Lok Sabha Question No. 4128 (UNSTARRED), answered on 2019-01-04
Subject: Non-communicable Diseases
Ministry: HEALTH AND FAMILY WELFARE
Asked by: KIRRON KHER

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

LOK  SABHA UNSTARRED QUESTION NO. 4128 TO BE ANSWERED ON 04 TH JANUARY, 2019

## NON - COMMUNICABLE DISEASE S

## 4128. SHRIMATI KIRRON KHER:

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

- (a) whether there has been an increase in the percentage of deaths due to non - communicable diseases and if so, the details thereof;
- (b)  whether  the  Government  is  taking steps  at  the  primary  healthcare  level to deal  with  this challenge and if so, the details thereof;
- (c) whether utilisation of funds by States for the purpose of battling non -communicable diseases is fully sufficient; and
- (d) if so, the details thereof and if not, the reasons therefor?

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

(a) to (d): According to World Health Organisation(WHO) country profile for India, 2018, 63% deaths are estimated due to Non - Communicable Diseases (NCD). As per WHO Country Profile 2014, NCDs were estimated to account for 53% of total deaths.

Government of India is implementing National Programme for Prevention and Control of Cancer, Diabetes, Cardiovascular Diseases and Stroke (NPCDCS) for interventions up to Dis level under the National Health Mission (NHM). NPCDCS has a focus on awareness generatio for behav iour and life - style changes, screening and early diagnosis of persons with high leve risk  factors  and  their  referral  to  higher  facilities  for  appropriate  management -communicable diseases.

For  early  diagnosis,  population  level  initiative  for  p revention,  control,  screening  and management of common Non- Communicable Diseases (diabetes, hypertension and cancer viz. oral, breast and cervical cancer) has been rolled out in over 200 districts of the cou NHM. Under this initiative, services o f frontline health workers and Accredited Social Health Activists (ASHAs) are being used for risk profiling and screening of population.

In  collaboration  with  the  Ministry  of  AYUSH,  an  initiative  to  use  the  knowle available  in  AYUSH  system  of  medicine s  for  prevention  and  control  of  Non - commu icable Diseases is being implemented in 6 districts on pilot basis.

Further,  Government  has  launched  various  programmes  such as National  Tobac Control  Programme,  National  Mental  Health  Programme,  Pradha n  Mantri  National  Dialysis Programme,  with a view to prevent and control  common NCDs.

Services  for  prevention  and  control  of  NCDs  are  also  included  under  Hea Wellness Centres under Ayushman Bharat, Comprehensive Primary Health Care.

Under National Health Mission, the fund required for implementation of NPCDCS and other  NCD  related  interventions  is  made  available  to  the  respective  States/UTs  as  pe annual Programme Implementation Plans (PIPs) submitted to the Ministry of Health & Family Welfare. Thus, the funds are released to the respective States as per their requirement. - wis release of funds under NCD Flexipool of NHM during past three years is at Annexure .

| State - wise releases of funds under NCD Flexi Pool 2015- 16, 2016 - 17, 2017 - 18 & 2018 - 19   | State - wise releases of funds under NCD Flexi Pool 2015- 16, 2016 - 17, 2017 - 18 & 2018 - 19   | State - wise releases of funds under NCD Flexi Pool 2015- 16, 2016 - 17, 2017 - 18 & 2018 - 19   | State - wise releases of funds under NCD Flexi Pool 2015- 16, 2016 - 17, 2017 - 18 & 2018 - 19   |
|--------------------------------------------------------------------------------------------------|--------------------------------------------------------------------------------------------------|--------------------------------------------------------------------------------------------------|--------------------------------------------------------------------------------------------------|
| State/UT                                                                                         | 2015- 16                                                                                         | 2016- 17                                                                                         | 2017- 18                                                                                         |
| Bihar                                                                                            | 2234                                                                                             | 1804                                                                                             | 4726                                                                                             |
| Chhatisgarh                                                                                      | 847                                                                                              | 1485                                                                                             | 3469                                                                                             |
| Jharkhand                                                                                        | 1057                                                                                             | 1511                                                                                             | 0                                                                                                |
| Madhya Pradesh                                                                                   | 2682                                                                                             | 3540                                                                                             | 5048                                                                                             |
| Odisha                                                                                           | 1619                                                                                             | 1955                                                                                             | 1785                                                                                             |
| Rajashthan                                                                                       | 2704                                                                                             | 2678                                                                                             | 6378                                                                                             |
| Uttar Pradesh                                                                                    | 5439                                                                                             | 7181                                                                                             | 15132                                                                                            |
| Himachal Pradesh                                                                                 | 478                                                                                              | 324                                                                                              | 644                                                                                              |
| Jammu & Kashmir                                                                                  | 816                                                                                              | 1459                                                                                             | 2357                                                                                             |
| Uttarakhand                                                                                      | 662                                                                                              | 890                                                                                              | 186                                                                                              |
| Andhra Pradesh                                                                                   | 1478                                                                                             | 3082                                                                                             | 3645                                                                                             |
| Telangana                                                                                        | 941                                                                                              | 1123                                                                                             | 2012                                                                                             |
| Goa                                                                                              | 23                                                                                               | 0                                                                                                | 0                                                                                                |
| Gujarat                                                                                          | 2098                                                                                             | 2132                                                                                             | 4754                                                                                             |
| Haryana                                                                                          | 493                                                                                              | 380                                                                                              | 1388                                                                                             |
| Karnataka                                                                                        | 1429                                                                                             | 2134                                                                                             | 8284                                                                                             |
| Kerala                                                                                           | 518                                                                                              | 693                                                                                              | 1211                                                                                             |
| Maharashtra                                                                                      | 2754                                                                                             | 3768                                                                                             | 6208                                                                                             |
| Punjab                                                                                           | 671                                                                                              | 835                                                                                              | 1726                                                                                             |
| Tamil Nadu                                                                                       | 1716.00                                                                                          | 2145                                                                                             | 5461                                                                                             |
| West Bengal                                                                                      | 1303                                                                                             | 2485                                                                                             | 2303                                                                                             |
| Chandigarh                                                                                       | 69                                                                                               | 46                                                                                               | 109                                                                                              |
| Delhi                                                                                            | 223                                                                                              | 564                                                                                              | 1289                                                                                             |
| Puducherry                                                                                       | 29                                                                                               | 39                                                                                               | 125                                                                                              |
| Andaman & Nicobar Islands                                                                        | 55                                                                                               | 121                                                                                              | 108                                                                                              |
| Dadra & Nagar Haveli                                                                             | 63                                                                                               | 82                                                                                               | 89                                                                                               |
| Daman & Diu                                                                                      | 35                                                                                               | 39                                                                                               | 19                                                                                               |
| Lakshadweep                                                                                      | 7                                                                                                | 0                                                                                                | 0                                                                                                |
| Arunachal Pradesh                                                                                | 570                                                                                              | 841                                                                                              | 1606                                                                                             |
| Assam                                                                                            | 3578                                                                                             | 5533                                                                                             | 6046                                                                                             |
| Manipur                                                                                          | 308                                                                                              | 250                                                                                              | 675                                                                                              |
| Meghalaya                                                                                        | 246                                                                                              | 531                                                                                              | 779                                                                                              |
| Mizoram                                                                                          | 142                                                                                              | 214                                                                                              | 1297                                                                                             |
| Nagaland                                                                                         | 263                                                                                              | 183                                                                                              | 637                                                                                              |
| Sikkim                                                                                           | 95                                                                                               | 158                                                                                              | 115                                                                                              |
| Tripura                                                                                          | 255                                                                                              | 266                                                                                              | 821                                                                                              |
| Grand - Total                                                                                    | 37900                                                                                            | 50471                                                                                            | 90432                                                                                            |