Lok Sabha Question No. 520 (UNSTARRED), answered on 2022-12-09
Subject: Treatment of Cancer, Diabetes, Cardiovascular Diseases
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Ramesh Chander Kaushik, Rama Devi, Locket Chatterjee, Gopal Jee Thakur, Ram Kripal Yadav, Sunil Kumar Pintu, Navneet Ravi Rana, Dileshwar Kamait, Ajay Kumar Mandal, Riti Pathak

## GOVERNMENT OF INDIA MINISTRY OF HEALTH AND FAMILY WELFARE

## DEPARTMENT OF HEALTH AND FAMILY WELFARE

## LOK SABHA UNSTARRED QUESTION NO. 520 TO BE ANSWERED ON 9 th  DECEMBER, 2022

## TREATMENT OF CANCER, DIABETES, CARDIOVASCULAR DISEASES

## 520. SHRI RAMESH CHANDER KAUSHIK:

SHRIMATI RAMA DEVI:

MS. LOCKET CHATTERJEE:

SHRI GOPAL JEE THAKUR:

SHRI RAM KRIPAL YADAV:

SHRI SUNIL KUMAR PINTU:

SHRIMATI NAVNEET RAVI RANA:

SHRI DILESHWAR KAMAIT:

SHRI AJAY KUMAR MANDAL:

SHRIMATI RITI PATHAK:

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

- (a) the details of the progress made under National Programme for Prevention and Control of Cancer, Diabetes, Cardiovascular diseases and Stroke (NPPCDCS) in the country including Bihar;
- (b) whether there is a shortage of doctors and healthcare staff required for investigation, diagnosis and management of the said diseases causing delay in the treatment of the patients;
- (c) if so, the details thereof and the action taken by the Government in this regard;
- (d)  whether  the  high  cost  of  treatment  of  severe  diseases  like  cancer  and  neurological  disorders  in Government  hospitals  has  made  the  same  unaffordable  for  the  people  belonging  to  Economically Weaker Section and middle class;
- (e) if so, whether the Government proposes to provide free of cost and complete treatment of the said diseases; and
- (f) if so, the details thereof and if not, the reasons therefor?

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

## (DR. BHARATI PRAVIN PAWAR)

(a):  The  Department  of  Health  &  Family  Welfare,  Government  of  India,  provides  technical  and financial  support  to  the  States/UTs  under  the  National  Programme  for  Prevention  and  Control  of Cancer, Diabetes, Cardiovascular Diseases and Stroke (NPCDCS), as part of National Health Mission (NHM), based on the proposals received from the States/UTs and subject to the resource envelope. The  programme  focusses  on  strengthening  infrastructure,  human  resource  development,  health promotion  &  awareness  generation  for  prevention,  early  diagnosis,  management  and  referral  to  an appropriate  level  of  healthcare  facility  for  treatment  of  the  Non-Communicable  Diseases  (NCDs). Under NPCDCS, 707 District NCD Clinics, 268 District Day Care Centres, 193 District Cardiac Care

Units and 5541 Community Health Center NCD Clinics has been set up. In Bihar, 38 District NCD Clinics, 6 District Cardiac Care Units and 210 Community Health Center NCD Clinics has been set up.

(b)  and  (c):  Availability  of  HR  for  the  public  health  facilities  is  responsibility  of  the  State  Govt. However, NHM provides fund to supplement the existing HR and to bridge the gap. To nudge  the states towards filling the vacancies, the requirement and availability of HRH are now reviewed. The support  is  also  provided  to  State/UTs  for  hard  area  allowance  to  health  care  providers  for  serving specially in rural and remote areas. Following types of incentives and honorarium are provided to staff for ensuring service delivery in the country including rural and remote areas.

-  Hard area allowance to specialist doctors are provided for serving in rural and remote areas and for their residential quarters so that they find it attractive to serve in public health facilities in such areas.
-  Incentives  like  special  incentives  for  doctors,  incentive  for  ANM  for  ensuring  timely  ANC checkup  and  recording,  incentives  for  conducting  adolescent  reproductive  and  sexual  health activities are provided.
-  States  are  allowed  to  offer  negotiable  salary  to  attract  specialist  including  flexibility  in strategies such as 'You Quote We Pay'.
-  Non-monetary  incentives  such  as  preferential  admission  in  post  graduate  courses  for  staff serving in difficult areas and improving accommodation arrangement in rural areas have also been introduced under NHM.
-  Multi-skilling of doctors is supported under NHM to overcome the shortage of specialists. Skill upgradation of existing HR is another major strategy under NRHM for achieving improvement in health outcomes.

(d)  to  (f):  Patients  with  non-communicable  diseases  including  cancer  and  neurologic  disorders  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.

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.  Seven institutes are completed so far. Setting up of National Cancer Institute at Jhajjar (Haryana) and second campus of Chittaranjan National Cancer Institute, Kolkata are also steps in this direction.

There is  also  focus  on  non-communicable  diseases  including  cancer  and  neurologic  disorders  in  its various aspects in case of new AIIMS and many upgraded institutions under Pradhan Mantri Swasthya Suraksha Yojna (PMSSY). These AIIMS have been provided with state-of-art diagnostic, medical and surgical care facilities. Cancer treatment facilities have also been planned in 13 State Govt. Medical Colleges which have been taken up for upgradation under PMSSY.

Treatment of non-communicable diseases including cancer and neurologic disorders 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 drugs at a substantial discount vis-à-vis the Maximum Retail Price.

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