Lok Sabha Question No. 3362 (UNSTARRED), answered on 2020-03-13
Subject: National Dialysis Programme under NHM
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Mahabali Singh, Meenakashi Lekhi, Poonamben Hematbhai Maadam

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

LOK SABHA UNSTARRED QUESTION NO. 3362 TO BE ANSWERED ON 13 TH MARCH, 2020

## NATIONAL DIALYSIS PR OGRAMME UNDER NHM

## 3362. SHRI MAHABALI SINGH: SHRIMATI MEENAKASHI LEKHI: SHRIMATI POONAMBEN MAADAM:

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

(a) the number of hospitals covered under Pradhan Mantri National Dialysis Programme of National HealthMission  (NHM)  Operated  through Public - Private Partnership  (PPP)  model  along  with  the BPL beneficiaries provided free dialysis under the said programme, State/ UT - wise;

(b) whether the Government maintains data on the number of Below Poverty Line (BPL) patients suffering  from  Kidney  dis eases,  if  so,  the details  thereof  indicating  the  number  of  such patients during the last three years and current year, State/UT - wise;

(c) whether the Government is facing any issue with the implementation of this scheme, if so, the details thereof and the steps taken to increase the coverage of the scheme;

(d) the manner in which the scheme provides assistance to people who are not in BPL category, but are economically disadvantaged; and

(e) the steps taken to disseminate awareness about this scheme along with the amount spent on this scheme since its inception, State/UT - wise?

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

(SHRI ASHWINI KUMAR CHOUBEY)

(a) to (e) : 'Public Health and Hospitals' is a State subject. The Central Government, however, supplements the efforts of State Governments. U nder the National Health Mission (NHM), support is provided  to  States  /UTs  to  strengthen  their  health  care  systems  including  support for  dialysis services, on the basis of prop osals received from the States in their Programme Implementation Plans (PIPs).

Under NHM, Pradhan Mantri National Dialysis Program (PMNDP) is being implemented in 34 States /UTs in 474 Districts at 824 dialysis centres.  State/UT - wise details are at Annex ure- I

Dialysis services under PMNDP are being provided free of cost to Below Poverty Line (BPL) patients.  However,  Above  Poverty  Line  (APL)  patients  can  also  avail  dialysis  services  at discovered price, which are below the market rates. A s on 31st January, 2020, total 6.28 lakh patients availed dialysis services and 62.88 Lakhs Hemodialysis Sessions held.

Hemodialysis  services  under  PMNDP  are  currently  available  at  district  hospital  leve To expand the reach of dialysis, peritoneal dialysis has also been included under PMNDP.

Total  expenditure  under  PMNDP  during  2017 - 18  to  2019 - 20  was  Rs.24484.27  lakhs; State/UT - wise details of which are at Annexure - II .

| Annexure - I   | Annexure - I      | Annexure - I                                              | Annexure - I                             |
|----------------|-------------------|-----------------------------------------------------------|------------------------------------------|
| List of States | List of States    | List of States                                            | List of States                           |
| S.No.          | State Name        | No. of Districts (where Dialysis services are functional) | Total No. of functional Dialysis centers |
| 1              | A&N Island        | 2                                                         | 2                                        |
| 2              | Andhra Pradesh    | 13                                                        | 34                                       |
| 3              | Arunachal Pradesh | 3                                                         | 3                                        |
| 4              | Assam             | 7                                                         | 8                                        |
| 5              | Bihar             | 17                                                        | 17                                       |
| 6              | Chandigarh        | 1                                                         | 1                                        |
| 7              | D&N Haveli        | 1                                                         | 1                                        |
| 8              | Daman & Diu       | 1                                                         | 1                                        |
| 9              | Delhi             | 3                                                         | 5                                        |
| 10             | Goa               | 2                                                         | 9                                        |
| 11             | Gujarat           | 31                                                        | 46                                       |
| 12             | Haryana           | 15                                                        | 15                                       |
| 13             | Himachal Pradesh  | 10                                                        | 13                                       |
| 14             | Jammu & Kashmir   | 15                                                        | 15                                       |
| 15             | Jharkhand         | 5                                                         | 5                                        |
| 16             | Karnataka         | 30                                                        | 163                                      |
| 17             | Kerala            | 14                                                        | 62                                       |
| 18             | Lakshadweep       | 1                                                         | 1                                        |
| 19             | Madhya Pradesh    | 51                                                        | 54                                       |
| 20             | Maharashtra       | 25                                                        | 33                                       |
| 21             | Manipur           | 2                                                         | 2                                        |
| 22             | Mizoram           | 2                                                         | 2                                        |
| 23             | Nagaland          | 2                                                         | 2                                        |
| 24             | Odisha            | 30                                                        | 29                                       |
| 25             | Puducherry        | 2                                                         | 2                                        |
| 26             | Punjab            | 22                                                        | 30                                       |
| 27             | Rajasthan         | 32                                                        | 32                                       |
| 28             | Sikkim            | 2                                                         | 2                                        |
| 29             | Tamil Nadu        | 32                                                        | 110                                      |
| 30             | Telangana         | 25                                                        | 39                                       |
| 31             | Tripura           | 5                                                         | 6                                        |
| 32             | Uttar Pradesh     | 42                                                        | 43                                       |
| 33             | Uttarakhand       | 6                                                         | 7                                        |

## Annexure - II

## The State/UT - wise details of expenditure incurred under the PMNDP scheme during the period from 2017 -18 to 2019 - 20

(Rs. In Lakhs)

| S.No.   | State                     | 2017-18     | 2018-19     | 2019-20     |
|---------|---------------------------|-------------|-------------|-------------|
|         |                           | Expenditure | Expenditure | Expenditure |
| 1       | Andaman & Nicobar Islands | 0.00        | 0.00        | 0.00        |
| 2       | Andhra Pradesh            | 1261.93     | 2199.24     | 2487.40     |
| 3       | Arunachal Pradesh         | 0.00        | 65.00       | 30.61       |
| 4       | Assam                     | 0.00        | 0.00        | 84.66       |
| 5       | Bihar                     | 0.00        | 45.69       | 14.59       |
| 6       | Chandigarh                | 0.00        | 0.00        | 0.00        |
| 7       | Chattisgarh               | 0.00        | 0.00        | 214.30      |
| 8       | Dadra & Nagar Haveli      | 0.00        | 0.00        | 0.00        |
| 9       | Daman & Diu               | 0.00        | 0.00        | 0.00        |
| 10      | Delhi                     | 0.00        | 0.00        | 0.00        |
| 11      | Goa                       | 0.00        | 199.23      | 208.01      |
| 12      | Gujarat                   | 1693.58     | 1509.00     | 1490.00     |
| 13      | Haryana                   | 0.00        | 0.00        | 0.00        |
| 14      | Himachal Pradesh          | 107.91      | 265.69      | 82.68       |
| 15      | Jammu & Kashmir           | 125.80      | 440.40      | 103.56      |
| 16      | Jharkhand                 | 0.00        | 7.07        | 25.97       |
| 17      | Karnataka                 | 0.00        | 1615.60     | 2064.08     |
| 18      | Kerala                    | 0.00        | 0.00        | 0.00        |
| 19      | Lakshadweep               | 0.00        | 0.00        | 0.00        |
| 20      | Madhya Pradesh            | 477.21      | 360.46      | 267.65      |
| 21      | Maharashtra               | 0.00        | 0.00        | 0.00        |
| 22      | Manipur                   | 26.79       | 59.05       | 32.95       |
| 23      | Meghalaya                 | 0.00        | 0.00        | 0.00        |
| 24      | Mizoram                   | 0.00        | 0.00        | 15.68       |
| 25      | Nagaland                  | 0.00        | 7.69        | 35.74       |
| 26      | Orissa                    | 0.00        | 245.99      | 477.99      |
| 27      | Puducherry                | 15.38       | 31.21       | 31.46       |
| 28      | Punjab                    | 0.00        | 65.22       | 95.39       |
| 29      | Rajasthan                 | 9.51        | 315.18      | 247.26      |
| 30      | Sikkim                    | 24.99       | 1.03        | 64.56       |
| 31      | Tamil Nadu                | 0.00        | 849.97      | 908.16      |
| 32      | Telangana                 | 0.00        | 400.00      | 0.00        |
| 33      | Tripura                   | 17.91       | 117.04      | 21.33       |
| 34      | Uttar Pradesh             | 357.35      | 1059.85     | 1451.09     |
| 35      | Uttarakhand               | 0.00        | 1.43        | 25.45       |
| 36      | West Bengal               | 0.00        | 0.00        | 24.28       |
|         | Grand Total               | 4118.36     | 9861.05     | 10504.86    |