Lok Sabha Question No. 2061 (UNSTARRED), answered on 2021-02-12
Subject: Non-communicable Disease
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Arvind Kumar Sharma, Sunita Duggal

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

## LOK SABHA UNSTARRED QUESTION NO. 2061 TO BE ANSWERED ON 12 TH FEBRUARY, 2021

## NON - COMMUNICABLE DISEASE

## 2061. DR. ARVIND KUMAR SHA RMA: SHRIMATI SUNITA DUGG AL:

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

- (a)  whether  burden  of  Non - c mmunicable  disease especially  cardiovascular,  Diabetes  and obesity is rising dangerously in India, if so, the details thereof and action taken thereon;
- (b) the list  of  major  Non  Communicable  Diseases (NCDs)  as  announced  by  the  Government along with the number of patients dying from NCDs every year according to WHO data;
- (c) the steps taken by the Government to create awareness among the public about the NCDs and reduce the mortality rate due to NCDs in the country and the manner in which the Government is conducting the awareness programme to communicate effectively to the public about NCDs;
- (d) whether the said measures have bought p sitive response in the count ry, if so, the details thereof;
- (e) whether the Government has introduced or planned a mobile app for healthcare staff for the better management of NCDs; and
- (f) if so, the details thereof along with its working module?

## ANSWER

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

(SHRI ASHWINI KUMAR CHOUBEY)

( a) :The exact number of patient suffering from Non - C ommunicable D iseases ( NCDs) including cardiovascular, diabetes and obesity are not known.  However, various studies indicate th of these diseases is rising.

With Ayushman Bharat, India has launched health care services in a holistic manne include preventive and promotive health care. A population level initiative of prevention and screening for common NCDs (diabetes, h ypertension and common cancers viz. Oral, breast and cervical cancer) has also been rolled out, as a part of comprehensive primary heal Under  this  initiative,  frontline  health  workers  such  as  Accredited  Social  Health  A (ASHA) and Auxiliary Nurse Midwives (ANM), inter alia, are leveraged to carry out screenin as well as to generate awareness about the risk factors of NCDs including diabetes amon masses. The initiative is under implementation across the country. Screening for common N is also an integral part of service delivery under Ayushman Bharat -Health and Wellness Centres.

Under PradhanMantri National Dialysis Programme (PMNDP), State Governments are supported for providing dialysis services free of cost to the poor under the U mbrella of the NHM. Such  support  is  based  on  the  proposals  received  from  States  in  their  annual  Progr Implementation Plans (PIPs).

(b) :According to World Health Organisation (WHO), Non - Communicable Diseases (NCDs) kill 41 million people each year globally.  In India, it is estimated that nearly 5.8 million p (WHO report 2015) die from NCDs (Heart and Lung diseases, Stroke, Cancer and Diabetes) every year. Non - Communicable diseases are medical conditions or diseases that are not caus by  infec tious  agents.    The  common  NCDs  are  Cancer,  Diabetes,  Cardio - vascular  diseases (CVDs), Stroke, Chronic Kidney disease and lung diseases besides several others.

(c)  &  (d) : Although,  Public  health  and  hospitals  is  a  state  subject,  the  central  Gover supplements efforts of State Government through technical and financial support. In or combat the major Non Communicable Disease (NCDs) including diabetes, Government of India is  implementing  National  Programme  for  Prevention  and  Control  of  Cancer,  Diabe tes, Cardiovascular Diseases and Stroke (NPCDCS) for interventions upto district level under National  Health  Mission(NHM),  with  focus  on  strengthening  infrastructure,  human  resour development,  health  promotion  &  awareness  generation,  early  diagnosis, management  and referral to an appropriate level institution for treatment and follow up .To tackle the challenge of Non Communicable Diseases (NCD) including cancer, 638 NCD Clinics at District level an 4464 NCD Clinics at Community Health Centre level h ave been set up under NPCDCS.

Common Review Mission is conducted every year to monitor and evaluate the National Healt Mission including NCD programs.  The response from the States is generally positive.

(e) & (f) : Government  has  introduced  the  Compre hensive  Primary  Health  Care -NCD application for healthcare staff.  The application was introduced in April, 2018 to fac ongoing Population Based Screening efforts of Government of India.  This application ha modules:

1. Accredited Social Hea lth Activist (ASHA)
2. Auxiliary Nurse Mid - wife (ANM)
3. Medical Officer
4. Community Health Centre/District Hospital (CHC/DH)
5. Administrative.
6. Health Officials Monitoring Module.