Lok Sabha Question No. 2046 (UNSTARRED), answered on 2018-12-21
Subject: Dialysis Facilities
Ministry: HEALTH AND FAMILY WELFARE
Asked by: ADVOCATE NARENDRA KESHAV SAWAIKAR, BHEEMRAO BASWANTHRAO PATIL, CHHOTELAL, BHAIRON PRASAD MISHRA, VIJAY KUMAR HANSDAK

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

## LOK SABHA UNSTARRED QUESTION NO. 2046 TO BE ANSWERED ON 21 ST DECEMBER, 2018

## DIALYSIS FACILITIES

## 2046. ADV. NARENDRA KESHAV SAWAIKAR:

SHRI BHEEMRAO B. PATIL:

SHRI CHHOTE LAL:

SHRI BHAIRON PRASAD MISHRA:

SHRI VIJAY KUMAR HANSDAK:

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

- (a) whether the number of patients requiring dialysis is steadily increasing in the country and if so, the details thereof during the last four years, State/UT - wise;
- (b)  whether  the  number  of  dialysis machines  in  the  country  is  lesser  than  the actual requirement and if so, the details thereof indicating the number of hospitals where dialysis centre have been opened and where they are yet to be opened, State/UTwise;
- (c)  whether  Government  hospitals  are adequately  equipped  to  provide  free  dialysis to  the increasing number of patients and if so, the details thereof;
- (d)  whether  the  Government  is providing  any  f inancial  and  logistic  support to  S ates  to increase the number of dialysis machines and if so, the details thereof, indicating the financial and other assistance provided during each of the last three years, State/UT - wise; and
- (e)  the  other  steps  being  ta ken  by  the Government  to  effectively  implement  the Pradhan Mantri National Dialysis Programme in the country?

## ANSWER THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE (SMT. ANUPRIYA PATEL )

- (a) to (e): As  informed  by  Indian  Council  of  Medical  Research,  Kidney  diseases  are estimated to be increasing, mostly due to increasing number of patients with diabet hypertension and increasing acute kidney injury cases which may require increased num of dia lysis machines in the country.

Nationwide scientific estimation of number of patients of Chronic Kidney Disea (CKDs) has not been carried out. However, in some of the small population based stud prevalence was found to be 0.79% in North India and 0.16% in South India.

The details of dialysis machines available in the country is not maintained cen However, such facilities are provided at many Central and State Government institutions

Public  Health  being  a  State  subject,  financial  and  technical  support un including  under  National  Programme  for  Prevention  and  Control  of  Cancer,  Diabete Cardiovascular  Disease  and  Stroke  (NPCDCS)    is    being    provided    to    States/UTs strengthening  of  their  healthcare  system including  for  dialysis   services Hospitals/public    health    facilities,    based    on    the  proposals    received    from governments  in  their  Programme  Implementation  Plans.

The  Gov ernment of India is implementing  PMNDP,  which was rolled  out  in 2016 for which guidelines  for  the Programme  including  model  Request  for  Proposal from  the  private providers (for Public Private Partnership Mode) have  been  issued. per the  guidelines,  the  private  partner  is  envisaged  to  provide medical  human dialysis  machine  along  with  Reverse  Osmosis  (RO)  water  plant infrastructure, and  consumables,  while  the  space,  power,  and  water supply  within District Hospitals are to be provided by the State Governments.

The  State - wise  detail  of  approvals  given  for  implementation  of  Pradhan  Mantri National Dialysis Programme (PMNDP) for the FY 2016 - 17 & 2017 - 18 are at Annexure -I & Annexure-IIrespectively.

State - Wise Details of approvals given for implementation of PMNDP under NHM for the year 2016 - 17.

| S. No   | State/UT          |   Total Amount Approved in 2016 - 17 (Rs in Lakhs) |
|---------|-------------------|----------------------------------------------------|
| 1       | Andhra Pradesh    |                                            1170    |
| 2       | Arunachal Pradesh |                                             100    |
| 3       | Assam             |                                             360    |
| 4       | Bihar             |                                            2000    |
| 5       | Chhattisgarh      |                                             600    |
| 6       | Goa##             |                                             499    |
| 7       | Gujarat           |                                             300    |
| 8       | Haryana           |                                             400    |
| 9       | Himachal Pradesh  |                                             100    |
| 10      | Jammu & Kashmir   |                                             200    |
| 11      | Jharkhand         |                                             630    |
| 12      | Karnataka         |                                            2000    |
| 13      | Kerala            |                                              40    |
| 14      | Madhya Pradesh    |                                            1874.64 |
| 15      | Maharashtra       |                                             673.41 |
| 16      | Manipur#          |                                             115.2  |
| 17      | Meghalaya         |                                             100    |
| 18      | Mizoram##         |                                               0    |
| 19      | Nagaland          |                                              46.74 |
| 20      | Odisha            |                                             200    |
| 21      | Punjab            |                                             100    |
| 22      | Rajasthan         |                                             500    |
| 23      | Sikkim            |                                              25    |
| 24      | Tamil Nadu        |                                             425.99 |
| 25      | Telangana         |                                             140    |
| 26      | Tripura           |                                             192    |
| 27      | Uttarakhand       |                                             400    |
| 28      | Uttar Pradesh     |                                            1051.2  |
| 29      | West Bengal       |                                             737    |
| 30      | A& N Islands      |                                               0    |
| 31      | Chandigarh        |                                               0    |
| 32      | D & N Haveli      |                                               0    |
| 33      | Daman & Diu       |                                               0    |
| 34      | Delhi             |                                             300    |
| 35      | Lakshadweep       |                                               0    |
| 36      | Puducherry###     |                                              45    |
|         | Total             |                                           15325.2  |

##State was approved 4 Dialysis machines previously. 2 functional in Aizawal and 2 wo be functional in DH Lunglei.

### General Hospital

## State - Wise Details of approvals given for implementation of PMNDP under NHM for the year 2017 - 18.

| S No   | Name of the State/UT   |   Amount Approved (Rs in Lakhs) FY 2017- 18 |
|--------|------------------------|---------------------------------------------|
| 1      | Andhra Pradesh         |                                     1129.92 |
| 2      | Assam                  |                                      500    |
| 3      | Bihar                  |                                     1600    |
| 4      | Delhi                  |                                     1439.08 |
| 5      | Goa                    |                                      400    |
| 6      | Gujarat                |                                     2162.42 |
| 7      | Himachal Pradesh       |                                      200    |
| 8      | Jammu & Kashmir        |                                      200    |
| 9      | Karnataka              |                                     1494.8  |
| 10     | Madhya Pradesh         |                                      571.44 |
| 11     | Maharashtra            |                                     1626.18 |
| 12     | Nagaland               |                                       46.74 |
| 13     | Odisha                 |                                      358.45 |
| 14     | Puducherry             |                                       99    |
| 15     | Rajasthan              |                                     1050    |
| 16     | Sikkim                 |                                      152.96 |
| 17     | Tamil Nadu             |                                      272    |
| 18     | Telangana              |                                      400    |
| 19     | Tripura                |                                      150    |
| 20     | Uttar Pradesh          |                                     2040.08 |
| 21     | Uttarakhand            |                                     1000    |
| 22     | West Bengal            |                                      913    |
|        | Total                  |                                    17806.1  |