Lok Sabha Question No. 518 (UNSTARRED), answered on 2022-12-09
Subject: Prevention of Chronic Kidney Disease
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Srinivas Kesineni

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

## LOK SABHA UNSTARRED QUESTION NO. 518 TO BE ANSWERED ON 9th DECEMBER, 2022

## PREVENTION OF CHRONIC KIDNEY DISEASE

## 518. SHRI  KESINENI  SRINIVAS:

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

(a) whether the Government is aware of the cases of Chronic Kidney Disease (CKD) in A. Konduru Mandal in the State of Andhra Pradesh;

(b) if so, the details thereof and the steps taken/ proposed to be taken in order to prevent CKD;

(c) the details of the number of deaths due to CKD across the country and specifically in Andhra Pradesh in the last two decades; and

(d) the details of utilisation of allocated funds under the Pradhan Mantri National Dialysis program specifically in Andhra Pradesh since 2019, district-wise?

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

## ANSWER (DR. BHARATI PRAVIN PAWAR)

(a)  and  (b) Chronic  kidney  disease  of  unknown  etiology  (CKDu)  is  a  public  health  problem  in Andhra  Pradesh  and  is  predominantly  seen  in  rural  agricultural  communities  in  the  coastal equatorial  regions.  The  proposed  risk  factors  include  heat  stress,  heavy  physical  activity,  silica content in drinking water, exposure to pesticides and genetic susceptibility. ICMR is a part of the Technical Advisory Group (TAG) and provides technical guidance for a study in Uddanam region titled  "Study  to  Test  and  Operationalize  Preventive  approaches  for  chronic  kidney  disease  of undetermined etiology (CKDu) in Andhra Pradesh: STOP CKDu".

Pradhan Mantri National Dialysis Programme (PMNDP) launched in 2016-17 ensures availability of  dialysis  services  at  the  district  hospitals  in  the  country  free  of  cost  to  all  BPL  beneficiaries. MoHFW has also launched an  IT  portal  for  integrating  all  dialysis  facilities  under  the  PMNDP umbrella.

As informed by Government of Andhra Pradesh, State is conducting house to house survey in 15 tribal habitations with the population of 14440 and general medical camps are organized by seven Primary Health Centre (PHC) staff, in  collaboration  with  State  Government  Scheme  empanelled Kidney specialty hospitals and free medical camps are organized to screen patients with CKD and to start treatment early.

Administrative sanction is given for establishing 6 bed dialysis units at PHC A.Konduru. Around A Konduru Mandal, 4 dialysis centres are available under Government sector.  In addition, 12 State empanelled Kidney Specialty Hospitals are covered.

State government is ensuring potable drinking water through RO plant. Under Jal Jeevan Mission safe drinking water is assured to the habitations of A. Konduru area with an estimated cost of Rs. 38  crores.  Further,  extension  of  water  pipeline  is  also  taken  up  with  an  estimated  cost  of  Rs.27 crores.

- (c) This data is not maintained centrally.

(d) Details of utilisation of allocated funds under the Pradhan Mantri National Dialysis program in Andhra Pradesh since 2019 are as follows:

| Year          |   2021-22 |   2020-21 |   2019-20 |   2018-19 |
|---------------|-----------|-----------|-----------|-----------|
| Approvals     |   4505.76 |   4086.18 |   3068.83 |   3068.83 |
| Expenditure   |   4505.76 |   4086.18 |   3068.83 |   3068.83 |
| Srikakulam    |    592.86 |    537.66 |    403.79 |    403.79 |
| Vizianagaram  |    118.57 |    107.53 |     80.76 |     80.76 |
| Visakhapatnam |    237.15 |    215.06 |    161.52 |    161.52 |
| East Godavari |    592.86 |    537.66 |    403.79 |    403.79 |
| West Godavari |    237.15 |    215.06 |    161.52 |    161.52 |
| Krishna       |    355.72 |    322.59 |    242.28 |    242.28 |
| Guntur        |    355.72 |    322.59 |    242.28 |    242.28 |
| Prakasam      |    474.29 |    430.12 |    323.03 |    323.03 |
| Nellore       |    237.15 |    215.06 |    161.52 |    161.52 |
| Chittoor      |    474.29 |    430.12 |    323.03 |    323.03 |
| Anantapur     |    237.15 |    215.06 |    161.52 |    161.52 |
| Kadapa        |    355.72 |    322.59 |    242.28 |    242.28 |
| Kurnool       |    237.15 |    215.06 |    161.52 |    161.52 |