Lok Sabha Question No. 1612 (UNSTARRED), answered on 2022-12-16
Subject: ICMR Study
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Dayanidhi Maran, Asaduddin Owaisi

## GOVERNMENT OF INDIA MINISTRY OF H0EALTH AND FAMILY WELFARE DEPARTMENT OF HEALTH RESEARCH

## LOK SABHA UNSTARRED QUESTION NO. 1612 TO BE ANSWERED ON 16 TH  DECEMBER, 2022

## ICMR STUDY

## 1612 SHRI DAYANIDHI MARAN: SHRI ASADUDDIN OWAISI:

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

- (a) whether  the  Government  has  taken  note  of  an  ICMR  study  stating  that  Non-Communicable Diseases (NCDs) were causing 66 percent of the deaths in 12 tribal districts, if so, the details thereof along with the types of NCDs identified;
- (b) the  steps  taken/proposed  to  be  taken  by  the  Government  to  increase  the  awareness  about  health problems and to develop access to medical infrastructure in tribal districts;
- (c) the  details  of  various  schemes  being  implemented  for  tribal  communities  for  healthcare  and  the funds allocated and utilized there under State/UT-wise and district wise; and
- (d) whether the Ministry has taken any steps to bridge and create medical infrastructure that combines traditional tribal knowledge and modern medicine and if so, the details thereof?

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

(a)  to  (d):    Indian  Council  of  Medical  Research  -  National  Institute  of  Epidemiology  (ICMR-  NIE) conducted a mortality survey among persons older than 15 years during 2015-18 in 12 (8 North-East and 4 from the rest of the country) tribal districts which found that 66% of the total deaths were caused by noncommunicable  diseases  (NCDs).  The  top  NCD  causes  of  death  were  cardiovascular  diseases  (heart diseases-24%), followed by cancers (11%). The study indicates that NCDs have replaced other causes of death (such as infectious diseases), even among tribal populations.

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 focuses on strengthening infrastructure, human resource development, health promotion & awareness generation for Cancer prevention, early diagnosis, management and referral to an appropriate level of healthcare facility for  treatment  of  the  Non-Communicable  Diseases  (NCDs),  including  Cancer.  Under  NPCDCS,  707 District NCD Clinics, 268 District Day Care Centres, and 5541 Community Health Center 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 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 their screening for the three common cancers i.e oral, breast and cervical. Screening of these common cancers is an integral part of service delivery under Ayushman Bharat - Health and Wellness Centres.

Preventive  aspect  of  Cancer  is  strengthened  under  Comprehensive  Primary  Health  Care  through Ayushman  Bharat  Health  Wellness  Centre  scheme,  by  promotion  of  wellness  activities  and  targeted communication at the community level. Other initiatives for  increasing  public  awareness  about  Cancer and for promotion of healthy lifestyle includes observation of National Cancer Awareness Day& World Cancer  Day  and  use  of  print,  electronic  and  social  media  for  continued  community  awareness. Furthermore,  healthy  eating  is  also  promoted  through  Food  Safety  and  Standards  Authority  of  India (FSSAI). Fit India movement is implemented by Ministry of Youth Affairs and Sports, and various Yoga related  activities  are  carried  out  by  Ministry  of  AYUSH.  In  addition,  NPCDCS  gives  financial  support under NHM for awareness generation (IEC) activities for Cancer to be taken by the States/UTs as per their Programme Implementation Plans (PIPs).

The  State/UT  wise  details  of  funds  provided  in  NPCDCS  Program  under  Flexible  Pool  for  NonCommunicable Diseases programme (NCD) under NHM during2021-22 is given at Annexure1.

The Central Government implements Strengthening of Tertiary Cancer Care Centres Facilities Scheme in order to enhance the facilities for tertiary care of cancer. 19 State Cancer Institutes (SCIs) and 20 Tertiary Cancer Care Centres (TCCCs) have been approved under the said scheme.

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## Annexure 1

| State/UT wise details of Approvals of NPCDCS under NCD Flexible Pool under NHM during the period of F.Y.2021-22   | State/UT wise details of Approvals of NPCDCS under NCD Flexible Pool under NHM during the period of F.Y.2021-22   | State/UT wise details of Approvals of NPCDCS under NCD Flexible Pool under NHM during the period of F.Y.2021-22   |
|-------------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------|
| (Rs. In lakhs)                                                                                                    | (Rs. In lakhs)                                                                                                    | (Rs. In lakhs)                                                                                                    |
| S.No.                                                                                                             | State/UT                                                                                                          | 2021-22                                                                                                           |
| 1                                                                                                                 | Andaman & Nicobar Islands                                                                                         | 56.96                                                                                                             |
| 2                                                                                                                 | Andhra Pradesh                                                                                                    | 4672.54                                                                                                           |
| 3                                                                                                                 | Arunachal Pradesh                                                                                                 | 146.45                                                                                                            |
| 4                                                                                                                 | Assam                                                                                                             | 1258.57                                                                                                           |
| 5                                                                                                                 | Bihar                                                                                                             | 956.30                                                                                                            |
| 6                                                                                                                 | Chandigarh                                                                                                        | 12.84                                                                                                             |
| 7                                                                                                                 | Chhattisgarh                                                                                                      | 1619.06                                                                                                           |
| 8                                                                                                                 | Dadra & Nagar Haveli                                                                                              |                                                                                                                   |
| 9                                                                                                                 | Daman & Diu                                                                                                       | 7.05                                                                                                              |
| 10                                                                                                                | Delhi                                                                                                             | 191.15                                                                                                            |
| 11                                                                                                                | Goa                                                                                                               | 168.97                                                                                                            |
| 12                                                                                                                | Gujarat                                                                                                           | 2076.80                                                                                                           |
| 13                                                                                                                | Haryana                                                                                                           | 476.86                                                                                                            |
| 14                                                                                                                | Himachal Pradesh                                                                                                  | 286.28                                                                                                            |
| 15                                                                                                                | Jammu & Kashmir                                                                                                   | 805.68                                                                                                            |
| 16                                                                                                                | Jharkhand                                                                                                         | 2620.26                                                                                                           |
| 17                                                                                                                | Karnataka                                                                                                         | 4097.12                                                                                                           |
| 18                                                                                                                | Kerala                                                                                                            | 4250.92                                                                                                           |
| 19                                                                                                                | Ladakh                                                                                                            | 104.45                                                                                                            |
| 20                                                                                                                | Lakshadweep                                                                                                       | 24.72                                                                                                             |
| 21                                                                                                                | Madhya Pradesh                                                                                                    | 1402.09                                                                                                           |
| 22                                                                                                                | Maharashtra                                                                                                       | 976.63                                                                                                            |
| 23                                                                                                                | Manipur                                                                                                           | 623.31                                                                                                            |
| 24                                                                                                                | Meghalaya                                                                                                         | 416.03                                                                                                            |
| 25                                                                                                                | Mizoram                                                                                                           | 332.26                                                                                                            |
| 26                                                                                                                | Nagaland                                                                                                          | 305.43                                                                                                            |
| 27                                                                                                                | Odisha                                                                                                            | 2158.89                                                                                                           |
| 28                                                                                                                | Puducherry                                                                                                        | 126.82                                                                                                            |
| 29                                                                                                                | Punjab                                                                                                            | 705.42                                                                                                            |
| 30                                                                                                                | Rajasthan                                                                                                         | 4603.49                                                                                                           |
| 31                                                                                                                | Sikkim                                                                                                            | 156.78                                                                                                            |
| 32                                                                                                                | Tamil Nadu                                                                                                        | 4004.70                                                                                                           |
| 33                                                                                                                | Telangana                                                                                                         | 3139.44                                                                                                           |
| 34                                                                                                                | Tripura                                                                                                           | 383.86                                                                                                            |
| 35                                                                                                                | Uttar Pradesh                                                                                                     | 13196.18                                                                                                          |
| 36                                                                                                                | Uttarakhand                                                                                                       | 597.75                                                                                                            |
| 37                                                                                                                | West Bengal                                                                                                       | 3697.33                                                                                                           |

## Note:

1. The above data comprises of 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.