age for identif ying deafness.

the

(c) : The  following  steps  have  been  taken  to  make  people  aware  of  NPPCD  being implemented for hearing impaired children : -

- IEC material has been developed and distributed to States as well as uploaded on Ministry's website www.mohfw.nic.infor easy access by State Nodal Officers (SNOs) for creating awareness among general public on prevention of deafness under NPPCD Funds for IEC activities are allocated @ Rs.20.00 lakh per State/UT and @Rs.2.00 lakh per implementing districts.
- World Hearing Day is celebrated every year on 3rd March. On the occasion of Worl Hearing  Day  held  this  year,  an  ear  awareness  and  screening  camp  was  organized  b Ministry of Health and Family Welfare in collabora tion with Department of Community Medicine & Department of ENT, Maulana Azad Medical College; Department of ENT, Lady Harding Medical College; Department of ENT, Safdarjung Hospital and Society fo Sound Hearing.
- Telecast of video spots on Doordarshan and Radio spots/jingles and radio programmes through various channel of All India Radio and LokSabha TV is taken up regularly.
- Inter - personal communication at PHC/CHC/District level by various functionaries.

Health

In addition, during assessment of benefi ciari s and distribution of aids and appliances under  ADIP  scheme,  comprehensive  measures  are  taken  to  publicize  the  scheme  through advance  notice  in  local  newspapers,  distribution  of  pamphlets,  placing  hoardings  ref salient  features  of  the  scheme. Details  regarding  ADIP  scheme  are  available  on  the  website: www.disabilityaffairs.gov.in .  Further,  for  Cochlear  Implant  under  ADIP  scheme,  a  dedicated website www.adipcochlearimplant.in has been developed wherein all information is available for access by the public.

ANNEXURE for  Prevention and Control of Deafness (NPPCD)

Rs. In lakh

## Details of Expenditure incurred on the National Programme under Nation al Health Mission (NHM) for the FY 2015 -16 to 2017 -18

| S. No.                   | Name of the States/UTs   | 2015-16   | 2016-17   | 2017-18   |
|--------------------------|--------------------------|-----------|-----------|-----------|
| A. High Focus States     |                          |           |           |           |
| 1                        | Bihar                    | 0.00      | 0.59      | 0.00      |
| 2                        | Chattisgarh              | 26.53     | 30.69     | 183.88    |
| 3                        | Himachal Pradesh         | 35.06     | 17.71     | 6.84      |
| 4                        | Jammu & Kashmir          | 0.00      | 0.00      | 0.00      |
| 5                        | Jharkhand                | 0.00      | 0.00      | 0.42      |
| 6                        | Madhya Pradesh           | 0.00      | 0.00      | 0.00      |
| 7                        | Orissa                   | 0.00      | 0.24      | 0.00      |
| 8                        | Rajasthan                | 0.00      | 66.83     | 61.73     |
| 9                        | Uttar Pradesh            | 20.42     | 187.61    | 371.20    |
| 10                       | Uttarakhand              | 0.00      | 77.07     | 79.90     |
|                          | Sub Total                | 82.01     | 380.74    | 703.97    |
| B. NE States             |                          |           |           |           |
| 11                       | Arunachal Pradesh        | 0.00      | 284.32    | 14.42     |
| 12                       | Assam                    | 0.00      | 17.41     | 22.29     |
| 13                       | Manipur                  | 156.58    | 94.71     | 5.46      |
| 14                       | Meghalaya                | 0.00      | 0.58      | 10.48     |
| 15                       | Mizoram                  | 122.73    | 95.64     | 48.68     |
| 16                       | Nagaland                 | 0.00      | 0.00      | 2.23      |
| 17                       | Sikkim                   | 0.00      | 0.90      | 0.00      |
| 18                       | Tripura                  | 0.00      | 0.00      | 0.00      |
|                          | Sub Total                | 279.31    | 493.56    | 103.56    |
| C. Non-High Focus States |                          |           |           |           |
| 19                       | Andhra Pradesh           | 0.00      | 0.00      | 0.00      |
| 20                       | Goa                      | 0.00      | 0.00      | 19.03     |
| 21                       | Gujarat                  | 3.74      | 54.66     | 3.19      |
| 22                       | Haryana                  | 0.00      | 2.40      | 0.00      |
| 23                       | Karnataka                | 0.00      | 140.61    | 124.84    |
| 24                       | Kerala                   | 0.00      | 69.78     | 230.52    |
| 25                       | Maharashtra              | 84.91     | 64.24     | 2.95      |
| 26                       | Punjab                   | 0.00      | 0.00      | 0.00      |
| 27                       | Tamil Nadu               | 0.00      | 0.00      | 3.25      |
| 28                       | Telangana                | 0.00      | 0.00      | 0.00      |
| 29                       | West Bengal              | 11.46     | 308.76    | 253.00    |
|                          | Sub Total                | 100.11    | 640.45    | 636.78    |

| D. Small States/UTs   |                           |        |         |         |
|-----------------------|---------------------------|--------|---------|---------|
| 30                    | Andaman & Nicobar Islands |   6.22 |    8.43 |    1.26 |
| 31                    | Chandigarh                |   0    |    1.26 |    0.55 |
| 32                    | Dadra & Nagar Haveli      |  39.74 |   29.52 |    6.49 |
| 33                    | Daman & Diu               |   0    |    0    |    0    |
| 34                    | Delhi                     |   1.71 |    2.13 |    0    |
| 35                    | Lakshadweep               |   0    |    0    |    0    |
| 36                    | Puducherry                |   1.93 |   30.34 |    4.13 |
|                       | Sub Total                 |  49.6  |   71.68 |   12.43 |
|                       | Grand Total               | 511.04 | 1586.43 | 1456.74 |

## Note:

1. The above figures are as per FMR reported by the States/UTs.
2. Expenditure includes expenditure against Central Release, State release & unspent balance at the beginning of the year.