Lok Sabha Question No. 2772 (UNSTARRED), answered on 2021-03-12
Subject: Palliative Care
Ministry: HEALTH AND FAMILY WELFARE
Asked by: S. Jagathrakshakan

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

## LOK SABHA UNSTARRED QUESTION NO. 2772 TO BE ANSWERED ON 12 TH March , 2021

## PALLIATIVE CARE

## 2772. SHRI S. JAGATHRAKSHAKAN:

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

- (a) whether it is a fact that palliative care is available only to a tiny minority of people in India and at least 98 percent people are deprived of even basic pain relief, if so, the details thereof;
- (b) the reasons f or the absence of integrated p lliative care in the entire healthcare sector including for COVID- 19 strategy; and
- (c) the remedial steps taken/proposed to be taken by the Government to incorporate palliative care in the treatment of all diseases?

## ANSWER THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE (SHRI ASHWINI KUMAR CHOUBEY)

- (a): There is no state - wise/national data available which suggest the number of patients requiring palliative care in the country. However, it is estimated that around 60% of more than 9.8 million people who die in the country every year would benefit from palliative
- (b) & (c): In order to provide palliative care services to the needy and integrate with  the  public  healthcare  system  at  district  and sub- district  levels,  the  Government  is implementing National Program for Palliative Care (NPPC) under National Health Missio Till date, 456 districts/centres in 27 states/UTs have been supported under NPPC. The -wise list is at Annexure

The progra m is providing palliative care services to patients, who face life -threatening illnesses  and  families  by  providing  pain  and  symptom  relief,  spiritual  and  psycho support.

|   S.No | States/UTs        | Districts supported                                                                                                                                                                                                                                                                                         |
|--------|-------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
|      1 | Arunachal Pradesh | 12 ( East Siang (Pasighat), Papumpare (Yupia), Tawang, East (Seppa), Upper Subansiri (Daporijo), Lower Dibang Valley Changlang, Lohit (Tezu), Lower Subansiri (Ziro), Tirap (Khonsa), Kameng (Bomdila), West Siang (Aalong))                                                                                |
|      2 | Assam             | 10 ( Dibrugarh, Jorhat, Sivasagar, Lakhimpur, Kamrup Rural , Goalpara, Karimganj, Cachar, Nagaon & Sonitpur )                                                                                                                                                                                               |
|      3 | Chhattisgarh      | All 27 districts                                                                                                                                                                                                                                                                                            |
|      4 | Goa               | 2 (North Goa & South Goa)                                                                                                                                                                                                                                                                                   |
|      5 | Gujarat           | 14 ( Gandhinagar, Surendranagar, Rajkot, Jamnagar, Junagadhand 8 new districts - Vadodara, Sabarkantha, Surat, Morbi, Gir - Somnath, Godhara and Dahod )                                                                                                                                                    |
|      6 | Haryana           | 13 (Ambala, Kurukshetra, Panchkula, Gurugram, Sirsa, Yamunanagar, Faridabad, Hisar, Jind, Narnaul, Mewat, Sonipat & Karnal)                                                                                                                                                                                 |
|      7 | Himachal Pradesh  | 10 ( Mandi, Kullu, Hamirpur, Bilaspur, Kangra, Kinnaur, Shimla & Rohru), Nahan, Solan & Una) districts.                                                                                                                                                                                                     |
|      8 | Jammu & Kashmir   | 5 districts; 2 (Poonch & Kishtawa r) in Jammu division; 3 Pulwama & Kupwara) in Kashmir division.                                                                                                                                                                                                           |
|      9 | Karnataka         | 30 (Bangalore Rural, Raichur, Mangalore, Dharwad, Mysore, Tumakuru, Bagalkote, Kalalburagi, Yadagiri, Chamrajanagara, Bangalore Belgaum, Bellary, Bidar, Vijayapura, Chikkaballapura, Chitradurga, Davanagere, Gadag, Hassan, Haveri, Kodagu, Koppal, Mandya, Ramanagar, Shivamogga, Udupi & Uttar Kannada) |
|     10 | Kerala            | All 14 districts (Thiruvananthpuram, Kollam, Pathanamthitta, Alapuzza, Idukki, Ernakulam, Thrissur, Palakkad, Kozhikode, Wayanad, Kannur, Kasargode); CHCs; 15 UPHCs                                                                                                                                        |
|     11 | Madhya Pradesh    | All 51 districts                                                                                                                                                                                                                                                                                            |
|     12 | Maharashtra       | 17 ( Amravati, Bhandara, Chandrapur, Gadchiroli, Wardha, Parbhani, Satara, Palghar, Nashik, Parbhani, Sindhudurg, Jalna, Ratnagiri, Osmanabad & Nanded)                                                                                                                                                     |
|     13 | Manipur           | 16 (9 existing Bishnupur, Churachandpur, Chandel, Tamenglong, Thoubal, Ukhrul , Imphal - East & Imphal - West + 7 new namely Noney, Kangpokpi, Jeribam, Kamjong, Teng loupal, Kakcking Pherzawl)                                                                                                            |
|     14 | Meghalaya         | All 11 districts                                                                                                                                                                                                                                                                                            |
|     15 | Mizoram           | 7 (Aizwal East, Aizwal West, Lunglei, Champhai, Kolasib, Lawngtlai)                                                                                                                                                                                                                                         |
|     16 | Nagaland          | All 11 districts                                                                                                                                                                                                                                                                                            |
|     17 | Odisha            | All 30 districts                                                                                                                                                                                                                                                                                            |
|     18 | Puducherry        | 2; Pondicherry, Karaikal (to be confirmed)                                                                                                                                                                                                                                                                  |
|     19 | Punjab            | All 22 districts                                                                                                                                                                                                                                                                                            |

## ANNEXURE

## List of districts, state - wise, covered under National Program for Pa lliative Care Year: 2020 - 21

Porbandar

&

Kolar,

Malaputtam,

Senapati,

| 20    | Rajasthan     | 20 (Churu, Dholpur, Sriganganagar, Hanumangarh, Karauli, Pali, Nagaur, Tonk, Jalore, Ajmer, Kota, Alwar, Bharatpur, Bhilwara, Jaipur, Jhalawar, Jodhpur, Udaipur)                                                                                                                                                                                                       |
|-------|---------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| 21    | Sikkim        | 4 district s (North, West, East & South district -Namchi)                                                                                                                                                                                                                                                                                                               |
| 22    | Tamilnadu     | All 32 districts                                                                                                                                                                                                                                                                                                                                                        |
| 23    | Telangana     | All 33 districts                                                                                                                                                                                                                                                                                                                                                        |
| 24    | Tripura       | All 8 districts - North Tripura, Unokoti, Dhalai, Gomati, Sepahijala, West Tripura and South Tripura                                                                                                                                                                                                                                                                    |
| 25    | Uttar Pradesh | 15 (Jalaun, Jhansi, Kheri, Lalitpur, Etawah, Faizabad, Farrukhabad, Raibareilly, Sultanpur, Aligarh, Meerut, Saharanpur & Mathura).                                                                                                                                                                                                                                     |
| 26    | Uttarakhand   | All 13 districts (Almora, Bageshwar, Chamoli, Champawat, Haridwar, Nainital, Pauri Garhwal, Pithoragarh, Rudraprayag, Garhwal, Udham Singh Nagar & Uttarkashi)                                                                                                                                                                                                          |
| 27    | West Bengal   | 27; 19 existing districts (24 Paraganas North, 24 Paraganas Alipurduar,Bankura, Birbhum, Cooch Behar, Darjiling, Dakshin, DinajpurUttar, Hooghly, Howrah, Jalpaiguri, Medinipur East, Medinipur West, Murshidabad, Nadia, Purba Purulia) + 8 new districts (Jhargram, Nandigram, Basirhat, Harbour (Kakdeep), Bishnupur, Kalimpong, Rampurhat, Bardhaman (Asans ol DH)) |
| Total |               | 456                                                                                                                                                                                                                                                                                                                                                                     |

Firozab

Bahraich,

Dinajpur

Maldah,

Paschim