Lok Sabha Question No. 2951 (UNSTARRED), answered on 2018-12-28
Subject: Centre of Excellence for Geriatics
Ministry: HEALTH AND FAMILY WELFARE
Asked by: PRATHAP SIMHA, SHOBHA KARANDLAJE

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

## LOK SABHA UNSTARRED QUESTION NO. 2951 TO BE ANSWERED ON 28 TH DECEMBER, 2018

## CENTRE OF EXCELLENCE FOR GERIATICS

## 2951. SHRI PRATHAP SIMHA: KUMARI SHOBHA KARANDLAJE:

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

- (a)  whether  the  Government  is implementing  any  programme  to  provide dedicated, specialized  and  comprehensive healthcare  to  the  senior  citizens  at  various levels  of  State heal thcare delivery system, if so, the details thereof;
- (b) the details of new initiatives of the Government proposed to address various health related issues of the elderly people;
- (c) the details of districts earmarked/ sanctioned for specialised care and training of geriatric care services as on date and likely to be set up during the current Financial Year, State/UT -wise; and
- (d) whether the Government has established National Centres for Ageing (NCA) as centre of excellence for geriatics, if so, the det ails thereof?

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

- (a): Government  of  India  is  implementing  National  Programme  for  Health  Care  of  the Elderly (NPHCE) with a view to provide dedicated , specialized and comprehensive health care  to  the  elderly  people.  The  programme  is  State  oriented  and  basic  thrust  o programme is to provide dedicated health care facilities to the senior citizens (>60 age) at various level of primary, sec ondary and tertia ry health care delivery system including outreach services.

The major activities of the NPHCE are: -

- I. Setting up of Geriatric Department in identified Regional Geriatric Centres (R with OPD care services and 30 bedded Geriatric ward for providin g indoor services. Each  RGC  to  produce  2  post  graduates  (MD  geriatrics)  every  year for  developing Human Resource
- II. Training  of  doctors  and  staff  from  CHCs  and  PHCs and  s etting  up  of  10  bedded Geriatric units at all District H ospitals that will provide indoo r services for elderly during hospitalisation.
- III. Establishment of Rehabilitation unit at all Community Health Centres (CHCs) an Geriatric clinic twice/week.
- IV. Setting  up  weekly  Geriatric  clinic  by  trained  medical  Officer  at  Primary  He Centres (PHCs).
- V. Health Education related to healthy ageing, domiciliary visits for attention and care to home bound / bedridden elderly persons, provide training to the family health care providers in looking after the disabled elderly persons.

As on date, 599 districts of 35 States/UTs and 19 Regional Geriatric Centres (RGCs ) in 18 States/UTs have been sanctioned to provide above mentioned health care services to elderly people under the programme.

(b ) : This Ministry has also been implemented Senior Citizens Health Insurance Scheme (SCHIS) from 01/04/2016 as top up over existing Rashtriya Swasthya Bima Yojana (RSBY) for senior citizens aged 60 years and above. SCHIS provides enhanced coverage upto Rs. 30,000persenior citizen in the family enrolled under RSBY .Around 18 lakh families having senior citizen (s) were covered under SCHIS till 23.09.2018.

The Government has launched Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (PMJAY) on 23.09.2018. This scheme provides coverage upto Rs. 5 lakhs per fa mily per year from  secondary  and  tertiary  care  hospitalisation  to  over  10  crores  poor  and  vuln families based on deprivation and occupational criteria as per Socio Economic Caste Ce (SCHIS). After the launch of PMJAY, RSBY and SCHIS got subsumed in it. Senior Citizen who  belong  to  the  defined  eligibility  criteria  for  PMJAY,  are  entitled  to  get  ben PMJAY.

(c): The year - wise  details  of  State - wise /UT- wise  districts  sanctioned  under  NPHCE  are annexed.

(d): Governm ent of India is supporting the setting up of twoNational Centres of Ageing (NCAs) - one in AIIMS, New Delhi and another in Madras Medical College, Chennai. The NCA s are supposed to function as a National Centre s of Excellence with 200 bedded facility and aimed to be teaching, research & referral institute for geriatric care in the count

## Annexure

| S. No   | Name of the States/UTs   | No. of Districts sanctioned under the   | No. of Districts sanctioned under the   | No. of Districts sanctioned under the   | No. of Districts sanctioned under the   | No. of Districts sanctioned under the   | No. of Districts sanctioned under the   |
|---------|--------------------------|-----------------------------------------|-----------------------------------------|-----------------------------------------|-----------------------------------------|-----------------------------------------|-----------------------------------------|
| S. No   | Name of the States/UTs   | upto 2014- 15                           | 2015- 16                                | 2016- 17                                | 2017- 18                                | 2018- 19                                | Total                                   |
| 1       | Andaman and Nicobar      | 0                                       | 1                                       | 2                                       | 0                                       | 0                                       | 3                                       |
| 2       | Andhra Pradesh           | 8                                       | 0                                       | 0                                       | 5                                       | 0                                       | 13                                      |
| 3       | Arunachal Pradesh        | 0                                       | 2                                       | 10                                      | 0                                       | 0                                       | 12                                      |
| 4       | Assam                    | 5                                       | 9                                       | 13                                      | 0                                       | 0                                       | 27                                      |
| 5       | Bihar                    | 6                                       | 10                                      | 0                                       | 22                                      | 0                                       | 38                                      |
| 6       | Chandigarh               | 0                                       | 0                                       | 0                                       | 0                                       | 0                                       | 0                                       |
| 7       | Chhattisgarh             | 3                                       | 6                                       | 0                                       | 0                                       | 18                                      | 27                                      |
| 8       | Dadra & Nagar Haveli     | 0                                       | 1                                       | 0                                       | 0                                       | 0                                       | 1                                       |
| 9       | Daman & Diu              | 1                                       | 0                                       | 0                                       | 1                                       | 0                                       | 2                                       |
| 10      | Delhi                    | 0                                       | 11                                      | 0                                       | 0                                       | 0                                       | 11                                      |
| 11      | Goa                      | 0                                       | 2                                       | 0                                       | 0                                       | 0                                       | 2                                       |
| 12      | Gujarat                  | 6                                       | 4                                       | 4                                       | 5                                       | 6                                       | 25                                      |
| 13      | Haryana                  | 4                                       | 9                                       | 8                                       | 0                                       | 1                                       | 22                                      |
| 14      | Himachal Pradesh         | 3                                       | 9                                       | 0                                       | 0                                       | 0                                       | 12                                      |
| 15      | Jammu and Kashmir        | 5                                       | 0                                       | 8                                       | 8                                       | 0                                       | 21                                      |
| 16      | Jharkhand                | 3                                       | 10                                      | 11                                      | 0                                       | 0                                       | 24                                      |
| 17      | Karnataka                | 5                                       | 5                                       | 20                                      | 0                                       | 0                                       | 30                                      |
| 18      | Kerala                   | 5                                       | 2                                       | 7                                       | 0                                       | 0                                       | 14                                      |
| 19      | Lakshadweep              | 1                                       | 0                                       | 0                                       | 0                                       | 0                                       | 1                                       |
| 20      | Madhya Pradesh           | 5                                       | 0                                       | 5                                       | 0                                       | 0                                       | 10                                      |
| 21      | Maharashtra              | 6                                       | 7                                       | 15                                      | 0                                       | 0                                       | 28                                      |
| 22      | Manipur                  | 0                                       | 2                                       | 0                                       | 5                                       | 0                                       | 7                                       |
| 23      | Meghalaya                | 0                                       | 0                                       | 0                                       | 5                                       | 5                                       | 10                                      |
| 24      | Mizoram                  | 2                                       | 0                                       | 2                                       | 1                                       | 4                                       | 9                                       |
| 25      | Nagaland                 | 0                                       | 0                                       | 4                                       | 7                                       | 0                                       | 11                                      |
| 26      | Odisha                   | 5                                       | 3                                       | 22                                      | 0                                       | 0                                       | 30                                      |
| 27      | Puducherry               | 0                                       | 1                                       | 0                                       | 0                                       | 1                                       | 2                                       |
| 28      | Punjab                   | 3                                       | 8                                       | 11                                      | 0                                       | 0                                       | 22                                      |
| 29      | Rajasthan                | 7                                       | 5                                       | 5                                       | 5                                       | 0                                       | 22                                      |
| 30      | Sikkim                   | 2                                       | 2                                       | 0                                       | 0                                       | 0                                       | 4                                       |
| 31      | Tamil Nadu               | 0                                       | 5                                       | 3                                       | 23                                      | 0                                       | 31                                      |
| 32      | Telangana                | 0                                       | 5                                       | 0                                       | 0                                       | 0                                       | 5                                       |
| 33      | Tripura                  | 0                                       | 0                                       | 2                                       | 2                                       | 4                                       | 8                                       |
| 34      | Uttar Pradesh            | 9                                       | 0                                       | 26                                      | 0                                       | 40                                      | 75                                      |
| 35      | Utt arakhand             | 2                                       | 0                                       | 11                                      | 0                                       | 0                                       | 13                                      |
| 36      | West Bengal              | 3                                       | 5                                       | 6                                       | 13                                      | 0                                       | 27                                      |
|         | Total                    | 99                                      | 124                                     | 195                                     | 102                                     | 79                                      | 599                                     |