Lok Sabha Question No. 3128 (UNSTARRED), answered on 2021-08-06
Subject: Increase in Deaths due to Non-Communicable Diseases
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Imtiaz Jaleel Syed, Asaduddin Owaisi

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

## LOK SABHA UNSTARRED QUESTION NO. 3128 TO BE ANSWERED ON 6 th  AUGUST, 2021

## INCREASE IN DEATHS DUE TO NON-COMMUNICABLE DISEASES

## 3128. SHRI. SYED IMITIAZ JALEEL: SHRI ASADUDDIN OWAISI :

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

(a) whether Government is aware that the Lancet Global Health in collaboration with a number of other organisations has come out with a paper showing seven lakh death caused by strokes in India in 2019 and if so, the details thereof;

(b)  whether  in  the  wake  of  COVID-19  deaths,  death  from  Non-Communicable  diseases  have been left out, if so, the details thereof;

(c) whether Non-Communicable disease deaths have increased manifold due to non-operation of Out Patient Departments and postponment of surgeries; and

(d) if so, the details thereof and the steps being taken by the Government to restrict the deaths from Non-Communicable diseases in the country in the wake of COVID-19?

## ANSWER

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

(a) A study 'The burden of neurological disorders across the states of India: The Global Burden of  Disease  Study  1990-2019'  was  published  in  Lancet  2021  by  ICMR.  As  per  the  study,  the number of deaths due to stroke was 6.99 lakhs in the country in 2019.

(b)  to  (d)  Patients  with  non-communicable  diseases  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.  Relevant  data  related  to  patients registered  for  treatment,  including  surgeries,  is  maintained  by  the  Institutions  and  Hospitals concerned at their own level.

Data of deaths is maintained by the Office of the Registrar General & Census Commissioner, India (ORGI).

Health  is  a  state  subject.  The  Department  of  Health  &  Family  Welfare,  however,  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 in Program Implementation Plans (PIPs) 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 given Non-Communicable Diseases.

A  population-based initiative for prevention, control and screening  for  common  NonCommunicable  Diseases  (NCDs)  i.e.  Diabetes,  Hypertension  and  common  Cancers  viz.  Oral, Breast and Cervical Cancers, has been rolled out in the country under NHM and also as a part of Comprehensive Primary Health Care under Ayushman Bharat - Health and Wellness Centres. Under  the  initiative  persons  more  than  30  years  of  age  are  targeted  for  their  screening  for common NCDs.

Under NPCDCS, 640 NCD Clinics at District level and 5148 NCD Clinics at Community Health Centre level have been set up to ensure the treatment of common NCDs.

Patients with Non-Communicable Diseases are diagnosed and treated at various tertiary health care  facilities  such  as  Medical  Colleges,  Central  Institutes  like  AIIMS,  etc.  The  treatment  in Government  health  facilities  is  either  free,  or  highly  subsidized  for  the  poor  and  needy.  The treatment  for  in-patient  care  is  also  available  under  Ayushman  Bharat  -  Pradhan  Mantri  Jan Arogya  Yojana  (PMJAY)  for  10.74  crore  families  eligible  under  AB-PMJAY  as  per  Socio Economic Caste Census (SECC) database.

Under  Free  Drugs  Service  Initiative  of  NHM,  financial  support  is  provided  to  States/UTs  for provision  of  free  essential  medicines.  Furthermore,  quality  generic  medicines  are  being  made available  at  affordable  prices  to  all,  under  Pradhan  Mantri  Bhartiya  Janaushadhi  Pariyojana (PMBJP) in collaboration with the State Governments.

Guidelines  and  advisories  were  sent  by  Ministry  of  Health  and  Family  Welfare  to  State/UT Governments from time to time emphasizing the need for continuation of non-COVID essential health services for management of NCDs during COVID pandemic.

States/UTs  were  also  advised  to  utilize  the  Population  Based  Screening  (PBS)  data  during containment  activities  in  order  to  identify  those  with  NCDs  and  to  place  them  under  health surveillance.