Lok Sabha Question No. 1160 (UNSTARRED), answered on 2019-06-28
Subject: Cancer Control Mechanism
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Gitaben Vajesingbhai Rathva

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

LOK SABHA UNSTARRED QUESTION NO.1160 TO BE ANSWERED ON 28 TH JUNE, 2019

## CANCER CONTROL MECHA NISM

## 1160. SHRIMATI RATHVA GITABEN VAJESINGBHAI:

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

(a) whether the Government is considering to bring a comprehensive cancer control mechan on the scale of the existing measures to combat HIV and tuberculosis, if so, the details f; and

(b) whether the Government has any plan to expand cancer prevention diagnosis, treatment palliation across the country, if so, the details thereof?

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

- (a)& (b):The Central Government supplements the efforts of the State Governments to preve and control cancer and to provide affordable and accessible care. Some of the steps ta Central Government are as follows:
- (i)      The  objectiv es  of  National  Programme  for  Prevention  and  Control  of  Cancer,  Diabetes Cardiovascular  Diseases  and  Stroke  (NPCDCS)  being  implemented  under  National  Health Mission (NHM) for interventions upto the district level include awareness generation for pre vention,  screening,  early  detection  and  referral  to  an  appropriate  level  instit treatment. For Cancer, the focus is on three Cancers namely breast, cervical and oral. the  programme  is  on  Strengthening  infrastructure,  human  resource  devel pment,  h alth promotion, early diagnosis, management and referral. As reported by State Governments, NCD Clinics at District level and 3084 NCD Clinics at C ommunity Health Centre level have been set up under the programme. For cancer chemotherapy, 168 Day Care Centres have al been set up.
- (ii)        A  population  level  initiative  for  prevention,  control  and  screening  for  comm -Communicable Diseases (diabetes, hypertension and cancer viz. oral, breast and cervical cancer) has been rolled out in over 215 districts of the country under NHM, as a part of compreh primary healthcare
- (iii)        To  enhance  the  facilities  for  tertiary  care  of  cancer,  the  Central  Gove implementing  Terti ary  Care  Cancer  Centre  Scheme  to  support  setting  up  of  State  Cancer Institutes (SCI) and Tertiary Care Cancer Centres (TCCC) in different parts of the country
- (iv)  Oncology in  its  various  aspects  has  focus  in  case  of  new  AIIMS  and  many  upgraded institutio ns under Pradhan Mantri Swasthya Suraksha Yojna (PMSSY).
- (v) Setting up of National Cancer Institute (NCI) at Jhajjar (Haryana) and Second campus Chittaranjan National Cancer Institute, Kolkata has been approved.
- (vi)  The Government is providing financ ial assistance to patients living below poverty line f life  threatening  diseases  under  the  schemes  such  as  Rashtriya  Arogya  Nidhi  (RAN),  Hea Minister's Cancer Patient Fund (HMCPF) and Health Minister's Discretionary Grant (HMDG).
- (vii)   Affordable Me dicines and Reliable Implants for Treatment (AMRIT) Deendayal outlets have been opened at 158 Institutions/Hospitals with an objective to make available Cance Cardiovascular Diseases drugs and implants at discounted prices to the patients. Jan Au i stores are set up by Department of Pharmaceuticals to provide generic drugs at affordable
- (viii)    Pradhan  Mantri  Jan  Arogya  Yojna  (PMJAY)  provides  for  benefit  coverage  of  R 5,00,000/ -to over more than 10 crore beneficiary families, giving cash less access to services for the beneficiary at the point of service in empanelled hospitals (both public and privat India.  More  than  1350  medical  packages  have  been  finalized  by  an  expert  committee.  T treatment of cancer is also included under P MJAY .

The Government is also implementing National Programme for Palliative Care (NPPC) under  NHM.  The  objectives  of  the  programme  include  to  improve  the  capacity  to  provi palliative  care  service  delivery  within  Government  health  programmes,  to promote  behavior change  in  the  community  through  increasing  public  awareness  and  improved  skills  a knowledge  regarding  pain  relief  and  palliative  care  leading  to  community  owned  initia supporting  health  care  system.  Recurring  and  non - recurring  gran t  is  provided  to  States/UTs under NHM for supporting human resource and infrastructure inter -alia.

The Program me is a part of the 'Mission' Flexipool' of NHM. A framework of operational and financial guidelines for the states has been developed, on the basis of which the states/UTs prepare  their  proposals  related  to  palliative  care  and  incorporate  them  in  their  r Programme Implementation Plan (PIPs) to seek financial support under NHM. The support provided as per PIPs submitted by the States.

………………..