Lok Sabha Question No. 5018 (UNSTARRED), answered on 2023-03-31
Subject: Treatment of Critical Ailments
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Jyotsna Charandas Mahant

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

## LOK SABHA UNSTARRED QUESTION NO. 5018 TO BE ANSWERED ON 31 st  MARCH, 2023

## TREATMENT OF CRITICAL AILMENTS

## 5018. SHRIMATI JYOTSNA CHARANDAS MAHANT:

Will the MINISTER OF HEALTH AND FAMILY WELFARE be pleased to state:

- (a) whether any facilities have been provided by the Government for tests and treatment for liver, kidney and heart vessel in the State Government hospitals;
- (b) if so, the details thereof, State-wise including Chhattisgarh;
- (c) the details of the technical facilities and financial assistance provided to the States for the treatment and prevention of the said diseases during the last three years along with the names of the schemes under which the said facilities and assistance have been provided; and
- (d) the State-wise details thereof including the State of Chhattisgarh?

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

- (a) to (d): The Department of Health & Family Welfare, Government of India 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). The programme includes the following,
- i. Strengthening infrastructure
- ii. Human resource development
- iii. Health promotion
- iv. Screening of 30 years and above population under Ayushman Bharat Health Wellness Centre
- v. Early diagnosis and management
- vi. Referral to an appropriate level of healthcare facility

Cardiovascular  diseases  (CVDs),  Chronic  Kidney  Diseases  (CKDs)  &  Non-Alcoholic  Fatty  Liver Diseases (NAFLD) are an integral part of NPCDCS. Under NPCDCS, the details of states/UT wise health care facilities available to tackle NCDs is attached at Annexure 1.

To facilitate accessible, affordable healthcare treatment, the following steps have been taken:

1. Cardiovascular diseases, liver disease and chronic kidney disease patients are getting treatment at various health facilities in the health care delivery system including Medical Colleges, Central Institutes  like  AIIMS,  Central  Government  hospitals,  and  private  sector  hospitals  through PMJAY and State-based schemes.
2. There is  also  focus  on  various  aspects  of  NCDs  in  case  of  new  AIIMS  and  many  upgraded institutions under Pradhan Mantri Swasthya Suraksha Yojna (PMSSY).
3. Chronic Kidney Disease (CKD) is an integral part of the NPCDCS programme under the aegis of National Health Mission. Pradhan Mantri National Dialysis Programme (PMNDP) launched in 2016-17 for CKD patients ensures availability of dialysis services at the district hospitals in the  country  free  of  cost  to  all  BPL  beneficiaries.  National  Health  Mission  (NHM)  supports States/UTs in implementation of Hemodialysis and Peritoneal Dialysis services under PMNDP based on the gap assessment done  by the State/UTs  through  the  annual  Programme Implementation Plans (PIP). The State/UT wise hemodialysis units are attached at annexure 1

State/UT  wise  financial  assistance  for  the  treatment  and  prevention  of  non-communicable  diseases (NCDs) during the last three years are attached at Annexure 2.

## State/UT wise health care facilities under NPCDCS & PMNDP

| Sl. No.     | States/UTs                               | District NCD Clinics   | CHC NCD Clinics   |   Heamodialysis Units |
|-------------|------------------------------------------|------------------------|-------------------|-----------------------|
| 1           | Andhra Pradesh                           | 13                     | 195               |                    39 |
| 2           | Arunachal Pradesh                        | 25                     | 53                |                     9 |
| 3           | Assam                                    | 27                     | 178               |                    34 |
| 4           | Bihar                                    | 38                     | 210               |                    37 |
| 5           | Chhattisgarh                             | 28                     | 172               |                    23 |
| 6           | Goa                                      | 2                      | 4                 |                    14 |
| 7           | Gujarat                                  | 31                     | 93                |                   258 |
| 8           | Haryana                                  | 22                     | 76                |                    21 |
| 9           | Himachal Pradesh                         | 12                     | 160               |                    22 |
| 10          | Jharkhand                                | 24                     | 188               |                    23 |
| 11          | Karnataka                                | 30                     | 347               |                   167 |
| 12          | Kerala                                   | 14                     | 227               |                   103 |
| 13          | Madhya Pradesh                           | 52                     | 356               |                    59 |
| 14          | Maharashtra                              | 34                     | 454               |                    53 |
| 15          | Manipur                                  | 16                     | 18                |                     9 |
| 16          | Meghalaya                                | 11                     | 28                |                     2 |
| 17          | Mizoram                                  | 8                      | 10                |                     4 |
| 18          | Nagaland                                 | 11                     | 15                |                     3 |
| 19          | Odisha                                   | 30                     | 371               |                    36 |
| 20          | Punjab                                   | 23                     | 192               |                    33 |
| 21          | Rajasthan                                | 48                     | 728               |                    34 |
| 22          | Sikkim                                   | 4                      | 2                 |                     3 |
| 23          | Tamil Nadu                               | 32                     | 663               |                   130 |
| 24          | Telangana                                | 33                     | 101               |                    55 |
| 25          | Tripura                                  | 7                      | 18                |                     8 |
| 26          | Uttar Pradesh                            | 62                     | 332               |                    72 |
| 27          | Uttarakhand                              | 11                     | 0                 |                    18 |
| 28          | West Bengal                              | 27                     | 401               |                    52 |
| 29          | Andaman &Nicobar                         | 3                      | 4                 |                     5 |
| 30          | Chandigarh                               | 1                      | 0                 |                     1 |
| 31          | Daman and Diu and Dadar and Nagar Haveli | 4                      | 0                 |                     2 |
| 32          | Jammu &Kashmir                           | 19                     | 65                |                    22 |
| 33          | Lakshadweep                              | NA                     | NA                |                     2 |
| 34          | Ladakh                                   | 2                      | 6                 |                     2 |
| 35          | Delhi                                    | 0                      | 0                 |                     7 |
| 36          | Puducherry                               | 4                      | 4                 |                     2 |
| Grand Total | Grand Total                              | 708                    | 5671              |                  1364 |

Annexure 2

State/UT wise details of SPIP Approvals and Expenditure for National Programme for Prevention and Control of Cancer, Diabetes, Cardiovascular Diseases and Stroke (NPCDCS) under Flexible Pool for Non Communicable Diseases Programme (NCD)under NHM during the period of F.Y. 2019-20 to 2021-22

(Rs. In lakhs)

| S.No.   | State/UT                         | 2019-20       | 2019-20     | 2020-21       | 2020-21     | 2021-22       | 2021-22     |
|---------|----------------------------------|---------------|-------------|---------------|-------------|---------------|-------------|
| S.No.   | State/UT                         | SPIP Approval | Expenditure | SPIP Approval | Expenditure | SPIP Approval | Expenditure |
| 1       | Andaman & Nicobar Islands        | 52.00         | 11.44       | 13.89         | 24.23       | 56.96         | 19.61       |
| 2       | Andhra Pradesh                   | 359.83        | 287.92      | 1616.18       | 1193.22     | 4672.54       | 4206.67     |
| 3       | Arunachal Pradesh                | 347.51        | 128.28      | 381.58        | 151.06      | 146.45        | 825.60      |
| 4       | Assam                            | 2067.53       | 625.33      | 568.87        | 238.50      | 1258.57       | 736.35      |
| 5       | Bihar                            | 792.39        | 277.96      | 1977.74       | 818.86      | 956.30        | 453.73      |
| 6       | Chandigarh                       | 2.80          | 1.63        | 1.30          | 0.41        | 12.84         | 7.35        |
| 7       | Chhattisgarh                     | 606.34        | 508.25      | 433.45        | 703.69      | 1619.06       | 1686.65     |
| 8       | Dadra &Nagar Haveli &Daman & Diu | 51.18         | 41.49       | 14.18         | 45.16       | 7.05          | 55.18       |
| 9       | Delhi                            | 145.88        | 12.24       | 128.10        | 3.65        | 191.15        | 26.92       |
| 10      | Goa                              | 85.33         | 35.31       | 50.53         | 24.50       | 168.97        | 96.54       |
| 11      | Gujarat                          | 518.38        | 460.97      | 709.39        | 375.67      | 2076.80       | 926.67      |
| 12      | Haryana                          | 320.86        | 195.34      | 226.42        | 181.62      | 476.86        | 353.18      |
| 13      | Himachal Pradesh                 | 158.00        | 164.88      | 45.00         | 64.67       | 286.28        | 190.19      |
| 14      | Jammu &Kashmir                   | 595.67        | 136.72      | 1253.80       | 42.49       | 805.68        | 890.34      |
| 15      | Jharkhand                        | 593.78        | 118.98      | 535.24        | 238.12      | 2620.26       | 1273.15     |
| 16      | Karnataka                        | 1148.79       | 644.56      | 675.94        | 604.32      | 4097.12       | 2186.39     |
| 17      | Kerala                           | 1508.70       | 144.55      | 1092.82       | 1035.71     | 4250.92       | 734.43      |
| 18      | Ladakh                           | -             | -           | 0.00          | 10.39       | 104.45        | 150.91      |
| 19      | Lakshadweep                      | 3.48          | 1.24        | 15.55         | 2.85        | 24.72         | 3.07        |
| 20      | Madhya Pradesh                   | 530.77        | 257.45      | 937.98        | 694.32      | 1402.09       | 1262.50     |
| 21      | Maharashtra                      | 3062.36       | 1377.52     | 747.47        | 486.75      | 976.63        | 3474.90     |
| 22      | Manipur                          | 199.92        | 267.66      | 293.66        | 20.14       | 623.31        | 95.41       |
| 23      | Meghalaya                        | 52.48         | 79.11       | 46.55         | 330.26      | 416.03        | 401.94      |
| 24      | Mizoram                          | 54.48         | 15.21       | 58.88         | 15.80       | 332.26        | 230.86      |
| 25      | Nagaland                         | 206.04        | 93.89       | 137.10        | 37.86       | 305.43        | 610.04      |
| 26      | Odisha                           | 661.80        | 549.30      | 881.79        | 1021.54     | 2158.89       | 1944.10     |
| 27      | Puducherry                       | 24.15         | 19.34       | 23.72         | 1.46        | 126.82        | 24.81       |
| 28      | Punjab                           | 184.45        | 107.62      | 169.79        | 83.17       | 705.42        | 160.83      |
| 29      | Rajasthan                        | 2903.20       | 2126.20     | 1227.09       | 882.62      | 4603.49       | 3301.67     |
| 30      | Sikkim                           | 72.31         | 25.44       | 53.06         | 9.20        | 156.78        | 45.79       |
| 31      | Tamil Nadu                       | 2006.42       | 735.97      | 798.77        | 371.00      | 4004.70       | 2985.56     |
| 32      | Telangana                        | 766.04        | 239.42      | 490.70        | 351.54      | 3139.44       | 2657.83     |
| 33      | Tripura                          | 215.13        | 162.00      | 131.33        | 104.05      | 383.86        | 247.35      |
| 34      | Uttar Pradesh                    | 7602.17       | 2908.04     | 6654.70       | 1888.30     | 13196.18      | 5237.37     |
| 35      | Uttarakhand                      | 331.74        | 39.66       | 144.80        | 0.00        | 597.75        | 327.57      |