Lok Sabha Question No. 2010 (UNSTARRED), answered on 2019-11-29
Subject: Screening Centre for Critical Diseases
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Jyotirmay Singh Mahato

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

## LOK SABHA UNSTARRED QUESTION NO. 2010 TO BE ANSWERED ON 29 TH NOVEMBER, 2019

## SCREENING CENTRE FOR CRITICAL DISEASES

## 2010. SHRI JYOTIRMAY SINGH MAHATO:

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

- (a)  whether  the  Government  proposes to  set  up  screening  centres  in  100  districts of  the country to diagnose cancer, hypertension and diabetes;
- (b) if so, the name of the districts and States in which the above centres would be set up in the initial phase;
- (c) whether adequate trained persons a e available for operation of these centres;
- (d) the name of the authority which will monitor their maintenance or management; and
- (e) the number of district hospitals of the country including West Bengal having adequate arrangements for cancer treatment?

## ANSWER THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE

## (SHRI ASHWINI KUMAR CHOUBEY)

(a) to (d): The  Government  roll ed  out  a  Population  Level  initiative  for  prevention, control & screening for common non - communicable diseases (NCDs) (Diabetes, Hypertension and common cancers viz.  Oral, Breast and Cervical Cancer) in 100 distric the country during 2017 -18 as a part of comprehensive primary health care. Population level screening is now under implementation in 219 districts of the country. State/UT - wise  list indicating number of districts in which population based screening is under implementat at Annexure . Under the initiative persons more than 30 years of age are targeted for screening for common NCDs. Prevention, control & screening services are being provid through trained frontline workers [Accredited Social Health Activists (ASHA) and Auxil y Nurse Midwives (ANM)] and the referral support and continuity of care are through Prim Health Centre (PHC), Community Health Centre (CHC), District Hospitals and other terti care institutions. Training on screening for NCDs is provided to health wo rkers at different levels  and  so  far  1,55,084  ASHAs,  37,584  ANM/MPWs,  10,135  Staff  nurses  and  11,024 Medical officers have been trained. For interventions upto district level, support is to States/UTs under the National Health Mission. Monitoring of implementation is done by Nodal Officers for NCDs appointed by the State Governments.

(e):    Under  National  Programme  for  Prevention  and  Control  of  Cancer,  Diabete Cardiovascular  Diseases  and  Stroke  (NPCDCS),  NCD  Clinics  are  set  up  at  district  a Com munity  Health  Centre  (CHC)  levels,  for  early  diagnosis,  management  and  referral appropriate level institutions for treatment. So far, 3274 NCD Clinics at CHC level a NCD Clinics at district level have been set up, which includes 156 NCD Clinics at CHC level and 27 NCD Clinics at district level in West Bengal. 216 Day Care Centres for chemothe have been set up in District Hospitals, which includes 25 Day Care Centres in West Beng

To  enhance  the  facilities  for  tertiary  care  of  cancer,  Governm ent  of  India  is implementing 'Strengthening of Tertiary Care Cancer facilities scheme' to assist States/UTs in setting up of State Cancer Institutes (SCIs) and Tertiary Care Cancer Centres (TCC different parts of the country. So far, 18 SCIs and 20 T CCCs have been approved, which includes 3 TCCCs in West Bengal.

Strengthening of Chittaranjan National Cancer Institute, Kolkata and setting up India  Institute  of  Medical  Sciences  at  Kalyani  in  West  Bengal  have  also  been  appro which will enhanc e the tertiary cancer care facilities.

State/UT-wise  list  indicating  number  of  districts  in  which  population  based  screening  is  under implementation

| Sl.No.   | Names of States/UTs    |   Number of PBS Districts |
|----------|------------------------|---------------------------|
| 1        | Bihar                  |                        14 |
| 2        | Chhattisgarh           |                         3 |
| 3        | Jharkhand              |                         3 |
| 4        | Madhya Pradesh         |                        11 |
| 5        | Odisha                 |                         7 |
| 6        | Uttarakhand            |                         9 |
| 7        | Uttar Pradesh          |                        10 |
| 8        | Rajasthan              |                         5 |
| 9        | Andhra Pradesh         |                         3 |
| 10       | Delhi                  |                         1 |
| 11       | Gujarat                |                         3 |
| 12       | Haryana                |                        13 |
| 13       | Himachal Pradesh       |                        12 |
| 14       | Jammu &Kashmir         |                         6 |
| 15       | Karnataka              |                        30 |
| 16       | Kerala                 |                         4 |
| 17       | Maharashtra            |                         4 |
| 18       | Punjab                 |                        22 |
| 19       | Tamil Nadu             |                         5 |
| 20       | Telangana              |                        12 |
| 21       | West Bengal            |                         3 |
| 22       | Puducherry             |                         1 |
| 23       | Goa                    |                         2 |
| 24       | Arunachal Pradesh      |                         4 |
| 25       | Assam                  |                         5 |
| 26       | Manipur                |                         4 |
| 27       | Meghalaya              |                         2 |
| 28       | Mizoram                |                         4 |
| 29       | Nagaland               |                         3 |
| 30       | Sikkim                 |                         4 |
| 31       | Tripura                |                         2 |
| 32       | Chandigarh             |                         1 |
| 33       | Daman and Diu          |                         2 |
| 34       | Lakshadweep            |                         1 |
| 35       | Dadar and Nagar Haveli |                         1 |
| 36       | Andaman and Nicobar    |                         3 |
|          | TOTAL                  |                       219 |