Lok Sabha Question No. 435 (UNSTARRED), answered on 2023-02-03
Subject: Treatment of Lifestyle Ailments
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Sunil Kumar Singh

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

## LOK SABHA UNSTARRED QUESTION NO. 435 TO BE ANSWERED ON 3 RD  FEBRUARY, 2023

## TREATMENT OF LIFESTYLE AILMENTS

## 435. SHRI SUNIL KUMAR SINGH:

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

(a) whether Cardiovascular Diseases (CVD) are the leading cause of death among adults in the country and one of the major drivers of heart attack/stroke due to untreated high blood pressure or hypertension and if so, the details thereof;

- (b) whether the country has more than 200 million people with hypertension and only 14.5 percent of them are getting treatment and if so, the details thereof, State/UT-wise; and
- (c) the number of projects initiated by the Government for treatment of such ailments and the current status of their access to Primary Health Centres and Wellness Centres across the country, State/UT-wise and district-wise?

## ANSWER THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE (DR. BHARATI PRAVIN PAWAR)

(a) to (c): As per the India: Health of the Nation's States Study [done by Indian Council of Medical Research (ICMR)], the heart diseases were the number one cause of death, contributing to 28.1% of total deaths in India in 2016. The majority of heart patients are people with Coronary Heart Diseases (CHDs). The increase in the prevalence of CHDs is due to increase in risk factors for CHDs such as high blood pressure.

The Department of Health & Family Welfare provides technical and financial support to the States/UTs under the National Programme for Prevention and Control of Cancer, Diabetes, Cardiovascular Diseases and Stroke (NPCDCS), as part of National Health Mission (NHM), based on the proposals received from the  States/UTs  and  subject  to  the  resource  envelope.  Cardiovascular  Diseases  is  an  integral  part  of NPCDCS.  The  programme  focusses  on  strengthening  infrastructure,  human  resource  development, health promotion & awareness generation, early diagnosis, management and referral to an appropriate level  of  healthcare  facility  for  treatment  of  the  Non-Communicable  Diseases  (NCDs),  including

Cardiovascular  Diseases  &  Hypertension.  Under  NPCDCS,  707  District  NCD  Clinics,  193  District Cardiac Care Units, and 5541 Community Health Centre NCD Clinics have been set up.

A population-based initiative for prevention, control and screening for common Non-Communicable Diseases (NCDs) i.e., diabetes, hypertension and common cancers has been rolled out in the country under NHM and also as a part of Comprehensive Primary Health Care. Under the initiative, persons more  than  30  years  of  age  are  targeted  for  their  screening  for  common  NCDs.  Screening  of  these common NCDs is an integral part of service delivery under Ayushman Bharat - Health and Wellness Centres.

Ayushman Bharat- Health and Wellness Centres (AB-HWCs), included primary healthcare services expanded from selective to Comprehensive Primary Health Care (CPHC) inclusive of NCD services, closer  to  community.  Preventive  aspect  of  Cardiovascular  Diseases  is  being  strengthened  under Comprehensive Primary Health Care through Ayushman Bharat Health Wellness Centre scheme, by promotion of wellness activities and targeted communication at the community level. Till date 1,56,338 Health & Wellness Centres have been operationalized which includes 1,25,608 Sub-Health Centre level AB-HWCs,23512 Primary Health Centre level AB-HWCs and 7,218 Urban Primary Health Centre level AB-HWCs (Source - AB-HWC Portal, as on 30th January 2023). The States/UTs wise details of Health and Wellness Centres is available at https://ab-hwc.nhp.gov.in/home/satewisereport/.

Further, initiatives for increasing public awareness about Cardiovascular Diseases & Hypertension and for promotion of healthy lifestyle includes observation of National and International Day and use of print, electronic and social media for continued community awareness. Furthermore, healthy eating is also promoted through Food Safety and Standards Authority of India (FSSAI). Fit India movement is being implemented by Ministry of Youth Affairs and Sports, and various Yoga related activities are being carried out by Ministry of AYUSH. In addition, NPCDCS gives financial support under NHM for awareness generation (IEC) activities for Cardiovascular Diseases to be undertaken by the States/UTs as per their Programme Implementation Plans (PIPs).

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