Lok Sabha Question No. 5032 (UNSTARRED), answered on 2023-03-31
Subject: Non-Communicable Diseases
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Bidyut Baran Mahato, Sanjay Sadashivrao Mandlik, Ravneet Singh, Sudheer Gupta, Prataprao  Jadhav, Shrirang Appa Barne, Sambhajirao Mane Dhairyasheel

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

## LOK SABHA UNSTARRED QUESTION NO. 5032 TO BE ANSWERED ON 31 st  MARCH, 2023

## NON COMMUNICABLE DISEASES

5032. SHRI BIDYUT BARAN MAHATO: SHRI SANJAY SADASHIVRAO MANDLIK: SHRI RAVNEET SINGH BITTU: SHRI SUDHEER GUPTA: SHRI PRATAPRAO JADHAV: SHRI SHRIRANG APPA BARNE: SHRI DHAIRYASHEEL SAMBHAJIRAO MANE:

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

(a) whether Lancet Journal has published a report regarding the urgent need for policy focus and action to  address  the  dual  impact  of  Non-Communicable  Diseases  (NCD)  and  COVID-19  in  developing economies including India and if so, the details thereof and the response of the Government in this regard;

- (b)  whether there has indeed been a substantial increase in the death percentage during the last few decades due to NCD leading to a huge loss of revenue also and if so, the details in this regard;
- (c) whether there is a sharp rise in cases of new NCD like diabetes mellitus, hypertension, coronary artery disease, asthma and kidney failure, etc., after the onset of COVID-19 putting more burden on the healthcare system and if so, the details thereof;
- (d) the details of other steps taken/being taken by the Government to save precious human life from after-effects of COVID-19; and
- (e) whether the Government is taking any measures to mitigate the impact of NCDs and COVID-19 in the country and if so, the details thereof including the awareness campaign launched and if not, the reasons therefor?

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

- (a) to (c): According to the ICMR study report "India: Health of the Nation's States" (2017),
1. The proportion of Non- communicable Diseases (NCDs) contribution to total deaths in India have increased from 37.9% in 1990 to 61.8% in 2016.
2.  The  proportion  of  Non-  communicable  Diseases  (NCDs)  have  increased  in  India  from  30.5%  in 1990 to 55.4% in 2016.

https://www.healthdata.org/sites/default/files/files/policy\_report/2017/India\_Health\_of\_the\_Nation%2 7s\_States\_Report\_2017.pdf].

(d) & (e): 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

Under NPCDCS, 708 District NCD Clinics, 194 District Cardiac Care Units, 301 District Day Care Centres and 5671 Community Health Center NCD Clinics has been set up.

Ministry  of  Health  &  Family  Welfare  on  21  October  2021  has  issued  'National  Comprehensive Guidelines  for  Management  of  Post-Covid  Sequelae'.  The  guidance  document-contains  detailed guidance for doctors on managing systemic post-COVID cardiovascular, gastrointestinal, nephrological, neurological and respiratory complications and rehabilitation from such complications. The  said  guidelines  have  been  widely  circulated  to  all  States/UTs  and  also  made  available  on  the website of MOHFW (available at:

https://www.mohfw.gov.in/pdf/NationalComprehensiveGuidelinesforManagementofPostCovidSequela e.pdf).

Awareness Generation for NCD prevention & treatment has also been focused in following ways:

1.  Preventive  aspect  of  Cancer  is  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.

2.  Increasing  public  awareness  by  using  print,  electronic  and  social  media  about  NCDs  and  for promotion of healthy lifestyle includes observation of National & International Health Days.

3. Healthy Eating is promoted through Food Safety and Standards Authority of India (FSSAI).
4. Fit India movement is implemented by Ministry of Youth Affairs and Sports.
5. Various Yoga related activities are carried out by Ministry of AYUSH.

6. In addition, NPCDCS gives financial support under NHM for awareness generation (IEC) activities for NCDs to be undertaken by the States/UTs as per their Programme Implementation Plans (PIPs).