Lok Sabha Question No. 2008 (UNSTARRED), answered on 2021-07-30
Subject: Death due to Stroke
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Khagen Murmu

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

## LOK SABHA UNSTARRED QUESTION NO. 2008 TO BE ANSWERED ON 30 th JULY, 2021

## DEATH DUE TO STROKE

## 2008. SHRI. KHAGEN MURMU :

- Will the Minister of HEALTH AND FAMILY WELFARE be pleased to state: (a) whether the Government is aware that Stroke is the third leading cause of death in I the sixth major cause of Disability Adjusted life Year (DALYs) and 87 percent being isc stroke; (b) if so, the details there of; (c) whether the Government aided policies and programmes, including public - private partnership (PPPs) are needed to effectively manage stroke, rehabilitate patients and alleviate the c the patients and their caregivers and if so , the action taken in this regard; (d) whether the incidences of stroke have doubled in the past five decades, if so, th thereof; and (e) the initiative taken by the Government in this regard?

## ANSWER

## THE MINISTER OF STATE IN THE MINISTRY OF HEAL TH AND FAMILY WELFARE (SMT. BHARATI PRAVIN PAWAR)

a) & (b) Indian Council of Medical Research (ICMR) had conducted a study 'India State Level leadingcause  of  Disability  Adjusted  life  Year  (DALYs)  and  third  leading  cause  of  No -

- Disease Burden Initiative' and published its report in 2017. As per the study, stroke was the fifth Communicable Disease (NCDs) related death in India in 2016.
- (c) Health is a state subject. The Department of Health & Family Welfare, however, pro technical and financial su pport to the States/UTs under the National Programme for Prevention

and  Control  of  Cancer,  Diabetes,  Cardiovascular  Diseases  and  Stroke  (NPCDCS),  as  part National  Health  Mission  (NHM),  based  on  the  proposals  received  from  the  States/UTs  a subject  to  t he  resource  envelope.  Also,  the  financial  support  is  provided  for  innovat including public - private partnership (PPPs), to States/UTs, based on their proposals inProgram Implementation Plans (PIPs) under NHM.

ICMR,  under  the  Department  of  Health  Re search,  Ministry  of  Health  &  Family  Welfare  has initiated two projects in Dibrugarh and Tezpur in Assam, to develop novel stroke care pa using Mobile Stroke Unit (MSU). The project at Tezpur is through a public - private partnership (PPPs). The stroke units have been set - up and physicians have been trained for diagnosing and managing Stroke.

(d) A study 'The changing patterns of cardiovascular disease and their risk factors in the states of India: the Global burden of Disease Study 1990 -2016' was publ ished in Lancet 2021 by ICMR. As per the study, the prevalence of stroke has more than doubled from 1990 to 2016.

(e) Health is a state subject. The Department of Health & Family Welfare, however, pro 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 National  Health  Mission  (NHM),  based  on  the  proposals  received  from  the  States/UTs  a subject to the resource envelope. S troke is an integral part of NPCDCS. The programme focusses on  strengthening  infrastructure,  human  resource  development,  health  promotion  &  awaren generation for prevention, early diagnosis, management and referral to an appropriate l healthcare facility for treatment of the given Non -Communicable Diseases, including Stroke.

Stroke is a multifactorial disease, the risk factors of which interalia, include high blo high blood sugar, sedentary lifestyles, smoking, alcohol, physical inact ivity, nd unhealthy diet. Preventive  aspect  of  stroke  is  being  strengthened  under  Comprehensive  Primary  Health  C through Ayushman Bharat Health Wellness Centre scheme, by promotion of wellness activiti and  targeted  communication  at  the  community  leve l.  Other  initiatives  for  increasing  public awareness  about  Stroke  and  for  promotion  of  healthy  lifestyle  include  observation  of

Stroke Day and use of print, electronic and social media for continued community awarenes addition, NPCDCS gives fina ncial support under NHM for awareness generation (IEC) activities to be undertaken by the States/UTs as per their Programme Implementation Plans (PIPs).