Lok Sabha Question No. 935 (UNSTARRED), answered on 2022-07-22
Subject: National Programme for Health Care of the Elderly
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Ganesan Selvam, Kuldeep Rai Sharma, Gajanan Chandrakant Kirtikar, Dhanush M Kumar, Gautham Sigamani Pon, Manjulata Mandal, Amol Ramsing Kolhe, DNV Senthilkumar. S., Supriya Sadanand Sule, C.N. Annadurai, Sunil Dattatray Tatkare

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

## LOK SABHA UNSTARRED QUESTION NO. 935 TO BE ANSWERED ON 22 ND  JULY 2022

## NATIONAL PROGRAMME FOR HEALTH CARE OF THE ELDERLY

## 935. SHRI SELVAM G:

SHRI GAJANAN KIRTIKAR:

DR. PON GAUTHAM SIGAMANI:

SHRI DHANUSH M. KUMAR:

SHRI KULDEEP RAI SHARMA:

SHRIMATI MANJULATA MANDAL:

DR. AMOL RAMSING KOLHE:

DR. DNV SENTHILKUMAR. S .:

SHRIMATI SUPRIYA SULE:

SHRI C.N. ANNADURAI:

SHRI SUNIL DATTATRAY TATKARE:

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

- (a) Whether  Government  has  formulated  a  National  Programme  for  Health  Care  of  the Elderly (NPHCE) and if so, the details thereof;
- (b) Whether the Programme has achieved the objective for which it was launched and if so, details thereof;
- (c) the challenge faced by Government while implementing NPHCE;
- (d) Whether  the  aforesaid  programme  is  likely  to  be  aligned  with  National  Rural  Health Mission  (NRHM)  so  as  to  ensure  convergence  amongst  them  and  if  so,  the  details thereof;
- (e) Whether Government has taken initiatives for  effective implementation of programmes and ensuring easy access to the preventive, curative and rehabilitative healthcare by the elderly and if so, the details thereof along with the funds allocated under these schemes during each of the last three years and the current year, State/UT wise; and
- (f) Whether  any  measures  are  being  taken  by  the  Government  to  promote  research  on diseases affecting the elderly and if so, the details thereof?

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

- (a) to (f): The Ministry of Health & Family Welfare had launched the 'National Programme for  the  Health  Care  of  Elderly'  (NPHCE)  during  2010-11  to  address  various  health related problems of elderly people.

The  objective  of  the  Programme  is  to  provide  accessible,  affordable,  and  high-quality long-term,  comprehensive  and  dedicated  care  services  to  an  Ageing  population.    The Programme is implemented as Centrally Sponsored Programme at two levels:

- (i) Primary  care  services  at  district  hospitals  and  sub  district  level  through geriatric clinics, investigations & rehabilitation services, domiciliary visits by  the  rehabilitation  worker  for  bed-ridden  elderly  and  counseling  to family members for care of such patients and Health Education. A  total number of 713 Districts have been covered.
- (ii) Tertiary care services through OPD and in-door facilities, development of specialized human resource through various courses in geriatric medicine as well as research at Regional Geriatric Centers and National Centres for Ageing.  Under this Component, Two National Centres of Ageing (NCAs) and 18 Regional Geriatric Centres (RGCs) have been set up.

NPHCE is  already  aligned  with  NRHM.  The  details  of  funds  allocated  under  the  NPHCE  is attached  as  Annexure  I.  In  order  to  further  strengthen  and  broaden  the  scope  of  National Programme for Health Care of the Elderly and also help in establishing a range of preventive and health care programmes for older population, a nationally representative survey of older persons in India,  LASI (Longitudinal aging survey of India) was conducted under NPHCE. The survey covered all 30 states and 6 Union Territories of India with a panel sample size of 72,250 older adults aged 45 years including 31464 people above 60 years of age and above and their spouses regardless  of  age.  Further,  there  is  a  provision  of  Research  on  specific  elderly  diseases  at Department of Geriatrics in the Regional Geriatrics Centre & National Centre for Ageing.

Annexure I State/UT wise Approvals under National Programme for the Healthcare of the Elderly (NPHCE) under Flexible Pool for Non-Communicable Diseases (NCD) under NHM from F.Y 2019-20 to F.Y 2021-22

## (Rs. In lakhs)

|   S.No. | State/UT                           | FY 2019-20   | FY 2020-21   | FY 2021-22   |
|---------|------------------------------------|--------------|--------------|--------------|
|       1 | Andaman &Nicobar Islands           | 37.72        | 1.50         | 30.40        |
|       2 | Andhra Pradesh                     | 78.20        | 789.90       | 455.06       |
|       3 | Arunachal Pradesh                  | 150.00       | 165.40       | 40.00        |
|       4 | Assam                              | 406.59       | 310.30       | 65.46        |
|       5 | Bihar                              | 383.49       | 165.77       | 5.67         |
|       6 | Chandigarh                         | 0.00         | 0.00         | 0.00         |
|       7 | Chattisgarh                        | 365.65       | 95.36        | 512.11       |
|       8 | Dadra &Nagar Haveli and Daman &Diu | 0.00         | 0.35         | 0.00         |
|       9 | Daman &Diu                         | 0.40         |              |              |
|      10 | Delhi                              | 14.80        | 9.80         | 24.90        |
|      11 | Goa                                | 29.80        | 13.34        | 27.30        |
|      12 | Gujarat                            | 20.10        | 20.20        | 78.05        |
|      13 | Haryana                            | 61.82        | 70.29        | 91.11        |
|      14 | Himachal Pradesh                   | 27.09        | 1.50         | 15.94        |
|      15 | Jammu &Kashmir                     | 164.95       | 144.50       | 166.50       |
|      16 | Jharkhand                          | 181.11       | 13.23        | 268.83       |
|      17 | Karnataka                          | 340.08       | 1310.80      | 129.60       |
|      18 | Kerala                             | 421.00       | 128.50       | 363.50       |
|      19 | Ladakh                             |              | 0.00         | 53.70        |
|      20 | Lakshadweep                        | 1.00         | 12.35        | 11.40        |
|      21 | Madhya Pradesh                     | 67.44        | 139.00       | 1518.63      |
|      22 | Maharashtra                        | 213.00       | 151.60       | 131.49       |
|      23 | Manipur                            | 299.10       | 114.30       | 135.97       |
|      24 | Meghalaya                          | 14.50        | 86.97        | 200.98       |
|      25 | Mizoram                            | 21.85        | 19.86        | 27.24        |
|      26 | Nagaland                           | 2.26         | 7.99         | 20.40        |
|      27 | Orissa                             | 231.16       | 173.10       | 137.55       |
|      28 | Puducherry                         | 30.85        | 31.30        | 32.40        |
|      29 | Punjab                             | 11.00        | 17.60        | 40.40        |
|      30 | Rajasthan                          | 30.00        | 30.00        | 310.10       |
|      31 | Sikkim                             | 4.72         | 17.80        | 19.15        |
|      32 | Tamil Nadu                         | 246.50       | 54.25        | 212.86       |
|      33 | Telangana                          | 60.00        | 142.00       | 75.00        |
|      34 | Tripura                            | 11.22        | 0.00         | 93.17        |
|      35 | Uttar Pradesh                      | 1166.80      | 731.25       | 1154.73      |
|      36 | Uttarakhand                        | 5.25         | 44.94        | 65.01        |
|      37 | West Bengal                        | 59.00        | 103.43       | 60.70        |

## Note:

1. The above figures are as per the available Financial Management Report (FMR) reported by State/UTs. It is updated upto 31.03.2022 and is provisional.