Lok Sabha Question No. 949 (UNSTARRED), answered on 2020-02-07
Subject: CBHI Profile
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Prasun Banerjee, Vellalath Kochukrishnan Nair. Sreekandan

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

## LOK SABHA UNSTARRED QUESTION NO. 949 TO BE ANSWERED ON 07 TH FEBRUARY, 20 20

## CBHI PROFILE

## 949. SHRI PRASUN BANERJEE: SHRI V.K. SREEKANDAN:

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

- (a) whether as per the Central Bureau of Health Intelligence's National Health Profile, India has registered an improved sex ratio and a decline in birth and death rates over the last t ree years consistently  with  Non  Communicable  Diseases  (NCDs)  dominating  over  Communicable Diseases in the total disease burden of the country;
- (b) if so, the details thereof;
- (c) the steps being taken by the Government to control the spurt in NCDs and the benefits have been accrued through the Fit India movement in this regard;
- (d) whether there is a wide gap in both birth and death rates among the States/UTs; and
- (e) if so, the details thereof?

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

- (a) & (b): National Health Profile (NHP) of Central Bureau of Health Intelligence relies o Data from source agencies. As per Census conducted by Registrar General of India, the trend in sex ratio has improved to 943 in 2011 from 926 in 1991.

Yes, as per the National Health Profile, India has declining birth rate (from 20.8 to 20.2 in 2017) & death rate (from 6.5 in 201 5 to 6.3 in 2017) over the last three years, based o the  latest  SRS  Bulletin  published  by  Registrar  General  of  India. Reports  are  available  at www.cbhidghs.nic.in .

The disease burden is based on ICMR India State -Level Disease Burden Initiative study report 'India: Health of the Nation's States' published in November 2017, the estimated proportion of all deaths due to NCDs is 61.8% in 2016 which was 37.9% in 1990. Amo ng the different age groups, the proportion of deaths due to NCDs in 40 - 69 years is 73.2%.

Reports are available at http://www.healthdata.org/policy -report/india - health -nation%E2%80%99s - states

(c) : The Government of India has already adopted the National Action Plan and Monitorin Framework for Prevention and Control of Non -communicable Diseases (NCDs) in India which has identified the 10 national NCD targets to be achieved by year 2025.

- In the Na tional Health Policy 2017 , the Government has recognized the need to halt and reverse  the  growing  incidence  of  chronic  diseases/NCDs.  The  policy  will  support integrated approach where screening for the most prevalent NCDs with secondary prevent would make a significant impact on reduction of morbidity and preventable mortality.
- The Government of India has already adopted policies and launched the following Natio Programmes for prevention and control of lifestyle diseases/NCDs:
1. The National NCD Ac tion Plan that has identified the 10 national NCD targets to achieved by year 2025.
2. National  Program  for  Prevention  and  Control  of  Cancer,  Diabetes,  Cardiovascul disease and Stroke (NPCDCS) and most recently COPD has been included under this program.
3. National Tobacco Control Program & COTPA.
4. National Dialysis Program under NHM.
5. National Geriatric Care Program.
- Under the population level initiative on NCDs, services of frontline workers are us screening,  which  also  held  in  spreading  awareness. Field  awareness  campaign  through different platforms are also undertaken from time to time.
- To enhance the facilities for tertiary care of cancer, the Central Government is imple Tertiary Care Cancer Scheme to support the setting up of State Cancer Institute (SCI) and Tertiary Care Cancer Centres (TCCC) in different parts of the country.
- A  population  level  initiative  for  prevention,  control  and  screening  for  common -Communicable  Diseases  (diabetes,  hypertension  and  cancer  viz.  oral,  breast  and  cer vic l cancer) has been rolled out in over 215 districts of the country under NHM, as a p comprehensive primary healthcare.
- In so far as benefits from Fit India movement are concerned, it is not centrally mainta

(d)  &  (e) : Yes,  as  per  informa tion  published  in  NHP  based  on  Data  from  SRS  Bulletin published by Registrar General of India there exists gap in both birth and death rate States/UTs. In 2017, birth rate in Andaman & Nicobar Island was 11.4; in Goa 12.5 where was 26.4 in Biha r and 25.9 in Uttar Pradesh. Similarly in 2017 death rate in Delhi was 3. Mizoram 4 whereas it was 7.5 in Chhattisgarh and 7.3 in Puducherry.

Reports are available at www.cbhidghs.nic.in .

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