Lok Sabha Question No. 3125 (UNSTARRED), answered on 2019-12-06
Subject: Ischemic Heart Disease
Ministry: HEALTH AND FAMILY WELFARE
Asked by: D.K. Suresh

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

LOK SABHA UNSTARRED QUESTION NO. 3125 TO BE ANSWERED ON 6 TH DECEMBER, 2019

## ISCHEMIC HEART DISEA SE

## 3125. SHRI D.K. SURESH:

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

- (a) whether the Government has taken serious note about steep increase in the prevalence of ischemic heart disease and stroke in the country and if so, the details thereof and the reasons for this rise in disease;
- (b)whether the Government is taking adequate steps to provide necessary facilities under Ayushman Bharat and the National Health Protection Mission and if so, the details thereof;
- (c)  the  total  number  of  beneficiaries registered  under  Ayushman  Bharat  and  the National Health  Protection  Mission  till  date with  regard  to  the  said  diseases,  State/UTwise and scheme- wise; and
- (d) if so, the details thereof?

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

(SHRI ASHWINI KUMAR CHOUBEY)

- (a): According  to  Indian  Council  of  Medical  Research  (ICMR)'s  report  titled  'India: Health  of  Nation's  States'  report,  there  is  a  rise  in  the  burden  of  Ischemic  Heart  Disease (IHD) and Stroke in the country as evident from their contribution to Disability Adj usted Life years (DALY), given below: -

| Contribution to DALY   | Contribution to DALY   | Contribution to DALY   |
|------------------------|------------------------|------------------------|
| Year                   | Ischemic Heart Disease | Stroke                 |
| 1990                   | 3.7%                   | 2%                     |
| 2016                   | 8.7%                   | 3.5%                   |

The main causes of these diseases are rapid urbanization, unhealthy diet, sede life style, smoking, alcohol and lack of physical activity.

- (b) to (d): Under  Ayushman  Bharat -Health  and  Wellness  Centers  (AB - HWCs),  1.5 lakh  health  sub  centers  and  primary  health  centers  are  to  be  transformed  into  Heal Wellness  Centers  for  provisions  of  Comprehensive  Primary  Healthcare that  includes preventive  healthcare  and  health  promotion  at  community  level.  The  AB - HWCs  would provide  an  expanded  range  of  services  to  include  care  for  Non - Communicable  Diseases

including Population Based Screening of common NCDs -Hypertension, Diabetes , Cancers of Oral Cavity, Breast & Cervix.

Ayushman Bharat- Pradhan Mantri Jan Arogya Yojana (AB - PMJAY) has a set of 1392 insurance packages across 24 specialties and one nonspecific surgical package. T packages also include General Medicine, Pediat ric Medicine and Cardiology, which provide care for ischaemic heart disease and stroke. AB - PMJAY is an entitlement -based scheme and there  is  no  requirement  of  registration  of  eligible  beneficiaries  for  availing  the State/UT - wise  number  of  eligib le beneficiaries and hospital admissions under AB - PMJAY are at Annexure.

| Annexure          | Annexure                                           | Annexure                                                                              | Annexure                                       |
|-------------------|----------------------------------------------------|---------------------------------------------------------------------------------------|------------------------------------------------|
| State-wise Sl. No | details number of eligible PMJAY as on State Name* | beneficiaries and hospitals 03.12.2019 since inception. No. of eligible beneficiaries | admission under AB- No. of Hospital Admissions |
| 1                 | Andaman And Nicobar Islands                        | 0.21                                                                                  | 51                                             |
| 2                 | Andhra Pradesh                                     | 144                                                                                   | 529493                                         |
| 3                 | Arunachal Pradesh                                  | 0.9                                                                                   | 1402                                           |
| 4                 | Assam                                              | 27                                                                                    | 98488                                          |
| 5                 | Bihar                                              | 109                                                                                   | 128819                                         |
| 6                 | Chandigarh                                         | 0.7                                                                                   | 2417                                           |
| 7                 | Chhattisgarh                                       | 41.5                                                                                  | 708448                                         |
| 8                 | Dadra and Nagar Haveli                             | 0.7                                                                                   | 22730                                          |
| 9                 | Daman and Diu                                      | 0.5                                                                                   | 8480                                           |
| 10                | Goa                                                | 0.4                                                                                   | 10065                                          |
| 11                | Gujarat                                            | 70                                                                                    | 1067827                                        |
| 12                | Haryana                                            | 15.5                                                                                  | 68525                                          |
| 13                | Himachal Pradesh                                   | 4.8                                                                                   | 42399                                          |
| 14                | UT of Jammu And Kashmir and UT of Ladakh           | 6.1                                                                                   | 49603                                          |
| 15                | Jharkhand                                          | 57                                                                                    | 375811                                         |
| 16                | Karnataka                                          | 115                                                                                   | 413497                                         |
| 17                | Kerala                                             | 40.9                                                                                  | 637165                                         |
| 18                | Lakshadweep                                        | 0.01                                                                                  | 1                                              |
| 19                | Madhya Pradesh                                     | 118                                                                                   | 218067                                         |
| 20                | Maharashtra                                        | 83.6                                                                                  | 250667                                         |
| 21                | Manipur                                            | 2.8                                                                                   | 9131                                           |
| 22                | Meghalaya                                          | 8.4                                                                                   | 86535                                          |
| 23                | Mizoram                                            | 1.95                                                                                  | 27323                                          |
| 24                | Nagaland                                           | 5.7                                                                                   | 6407                                           |
| 25                | Puducherry                                         | 1                                                                                     | 187                                            |
| 26                | Punjab                                             | 45.87                                                                                 | 74023                                          |
| 27                | Rajasthan                                          | 59.7                                                                                  | 495379                                         |
| 28                | Sikkim                                             | 0.4                                                                                   | 731                                            |
| 29                | Tamil Nadu                                         | 147                                                                                   | 745672                                         |
| 30                | Tripura                                            | 4.9                                                                                   | 44281                                          |
| 31                | Uttar Pradesh                                      | 118                                                                                   | 248519                                         |
| 32                | Uttarakhand                                        | 19.7                                                                                  | 107048                                         |
| 33                | West Bengal**                                      | 111.9                                                                                 | 17636                                          |
|                   | Total                                              | 1,363.14                                                                              | 6496827                                        |