Lok Sabha Question No. 116 (STARRED), answered on 2021-02-09
Subject: Welfare Schemes for Senior Citizens
Ministry: SOCIAL JUSTICE AND EMPOWERMENT
Asked by: Vijay Kumar

## GOVERNMENT OF INDIA MINISTRY OF SOCIAL JUSTICE AND EMPOWERMENT LOK SABHA

STARRED QUESTION NO. +*116 TO BE ANSWERED ON 09.02.2021

## WELFARE SCHEMES FOR SENIOR CITIZENS

## +*116. SHRI VIJAY KUMAR:

Will the Minister of SOCIAL JUSTICE AND EMPOWERMENT be pleased to state:

(a) the details of the schemes citizens;

implemented by the Government for the welfare of senior being

(b) the total funds released by the Union Government in this regard during the last three years alongwith the details of funds utilized by various State Governments, Scheme and State/UT-

wise including Bihar and Jharkhand;

- (c) whether the Union Government has received any requests from the State Governments, especially from Bihar and Jharkhand for more funds under these schemes and if SO, the details thereof; State/UT-wise;

the number of old age homes functioning in the country, region and State/UT-wise; and

(e) whether the Government proposes to set up more old age homes in the country and if so,

## ANSWER

## MINISTER OF SOCIAL JUSTICE AND EMPOWERMENT (SHRI THAA WARCHAND GEHLOT)

(a) to (e): A Statement is laid on the Table of the House.

****

the details thereof?

(a) to (c) The details of Schemes along with funds released, utilised, requests/proposals received State/UT wise for the welfare of Senior Citizens are at Annexure-I.

(d) & (e) Under the sub-scheme of Integrated Programme for Senior Citizens (IPSrC), the funds are released for running  and maintenance of  projects inter-alia Senior Citizen Homes/Old Homes. A State/UT wise statement showing the number of Senior Citizens Home Old Age Homes under IPSrC As per The Maintenance and Welfare of Parents and Senior Citizen 2007, the State Government may establish and maintain such number of old age homes at accessible places; as it may deem necessary, in a phased manner, beginning with at least one in each district to accommodate in such homes a minimum of one hundred fifty senior citizens who are indigent: Age Act;

******

(a)to (c): Ministry of Social Justice and Empowerment is the nodal ministry of the welfare of senior citizens. However; Ministry of Finance, Health and Rural Development also implement schemes/programmes for senior citizens.

Given below are details regarding the Schemes implemented by the Government for welfare of senior citizens: being

## 1 MINSTRY QF SOCIAL JUSTICEAND EMPOWERMENT

## 1.

This Scheme is having the vision, mission and the plan of action of the Government of India for welfare and wellbeing of senior citizens of the country:

- 2\_ The National Action Plan for the Welfare of Senior Citizens (NAPSrC) is an umbrella scheme, effective since 1st April 2020, has four sub-schemes under it, namely:
- Integrated Programme for Senior Citizens (IPSrC): Providing financial assistance to eligible organisations for running and maintenance of Homes to improve the quality amenities   like  shelter; food, medical care and entertainment  opportunities and by encouraging productive and active ageing:
- State Action Plan for Senior Citizens (SAPSrC): Each State/UT frames their own State Action Plans (SAP) taking into account their local considerations for the welfare of their Senior Citizens. This State Action Plan may comprise a long term strategy for five years as well as Annual Action Plan. Department of Social Justice and Empowerment releases funds to the for the implementation of their respective State Action Plans.
- TIII) Convergence with Initiatives of other Ministries/Departments in Government of India in the field of   Senior Citizens Welfare (CWMSrC): The NAPSrC has identified  initiatives to be taken by different Departments for the benefit of senior citizens.   These initiatives would them for proposing Annual Action Plans in collaboration with this department.
- (IV) Media, advocacy, capacity building, research and study, and any other project aimed towards the welfare of the senior citizens and falling under the scope and coverage of the NAPSrC through NISD (NISDSrC): National Institute of Social Defence (NISD) an autonomous body of this Department, is expected to be the resource centre on senior citizens in the country. It will be equipped to implement directly any project in furtherance of the objectives of the NAPSrC. pilots

## In detail:

Under the Scheme of Integrated Programme for Senior Citizens (IPSrC), grantsin-aid upto 100% of project cost are given for running and maintenance the following projects:

- Senior Citizens' Homes (Sr.CH) for 25 destitute Senior Citizens including those under SansadAdarsh Gram Yojana (SAGY) to provide food, care and shelter.
- Senior Citizens' Homes   (Sr.CH) destitute Mixed   Gender/Elderly Women   including those under SansadAdarsh Gram Yojana (SAGY) to provide food, care and shelter:
- (iii) Continuous Care Homes (CCH) and Homes for senior citizens afflicted with Alzheimer's diseasel Dementia for a minimum of 20 Senior Citizens who are seriously ill requiring continuous nursing care and respite or those who are afflicted with Alzheimer's diseasel Dementia.
- (iv) Ongoing projects of Mobile Medicare Units to provide medical care to the Senior Citizens living in rural, isolated and backward areas.
- (vi) Regional  Resource and Training Centres (RRTCs) technical support, advocacy, networking, training and capacity building for effective delivery of service by the Centres for Senior Citizens, funded by the Ministry:
- Ongoing projects of Physiotherapy Clinics for Senior Citizens for a minimum of 50 Senior Citizens per month:
- (vii) Other  activities  considered suitable to meet the objectives of the scheme, including implementation of the provisions of National  Policy for  Senior Citizens (NPSrC)
- 2\_ Under the Scheme, assistance is sanctioned to the following agencies subject to the terms and conditions laid down by this Ministry:
- Priority to be   given UT   Administrations for supporting the  projects under the Scheme of IPSrC   through Registered Societies/ Panchayati Raj
- Non-Governmental/Voluntary Organizations;
- Local  bodies, in the vicinity of Hospitals, as far as possible;
- Institutions or Organizations set up by Government as autonomousl subordinate bodies;
- Government Recognized Educational Institutions, Charitable Hospitals/ Nursing Homes, and recognized youth organizations such as Nehru Yuva Kendra Sangathan (NYKS)
- 3 . The release of Grants-in-aid to Non-governmental organisations/ Voluntary organisations is dependent on the recommendation and forwarding of  project proposals by the State Governments as per the norms and guidelines of the Scheme subject to completeness of proposals in all respects.
- 4\_ The details of funds released by Government of India during last three years under IPSrC, State/UT wise including Bihar and Jharkhand are given below:

|    |                |            |            |            | Rs in lakhs)                  |
|----|----------------|------------|------------|------------|-------------------------------|
|    | States/ UTs    | FY 2017-18 | FY 2018-19 | FY 2019-20 | FY 2020-21 (as on 04.02.2021) |
|    | Andhra Pradesh | 728.35     | 1176.81    | 1728.39    | 1120.85                       |
| 2  | Bihar          | 13.37      | 22.92      | 0.00       | 28.35                         |

| 3                | Chhattisgarh         | 17.95            | 9.13             | 18.26            | 47.73            |
|------------------|----------------------|------------------|------------------|------------------|------------------|
|                  | Goa                  | 0.00             | 0.00             | 0.00             | 0.00             |
| 5                | Gujarat              | 21.03            | 30.74            | 94.15            | 107.41           |
| 6                | Haryana              | 110.33           | 109.60           | 249.15           | 344.24           |
| 7                | Himachal Pradesh     | 26.25            | 8.31             | 46.12            | 19.65            |
| 8                | Jammu and Kashmir    | 0.00             | 0.00             | 0.00             | 0.00             |
| 9                | Jharkhand            | 0.00             | 0.00             | 0.00             | 14.49            |
| 10               | Karnataka            | 382.63           | 410.29           | 1281.76          | 834.29           |
| 1                | Kerala               | 23.01            | 54.53            | 101.64           | 43.61            |
| 12               | Madhya Pradesh       | 28.29            | 107.39           | 105.45           | 198.54           |
| 13               | Maharashtra          | 434.63           | 833.75           | 1304.05          | 1169.83          |
| 14               | Odisha               | 730.96           | 848.88           | 2137.67          | 1250.92          |
| 15               | Punjab               | 14.58            | 31.27            | 12.46            | 48.02            |
| 16               | Rajasthan            | 22.59            | 16.28            | 53.24            | 149.67           |
| 17               | Tamil Nadu           | 707.16           | 997.41           | 1292.64          | 907.96           |
| 18               | Telangana            | 133.95           | 245.38           | 375.18           | 332.23           |
| 19               | Uttar Pradesh        |                  | 105.89           | 308.85           | 402.98           |
| 20               | Uttarakhand          | 20.58            | 67.25            | 32.19            | 37.80            |
| 21               | West Bengal          | 256.36           | 267.42           | 495.05           | 507.55           |
|                  | TOTAL                | 3791.13          | 5343.25          | 9636.25          | 7566.12          |
| UTs              | UTs                  | UTs              | UTs              | UTs              | UTs              |
| 22               | A & N Island         | 0.00             | 0.00             | 0.00             | 0.00             |
| 23               | Chandigarh           | 0.00             | 0.00             | 0.00             | 0.00             |
| 24               | Dadra & Haveli Nagar | 0.00             | 0.00             | 0.00             | 0.00             |
| 25               | Daman and Diu        | 0.00             | 0.00             | 0.00             | 0.00             |
| 26               | Lakshadweep          | 0.00             | 0.00             | 0.00             | 0.00             |
| 27               | Delhi                | 154.38           | 52.78            | 36.16            | 79.89            |
| 28               | Pudducherry          | 0.00             | 1.80             | 37.11            | 2.19             |
|                  | TOTAL UTs            | 154.38           | 54.58            | 73.27            | 82.08            |
| NE Region States | NE Region States     | NE Region States | NE Region States | NE Region States | NE Region States |
| 29               | Arunachal Pradesh    | 0.00             | 0.00             | 0.00             | 28.99            |
| 30               | Assam                | 192.03           | 498.22           | 298.92           | 828.15           |
| 31               | Manipur              | 260.22           | 566.80           | 523.29           | 839.92           |
| 32               | Meghalaya            | 0.00             | 0.00             | 0.00             | 0.00             |
| 33               | Mizoram              | 5.89             | 0.00             | 0.00             | 19.17            |
| 34               | Nagaland             | 17.43            | 18.90            | 55.25            | 13.90            |
| 35               | Sikkim               | 0.00             | 0.00             | 0.00             | 0.00             |
| 36               | Tripura              | 25.58            | 25.65            | 21.72            | 14.54            |
|                  | TOTAL NE REGION      | 501.15           | 1109.57          | 899.18           | 1744.67          |
| GRAND TOTAL      | GRAND TOTAL          | 4446.66          | 6507.40          | 10608.70         | 9392.87          |

## State Action Plan For Senior Citizens (SAPSrC)

The main objective of the programmes under State Action Plan for Senior Citizens (SAPSrC) is to provide recognition and opportunity to senior citizens to contribute and thereby feel useful to the society, to improve the quality of life of the Senior Citizens, by encouraging   productive and active   ageing by the Statel UT Governments   through the Institutions of the Statel UT Governments/Non-Governmental Organizations (NGOsYPanchayati Raj Institutions (PRIs) local bodies and the community at large. The States are expected to in their own funds to augment the resources available for this purpose. While the States/UTs are free to include their own strategies and programmes as a part of their State Action Plans, the programmes for which up to /00% funding is admissible are aS under: put

- Organising the Senior Citizens into Action Groups aimed at Social Reconstruction (AGRASR Groups) or Elder Self Help Groups
- (ii) Maintenance of Mobile Medicare Units (MMU) for Senior Citizens
- (iii) Physiotherapy Clinics for Senior Citizens
- Creation of a of trained Geriatric Caregivers for senior citizens pool
- (iv) Maintenance of Multi Service Centre/l Care Centre for Senior Citizens Day
- (vi) State  Specific Activities for the welfare of senior citizens, especially who are indigent. States/UTs
- 2\_ Under the Scheme, State Governments devise eligibility criteria for the Implementing Agencies for seeking assistance for the above-referred programmes. However; as far as possible,  organisations   working in the   field of Old Age Care are involved for the activities/ programmes to be carried out under the SAPSrC.
- 3\_ The sub-scheme of State Action Plan for Senior Citizens (SAPSrC) was launched in FY 2019-20. The State/UT wise details of release of funds and utilisation for the year 201920 is as under:-
- 4\_ State/UT wise details of proposals/State Action Plans received for the year 2020-21 under SAPSrC are as follows:-

|    | States[UTs                |   Funds Released |   Funds Utilised |
|----|---------------------------|------------------|------------------|
|    | Andaman & Nicobar Islands |            0.375 |              0   |
| 2  | Andhra Pradesh            |            1     |              0   |
| 3  | Arunachal Pradesh         |            0.375 |              0   |
|    | Assam                     |            0.75  |              0   |
|    | Bihar                     |            1.5   |              1.5 |
|    | Chandigarh                |            0.375 |              0   |
|    | Chhattisgarh              |            0.75  |              0   |
| 8  | Dadra & Nagar Haveli      |            0.375 |              0   |
| 9  | Daman & Diu               |            0.375 |              0   |
| 10 | Goa                       |            0.5   |              0   |
| 11 | Gujarat                   |            0.75  |              0   |
| 12 | Haryana                   |            0.75  |              0   |
| 13 | Himachal Pradesh          |            0.75  |              0   |
| 14 | Jammu & Kashmir           |            0.75  |              0   |
| 15 | Jharkhand                 |            0.75  |              0   |

| 16          | Karnataka      |   1.500 |   0.00 |
|-------------|----------------|---------|--------|
| 17          | Kerala         |   0.75  |  0     |
| 18          | Lakshadweep    |   0.375 |  0     |
| 19          | Madhya Pradesh |   1.5   |  0     |
| 20          | Maharashtra    |   1.5   |  0     |
| 21          | Manipur        |   0.375 |  0     |
|             | Meghalaya      |   0.375 |  0     |
| 23          | Mizoram        |   0.5   |  0.375 |
| 24          | Nagaland       |   0.375 |  0.375 |
| 25          | NCT Of Delhi   |   0.75  |  0     |
| 26          | Odisha         |   1     |  0     |
| 27          | Puducherry     |   0.375 |  0     |
| 28          | Punjab         |   0.75  |  0     |
| 29          | Rajasthan      |   1.5   |  0     |
| 30          | Sikkim         |   0.5   |  0     |
| 31          | Tamil Nadu     |   1.5   |  0     |
| 32          | Telangana      |   1     |  0.75  |
| 33          | Tripura        |   0.5   |  0     |
| 34          | Uttar Pradesh  |   1.5   |  0     |
| 35          | Uttarakhand    |   0.75  |  0     |
| 36          | West Bengal    |   1.5   |  0     |
| Grand Total | Grand Total    |  29     |  3     |

Rs. in Cr.

| SI: No.   | StatelUT                           |   Proposed Amount* |
|-----------|------------------------------------|--------------------|
|           | ANDHRA PRADESH                     |               2.81 |
| 2.        | ASSAM                              |               1.98 |
| 3_        | BIHAR                              |               4.82 |
| 4.        | CHANDIGARH                         |               0.47 |
| 5.        | DADRA NAGAR HAVELI and DAMAN & DIU |               0.97 |
|           | MAHARASHTRA                        |              36.23 |
|           | MANIPUR                            |               5.69 |
| 8.        | MIZORAM                            |               4.13 |
| 9.        | NAGALAND                           |               1.03 |
| 10.       | ODISHA                             |               9.29 |
|           | PUNJAB                             |              15.95 |
| 12.       | RAJASTHAN                          |               3.81 |
| 13        | SIKKIM                             |               0.64 |
| 14.       | TAMIL NADU                         |               2    |
| 15        | TELANGANA                          |               9.65 |
| 16.       | UTTARAKHAND                        |               1.39 |
| 17.       | WEST BENGAL                        |              14.18 |
|           | TOTAL                              |             115.04 |

## 2\_ Rashtriya Vayoshri\_Yojana(RVY)

The objective of the Scheme is to provide the senior citizens, with monthly income less than Rs. 15000/(including BPL) and suffering from infirmity, with assisted  living   devices which can restore near normalcy in their  bodily functions,   overcoming the  disabilityl   infirmity manifested such as impairment; and  loco-motor  disabilities.  Under Rashtriya   Vayoshri  Yojana (RVY), the following devices are provided to the eligible Senior Citizen beneficiaries:

- (a) Generic   Items: Walking sticks (2 Elbow crutches (3) Walkers/Crutches, (4) Tripods/Quadpods (5) Hearing Aids (6) Artificial Dentures, and (7) Spectacles.
- (b) Special Items: (1) Wheelchairs, (2) Wheel Chairs with Commode, (3) Chair/Stool with Commode, (4) Silicon Foam Cushion, (5) Knee Brace, (6) Spinal Support, (7) Cervical Collar; (8) Lumbosacral Belt (LS) (9) Walker/Roalator with Brakes, (10) Walking Stick with Seat; (11) Foot Care Kit: - (i) Flexi Silicon Insole (Complete Foot/Ankle) and (iv) Insole with Pressure Point Relief:
- 2 So far; a total of 158 Distribution Camps have been organised all over the Country providing 4,21,346 Assisted Living Devices to 1,58,869 Senior Citizen beneficiaries
- State UT wise Details of Funds Utilized under Rashtriya Vayoshri Yojana in Last Three Years (FY 2017-18,FY 2018-19 & FY 2019-20):

| S: No   | States/UTs        |   2017-18 | 2018-19   |   2019-20 |   Total in Rs. Lakh |
|---------|-------------------|-----------|-----------|-----------|---------------------|
|         | Andhra Pradesh    |       113 | 171.00    |        34 |                 318 |
| 2       | Arunachal Pradesh |         0 | 33.00     |       120 |                 153 |
| 3       | Bihar             |        85 | 11.00     |        45 |                 141 |
| 4       | Chattishgarh      |         0 | 38.00     |         0 |                  38 |
| 5       | Delhi             |        64 | 131.00    |         0 |                 195 |
| 6       | Goa               |       121 |           |         0 |                 121 |
| 7       | Gujrat            |        44 | 109.00    |       151 |                 304 |
| 8       | Haryana           |        82 | 30.00     |       123 |                 235 |
|         | Himanchal Pradesh |         5 | 15.00     |         0 |                  20 |
| 10      | Jharkhand         |         1 | 136.00    |         0 |                 137 |
| 11      | Karnataka         |         0 | 63.00     |        22 |                  85 |
| 12      | Kerala            |        31 | 7.00      |        37 |                  75 |
| 13      | Lakshadweep       |         0 | 38.00     |         0 |                  38 |
| 14      | Madhya Pradesh    |       151 | 1375.00   |        70 |                1596 |
| 15      | Maharashtra       |       180 | 1193.00   |         0 |                1373 |
| 16      | Meghalaya         |       170 | 650.00    |       294 |                 114 |
| 17      | Nagaland          |         0 | 162.00    |         0 |                 162 |
| 18      | Puducherry_       |        38 | 00        |         0 |                  38 |
| 19      | Punjab            |         0 | 125.00    |         0 |                 125 |
| 20      | Rajasthan         |        89 | 285.00    |       321 |                 695 |
| 21      | Sikkim            |         0 | 194.00    |        87 |                 281 |
| 22      | Tamilnadu         |         0 | 65.00     |        42 |                 107 |
| 23      | Telangana         |         0 | 90.00     |        37 |                 127 |
| 24      | Tripura           |        77 | 00        |        57 |                 134 |
| 25      | Uttar Pradesh     |       176 | 402.00    |      1378 |                1956 |
| 26      | Uttrakhand        |        59 | 98.00     |       107 |                 264 |

## MINISTRY OFRURAL DEVELOPMENT:

National Social Assistance   Programme (NSAP) is a Centrally  Sponsored Scheme of Ministry of Rural Development: NSAP is a social security/social welfare programme applicable to old widows, disabled persons and bereaved families on death of primary bread winner, belonging to below poverty line household. Old age pension is provided under Indira Gandhi National Old Age Pension Scheme (IGNOAPS) to persons belonging to below poverty line (BPL) household. Central assistance of Rs. 200/- per month is provided to the persons of 60-79 years of age and Rs: 500/- per month to the persons of age of 80 or Scheme is   implemented by the States/UTs. Identification of beneficiaries, sanction and disbursement of benefit under the schemes is done by the States/UTs. A total 0f 221 lakh is the targeted beneficiaries under IGNOAPS. The Scheme is implemented in all States/ UTs in rural aged, aged years

- 2 Details regarding State-wise release of funds under IGNOAPS released during the last 03 is given below: years

Rs. In lakh)

| SI: No.   |                   | Release   | Release   | Release   | Release                | Release                |
|-----------|-------------------|-----------|-----------|-----------|------------------------|------------------------|
| SI: No.   |                   | 2017-2018 | 2018-2019 | 2019-20   | 2020-21 (as on 4-2-21) | 2020-21 (as on 4-2-21) |
|           | Andhra Pradesh    | 18405.46  | 18405.46  | 19518.24  | Andhra Pradesh         | 18677.36               |
| 2         | Bihar             | 82554.02  | 85227.42  | 94889.28  | Bihar                  | 100001.95              |
| 3         | Chhattisgarh      | 17298.27  | 18091.27  | 18641.65  | Chhattisgarh           | 9855.28                |
| 4         | Goa               | 0.00      | 0.00      | 0.00      | Goa                    | 0.00                   |
| 5         | Gujarat           | 13414.34  | 14763.55  | 17364.32  | Gujarat                | 8682.16                |
| 6         | Haryana           | 7090.51   | 6711.20   | 8883.88   | Haryana                | 3496.28                |
| 7         | Himachal Pradesh  | 5209.29   | 3630.89   | 3731.70   | Himachal Pradesh       | 2950.38                |
| 8         | J & K             | 4243.21   |           | 2192.25   | Jharkhand              | 20637.54               |
| 9         | Jharkhand         | 25215.55  | 24818.76  | 20263.73  |                        | 20897.80               |
| 10        | Karnataka         | 29254.46  | 29532.79  | 29596.61  | Kerala                 | 17596.00               |
|           | Kerala            | 12882.75  |           | 6848.80   | Madhya Pradesh         | 34975.34               |
| 12        | Madhya Pradesh    | 46018.20  | 46018.20  | 30430.82  | Maharashtra            | 14632.91               |
| 13        | Maharashtra       | 41282.89  | 31691.46  | 30700.58  | Odisha                 | 35184.69               |
| 14        | Odisha            | 40842.24  | 40842.24  | 42155.58  | Punjab_                | 2764.37                |
| 15        | Punjab            | 0.00      | 2020.38   | 3286.43   | Rajasthan              | 7618.25                |
| 16        | Rajasthan         | 35219.04  | 24265.62  | 24975.53  | Tamilnadu              | 20125.88               |
| 17        | Tamilnadu         | 36015.32  | 36015.32  | 35022.83  | Telangana              | 21316.84               |
| 18        | Telangana         | 13153.96  | 13153.97  | 6970.48   | Uttar Pradesh          | 124708.01              |
| 19        | Uttar Pradesh     | 115673.92 | 87629.09  | 123054.82 | Uttarakhand            | 1640.19                |
| 20        | Uttarakhand       | 6344.39   | 6765.55   | 4124.69   | West Bengal            | 23220.72               |
| 21        | West Bengal       | 35263.27  | 32315.20  | 56092.82  | Sub Total              | 488981.95              |
|           | Sub Total         | 585381.09 | 546267.35 | 578745.04 |                        |                        |
| NE States | NE States         | NE States | NE States | NE States | NE States              | NE States              |
| 22        | Arunachal Pradesh | 0.00      | 943.94    | 0.00      | Arunachal Pradesh      | 0.00                   |
| 23        | Assam             | 11521.74  | 19093.72  | 24154.60  | Assam                  | 25380.08               |
| 24        | Manipur           | 2526.71   | 813.88    | 1622.07   | Manipur                | 1616.37                |
| 29        | Meghalaya         | 1334.15   | 1342.24   | 1091.75   | Meghalaya              | 1718.68                |
| 26        | Mizoram           | 883.32    | 782.43    | 926.39    | Mizoram                | 697.05                 |
| 27        | Nagaland          | 965.72    | 2129.15   | 1808.94   | Nagaland               | 1375.98                |

|                   | Sikkim            | 652.35            | 219.22            | 488.95            | Sikkim             | 134.86            |
|-------------------|-------------------|-------------------|-------------------|-------------------|--------------------|-------------------|
|                   | Tripura           | 3839.05           | 2052.43           | 5636.94           | Tripura            | 896.13            |
|                   | Sub Total         | 21723.04          | 27377.01          | 35729.64          | Sub Total          | 31819.15          |
| Union Territories | Union Territories | Union Territories | Union Territories | Union Territories | Union Territories  | Union Territories |
| 30                | A&N Islands       | 0.00              | 0.00              | 0.00              | A&N Islands        | 0.00              |
| 31                | Chandigarh        | 0.00              | 0.00              | 0.00              | Chandigarh         | 0.00              |
| 32                | D&N Haveli        | 0.00              | 0.00              | 0.00              | DeN Haveli and D&D | 0.00              |
| 33                | Daman & Diu       | 0.00              | 0.00              | 0.00              | NCT Delhi          | 2303.66           |
| 34                | NCT Delhi         | 3408.24           | 3408.24           | 3999.88           | J&K                | 455.29            |
| 35                | Lakshadweep       | 0.00              | 0.00              | 0.00              | Ladakh             | 26.86             |
| 36                | Puducherry        | 530.90            | 530.90            | 863.88            | Lakshadweep        | 0.00              |
|                   | Sub Total         | 3939.14           | 3939.14           | 4863.76           | Puducherry_        | 411.11            |
|                   |                   |                   |                   |                   | Sub Total          | 3196.92           |
|                   | GRAND TOTAL       | 611043.27         | 577583.50         | 619338.44         | TOTAL              | 523998.02         |

## 3 MINSTRY OFHEALTHANDFAMILY WELFARE:

~National Programme for the Health Care of Elderly" (NPHCE) launched during 2010-11 is State oriented program with the basic thrust to provide comprehensive and dedicated health care facilities to the elderly persons above 60 year of age at various level of primary, secondary and tertiary health care.

I,Primary & Secondary Geriatric Care\_Services The program commenced with 100 districts 114 districts were additionally sanctioned to provide dedicated geriatric OPD, IPD, Physiotherapy and lab services Presently all 713 Health districts have been  sanctioned for geriatric primary & secondary care services of OPD, 10 bedded Geriatric Ward, Physiotherapy and laboratory services

IITertiary level activities of NPHCE were renamed as Rashtriya Varisth Jan SwasthyaYojana' in 2016-17. As on date, 19 Regional Geriatric Centres (RGCs) in selected Medical Colleges of 1 8 States, are sanctioned for tertiary care service delivery under NPHCE in wards in RGC including earmarking beds in various specialties like urology, orthopedics, ophthalmology etc manpower  development & research activities. Presently OPD services are being provided through 18 RGCs, inpatient services in 16 RGC s, Physiotherapy services in 14 RGCs & laboratory services in |3 centers

Two National Centres for Aging (NCAs) at AIIMS Delhi and MMC Chennai are in the process of development: MMC Chennai is in the advanced stage of construction while AIIMS Delhi is in the initial stage of construction. MMC Chennai is serving as Covid hospital catering to elderly covid patients also.

## III. Progress in Operationalization of the Programme activities 2020-21

|       |                    |            | Operational   | Operational   | Operational                        | Operational   |
|-------|--------------------|------------|---------------|---------------|------------------------------------|---------------|
| S. No | Institutions       | Sanctioned | OPD           | Indoor wards  | Physiotherapyl Laboratory services | services      |
| 1_    | RGCs               | 19         | 18            | 16            | 14                                 | 13            |
| 2     | District hospitals | 718        | 584           | 507           | 445                                | 539           |

(As per Progress Report- April to September; 2020)

| 3_   | CHCs                                                |   4869 |   3111 | 1131   | 2408   |       |
|------|-----------------------------------------------------|--------|--------|--------|--------|-------|
| 4_   | PHCs                                                |  18407 |  10180 |        |        |       |
|      | SCs providing home based care supportive appliances |  90719 |  14201 | 14201  | 14201  | 14201 |

Daily Geriatric OPD services are being provided in 584 DH, 3111 CHCs and 10180 PHCs with special OPDs in 18 RGCs along

Physiotherapy services are being provided in 445 DH; 1131 CHCs along with 14 RGCs. Laboratory services are provided in 539 DHs, 2408 CHCs, along with 13 RGCs being

Inpatient services are being provided in 507 DH; with 16 RGCs: along

## IV. Geriatric care service provision in 2020-21

| S.N.   | Services                                    | RGCs   | Distt: HospitalsL_   | ICHCs   | PHCs   | SCs    | Total      |
|--------|---------------------------------------------|--------|----------------------|---------|--------|--------|------------|
| 1_     | OPD care services                           | 11485  | 1354642|        | 1717310 |        | 852992 | 61,80,739/ |
| 2      | In-door admissions                          | 1493   | 157375/              | 47878   |        |        | 2,06,7461  |
| 3_     | Physiotherapy care                          | 2378   |                      | 1651761 |        |        | 3,21214    |
| 4_     | Lab Tests                                   |        | 973743               | 643077  | 538835 |        |            |
| 5.     | No of Elderly Screened lgiven Health card   |        | 173684               | 290198  | 207563 | 135850 |            |
| 6_     | No of  Elderly Providedl Home care services |        | 3040                 |         | 51051  | 35824  |            |
| 7.     | No of Elderly Providedl ksupportive devices |        |                      | 1278    |        | 643    | 3,910      |
| 8_     | Cases referred                              |        | 67881                | 13751   | 13221  |        | 42,504     |
| 9_     | Cases died in hospitals                     |        | 4120                 |         | 211    |        |            |

(As per state\_Progress Reports- April to September; 2020)

Overall 61.8 lakhs elderly have been provided OPD care, 2.06 lakhs elderly admitted to indoor wards, 3.21 lakhs elderly provided Rehabilitation sessions and 21.73 lakhs elderly received Lab. Services through the various institutions operationalized for geriatric care services

V Training  Modules: Three sets of Training modules for Medical  Officers, Community based workers to deliver Comprehensive Geriatric care has been developed. State level Training of Trainers of Medical Officers   for Comprehensive Geriatric Care has been conducted at Chhattisgarh, Meghalaya, Haryana, Punjab Tamil Nadu & Maharashtra generating approx236 States   level Master   Trainers   and 85National Master\_Trainers: 27 for Medical Officer Module, 26 for Staff Nurses Module and 32 for module developed to train Community based workers.

VI: IEC: Various IEC materials Audio/ Video spots on different topics of elder care, Fitness booklet; folder; posters etc ) for Geriatric care have been developed and shared with the States, who are developing the  regional  language versions. NPHCE Fitness Booklet in Hindi English covering Nutrition in elderly, Sleep Hygiene, Medication, Exercise & Healthy bones, Common health problems in elderly etc- Posters in Hindi & English on common health related issues in old age, healthy life style and Good food for health etc. The downloadable of IEC material are available at WWW.nphce nhp-gov.in Yoga; good copies

Ministry of Finance has launched a scheme namely 'Pradhan Mantri Vaya Vandana Yojana' (PMVVY) to provide social security during old age and to protect elderly persons 60 and above against a future fall in their interest income due to uncertain market conditions The Scheme enables old age income security for senior citizens through provision of assured pension/  return   linked to the   subscription amount  based on Government  guarantee to Life Insurance Corporation of India (LIC) aged

- 2 PMVVY is open for subscription upto March 2023 and offers an assured rate of return of 7.40% per annum for the year 2020-21 for policy duration of 10 years. In subsequent years, while the Scheme is in operation full month 2023, there will be annual reset of assured rate of return with effect from April [ of the financial year in line with applicable rate of return of Senior Citizens Saving Scheme (SCSS) upto a ceiling of 7.75% with fresh appraisal of the scheme on breach of this threshold at any 31st point.
- 3 i.e. the   difference and the assured returns would be borne by Government of India as subsidy on an annual basis. Pension is payable at the end of each period during the policy tenure of 10 years aS per the frequency of monthly/ quarterly/ half-yearly as chosen by the subscriber at the time of purchase. Minimum purchase under the scheme is Rs. 1,62,162/- for a minimum pension of Rs 1,000/- per month and the maximum purchase is Rs. 15 lakh per senior citizen for getting & pension amount of Rs. 9,250/-. price price
- 4 The Scheme is being implemented through Life Insurance Corporation of India (LIC) A total number of 5,83,208 subscribers are benefitted under the scheme as on December; 2020. 31st being

****

## (d) &(e) Number of Senior Citizen Homes/Old Homes assisted under Integrated Programme for Senior Citizens (TPSrC): being Age

|    | States/ UTs                          | No. of Senior Citizen Home   |
|----|--------------------------------------|------------------------------|
|    | Andhra Pradesh                       | 73                           |
| 2  | Bihar                                | 3                            |
| 3  | Chhattisgarh                         |                              |
| 4  | Goa                                  |                              |
| 5  | Gujarat                              |                              |
| 6  | Haryana                              | 16                           |
| 7  | Himachal Pradesh                     | 5                            |
| 8  | Jharkhand                            |                              |
| 9  | Karnataka                            | 38                           |
| 10 | Kerala                               | 5                            |
|    | Madhya Pradesh                       | 20                           |
| 12 | Maharashtra                          | 33                           |
| 13 | Odisha                               | 91                           |
| 14 | Punjab                               | 3                            |
| 15 | Rajasthan                            | 18                           |
| 16 | Tamil Nadu                           | 66                           |
| 17 | Telangana                            | 19                           |
| 18 | Uttar Pradesh                        | 35                           |
| 19 | Uttarakhand                          | 4                            |
| 20 | West Bengal                          | 26                           |
|    | TOTAL                                | 475                          |
|    | UNION TERRITORRIES (UTs)             |                              |
| 21 | A & N Island                         |                              |
| 22 | Chandigarh                           |                              |
| 23 | Dadra & Nagar Haveli and Daman & Diu |                              |
| 24 | Lakshadweep                          |                              |
| 25 | Delhi                                |                              |
| 26 | Puducherry                           |                              |
| 27 | Jammu and Kashmir                    |                              |
| 28 | Ladakh                               |                              |
|    | TOTAL - UTs                          |                              |
|    | NORTH EASTERN REGION (NER)           |                              |
| 29 | Arunachal Pradesh                    |                              |
| 30 | Assam                                | 39                           |
| 31 | Manipur                              | 30                           |
| 32 | Meghalaya                            |                              |
| 33 | Mizoram                              |                              |
| 34 | Nagaland                             |                              |
| 35 | Sikkim                               |                              |
| 36 | Tripura                              | 3                            |
|    | TOTAL - NE REGION                    | 84                           |
|    | GRAND TOTAL                          | 563                          |

**#