Lok Sabha Question No. 1259 (UNSTARRED), answered on 2019-06-28
Subject: Funding Projects for States to Control Cancer
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Nalin Kumar Kateel

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

## LOK SABHA UNSTARRED QUESTION NO. 1259 TO BE ANSWERED ON 28 TH JUNE, 2019

## FUNDING PROJECTS FOR STATES TO CONTROL CANCER

## 1259. SHRI NALIN KUMAR KATEEL:

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

- (a) whether the Government has any new funding projects for the States to control cancer and cancer related diseases;
- (b) if so, the details thereof;
- (c) the total amount allocated for the said purpose during the last three years, State/UT - wise; and
- (d) the steps taken by the Government to provide timely and adequate supply of low cost drugs and medicines for the cure of cancer and cancer related diseases under 'National Programme for Prevention and Control of Cancer, Diabetes, Cardiovascular Diseases & Stroke'?

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

(SHRI ASHWINI KUMAR CHOUBEY)

- (a) to (d): The  Central  Government  supple ments  the  efforts  of  the  State  Governments  to prevent and control cancer. Some of the steps taken by Central Government are as follows:
- I. The objectives of National Programme for Prevention and Control of Cancer, Diabete Cardiovascular  Diseases  and  Stroke (NPCDCS)  being  implemented  under  National Health  Mission  (NHM)  for  interventions  upto  the  district  level  include  awaren generation for Cancer prevention, screening, early detection and referral to an app level institution for treatment. For Can cer, the focus is on three Cancers namely breast, cervical and oral. NPCDCS has been subsumed under NCD Flexi pool of NHM from the year 2015 - 16 onwards. The State/UT - wise detail of funds released under NCD Flexi pool during last three years is at Annexure - I.
- II. A  population  level  initiative  for  prevention,  control  and  screening  for  common -Communicable Diseases (diabetes, hypertension and cancers viz. oral, breast and cer cancer) has been rolled out in over 215 districts of the country under NHM, as a part of comprehensive primary healthcare.
- III. To  enhance  the  facilities  for  tertiary  care  of  cancer,  the  Central  Governme implementing Strengthening of Tertiary Care Cancer facilities scheme to support se up of State Cancer Institutes (S CI) and Tertiary Care Cancer Centres (TCCC) in different parts of the country. The details of SCI and TCCC approved under the scheme and t funds released as 1 st instalment of Central share to State Governments for setting up SCI and TCCC, State/UT - wise is at Annexure - II.
- IV. Oncology  in  its  various  aspects  has  focus  in  case  of  new  AIIMS  and  many  upgrade institutions under Pradhan Mantri Swasthya Suraksha Yojna (PMSSY).
- V. Setting up of National Cancer Institute (NCI) at Jhajjar (Haryana) and Second campus of Chittaranjan National Cancer Institute, Kolkata has been approved.
- VI. The Government is providing financial assistance to patients living below poverty li life  threatening  diseases  under  the  schemes  such  as  Rashtriya  Aro gya  Nidhi  (RAN), Health  Minister's  Cancer  Patient  Fund  (HMCPF)  and  Health  Minister's  Discretionary Grant (HMDG).
- VII. Pradhan  Mantri  Jan  Arogya  Yojna  (PMJAY)  provides  for  benefit  coverage  of  Rs. 5,00,000/ -to  over  more  than  10  crore  beneficiary  families, givin g  cashless  access  to services for the beneficiary at the point of service in empanelled hospitals (bot and private) across India. More than 1350 medical packages have been finalized by expert committee. The treatment of cancer is also included u nder PMJAY.
- VIII. Support  for  drugs  is  provided  under  National  Health  Mission  as  per  their  Program Implementation Plan. NPCDCS is implemented under NHM umbrella.
- IX. Affordable Medicines and Reliable Implants for Treatment (AMRIT) Deendayal outlets have  been  ope ned  at  158  Institutions/Hospitals  with  an  objective  to  make  availa Cancer  and  Cardiovascular  Diseases  drugs  and  implants  at  discounted  prices  to patients. Jan Aushadhi stores are set up by Department of Pharmaceuticals to pro generic drugs at af fordable prices.

Details of State/UT wise fund released under  NCD  Flexi Pool 2016-17, 2017-18  & 2018-19

| State/UT                  | Funds released (Rs in Lakh)   | Funds released (Rs in Lakh)   | Funds released (Rs in Lakh)   |
|---------------------------|-------------------------------|-------------------------------|-------------------------------|
|                           | 2016-17                       | 2017-18                       | 2018-19                       |
| Bihar                     | 1804                          | 4726                          | 5141                          |
| Chhatisgarh               | 1485                          | 3469                          | 2115                          |
| Jharkhand                 | 1511                          | 0                             | 2153                          |
| Madhya Pradesh            | 3540                          | 5048                          | 3363                          |
| Odisha                    | 1955                          | 1785                          | 1857                          |
| Rajashthan                | 2678                          | 6378                          | 3391                          |
| Uttar Pradesh             | 7181                          | 15132                         | 10232                         |
| Himachal Pradesh          | 324                           | 644                           | 605                           |
| Jammu &Kashmir            | 1459                          | 2357                          | 1386                          |
| Uttarakhand               | 890                           | 186                           | 1268                          |
| Andhra Pradesh            | 3082                          | 3645                          | 2466                          |
| Telangana                 | 1123                          | 2012                          | 1763                          |
| Gujarat                   | 2132                          | 4754                          | 3006                          |
| Haryana                   | 380                           | 1388                          | 717                           |
| Karnataka                 | 2134                          | 8284                          | 2007                          |
| Kerala                    | 693                           | 1211                          | 1311                          |
| Maharashtra               | 3768                          | 6208                          | 0                             |
| Punjab                    | 835                           | 1726                          | 1182                          |
| Tamil Nadu                | 2145                          | 5461                          | 3036                          |
| West Bengal               | 2485                          | 2303                          | 2351                          |
| Chandigarh                | 46                            | 109                           | 84                            |
| Delhi                     | 564                           | 1289                          | 395                           |
| Puducherry                | 39                            | 125                           | 137                           |
| Andaman & Nicobar Islands | 121                           | 108                           | 0                             |
| Dadra &Nagar Haveli       | 82                            | 89                            | 62                            |
| Daman &Diu                | 39                            | 19                            | 0                             |
| Arunachal Pradesh         | 841                           | 1606                          | 974                           |
| Assam                     | 5533                          | 6046                          | 1113                          |
| Manipur                   | 250                           | 675                           | 416                           |
| Meghalaya                 | 531                           | 779                           | 0                             |
| Mizoram                   | 214                           | 1297                          | 356                           |
| Nagaland                  | 183                           | 637                           | 304                           |
| Sikkim                    | 158                           | 115                           | 159                           |
| Tripura                   | 266                           | 821                           | 664                           |
| Total                     | 50471                         | 90432                         | 54014                         |

List of State Cancer Institutes (SCIs) and Tertiary Care Cancer Centres (TCCCs) approved under Strengthening of Tertiary Care Cancer facilities scheme of NPCDCS.

(Rs. in crore)

|   S No | State            | Name of the Institute                                                  | SCI/ TCCC   |   Cost of the project approved (including State share) |   Amount Released as 1 st instalment of Central share |
|--------|------------------|------------------------------------------------------------------------|-------------|--------------------------------------------------------|-------------------------------------------------------|
|      1 | Andhra Pradesh   | Kurnool Medical College, Kurnool                                       | SCI         |                                                120     |                                                 54    |
|      2 | Assam            | Gauhati Medical College & Hospital, Guwahati                           | SCI         |                                                119.9   |                                                 80.93 |
|      3 | Bihar            | Indira Gandhi Institute of Medical Sciences, Patna                     | SCI         |                                                120     |                                                 33.06 |
|      4 | Delhi            | Lok Nayak Hospital                                                     | TCCC        |                                                 39.82  |                                                 29.87 |
|      5 | Gujarat          | Gujarat Cancer Research Institute, Ahmedabad                           | SCI         |                                                120     |                                                 67.5  |
|      6 | Goa              | Goa Medical College, Panaji                                            | TCCC        |                                                 45     |                                                 20.25 |
|      7 | Haryana          | Civil Hospital, Ambala Cantt                                           | TCCC        |                                                 45     |                                                 20.25 |
|      8 | Himachal Pradesh | Indira Gandhi Medical College, Shimla                                  | TCCC        |                                                 45     |                                                 14.87 |
|      9 | Himachal Pradesh | Shri Lal Bahadur Shastri Medical College, Mandi                        | TCCC        |                                                 45     |                                                 29.64 |
|     10 | Jammu & Kashmir  | Sher-i-Kashmir Institute of Medical Sciences, Srinagar                 | SCI         |                                                120     |                                                 47.25 |
|     11 |                  | Government Medical College, Jammu                                      | SCI         |                                                104     |                                                 43.06 |
|     12 | Jharkhand        | Rajendra Institute of Medical Sciences, Ranchi                         | SCI         |                                                 51     |                                                 22.95 |
|     13 | Karnataka        | Kidwai Memorial Institute of Oncology (RCC), Bangaluru                 | SCI         |                                                120     |                                                 67.5  |
|     14 |                  | Mandya Institute of Medical Sciences, Mandya                           | TCCC        |                                                 38.35  |                                                 17.26 |
|     15 | Kerala           | Regional Cancer Centre, Tjiruvananthapuram                             | SCI         |                                                102.35  |                                                 46.96 |
|     16 |                  | Government Medical College, Kozhikode                                  | TCCC        |                                                 44.5   |                                                 25.03 |
|     17 | Madhya Pradesh   | G.R. Medical College, Gwalior                                          | TCCC        |                                                 42     |                                                 18.9  |
|     18 | Maharashtra      | Rashtrasant Tukdoji Regional Cancer Hospital & Research Centre, Nagpur | TCCC        |                                                 44.991 |                                                 20.18 |
|     19 |                  | Government Medical College, Aurangabad                                 | SCI         |                                                 96.7   |                                                 43.51 |
|     20 |                  | Vivekanand Foundation & Research Centre, Latur                         | TCCC        |                                                 45     |                                                 20.25 |
|     21 | Mizoram          | Mizoram State Cancer Institute, Aizawl                                 | TCCC        |                                                 44.27  |                                                 14.64 |
|     22 | Nagaland         | District Hospital, Kohima                                              | TCCC        |                                                 43.5   |                                                 13.23 |
|     23 | Odisha           | Acharya Harihar Regional Cancer Centre, Cuttack                        | SCI         |                                                 79.62  |                                                 35.83 |
|     24 | Punjab           | Government Medical College, Amritsar                                   | SCI         |                                                114.61  |                                                 51.58 |
|     25 |                  | Civil Hospital, Fazilka                                                | TCCC        |                                                 44.71  |                                                 20.12 |
|     26 | Rajasthan        | S P Medical College, Bikaner                                           | TCCC        |                                                 45     |                                                 17.12 |
|     27 |                  | SMS Medical College, Jaipur                                            | SCI         |                                                119.25  |                                                 44.81 |
|     28 |                  | Jhalawar Medical College & Hospital, Jhalawar                          | TCCC        |                                                 43.9   |                                                 19.75 |
|     29 | Sikkim           | Multispecialty Hospital at Sochygang (Sichey), near Gangtok, Sikkim    | TCCC        |                                                 42.99  |                                                 29.02 |
|     30 | Tamil Nadu       | Cancer Institute (RCC), Adyar, Chennai                                 | SCI         |                                                120     |                                                 67.38 |
|     31 | Telangana        | MNJ Institute of Oncology & RCC, Hyderabad                             | SCI         |                                                112.7   |                                                 18.12 |
|     32 | Tripura          | Cancer Hospital (RCC), Agartala                                        | SCI         |                                                 81.5   |                                                 55    |
|     33 | Uttar Pradesh    | Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow      | TCCC        |                                                 45     |                                                 11.43 |
|     34 | West Bengal      | Government Medical College, Burdwan                                    | TCCC        |                                                 39.54  |                                                 22.24 |
|     35 |                  | Murshidabad Medical College & Hospital, Berhampore, Murshidabad        | TCCC        |                                                 32.15  |                                                 10.98 |
|     36 |                  | Sagore Dutta Memorial Medical College and Hospital, Kolkata            | TCCC        |                                                 45     |                                                 20.25 |

Note: Government of India share is 60% (90% for Himalayan and North Eastern States and 100% for UTs).