Lok Sabha Question No. 2270 (UNSTARRED), answered on 2021-12-10
Subject: Funds for Cancer Treatment
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Nama Nageswara Rao

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

## LOK SABHA UNSTARRED QUESTION NO. 2270 TO BE ANSWERED ON 10 th  DECEMBER, 2021

## FUNDS FOR CANCER TREATMENT

## 2270. SHRI NAMA NAGESWARA RAO:

Will the Minister of HEALTH AND FAMILY WELFARE be pleased to state:

(a) the funds provided for prevention of cancer to States/UTs including Telangana during the last three years;

(b) the  number of specialised cancer hospitals both in public and private sector running in the country along with the number of cancer hospitals required keeping in view the increasing number of cancer patients and the action being taken in this regard, State/UT-wise; and

(c) whether Government  has  received proposals from States/UTs to setup State  Cancer Institutes/Specialised Cancer Hospitals/Cancer treatment hubs and if so, the details thereof and the action taken thereon, State/UT-wise including Telangana?

## ANSWER

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

(a) to (c):   Health is a state subject. The Department of Health & Family Welfare, however, 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  State/UT  wise  details  of  funds provided  in  NPCDCS  Program  under  Flexible  Pool  for  Non-Communicable  Diseases  programme (NCD)  under  NHM  during  the  last  three  years  i.e.  from  the  FY  20l8-19  to  2020-21  is  given  at Annexure 1.

Patients  with  non-communicable  diseases  including  cancer  are  getting  treatment  at  various  health facilities in the health care delivery system including Districts Hospitals, Medical Colleges, Central Institutes like AIIMS and private sector hospitals. The treatment in Government Hospitals is either free or highly subsidized for the poor and needy.

Under  NPCDCS,  677  NCD  clinics  at  District  level  and  5392  NCD  clinics  at  Community  Health Centre level has been set up to ensure the treatment of common NCDs.

The Central Government is also implementing Strengthening of Tertiary Care of Cancer 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 so far under the said scheme (Annexure 2).

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. Under Pradhan Mantri Jan Arogya Yojana (PMJAY), health insurance cover of Rs. 5 lakhs per family per year for secondary or tertiary care hospitalization to over 10.74 cr. beneficiary families identified  from  Socio  Economic,  and  Caste  Census  2011  (SECC  2011) database  is  provided.  ABPMJAY  provides  treatment  corresponding  to  a  total  of  1,669  procedures  under  26  different specialties for NCDs. The treatment packages under AB-PMJAY are very comprehensive covering various treatment related aspects such as drugs and diagnostic services.

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

(Rs. in Lakhs)

| S.No.   | State/UT                 | 2019-20   | 2020-21   | 2021-22   |
|---------|--------------------------|-----------|-----------|-----------|
| S.No.   | State/UT                 | Approval  | Approval  | Approval  |
| 1       | Andaman &Nicobar Islands | 52.00     | 13.89     | 77.88     |
| 2       | Andhra Pradesh           | 359.83    | 1616.18   | 4672.54   |
| 3       | Arunachal Pradesh        | 347.51    | 381.58    | 146.45    |
| 4       | Assam                    | 2067.53   | 568.87    | 1300.25   |
| 5       | Bihar                    | 792.39    | 1977.74   | 956.30    |
| 6       | Chandigarh               | 2.80      | 1.30      | 14.34     |
| 7       | Chhattisgarh             | 606.34    | 433.45    | 1619.06   |
| 8       | Dadra &Nagar Haveli      | 45.32     |           | 0.00      |
| 9       | Daman &Diu               | 5.86      | 14.18     |           |
| 10      | Delhi                    | 145.88    | 128.10    | 206.15    |
| 11      | Goa                      | 85.33     | 50.53     | 202.19    |
| 12      | Gujarat                  | 518.38    | 709.39    | 1238.20   |
| 13      | Haryana                  | 320.86    | 226.42    | 472.86    |
| 14      | Himachal Pradesh         | 158.00    | 45.00     | 286.28    |
| 15      | Jammu &Kashmir           | 595.67    | 1253.80   | 805.68    |
| 16      | Jharkhand                | 593.78    | 535.24    | 1834.74   |
| 17      | Karnataka                | 1148.79   | 675.94    | 4097.12   |
| 18      | Kerala                   | 1508.70   | 1092.82   | 4278.26   |
| 19      | Ladakh                   | -         | 0.00      | 104.45    |
| 20      | Lakshadweep              | 3.48      | 15.55     | 24.72     |
| 21      | Madhya Pradesh           | 530.77    | 937.98    | 1402.09   |
| 22      | Maharashtra              | 3062.36   | 747.47    | 3236.67   |
| 23      | Manipur                  | 199.92    | 293.66    | 594.01    |
| 24      | Meghalaya                | 52.48     | 46.55     | 428.67    |
| 25      | Mizoram                  | 54.48     | 58.88     | 183.45    |
| 26      | Nagaland                 | 206.04    | 137.10    | 305.43    |
| 27      | Odisha                   | 661.80    | 881.79    | 2158.89   |
| 28      | Puducherry               | 24.15     | 23.72     | 126.83    |
| 29      | Punjab                   | 184.45    | 169.79    | 705.42    |
| 30      | Rajasthan                | 2903.20   | 1227.09   | 3309.44   |
| 31      | Sikkim                   | 72.31     | 53.06     | 156.78    |
| 32      | Tamil Nadu               | 2006.42   | 798.77    | 0.00      |
| 33      | Telangana                | 766.04    | 490.70    | 3203.64   |
| 34      | Tripura                  | 215.13    | 131.33    | 342.72    |
| 35      | Uttar Pradesh            | 7602.17   | 6654.70   | 13331.47  |

|   36 | Uttarakhand   |   331.74 |   144.80 |   597.75 |
|------|---------------|----------|----------|----------|
|   37 | West Bengal   |   892.09 |  1399.34 |  3697.33 |

## Note:

1.  The  above  data  comprises  of  inter  alia,  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.  The  above  data  is  as  per  the  available  Financial  Management  Reports  (FMRs)  reported  by  the States/UTs.

## Details of SCI/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), Bangaluru                | SCI          |
|     15 |                  | Mandya Institute of Medical Sciences, Mandya                          | TCCC         |
|     16 | Kerala           | Regional Cancer Centre, Tjiruvananthapuram                            | 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      | Rashtrasant Tukdoji 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 |                  | Sagore Dutta Memorial Medical College and Hospital, Kolkata           | TCCC         |