Lok Sabha Question No. 1098 (UNSTARRED), answered on 2020-02-07
Subject: Combating Diabetes
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Kumbakudi Sudhakaran

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

LOK SABHA UNSTARRED QUESTION NO. 1098 TO BE ANSWERED ON 7 th FEBRUARY, 2020

## COMBATING DIABETES

## 1098. SHRI KUMBAKUDI SUDHAKARAN:

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

- (a) the number of people in India who have been diagnosed with diabetes as on December, 2019, State/ UT - wise;
- (b) whether the Government has a strategy in place to combat diabetes in India;
- (c) if so, the details thereof and if not, the reasons therefor;
- (d) whether the Government proposes a new policy framework for combating diabetes; and
- (e) if so, the details thereof and if not, the reasons therefor?

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

- (a): As  informed  by  Indian  Council  of  Medical  Research  (ICMR),  it  has  undertaken  a large study called ICMR -INDIAB Study to assess the prevalence of diabetes. I t is an ongoing study and currently results are available for 26 States/UTs,  details of which are at Annexure.
- (b) to (e): Public health and hospitals is a state subject. Central Government suppleme efforts  of  State  Governments.  In  order  to  combat the  major  NCDs  including  diabetes, Government of  India is  implementing National  Programme for Prevention and Control o Cancer,  Diabetes,  Cardiovascular  Diseases  and  Stroke  (NPCDCS)  for  interventions  up district  level  under  the  National  Health  Mission(NH M),  with  focus  on  strengthening infrastructure, human resource development, health promotion & awareness generation, e diagnosis,  management  and  referral  to  an  appropriate  level  institution  for  treatme follow up of non - communicable diseases inclu ding diabetes. To tackle the challenge of Non Communicable  Diseases  (NCD)  including  cancer,  616  NCD  Clinics  at  District  level  an 3,827 NCD Clinics at Community Health Centre level have been set up under NPCDCS. Treatment for diabetes is also available at other health facilities run by the Central and Stat Governments.

A population level initiative of prevention, control and screening for common N (diabetes, hypertension and common cancers viz. oral, breast and cervical cancer) ha been  rolled  out under  NHM,  as  a  part  of  comprehensive  primary  health  care.  Under  this initiative, frontline health workers such as Accredited Social Health Activists(ASHA Auxiliary  Nurse  Midwives(ANM),  inter  alia,  are  leveraged  to  carry  out  screening generate aw areness about the risk factors of NCDs including diabetes among the masses. T initiative  is  under  implementation  in  over  215  districts  across  the  country.  Scree common  NCDs  including  diabetes  is  also  an  integral  part  of  service  delivery  un Ayu shman Bharat -Health and Wellness Centres.

Quality generic medicines are being made available at affordable prices to all, 'Jan  Aushadhi  Scheme',  in  collaboration  with  the  State  Governments.  Also,  195  AMRIT (Affordable  Medicines  and  Reliable  Implan ts  for  Treatment)  stores  have  been  set  up  in hospitals, where essential life - saving medicines including for diabetes are being provided at substantial discount vis - à- vis the Maximum Retail Price.

## PREVALENCE OF DIABETES [ICMR -INDIAB STUDY]

| States/UT         | Prevalence of diabetes (%)   | Prevalence of diabetes (%)   | Prevalence of diabetes (%)   |
|-------------------|------------------------------|------------------------------|------------------------------|
|                   | Urban                        | Rural                        | Overall                      |
| Mainland          |                              |                              |                              |
| Andhra Pradesh    | 12.7                         | 6.3                          | 8.0                          |
| Arunachal Pradesh | 5.9                          | 5.0                          | 5.2                          |
| Assam             | 12.4                         | 4.4                          | 5.4                          |
| Bihar             | 10.8                         | 3.5                          | 4.3                          |
| Chandigarh (UT)   | 14.2                         | 8.3                          | 13.6                         |
| Chhattisgarh      | 13.3                         | 7.5                          | 8.8                          |
| Delhi             | 13.1                         | 11.3                         | 13.1                         |
| Goa               | 28.3                         | 21.8                         | 23.3                         |
| Gujarat           | 10.3                         | 5.1                          | 7.1                          |
| Haryana           | 15.4                         | 7.9                          | 10.4                         |
| Jharkhand         | 13.5                         | 3.0                          | 5.3                          |
| Karnataka         | 11.2                         | 5.7                          | 7.5                          |
| Kerala            | 2.7                          | 23.0                         | 23.6                         |
| Madhya Pradesh    | 11.8                         | 3.7                          | 6.1                          |
| Maharashtra       | 10.9                         | 6.5                          | 8.4                          |
| Manipur           | 7.1                          | 4.4                          | 5.1                          |
| Meghalaya         | 8.9                          | 3.5                          | 4.5                          |
| Mizoram           | 8.0                          | 3.5                          | 5.7                          |
| Nagaland          | 9.9                          | 3.7                          | 5.4                          |
| Puducherry        | 25.6                         | 19.2                         | 20.3                         |
| Punjab            | 12.1                         | 8.7                          | 9.8                          |
| Rajasthan         | 10.6                         | 4.1                          | 5.7                          |
| Sikkim            | 17.9                         | 9.6                          | 11.8                         |
| Tamilnadu         | 13.7                         | 7.8                          | 10.4                         |
| Tripura           | 15.4                         | 7.2                          | 8.6                          |
| Uttar Pradesh     | 7.4                          | 3.2                          | 4.2                          |

Weighted Prevalence