Lok Sabha Question No. 2957 (UNSTARRED), answered on 2023-03-17
Subject: Treatment for Heart and Kidney Diseases
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Ashok Mahadeorao Nete

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

## LOK SABHA UNSTARRED QUESTION NO. 2957 TO BE ANSWERED ON 17 th  MARCH, 2023

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## TREATMENT FOR HEART AND KIDNEY DISEASES

## 2957. SHRI ASHOK MAHADEORAO NETE:

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

- (a) whether the Union Government has formulated any scheme for treatment of diseases related to heart, kidney, bone etc. in view of the increasing number of elderly persons in the country;
- (b) if so, the details thereof; and
- (c) the time by which the said scheme is likely to be finalized?

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

(a) to (c) The Department of Health & Family Welfare provides technical and financial support to the States/UTs  under  the  National  Programme  for  Prevention  and  Control  of  Cancer,  Diabetes, Cardiovascular Diseases and Stroke (NPCDCS), as part of National Health Mission (NHM), based on the proposals received from the States/UTs and subject to the resource envelope. The programme focuses on strengthening infrastructure, human resource development, health promotion & awareness generation, screening, early diagnosis, management and referral to an appropriate level of healthcare facility  for  treatment  of  the  Non-Communicable  Diseases  (NCDs).  Under  NPCDCS,  708  District NCD Clinics, 194 District Cardiac Care Units, 301 Day Care Centres and 5671 Community Health Centre NCD Clinics have been set up.

A population-based initiative for prevention, control and screening for common NCDs i.e. diabetes, hypertension and common cancers (oral cancer, breast cancer and cervical cancer) 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 the screening of common NCDs.

Cardiovascular  Diseases  (including  heart  attack)  and  chronic  kidney  disease  patients  are  getting treatment at various health facilities in the health care delivery system including Medical Colleges, Central  Institutes  like  AIIMS,  Central  Government  hospitals,  and  private  sector  hospitals  through PMJAY and State-based schemes. There is also focus on various aspects of NCDs in case of new AIIMS and many upgraded institutions under Pradhan Mantri Swasthya Suraksha Yojna (PMSSY).

The treatment in Government Hospitals is either free or highly subsidized for the poor and needy. 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  12  Cr.  beneficiary  families identified  from  Socio  Economic  and  Caste  Census  2011  (SECC  2011)  database  is  provided.  The treatment  packages  under  AB-PMJAY  are  very  comprehensive  covering  various  treatment  related aspects such as drugs and diagnostic services. 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 drugs at a substantial discount vis-à-vis the Maximum Retail Price.

Chronic Kidney Disease (CKD) is one of  the integral  part  of  the  NPCDCS  programme  under the aegis of National Health Mission. Pradhan Mantri National Dialysis Programme (PMNDP) launched in 2016-17 for CKD patients ensures availability of dialysis services at the district hospitals in the country free of cost to all BPL beneficiaries. National Health Mission (NHM) supports States/UTs in implementation of Haemodialysis and Peritoneal Dialysis services under PMNDP based on the gap assessment done by the State/UTs through the annual Programme Implementation Plans (PIP).

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