Lok Sabha Question No. 1081 (UNSTARRED), answered on 2022-07-22
Subject: Cancer Patients
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Nihal Chand Chauhan, Vishnu Dayal Ram, M. P. Abdussamad Samadani

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

## LOK SABHA UNSTARRED QUESTION NO. 1081 TO BE ANSWERED ON 22 nd July, 2022

## CANCER PATIENTS

## 1081. SHRI NIHAL CHAND: SHRI VISHNU DAYAL RAM:

DR. M.P. ABDUSSAMAD SAMADANI:

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

(a) whether the number of cancer cases along with deaths due to cancer has increased in the country, if so, the details thereof, State/UT-wise;

(b) whether the Government has made any assessment in this regard and if so, the details and results thereof;

(c) whether the Government agrees with the report of National Health Profile 2019 which shows 150 per cent increase in the number of cases of cancer in Rajasthan alone during the last one year, if so, the details thereof;

(d)  the  details  of  funds  allocated  and  utilized  by  the  Government  during  last  five  years  to  prevent cancer cases, head-wise and State/UT-wise;

(e) the steps taken/proposed to be initiated for regular check-up of the citizens to ensure earlydiagnosisof cancer and its proper treatment; and

(f) whether sufficient number of hospitals andassociated infrastructure along with required facilitiesare available for complete treatment of cancer incomparison to its increasing rate in the country and ifso, the details thereof, State/UT-wise?

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

## ANSWER (DR. BHARATI PRAVIN PAWAR)

(a) and (b):As per the Indian Council of Medical Research's Cancer Registry Data Report on 'National Cancer  Registry  Programme  Report,  2020',  the  estimated  number  of  incidences  and  mortality  of cancer cases are increasing in the country and the details of State/UT wise during the years of 2018 to 2020are provided in annexure 1.

(c):  As  per  the  Indian  Council  of  Medical  Research's  Cancer  Registry  Data  Report  on  'National Cancer Registry Programme Report, 2020',the percent increase in the estimated incidence of cancer cases is 1.9% from the year 2018 to 2019 in Rajasthan.

(d):  TheState/UT  wise  details  of  Approvals  and  Utilisation  of  funds  for      National  Programme  for Prevention  and  Control  of  Cancer,  Diabetes,  Cardiovascular  Diseases  and  Stroke  (NPCDCS)  under NHM and total fund including central share approved and release underStrengthening of Tertiary Cancer Care Facilities (NPCDCS) during the period of F.Y. 2017-18 to 2021-22are attached at annexure-2

(e) and (f): 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. Cancer  is  an  integral  part  of  NPCDCS.  The  programme  focusses  on  strengthening  infrastructure, human resource development, health promotion & awareness generation for Cancer prevention, early diagnosis, management and referral to an appropriate level of healthcare facility for treatment of the Non-Communicable Diseases (NCDs), including Cancer. Under NPCDCS, 685 District NCD Clinics, 266 District Day Care Centres, 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.

The Central Government implements Strengthening of Tertiary Care Cancer Facilities Scheme in order to enhance the facilities for tertiary care of cancer. 19 State Cancer Institutes (SCIs) and 20 Tertiary Care Cancer Centres (TCCCs) have been approved under the said scheme. The details are attached in annexure 3.

There  is  also  focus  on  Oncology  in  its  various  aspects  in  case  of  new  AIIMS  and  many  upgraded institutions under Pradhan Mantri Swasthya Suraksha Yojna (PMSSY). Setting up of National Cancer Institute at Jhajjar (Haryana) and second campus of Chittaranjan National Cancer Institute, Kolkata are also steps in this direction. All these enhance the capacity for treatment of cancer in the country.

Cancer  is  diagnosed  and  treated  at  various  levels  in  the  health  care  facilities.  The  treatment  in Government Hospitals is either free or highly subsidized for the poor and needy. Treatment of Cancers is  also  available  under  Ayushman  Bharat  -  Pradhan  Mantri  Jan  Arogya  Yojana  (PMJAY). Besides, quality generic medicines are made available at affordable prices to all, under Pradhan Mantri Bhartiya Janaushadhi Pariyojana (PMBJP) in collaboration with the State Governments. Affordable Medicines and Reliable Implants for  Treatment  (AMRIT)  Pharmacy  stores  have  been  set  up  in  some hospitals/institutions, with an objective to make available Cancer drugs at a substantial discount vis-àvis  the  Maximum  Retail  Price.  Under  the  umbrella  scheme  of  Rashtriya  Arogya  Nidhi  (RAN), financial  assistance  is  provided  to  families  living  below  threshold  poverty  line  for  their  treatment, including treatment of Cancer in Government hospitals.

Table 1: Estimated Incidence of cancer cases in India by different State/UT - All sites (ICD10: C00-C97) - (2018-2020)* - Both sexes

| State                    | 2018     | 2019     | 2020     |
|--------------------------|----------|----------|----------|
| Jammu &Kashmir           | 12,071   | 12,396   | 12,726   |
| Ladakh                   | 273      | 279      | 286      |
| Himachal Pradesh         | 8,412    | 8,589    | 8,799    |
| Punjab                   | 36,888   | 37,744   | 38,636   |
| Chandigarh               | 966      | 994      | 1,024    |
| Uttaranchal              | 10,932   | 11,216   | 11,482   |
| Haryana                  | 27,665   | 28,453   | 29,219   |
| Delhi                    | 23,678   | 24,436   | 25,178   |
| Rajasthan                | 67,380   | 69,156   | 70,987   |
| Uttar Pradesh            | 1,92,019 | 1,96,652 | 2,01,319 |
| Bihar                    | 98,383   | 1,01,014 | 1,03,711 |
| Sikkim                   | 437      | 443      | 445      |
| Arunachal Pradesh        | 991      | 1,015    | 1,035    |
| Nagaland                 | 1,684    | 1,719    | 1,768    |
| Manipur                  | 1,803    | 1,844    | 1,899    |
| Mizoram                  | 1,742    | 1,783    | 1,837    |
| Tripura                  | 2,454    | 2,507    | 2,574    |
| Meghalaya                | 2,741    | 2,808    | 2,879    |
| Assam                    | 36,029   | 36,948   | 37,880   |
| West Bengal              | 1,03,309 | 1,05,814 | 1,08,394 |
| Jharkhand                | 32,150   | 33,045   | 33,961   |
| Orissa                   | 48,491   | 49,604   | 50,692   |
| Chhattisgarh             | 26,443   | 27,113   | 27,828   |
| Madhya Pradesh           | 73,957   | 75,911   | 77,888   |
| Gujarat                  | 66,069   | 67,841   | 69,660   |
| Daman                    | 107      | 118      | 124      |
| Dadra &Nagar Haveli      | 173      | 186      | 206      |
| Maharashtra              | 1,10,696 | 1,13,374 | 1,16,121 |
| Telangana                | 45,335   | 46,464   | 47,620   |
| Andhra Pradesh           | 67,370   | 68,883   | 70,424   |
| Karnataka                | 81,729   | 83,824   | 85,968   |
| Goa                      | 1,543    | 1,591    | 1,618    |
| Lakshadweep              | 27       | 27       | 27       |
| Kerala                   | 55,145   | 56,148   | 57,155   |
| Tamil Nādu               | 84,320   | 86,596   | 88,866   |
| Pondicherry              | 1,469    | 1,523    | 1,577    |
| Andaman &Nicobar Islands | 351      | 357      | 366      |

Ref: National Cancer Registry Programme report, 2020

* Projected cancer cases for India were computed using Age specific incidence Rate of 28 PBCRs of 2012-2016 and the projected population (person-years)

Table 2: Estimated Mortality of cancer cases in India by different State/UT - All sites (ICD10: C00-C97) - (2018-2020)** - Both sexes

| State                    | 2018     | 2019     | 2020     |
|--------------------------|----------|----------|----------|
| Jammu &Kashmir           | 6,670    | 6,845    | 7,027    |
| Ladakh                   | 154      | 158      | 162      |
| Himachal Pradesh         | 4,642    | 4,744    | 4,856    |
| Punjab                   | 21,278   | 21,763   | 22,276   |
| Chandigarh               | 532      | 548      | 564      |
| Uttaranchal              | 6,028    | 6,184    | 6,337    |
| Haryana                  | 15,255   | 15,684   | 16,109   |
| Delhi                    | 13,218   | 13,644   | 14,057   |
| Rajasthan                | 37,123   | 38,100   | 39,111   |
| Uttar Pradesh            | 1,06,350 | 1,08,911 | 1,11,491 |
| Bihar                    | 54,566   | 56,028   | 57,531   |
| Sikkim                   | 270      | 275      | 276      |
| Arunachal Pradesh        | 612      | 622      | 635      |
| Nagaland                 | 961      | 982      | 1,008    |
| Manipur                  | 1,047    | 1,070    | 1,105    |
| Mizoram                  | 1,119    | 1,149    | 1,183    |
| Tripura                  | 1,496    | 1,526    | 1,571    |
| Meghalaya                | 1,791    | 1,837    | 1,887    |
| Assam                    | 21,715   | 22,261   | 22,824   |
| West Bengal              | 56,988   | 58,368   | 59,786   |
| Jharkhand                | 17,710   | 18,215   | 18,716   |
| Orissa                   | 26,810   | 27,427   | 28,024   |
| Chhattisgarh             | 14,522   | 14,891   | 15,279   |
| Madhya Pradesh           | 40,798   | 41,876   | 42,966   |
| Gujarat                  | 36,325   | 37,300   | 38,306   |
| Daman                    | 55       | 63       | 66       |
| Dadra &Nagar Haveli      | 92       | 102      | 109      |
| Maharashtra              | 60,814   | 62,291   | 63,797   |
| Telangana                | 24,788   | 25,408   | 26,038   |
| Andhra Pradesh           | 36,884   | 37,724   | 38,582   |
| Karnataka                | 44,775   | 45,926   | 47,113   |
| Goa                      | 848      | 877      | 893      |
| Lakshadweep              | 13       | 13       | 13       |
| Kerala                   | 30,057   | 30,615   | 31,166   |
| Tamil Nādu               | 45,846   | 47,075   | 48,314   |
| Pondicherry              | 794      | 820      | 852      |
| Andaman &Nicobar Islands | 193      | 195      | 200      |

**Projected mortality cases for India were computed by applying Mumbai Mortality/Incidence (MI) ratio to the projected incidence cancer cases.

Annexure 2

| Table 1: State/UT wise details of Approvals and Utilisation for NPCDCS under Flexible Pool for NCDunder NHMduring the period of F.Y. 2017-18 to 2021-22   | Table 1: State/UT wise details of Approvals and Utilisation for NPCDCS under Flexible Pool for NCDunder NHMduring the period of F.Y. 2017-18 to 2021-22   | Table 1: State/UT wise details of Approvals and Utilisation for NPCDCS under Flexible Pool for NCDunder NHMduring the period of F.Y. 2017-18 to 2021-22   | Table 1: State/UT wise details of Approvals and Utilisation for NPCDCS under Flexible Pool for NCDunder NHMduring the period of F.Y. 2017-18 to 2021-22   | Table 1: State/UT wise details of Approvals and Utilisation for NPCDCS under Flexible Pool for NCDunder NHMduring the period of F.Y. 2017-18 to 2021-22   | Table 1: State/UT wise details of Approvals and Utilisation for NPCDCS under Flexible Pool for NCDunder NHMduring the period of F.Y. 2017-18 to 2021-22   | Table 1: State/UT wise details of Approvals and Utilisation for NPCDCS under Flexible Pool for NCDunder NHMduring the period of F.Y. 2017-18 to 2021-22   | Table 1: State/UT wise details of Approvals and Utilisation for NPCDCS under Flexible Pool for NCDunder NHMduring the period of F.Y. 2017-18 to 2021-22   | Table 1: State/UT wise details of Approvals and Utilisation for NPCDCS under Flexible Pool for NCDunder NHMduring the period of F.Y. 2017-18 to 2021-22   | Table 1: State/UT wise details of Approvals and Utilisation for NPCDCS under Flexible Pool for NCDunder NHMduring the period of F.Y. 2017-18 to 2021-22   | Table 1: State/UT wise details of Approvals and Utilisation for NPCDCS under Flexible Pool for NCDunder NHMduring the period of F.Y. 2017-18 to 2021-22   | Table 1: State/UT wise details of Approvals and Utilisation for NPCDCS under Flexible Pool for NCDunder NHMduring the period of F.Y. 2017-18 to 2021-22   |
|-----------------------------------------------------------------------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------------------------------------------------------------------|
| S.No.                                                                                                                                                     | State/UT                                                                                                                                                  | 2017-18                                                                                                                                                   | 2017-18                                                                                                                                                   | 2018-19                                                                                                                                                   | 2018-19                                                                                                                                                   | 2019-20                                                                                                                                                   | 2019-20                                                                                                                                                   | 2020-21                                                                                                                                                   | 2020-21                                                                                                                                                   | (Rs. In lakhs) 2021-22                                                                                                                                    | (Rs. In lakhs) 2021-22                                                                                                                                    |
|                                                                                                                                                           |                                                                                                                                                           | Approval                                                                                                                                                  | Utilisation                                                                                                                                               | Approval                                                                                                                                                  | Utilisation                                                                                                                                               | Approval                                                                                                                                                  | Utilisation                                                                                                                                               | Approval                                                                                                                                                  | Utilisation                                                                                                                                               | Approval                                                                                                                                                  | Utilization                                                                                                                                               |
| 1                                                                                                                                                         | Andaman &Nicobar Islands                                                                                                                                  | 79.52                                                                                                                                                     | 28.13                                                                                                                                                     | 84.55                                                                                                                                                     | 54.21                                                                                                                                                     | 52.00                                                                                                                                                     | 11.44                                                                                                                                                     | 13.89                                                                                                                                                     | 24.23                                                                                                                                                     | 56.96                                                                                                                                                     | 19.61                                                                                                                                                     |
| 2                                                                                                                                                         | Andhra Pradesh                                                                                                                                            | 589.67                                                                                                                                                    | 1276.18                                                                                                                                                   | 391.78                                                                                                                                                    | 484.39                                                                                                                                                    | 359.83                                                                                                                                                    | 287.92                                                                                                                                                    | 1616.18                                                                                                                                                   | 1193.22                                                                                                                                                   | 4672.54                                                                                                                                                   | 4206.67                                                                                                                                                   |
| 3                                                                                                                                                         | Arunachal Pradesh                                                                                                                                         | 654.71                                                                                                                                                    | 270.52                                                                                                                                                    | 521.80                                                                                                                                                    | 93.45                                                                                                                                                     | 347.51                                                                                                                                                    | 128.28                                                                                                                                                    | 381.58                                                                                                                                                    | 151.06                                                                                                                                                    | 146.45                                                                                                                                                    | 825.60                                                                                                                                                    |
| 4                                                                                                                                                         | Assam                                                                                                                                                     | 1080.29                                                                                                                                                   | 369.04                                                                                                                                                    | 1959.54                                                                                                                                                   | 307.74                                                                                                                                                    | 2067.53                                                                                                                                                   | 625.33                                                                                                                                                    | 568.87                                                                                                                                                    | 238.50                                                                                                                                                    | 1258.57                                                                                                                                                   | 736.35                                                                                                                                                    |
| 5                                                                                                                                                         | Bihar                                                                                                                                                     | 532.31                                                                                                                                                    | 75.69                                                                                                                                                     | 1028.83                                                                                                                                                   | 307.69                                                                                                                                                    | 792.39                                                                                                                                                    | 277.96                                                                                                                                                    | 1977.74                                                                                                                                                   | 818.86                                                                                                                                                    | 956.30                                                                                                                                                    | 453.73                                                                                                                                                    |
| 6                                                                                                                                                         | Chandigarh                                                                                                                                                | 27.19                                                                                                                                                     | 28.19                                                                                                                                                     | 7.22                                                                                                                                                      | 0.40                                                                                                                                                      | 2.80                                                                                                                                                      | 1.63                                                                                                                                                      | 1.30                                                                                                                                                      | 0.41                                                                                                                                                      | 12.84                                                                                                                                                     | 7.35                                                                                                                                                      |
| 7                                                                                                                                                         | Chhattisgarh                                                                                                                                              | 427.23                                                                                                                                                    | 702.14                                                                                                                                                    | 479.01                                                                                                                                                    | 331.03                                                                                                                                                    | 606.34                                                                                                                                                    | 508.25                                                                                                                                                    | 433.45                                                                                                                                                    | 703.69                                                                                                                                                    | 1619.06                                                                                                                                                   | 1686.65                                                                                                                                                   |
| 8                                                                                                                                                         | Dadra &Nagar Haveli                                                                                                                                       | 34.97                                                                                                                                                     | 28.05                                                                                                                                                     | 9.60                                                                                                                                                      | 30.53                                                                                                                                                     | 45.32                                                                                                                                                     | 25.11                                                                                                                                                     | 14.18                                                                                                                                                     | 45.16                                                                                                                                                     | 7.05                                                                                                                                                      | 55.18                                                                                                                                                     |
| 9                                                                                                                                                         | Daman &Diu                                                                                                                                                | 12.96                                                                                                                                                     | 5.74                                                                                                                                                      | 5.60                                                                                                                                                      | 2.10                                                                                                                                                      | 5.86                                                                                                                                                      | 16.38                                                                                                                                                     |                                                                                                                                                           |                                                                                                                                                           |                                                                                                                                                           |                                                                                                                                                           |
| 10                                                                                                                                                        | Delhi                                                                                                                                                     | 132.40                                                                                                                                                    | 9.03                                                                                                                                                      | 117.48                                                                                                                                                    | 6.17                                                                                                                                                      | 145.88                                                                                                                                                    | 12.24                                                                                                                                                     | 128.10                                                                                                                                                    | 3.65                                                                                                                                                      | 191.15                                                                                                                                                    | 26.92                                                                                                                                                     |
| 11                                                                                                                                                        | Goa                                                                                                                                                       | 61.92                                                                                                                                                     | 24.95                                                                                                                                                     | 84.70                                                                                                                                                     | 59.13                                                                                                                                                     | 85.33                                                                                                                                                     | 35.31                                                                                                                                                     | 50.53                                                                                                                                                     | 24.50                                                                                                                                                     | 168.97                                                                                                                                                    | 96.54                                                                                                                                                     |
| 12                                                                                                                                                        | Gujarat                                                                                                                                                   | 675.74                                                                                                                                                    | 599.55                                                                                                                                                    | 440.79                                                                                                                                                    | 337.69                                                                                                                                                    | 518.38                                                                                                                                                    | 460.97                                                                                                                                                    | 709.39                                                                                                                                                    | 375.67                                                                                                                                                    | 2076.80                                                                                                                                                   | 926.67                                                                                                                                                    |
| 13                                                                                                                                                        | Haryana                                                                                                                                                   | 254.03                                                                                                                                                    | 251.73                                                                                                                                                    | 387.51                                                                                                                                                    | 218.52                                                                                                                                                    | 320.86                                                                                                                                                    | 195.34                                                                                                                                                    | 226.42                                                                                                                                                    | 181.62                                                                                                                                                    | 476.86                                                                                                                                                    | 353.18                                                                                                                                                    |
| 14                                                                                                                                                        | Himachal Pradesh                                                                                                                                          | 429.07                                                                                                                                                    | 160.69                                                                                                                                                    | 236.28                                                                                                                                                    | 184.62                                                                                                                                                    | 158.00                                                                                                                                                    | 164.88                                                                                                                                                    | 45.00                                                                                                                                                     | 64.67                                                                                                                                                     | 286.28                                                                                                                                                    | 190.19                                                                                                                                                    |
| 15                                                                                                                                                        | Jammu &Kashmir                                                                                                                                            | 594.07                                                                                                                                                    | 280.09                                                                                                                                                    | 460.61                                                                                                                                                    | 285.26                                                                                                                                                    | 595.67                                                                                                                                                    | 136.72                                                                                                                                                    | 1253.80                                                                                                                                                   | 42.49                                                                                                                                                     | 805.68                                                                                                                                                    | 890.34                                                                                                                                                    |
| 16                                                                                                                                                        | Jharkhand                                                                                                                                                 | 901.78                                                                                                                                                    | 109.35                                                                                                                                                    | 465.33                                                                                                                                                    | 96.98                                                                                                                                                     | 593.78                                                                                                                                                    | 118.98                                                                                                                                                    | 535.24                                                                                                                                                    | 238.12                                                                                                                                                    | 2620.26                                                                                                                                                   | 1273.15                                                                                                                                                   |
| 17                                                                                                                                                        | Karnataka                                                                                                                                                 | 1183.39                                                                                                                                                   | 757.77                                                                                                                                                    | 796.70                                                                                                                                                    | 548.53                                                                                                                                                    | 1148.79                                                                                                                                                   | 644.56                                                                                                                                                    | 675.94                                                                                                                                                    | 604.32                                                                                                                                                    | 4097.12                                                                                                                                                   | 2186.39                                                                                                                                                   |
| 18                                                                                                                                                        | Kerala                                                                                                                                                    | 365.46                                                                                                                                                    | 211.06                                                                                                                                                    | 552.10                                                                                                                                                    | 443.41                                                                                                                                                    | 1508.70                                                                                                                                                   | 144.55                                                                                                                                                    | 1092.82                                                                                                                                                   | 1035.71                                                                                                                                                   | 4250.92                                                                                                                                                   | 734.43                                                                                                                                                    |
| 19                                                                                                                                                        | Ladakh                                                                                                                                                    | -                                                                                                                                                         | -                                                                                                                                                         | -                                                                                                                                                         | -                                                                                                                                                         | -                                                                                                                                                         | -                                                                                                                                                         | 0.00                                                                                                                                                      | 10.39                                                                                                                                                     | 104.45                                                                                                                                                    | 150.91                                                                                                                                                    |
| 20                                                                                                                                                        | Lakshadweep                                                                                                                                               | 14.50                                                                                                                                                     | 0.00                                                                                                                                                      | 13.80                                                                                                                                                     | 0.00                                                                                                                                                      | 3.48                                                                                                                                                      | 1.24                                                                                                                                                      | 15.55                                                                                                                                                     | 2.85                                                                                                                                                      | 24.72                                                                                                                                                     | 3.07                                                                                                                                                      |
| 21                                                                                                                                                        | Madhya Pradesh                                                                                                                                            | 178.05                                                                                                                                                    | 136.04                                                                                                                                                    | 399.06                                                                                                                                                    | 142.53                                                                                                                                                    | 530.77                                                                                                                                                    | 257.45                                                                                                                                                    | 937.98                                                                                                                                                    | 694.32                                                                                                                                                    | 1402.09                                                                                                                                                   | 1262.50                                                                                                                                                   |
| 22                                                                                                                                                        | Maharashtra                                                                                                                                               | 902.59                                                                                                                                                    | 443.03                                                                                                                                                    | 1651.24                                                                                                                                                   | 1023.33                                                                                                                                                   | 3062.36                                                                                                                                                   | 1377.52                                                                                                                                                   | 747.47                                                                                                                                                    | 486.75                                                                                                                                                    | 976.63                                                                                                                                                    | 3474.90                                                                                                                                                   |
| 23                                                                                                                                                        | Manipur                                                                                                                                                   | 609.04                                                                                                                                                    | 94.46                                                                                                                                                     | 126.02                                                                                                                                                    | 93.14                                                                                                                                                     | 199.92                                                                                                                                                    | 267.66                                                                                                                                                    | 293.66                                                                                                                                                    | 20.14                                                                                                                                                     | 623.31                                                                                                                                                    | 95.41                                                                                                                                                     |
| 24                                                                                                                                                        | Meghalaya                                                                                                                                                 | 90.91                                                                                                                                                     | 77.08                                                                                                                                                     | 123.32                                                                                                                                                    | 101.98                                                                                                                                                    | 52.48                                                                                                                                                     | 79.11                                                                                                                                                     | 46.55                                                                                                                                                     | 330.26                                                                                                                                                    | 416.03                                                                                                                                                    | 401.94                                                                                                                                                    |
| 25                                                                                                                                                        | Mizoram                                                                                                                                                   | 309.11                                                                                                                                                    | 12.96                                                                                                                                                     | 62.57                                                                                                                                                     | 19.66                                                                                                                                                     | 54.48                                                                                                                                                     | 15.21                                                                                                                                                     | 58.88                                                                                                                                                     | 15.80                                                                                                                                                     | 332.26                                                                                                                                                    | 230.86                                                                                                                                                    |
| 26                                                                                                                                                        | Nagaland                                                                                                                                                  | 257.57                                                                                                                                                    | 43.76                                                                                                                                                     | 219.80                                                                                                                                                    | 176.53                                                                                                                                                    | 206.04                                                                                                                                                    | 93.89                                                                                                                                                     | 137.10                                                                                                                                                    | 37.86                                                                                                                                                     | 305.43                                                                                                                                                    | 610.04                                                                                                                                                    |
| 27                                                                                                                                                        | Odisha                                                                                                                                                    | 366.77                                                                                                                                                    | 229.28                                                                                                                                                    | 2485.68                                                                                                                                                   | 307.99                                                                                                                                                    | 661.80                                                                                                                                                    | 549.30                                                                                                                                                    | 881.79                                                                                                                                                    | 1021.54                                                                                                                                                   | 2158.89                                                                                                                                                   | 1944.10                                                                                                                                                   |
| 28                                                                                                                                                        | Puducherry                                                                                                                                                | 103.99                                                                                                                                                    | 18.37                                                                                                                                                     | 41.18                                                                                                                                                     | 7.46                                                                                                                                                      | 24.15                                                                                                                                                     | 19.34                                                                                                                                                     | 23.72                                                                                                                                                     | 1.46                                                                                                                                                      | 126.82                                                                                                                                                    | 24.81                                                                                                                                                     |
| 29                                                                                                                                                        | Punjab                                                                                                                                                    | 185.06                                                                                                                                                    | 90.74                                                                                                                                                     | 211.40                                                                                                                                                    | 103.81                                                                                                                                                    | 184.45                                                                                                                                                    | 107.62                                                                                                                                                    | 169.79                                                                                                                                                    | 83.17                                                                                                                                                     | 705.42                                                                                                                                                    | 160.83                                                                                                                                                    |
| 30                                                                                                                                                        | Rajasthan                                                                                                                                                 | 934.78                                                                                                                                                    | 740.50                                                                                                                                                    | 604.68                                                                                                                                                    | 558.12                                                                                                                                                    | 2903.20                                                                                                                                                   | 2126.20                                                                                                                                                   | 1227.09                                                                                                                                                   | 882.62                                                                                                                                                    | 4603.49                                                                                                                                                   | 3301.67                                                                                                                                                   |
| 31                                                                                                                                                        | Sikkim                                                                                                                                                    | 127.48                                                                                                                                                    | 64.40                                                                                                                                                     | 56.90                                                                                                                                                     | 76.72                                                                                                                                                     | 72.31                                                                                                                                                     | 25.44                                                                                                                                                     | 53.06                                                                                                                                                     | 9.20                                                                                                                                                      | 156.78                                                                                                                                                    | 45.79                                                                                                                                                     |

|   32 | Tamil Nadu    |   758.78 |   416.08 |   520.86 |   624.10 |   2006.42 |   735.97 |   798.77 |   371.00 |   4004.70 |   2985.56 |
|------|---------------|----------|----------|----------|----------|-----------|----------|----------|----------|-----------|-----------|
|   33 | Telangana     |   427    |   375.41 |  1035.84 |   399.04 |    766.04 |   239.42 |   490.7  |   351.54 |   3139.44 |   2657.83 |
|   34 | Tripura       |   307.4  |   264.06 |   360.79 |   206.37 |    215.13 |   162    |   131.33 |   104.05 |    383.86 |    247.35 |
|   35 | Uttar Pradesh |  3998.39 |  2252.51 |  5055.87 |  4225.22 |   7602.17 |  2908.04 |  6654.7  |  1888.3  |  13196.2  |   5237.37 |
|   36 | Uttarakhand   |   123.46 |   257.11 |    64.25 |    25.61 |    331.74 |    39.66 |   144.8  |     0    |    597.75 |    327.57 |
|   37 | West Bengal   |   334.16 |   260.79 |  1191.34 |   527.44 |    892.09 |   672    |  1399.34 |   916.39 |   3697.33 |   3517.71 |

## Note:

1. The above data comprises of Non Recurring : Renovation and furnishing, District NCD Clinic, NCD Clinic at CHC, etc. Recurring grant: Miscellaneous & Contingencies, Education & Communication & Training, Public Private Partnership, Research & Surveillance, etc.
2. Utilisation includes Utilisation against Central Release, State release & unspent balances at the beginning of  the year. It is updated upto 31.03.2022 and is provisional.
3. The above data is as per the available Financial Management Reports (FMRs) reported by the States/UTs.

| Table 2: Total Funds Approved and Released under Strengthening of Tertiary Cancer Care Facilities (NPCDCS)during the period of F.Y. 2017-18 to 2021-22   | Table 2: Total Funds Approved and Released under Strengthening of Tertiary Cancer Care Facilities (NPCDCS)during the period of F.Y. 2017-18 to 2021-22   |
|----------------------------------------------------------------------------------------------------------------------------------------------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------|
| Total Central Share Allocated: Rs. 1979.31 Cr Total Central Share Released: Rs. 1540.09 Cr                                                               | Total Central Share Allocated: Rs. 1979.31 Cr Total Central Share Released: Rs. 1540.09 Cr                                                               |
| Year                                                                                                                                                     | Release                                                                                                                                                  |
| 2017-18                                                                                                                                                  | Rs. 289.57 Cr                                                                                                                                            |
| 2018-19                                                                                                                                                  | Rs. 85.95 Cr                                                                                                                                             |
| 2019-20                                                                                                                                                  | Rs. 142.39 Cr                                                                                                                                            |
| 2020-21                                                                                                                                                  | Rs. 129.16 Cr                                                                                                                                            |
| 2021-22                                                                                                                                                  | Rs. 136.88 Cr                                                                                                                                            |

## Table of SCIs/TCCCs:

|   S No | State            | Name of the Institute                                                | SCI / TCCC   |
|--------|------------------|----------------------------------------------------------------------|--------------|
|      1 | Andhra Pradesh   | Kurnool Medical College, Kurnool                                     | SCI          |
|      2 | Assam            | Gauhati Medical College &Hospital, Guwahati                          | SCI          |
|      3 | Bihar            | Indira Gandhi Institute of Medical Sciences, Patna                   | SCI          |
|      4 | Chhattisgarh     | Chhattisgarh Institute of Medical Sciences, Bilaspur                 | SCI          |
|      5 | Delhi            | Lok Nayak Hospital                                                   | TCCC         |
|      6 | Gujarat          | Gujarat Cancer Research Institute, Ahmedabad                         | SCI          |
|      7 | Goa              | Goa Medical College, Panaji                                          | TCCC         |
|      8 | Haryana          | Civil Hospital, Ambala Cantt                                         | TCCC         |
|      9 | Himachal Pradesh | Indira Gandhi Medical College, Shimla                                | TCCC         |
|     10 | Himachal Pradesh | Shri Lal Bahadur Shastri Medical College, Mandi                      | TCCC         |
|     11 | Jammu &Kashmir   | Sher-i-Kashmir Institute of Medical Sciences, Srinagar               | SCI          |
|     12 |                  | Government Medical College, Jammu                                    | SCI          |
|     13 | Jharkhand        | Rajendra Institute of Medical Sciences, Ranchi                       | SCI          |
|     14 | Karnataka        | Kidwai Memorial Institute of Oncology (RCC), Bengaluru               | SCI          |
|     15 |                  | Mandya Institute of Medical Sciences, Mandya                         | TCCC         |
|     16 | Kerala           | Regional Cancer Centre, Thiruvananthapuram                           | SCI          |
|     17 |                  | Government Medical College, Kozhikode                                | TCCC         |
|     18 | Madhya Pradesh   | G.R. Medical College, Gwalior                                        | TCCC         |
|     19 |                  | Netaji Subhas Chandra Bose Medical College, Jabalpur                 | SCI          |
|     20 | Maharashtra      | RashtrasantTukdoji Regional Cancer Hospital& Research Centre, Nagpur | TCCC         |
|     21 |                  | Government Medical College, Aurangabad                               | SCI          |
|     22 |                  | Vivekanand Foundation &Research Centre, Latur                        | TCCC         |
|     23 | Mizoram          | Mizoram State Cancer Institute, Aizawl                               | TCCC         |
|     24 | Nagaland         | District Hospital, Kohima                                            | TCCC         |
|     25 | Odisha           | Acharya Harihar Regional Cancer Centre, Cuttack                      | SCI          |
|     26 | Punjab           | Government Medical College, Amritsar                                 | SCI          |
|     27 |                  | Civil Hospital, Fazilka                                              | TCCC         |
|     28 | Rajasthan        | S P Medical College, Bikaner                                         | TCCC         |
|     29 |                  | SMS Medical College, Jaipur                                          | SCI          |
|     30 |                  | Jhalawar Medical College &Hospital, Jhalawar                         | TCCC         |
|     31 | Sikkim           | Multispecialty Hospital at Sochygang (Sichey), near Gangtok, Sikkim  | TCCC         |
|     32 | Tamil Nadu       | Cancer Institute (RCC), Adyar, Chennai                               | SCI          |
|     33 | Telangana        | MNJ Institute of Oncology &RCC, Hyderabad                            | SCI          |
|     34 | Tripura          | Cancer Hospital (RCC), Agartala                                      | SCI          |
|     35 | Uttar Pradesh    | Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow    | TCCC         |
|     36 | Uttarakhand      | Government Medical College, Haldwani                                 | SCI          |
|     37 | West Bengal      | Government Medical College, Burdwan                                  | TCCC         |
|     38 |                  | Murshidabad Medical College &Hospital, Berhampore, Murshidabad       | TCCC         |
|     39 |                  | SagoreDutta Memorial Medical College and Hospital, Kolkata           | TCCC         |