Lok Sabha Question No. 3435 (UNSTARRED), answered on 2022-08-05
Subject: Increase in Non-communicable Diseases
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Vijay Kumar

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

LOK SABHA UNSTARRED QUESTION NO. 3435 TO BE ANSWERED ON 5 th AUGUST, 2022

## INCREASE IN NON-COMMUNICABLE DISEASES

## 3435. SHRI VIJAY KUMAR:

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

- (a) whether there has been a rapid increase in cases of non-communicable diseases particularly heart diseases, diabetes and obesity in the country;
- (b) if so, the details thereof, State/UT-wise along with the action being taken by the Government in this regard;
- (c)  the  steps  taken  by  the  Government  to  create  awareness  about  non-communicable  diseases  and decrease the mortality rate due to these diseases in the country; and
- (d) whether the Government proposes to organize more awareness programmes among the people to provide information on non-communicable diseases effectively and if so, the details thereof?

## THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE

## ANSWER (DR. BHARATI PRAVIN PAWAR)

(a) to (d):According to the Indian Council of Medical Research (ICMR) study report 'India: Health of the  Nation's  States'-  The  India  State-Level  Disease  Burden  Initiative:  2017,  the  proportion  of contribution of Non-communicable Diseases (NCDs) to Disability Adjusted Life Years (DALYs) in India have increased from 30.5% in 1990 to 55.4% in 2016. The State/UT wise details are attached in annexure 1.

| Name of the disease     | Proportion to major disease groups   | Proportion to major disease groups   |
|-------------------------|--------------------------------------|--------------------------------------|
| Name of the disease     | 1990                                 | 2016                                 |
| Chronic Diseases (NCDs) | 30.5%                                | 55.4%                                |
| Ischemic Heart Disease  | 3.7%                                 | 8.7%                                 |
| Diabetes                | 5.5%                                 | 7.7%                                 |
| High body mass index    | 0.8%                                 | 3.6%                                 |

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), as part of National Health Mission (NHM), based  on  the  proposals  received  from  the  States/UTs  and  subject  to  the  resource  envelope.  The programme focusses on strengthening infrastructure, human resource development, health promotion & awareness  generation  for  prevention,  early  diagnosis,  management  and  referral  to  an  appropriate level  of  healthcare  facility  for  treatment  of  the  Non-Communicable  Diseases  (NCDs).  Under

NPCDCS, 685 District NCD Clinics, 266 District Day Care Centres, 192 District Cardiac Care Units and 5451 Community Health Center NCD Clinics has been set up.

A population-based initiative for prevention, control and screening for common NCDs i.e. diabetes, hypertension and common cancers has been rolled out in the country under NHM and also as a part of Comprehensive  Primary  Health  Care.  Under  the  initiative,  persons  more  than  30  years  of  age  are targeted for their screening for the three common cancers i.e oral, breast and cervical. Screening of these  common cancers is an integral part of service delivery under Ayushman Bharat  - Health and Wellness Centres.

Preventive  aspect  of  NCDs  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. Other initiatives for increasing public awareness about NCDs and for promotion of healthy lifestyle includes observation of National  & International Health Days and  use  of  print,  electronic  and  social  media  for  continued  community  awareness.  Furthermore, healthy eating is also promoted through FSSAI. Fit India movement is implemented by Ministry of Youth Affairs and Sports, and various Yoga related activities are carried out by Ministry of AYUSH. 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).

| Sl. No.   | Group of States                                                                                                                                               | NCDs contributing to the DALYs   |
|-----------|---------------------------------------------------------------------------------------------------------------------------------------------------------------|----------------------------------|
| 1         | Bihar, Chhattisgarh, Jharkhand, Madhya Pradesh, Odisha, Rajasthan, Uttar Pradesh and Uttarakhand                                                              | 48.9%                            |
| 2         | Assam, Meghalaya, Arunachal Pradesh, Mizoram, Nagaland, Tripura, Sikkim and Manipur                                                                           | 52.5%                            |
| 3         | Gujarat, Andhra Pradesh, Delhi, Haryana, Jammu and Kashmir, Karnataka, Maharashtra, Telangana, West Bengal, Goa, Himachal Pradesh, Kerala, Punjab, Tamil Nadu | 62.4%                            |
| India     | India                                                                                                                                                         | 55.4%                            |

## Annexure 1