Lok Sabha Question No. 5032 (UNSTARRED), answered on 2022-04-01
Subject: Dedicated Oncology Departments
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Dean Kuriakose

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

## LOK SABHA UNSTARRED QUESTION NO. 5032 TO BE ANSWERED ON 1 ST  APRIL, 2022

## DEDICATED ONCOLOGY DEPARTMENTS

## 5032. ADV. DEAN KURIAKOSE:

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

(a)  whether  the  Government  has  details  of  dedicated  oncology  departments  in  different  district hospitals across the country;

(b) if so, the details thereof;

(c)  whether  the  Government  proposes  to  start  a  new  oncology  department  in  the  Idukki  District Hospital;

- (d) if so, the details thereof; and

(e)  action  taken  by  the  Government  to  help  children  under  18  years  of  age,  suffering  from  cancer, State/ UT-wise?

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

## (DR. BHARATI PRAVIN PAWAR)

(a) to (e): Health is a state subject. The Department of Health & Family Welfare, Government of India, 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 from the States/UTs and subject to  the  resource  envelope.  Cancer  is  an  integral  part  of  NPCDCS.  The  programme  focusses  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, 682 District NCD Clinics, 191 District Cardiac Care Units, and 5408 Community Health Center NCD Clinics has 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 and use of print, electronic and social media for continued community awareness. Furthermore, healthy eating is also promoted through 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 undertaken by the States/UTs as per their Programme Implementation Plans (PIPs).

The Central Government is also implementing Strengthening of Tertiary Care of Cancer Scheme in order  to  enhance  the  facilities  for  tertiary  care  of  cancer.  19  State  Cancer  Institutes  (SCIs)  and  20 Tertiary  Care  Cancer  Centres  (TCCCs)  have  been  approved  under  the  said  scheme.  The  details  are attached in Annexure. Six of the institutes have been completed.

There  is  also  focus  on  Oncology  in  its  various  aspects  in  case  of  new  AIIMS  and  many  upgraded institutions under Pradhan Mantri Swasthya Suraksha Yojna (PMSSY). Setting up of National Cancer Institute at Jhajjar (Haryana) and second campus of Chittaranjan National Cancer Institute, Kolkata are also steps in this direction. All these enhance the capacity for treatment of cancer in the country.

Cancer  is  diagnosed  and  treated  at  various  levels  in  the  health  care  facilities.  The  treatment  in Government Hospitals is either free or highly subsidized for the poor and needy. Treatment of Cancers is  also  available  under  Ayushman  Bharat  -  Pradhan  Mantri  Jan  Arogya  Yojana  (PMJAY). Besides, quality generic medicines are made available at affordable prices to all, under Pradhan Mantri Bhartiya Janaushadhi Pariyojana (PMBJP) in collaboration with the State Governments. Affordable Medicines and Reliable Implants for  Treatment  (AMRIT)  Pharmacy  stores  have  been  set  up  in  some hospitals/institutions, with an objective to make available Cancer drugs at a substantial discount vis-àvis the Maximum Retail Price. Under the umbrella scheme of Rashtrya Arogya Nidhi (RAN), financial assistance  is  provided  to  families  living  below  threshold  poverty  line  for  their  treatment,  including treatment of Cancer in Government hospitals.

The State Government of Kerela has informed that there is no proposal for establishing new oncology department in Idukki District Hospital.

## Table of SCIs/TCCCs:

|   S No | State            | Name of the Institute                                                 | SCI / TCCC   |
|--------|------------------|-----------------------------------------------------------------------|--------------|
|      1 | Andhra Pradesh   | Kurnool Medical College, Kurnool                                      | SCI          |
|      2 | Assam            | Gauhati Medical College &Hospital, Guwahati                           | SCI          |
|      3 | Bihar            | Indira Gandhi Institute of Medical Sciences, Patna                    | SCI          |
|      4 | Chhattisgarh     | Chhattisgarh Institute of Medical Sciences, Bilaspur                  | SCI          |
|      5 | Delhi            | Lok Nayak Hospital                                                    | TCCC         |
|      6 | Gujarat          | Gujarat Cancer Research Institute, Ahmedabad                          | SCI          |
|      7 | Goa              | Goa Medical College, Panaji                                           | TCCC         |
|      8 | Haryana          | Civil Hospital, Ambala Cantt                                          | TCCC         |
|      9 | Himachal Pradesh | Indira Gandhi Medical College, Shimla                                 | TCCC         |
|     10 | Himachal Pradesh | Shri Lal Bahadur Shastri Medical College, Mandi                       | TCCC         |
|     11 | Jammu &Kashmir   | Sher-i-Kashmir Institute of Medical Sciences, Srinagar                | SCI          |
|     12 |                  | Government Medical College, Jammu                                     | SCI          |
|     13 | Jharkhand        | Rajendra Institute of Medical Sciences, Ranchi                        | SCI          |
|     14 | Karnataka        | Kidwai Memorial Institute of Oncology (RCC), Bengaluru                | SCI          |
|     15 |                  | Mandya Institute of Medical Sciences, Mandya                          | TCCC         |
|     16 | Kerala           | Regional Cancer Centre, Thiruvananthapuram                            | SCI          |
|     17 |                  | Government Medical College, Kozhikode                                 | TCCC         |
|     18 | Madhya Pradesh   | G.R. Medical College, Gwalior                                         | TCCC         |
|     19 |                  | Netaji Subhas Chandra Bose Medical College, Jabalpur                  | SCI          |
|     20 | Maharashtra      | Rashtrasant Tukdoji Regional Cancer Hospital& Research Centre, Nagpur | TCCC         |
|     21 |                  | Government Medical College, Aurangabad                                | SCI          |
|     22 |                  | Vivekanand Foundation &Research Centre, Latur                         | TCCC         |
|     23 | Mizoram          | Mizoram State Cancer Institute, Aizawl                                | TCCC         |
|     24 | Nagaland         | District Hospital, Kohima                                             | TCCC         |
|     25 | Odisha           | Acharya Harihar Regional Cancer Centre, Cuttack                       | SCI          |
|     26 | Punjab           | Government Medical College, Amritsar                                  | SCI          |
|     27 |                  | Civil Hospital, Fazilka                                               | TCCC         |
|     28 | Rajasthan        | S P Medical College, Bikaner                                          | TCCC         |
|     29 |                  | SMS Medical College, Jaipur                                           | SCI          |
|     30 |                  | Jhalawar Medical College &Hospital, Jhalawar                          | TCCC         |
|     31 | Sikkim           | Multispecialty Hospital at Sochygang (Sichey), near Gangtok, Sikkim   | TCCC         |
|     32 | Tamil Nadu       | Cancer Institute (RCC), Adyar, Chennai                                | SCI          |
|     33 | Telangana        | MNJ Institute of Oncology &RCC, Hyderabad                             | SCI          |
|     34 | Tripura          | Cancer Hospital (RCC), Agartala                                       | SCI          |
|     35 | Uttar Pradesh    | Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow     | TCCC         |
|     36 | Uttarakhand      | Government Medical College, Haldwani                                  | SCI          |
|     37 | West Bengal      | Government Medical College, Burdwan                                   | TCCC         |
|     38 |                  | Murshidabad Medical College &Hospital, Berhampore, Murshidabad        | TCCC         |
|     39 |                  | Sagore Dutta Memorial Medical College and Hospital, Kolkata           | TCCC         |