Lok Sabha Question No. 3235 (UNSTARRED), answered on 2020-03-13
Subject: Average Life Expectancy
Ministry: HEALTH AND FAMILY WELFARE
Asked by: H. Vasanthakumar, A. Chellakumar, S.R. Parthiban, Rajendra Agrawal

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

LOK SABHA UNSTARRED QUESTION NO. 3235 TO BE ANSWERED ON 13 TH MARCH, 2020

## AVERAGE LIFE EXPECTA NCY

## 3235. SHRI VASANTHAKUMAR H.:

DR. A. CHALLAKUMAR:

SHRI PARTHIBAN S.R.:

SHRI RAJENDRA AGRAWAL:

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

- (a) whether the life expectancy has increased in the country over the last few years;
- (b) if so, the details thereof indicating the avera ge life expectancy of males and females in the rural and urban areas of the country, State/UT - wise;
- (c) whether the Government has identified the health challenges to be faced by the country i coming years with the increased life expectancy of people, particularly for youngsters ac country;
- (d)  if  so,  the  details  thereof  and  the  steps  taken/  proposed by  the  Government  to  meet  these challenges; and
- (e) the other corrective measures taken/proposed by the Government for providing better services to ensure healthy life and to further improve the average life expectancy of peo country in cluding awareness programmes for health hazardous food items?

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

(a) & (b) : As per the report titled SRS Based Life Table 2013 - 17 published by the Office of the Registrar General & Census Commissioner, Government of India, the average life expectancy birth has increased from 49.7 during 1970 - 75 to 69.0 in 2013 - 17, registering an increase of 19.3 years during this period. As per the same report , the life expectancy at birth for male and female during 2013 - 17 were 67.8 and 70.4 years respectively. The State/UT - wisedetails are provided at Annexure. However, State/UT - wise average life expectancy of male and female in the rural an urban areas of t he country may also be accessed from the report SRS Based Life Table 2013 - 17 available at the portal of Census of India ( http://censusindia.gov.in/ ).

(c) & (d) : A cross - sectional multi - centric community based s tudy of elderly population aged 60 years  and  above  conducted  jointly  by  the  Government  of  India  and  WHO  Country  Office  i India  has  revealed  that  diseases  like  hypertension,  diabetes  mellitus,  ischaemic  heart poor  vision,  difficulty  in  hearing,  an aemia,  arthritis,  fall/fractures,  bowel  complaints,  urina complaints, depression, weight loss, asthma, chronic obstructive pulmonary disease, TB e common among older patients.

Recognizing the need for specialized accessible health care for the eld erly, the Government of India has launched various programmes, including the National Programme for Health Care Elderly (NPHCE) and Integrated Programme for Older Persons such as Ayushman Bharat. These programmes aim to provide health care facilities to senior citizens (aged 60 years and above) at primary, secondary and tertiary health care delivery system and to further increase the life expectancy of people. The Government of India has also enacted 'Maintenance and Welfare of Parents and Senior Citizens Act, 2007'.

(e) : The  measures  taken/proposed  by  the  Government  of  India  for  providing  better  heal services to ensure healthy life and to further improve the average life expectancy of the the country are as follows:

- Mobilization of public health action at multiple levels
- The Ayushman Bharat effort, with its two components of Health and Wellness Centre (HWCs) and Pradhan Mantri Jan Arogya Yojana (PMJAY), addresses disparity in access and reduces out of pocket expenditure for second ary and tertiary care hospitalization for 40% of India's population. The scheme provides hospital care for about 1,350 illnesses at secondary and tertiary level empanelled public and private hospitals. HWC encourages healthy choices and behaviour s including Yoga and other physical activities.
- National Health Mission (NHM) is creating a network of 1,50,000 HWCs by upgrading existing Sub Centres (SCs) and Primary Health Centres (PHCs) to provide Comprehensive Primary Health Care (CPHC), which is un iversal and free to all those who access public health facilities. The CPHC basket of services cover 12 key se areas,  which  go  beyond  the  Reproductive,  Maternal,  Neonatal,  Child  and    Adolesce Health (RMNCH+A) services to include screening and care f or NCDs (diabetes, high blood pressure, oral, breast, cervical cancers etc.), elderly care, pallia rehabilitative  care,  Oral,  Eye  and  ENT  care,  mental  health  and  first  level  ca emergencies and trauma etc.
- Continuum of care is being provided t o all elderly citizen of age above 60 years from preventive  and  promotive  up  to  rehabilitation  in  Geriatric  units  of  District  H Community Health Centres and Primary Health Centres under National programme for Healthcare of Elderly (NPHCE).
- Palli ative care is being provided to terminal cases of Cancer, AIDS etc. under Nat programme for Palliative Care (NPPC).
- Providing financial support in the form of untied funds, annual maintenance grant Rogi  Kalyan  Samiti  (RKS)  funds  for  development of  health  facilities  and  ensuring services.
- Providing infrastructural support to State/UTs in constructing new health facilitie for up -gradation of infrastructure, Mother & Child Health (MCH) wings, up - gradation of the trauma centres & First Referr al Units, Operationalization of the blood banks etc.
- Operationalizing health facilities in rural areas (through placement of human resou difficult areas, supply of equipment, drugs and diagnostics).
- In  addition,  certain  new  initiatives  have  been  und ertaken  like  the  Screening  for  Non -communicable  Diseases  (NCDs),  Mothers  Absolute  Affection  (to  promote  exclusive breastfeeding),  Pradhan  Mantri  Shurakshit  Matratva  Abhiyan  (to  improve  access specialist  maternal  care  through  voluntary  participation  of  p rivate  providers),  Pradhan Mantri  National  Dialysis  Program, Mission  Indradhanush  (to  immunise  partially  or uncovered  population),  Rashtriya  Swasthya  Bal  Karyakram  (RBSK),  Kayakalp  (to promote  cleanliness,  hygiene  and  Infection  Control  Practices  in  public Health  Care Facilities), Labour room quality improvement initiative -LAQSHYA (Initiative to reduce preventable maternal and new - born  mortality,  morbidity  and  stillbirths associated wit the  care  around  delivery  in  Labour  room  and  Maternity  OT  and  ensure  re spectful maternity  care),  Surakshit  Matritva  Aashwasan  (SUMAN)  (to  end  all  preventable maternal and neonatal deaths) etc.

## Annexure

## Expectation of Life at Birth by Sex and Area of Residence, India and Bigger States/UT's, 201 3 - 17

| India & bigger States/UTs   | Total   | Total   | Total   | Rural   | Rural   | Rural   | Urban   | Urban   | Urban   |
|-----------------------------|---------|---------|---------|---------|---------|---------|---------|---------|---------|
| India & bigger States/UTs   | Total   | Male    | Female  | Total   | Male    | Female  | Total   | Male    | Female  |
| India*                      | 69      | 67.8    | 70.4    | 67.7    | 66.4    | 69      | 72.4    | 71.2    | 73.7    |
| Andhra Pradesh              | 69 .7   | 68 .3   | 71 .2   | 68.4    | 66.8    | 70.3    | 72.6    | 71.8    | 73.4    |
| Assam                       | 66.2    | 65.4    | 67.3    | 65.1    | 64.2    | 66.1    | 73      | 72.5    | 73.8    |
| Bihar                       | 68.9    | 69.2    | 68.6    | 68.5    | 68.8    | 68.2    | 71.7    | 72      | 71.4    |
| Chhattisgarh                | 65.2    | 63.8    | 66.6    | 64.3    | 63      | 65.5    | 68.8    | 67.1    | 70.8    |
| NCT of Delhi                | 74.7    | 73.3    | 76.3    | 71.8    | 70      | -       | 74.9    | 73.4    | 76.5    |
| Gujarat                     | 69.7    | 67.6    | 72      | 68.2    | 65.3    | 71.5    | 71.8    | 70.8    | 72.9    |
| Haryana                     | 69.7    | 67.6    | 72.3    | 68.7    | 66.5    | 71.4    | 71.6    | 69.6    | 74.1    |
| Himachal Pradesh            | 72.6    | 69.8    | 75.6    | 72.2    | 69.3    | 75.4    | 77.1    | 75.1    | 79.7    |
| Jammu & Kashmir             | 74.1    | 72.1    | 76.7    | 73      | 71.1    | 75.4    | -       | -       | -       |
| Jharkhand                   | 68.6    | 68.8    | 68.4    | 67.7    | 68      | 67.3    | 72      | 71.7    | 72.4    |
| Karnataka                   | 69.2    | 67.7    | 70.8    | 67.5    | 65.9    | 69.3    | 72.5    | 71.4    | 73.6    |
| Kerala                      | 75.2    | 72.5    | 77.8    | 75.3    | 72.4    | 78.1    | 75.1    | 72.5    | 77.5    |
| Madhya Pradesh              | 66      | 64.2    | 67.9    | 64.7    | 62.8    | 66.8    | 70.1    | 68.7    | 71.8    |
| Maharashtra                 | 72.5    | 71.2    | 73.9    | 71      | 69.9    | 72.2    | 74.4    | 72.8    | 76.3    |
| Odisha                      | 68.4    | 67.1    | 69.9    | 67.7    | 66.4    | 69.4    | 71.7    | 71      | 72.5    |
| Punjab                      | 72.4    | 71      | 74      | 71.4    | 70.1    | 72.9    | 74.1    | 72.4    | 76.6    |
| Rajasthan                   | 68.5    | 66.3    | 70.9    | 67.5    | 64.9    | 70.3    | 71.8    | 71.2    | 72.6    |
| Tamil Nadu                  | 71.7    | 69.9    | 73.7    | 70.2    | 68.3    | 72.1    | 73.4    | 71.6    | 75.4    |
| Uttar Pradesh               | 65      | 64.3    | 65.6    | 63.9    | 63.2    | 64.7    | 68.5    | 68.1    | 68.9    |
| Uttarakhand                 | 71      | 68      | 74.2    | 70.6    | 67.3    | 74.2    | 71.8    | 69.9    | 74      |
| West Bengal                 | 71.2    | 70.4    | 72.2    | 70.2    | 69.1    | 71.3    | 73.4    | 72.9    | 74.1    |

*: Data includes all States/UTs; Note: Andhra Pradesh includes Telangana.