Lok Sabha Question No. 616 (UNSTARRED), answered on 2018-07-20
Subject: Door-to-Door Screening of Cancer
Ministry: HEALTH AND FAMILY WELFARE
Asked by: T. RADHAKRISHNAN, S. RAJENDRAN, PONNUSAMY VENUGOPAL, GAJANAN CHANDRAKANT KIRTIKAR, GOPALAKRISHNAN CHINNARAJ, NAGARAJAN P., VIJAY KUMAR S.R., KUNWAR HARIBANSH SINGH, BIDYUT BARAN MAHATO, ASHOK SHANKARRAO CHAVAN, SUDHEER GUPTA

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

## LOK SABHA UNSTARRED QUESTION NO. 616 TO BE ANSWERED ON 20 th JULY, 2018

## DOOR - TO - DOOR SCREENING OF CA NCER

## 616. SHRI T. RADHAKRISHNAN:

SHRI S. RAJENDRAN:

DR. P. VENUGOPAL:

SHRI GAJANAN KIRTIKAR:

DR. C. GOPALAKRISHNAN:

SHRI P. NAGARAJAN:

SHRI S.R. VIJAYAKUMAR:

KUNWAR HARIBANSH SINGH:

SHRI BIDYUT BARAN MAHATO:

SHRI ASHOK SHANKARRAO CHAVAN:

SHRI SUDHEER GUPTA:

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

- (a) whether India accounts for the third highest number of cancer cases and also ranks among the top two countries in cancer deaths of women and if so, the details thereof along with the reasons therefor;
- (b) whether the Gov ernment has commenced/started door - to - door screening programme to detect cases of cancer ailment and if so, the details thereof;
- (c)  the  number  of  persons  who  have been  diagnosed  with  cancer  during  such screening programme; and
- (d) the funds allocated, released and utilised for the said screening programe?

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

- (a): As  per  2012  GLOBOCAN  project  of  International  Agency  for  Research  on  Cancer -World Health Organization - India has the fourth highest number of cancer cases globally an ranks second in cancer related mortality amongst women.

Cancer is a multifactorial d isease, the risk factors of which, interalia, include age population, sedentary life styles, use of tobacco products, unhealthy diet and air polluti

(b) to (d ): A  population  level  initiative  of  prevention,  control  and  screening  for  com Non - C ommunicable Diseases (NCDs) (diabetes, hypertension and cancer viz. oral, breast cervical  cancer)  has  been  rolled  out  in  over  150  districts  of  the  country    in  2017 - 18  under National  Health  Mission  (NHM),  as  a  part  of  comprehensive  primary  healthcare. U nder  the initiative, frontline health workers such as ASHAs and ANMs, inter alia, are leveraged t out screening and generate awareness about the risk factors of NCDs among the masses. initiative will not only help in early diagnosis but also wi ll generate awareness on risk factors of the  diseases.  There  are  27  erstwhile  Regional  Cancer  Centres  in  the  country  prov comprehensive  cancer  treatment  facilities  and  carrying  out  cancer  prevention  and  res activities. As informed by the States, about 72 lakhs people have been screened under common NCDs.

Government of India is also implementing National Programme for Pr vention and Control of Cancer, Diabetes, Cardiovascular Diseases and Stroke (NPCDCS) under the Nation Health Mission for awareness generation for Cancer prevention, opportunistic screening, detection and referral to an appropriate level ins titution for treatment.  The focus is on three types of common cancers namely breast, cervical and oral cancer. Till June, 2018; 525 D NCD Clinics, 2564 Community Health Centres NCD Clinics and 167 Cardiac Care Units have been set up under the progra mme. About 8.79 crores people attended the NCD clinics during last four years of which 1.35 lakhs persons were diagnosed with common cancers includ oral, Breast and Cervical. Under outreach programme, NCD check ups of 6.41 crores peop were done during last four years out of which 4.77 lakhs people were suspected with commo cancers including Oral, Breast and Cervical and referred.

Funds  for  NPCDCS  are  released  under  NCD  Flexible  pool  of  National  Health Mission (NHM). Rs. 904.32 crore were released to the State Governments under NCD Flexible pool  during  2017 - 18.  For  population  based  prevention,  control,  screening  and  management initiative, funds are also released under Health Systems Strengthening of Mission Flexib under NHM. Under t he Mission Flexible Pool, Rs.8805.62 cr. was released to States/UTs und NHM during 2017- 18. The amount allocated for population based screening activities under pool was Rs.161.09 crore.