Lok Sabha Question No. 1595 (UNSTARRED), answered on 2023-07-28
Subject: Cataract Surgery and Type-1 Diabetes Patients
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Rama Devi, Ajay Kumar Mandal, Navneet Ravi Rana, Sunil Kumar Pintu, Locket Chatterjee

## GOVERNMENTOFINDIA MINISTRY OFHEALTH AND FAMILY WELFARE DEPARTMENTOFHEALTH AND FAMILY WELFARE

## LOK SABHA UNSTARRED QUESTION No. 1595 TO BE ANSWERED ON 28.07.2023

## 'CATARACT SURGERYAND DIABETES-TYPE-1 PATIENTS'

## 1595. SHRIMATI RAMADEVI SHRI AJAY KUMAR MANDAL SHRIMATI NAVNEET RAVI RANA SHRI SUNIL UMAR PINTU MS. LOCKET CHATTERJEE

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

- (a) whether the Government is aware that huge discrepancies have been observed in the coverage of Cataract Surgery across various States in the Country and if so, the details thereof, State/UT -wise
- (b) the number of cataract operations performed so far in Bihar, West Bengal and Maharashtra particularly in Amravati, during the last two years, year wise and district-wise;
- (c) whether the Government has received any complaint for charging of higher/excessive fees by the physicians for intraocular lens (IOLS) in cataract surgery under National Blindness Control Programme;
- (d) if so, the details thereof along with the necessary steps taken /proposed to be taken in this regard;
- (e) the number of Type-1 diabetes patients in the country;
- (f) whether any census has been conducted by the Government in this regard and if so, the details thereof;
- (g) whether any welfare measures have been taken by the Government for the poor children suffering from Type-1 diabetes since their childhood and if so, the details thereof; and
- (h) Whether the Government proposes to provide financial assistance for the cost of expensive treatments like insulin therapy and if so, the details thereof and if not, the reasons thereof?

## ANSWER

## THE MINISTER OF STATE FOR HEALTH AND FAMILY WELFARE (PROF. S.P SINGH BAGHEL)

(a) & (b) National Programme for Control of Blindness & Visual Impairment (NPCB&VI) is implemented all over the country uniformly. Year wise target of cataract surgery is allotted to the States and Union Territories (UTs) based on their population and prevalence of blindness. The details of Cataract Surgeries performed across various States/UTs in the Country for the year 2022-23 is placed at Annexure-I and details of Cataract Surgeries performed in Bihar, West Bengal & Maharashtra for the last two years i.e. 2021-22 & 2022-23 is placed at annexure-II

(c) & (d) Under National Programme for Control of Blindness & Visual Impairment (NPCB&VI) all intra-ocular surgeries are done free of cost by the Government. NGOs/ hospitals are paid Rs. 2000/- per surgery as per the norms of the programme. Under the National Programme for Control of Blindness & Visual Impairment (NPCB&VI), no complaint regarding higher/exorbitant charges by doctors for intraocular lenses in cataract surgeries has been reported.

(e) & (f) As per the 10 th edition of International Diabetes Federation Atlas 2021, the estimated children and adolescents with type 1 diabetes is 22,94,000 (between the age of 0 -19). There is a registry maintained by the Indian Council of Medical Research called as the Young Diabetes Registry (YDR) entitled Registry of people with diabetes in India which collects data on patients with type 1 diabetes from the different parts of the country.

(g) & (h): 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 Non-Communicable Diseases (NP-NCD) as part of National Health Mission (NHM), based on the proposals received from the States/UTs. Diabetes is an integral part of NP-NCD. 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 Non-Communicable Diseases (NCDs), including Diabetes. Under NPNCD, 724 District NCD Clinics, 210 Cardiac Care Centre, and 6110 Community Health Center NCD Clinics have been set up.

Under NP-NCD, glucometer and drugs for diabetes are provided as per the proposals received from the States. Further, under Free Drugs Service Initiative of NHM, financial support is provided to States/UTs for provision of free essential medicines including insulin for poor and needy people. Furthermore, quality generic medicines including insulin are made available at affordable prices to all, under 'Pradhan Mantri Bhartiya Janaushadhi Pariyojana (PMBJP), in collaboration with the State Governments.

*****

## National Programme for Control of Blindness and Visual Impairment

## State wise targets & Achievement for Cataract Surgeries during 2022-23

| States               | Cataract Operations   | Cataract Operations   | Cataract Operations   |
|----------------------|-----------------------|-----------------------|-----------------------|
|                      | Target*               | Achiev.               | %                     |
| Major States         |                       |                       |                       |
| Andhra Pradesh       | 227500                | 404841                | 178                   |
| Bihar                | 405800                | 369203                | 91                    |
| Chhatisgarh          | 177300                | 135113                | 76                    |
| Goa                  | 5300                  | 18176                 | 343                   |
| Gujarat              | 126300                | 636428                | 504                   |
| Haryana              | 109900                | 212050                | 193                   |
| Himachal Pradesh     | 41700                 | 47682                 | 114                   |
| Jharkhand            | 183000                | 222599                | 122                   |
| Karnataka            | 339600                | 533668                | 157                   |
| Kerala               | 152100                | 241512                | 159                   |
| Madhya Pradesh       | 473200                | 740644                | 157                   |
| Maharashtra          | 776400                | 873513                | 113                   |
| Orissa               | 332400                | 335121                | 101                   |
| Punjab               | 132400                | 246964                | 187                   |
| Rajasthan            | 308700                | 314599                | 102                   |
| Tamilnadu            | 501900                | 592354                | 118                   |
| Telangana            | 409900                | 256499                | 63                    |
| Uttar Pradesh        | 1541530               | 1156045               | 75                    |
| Uttarakhand          | 59800                 | 72994                 | 122                   |
| West Bengal          | 644200                | 586954                | 91                    |
| North Eastern States |                       |                       |                       |
| Arunachal Pradesh    | 7800                  | 3009                  | 39                    |
| Assam                | 278000                | 154539                | 56                    |
| Manipur              | 8200                  | 4185                  | 51                    |
| Meghalaya            | 16600                 | 2966                  | 18                    |
| Mizoram              | 6900                  | 3725                  | 54                    |
| Nagaland             | 9100                  | 1825                  | 20                    |
| Sikkim               | 1300                  | 1261                  | 97                    |
| Tripura              | 16800                 | 10994                 | 65                    |
| UTs                  |                       |                       |                       |
| A&NNicobar           | 2200                  | 1057                  | 48                    |
| Chandigarh           | 6100                  | 12295                 | 202                   |
| D&N Haveli and DD    | 3500                  | 2330                  | 67                    |
| Delhi                | 76000                 | 94914                 | 125                   |
| Jammu &Kashmir       | 104700                | 31373                 | 30                    |
| Lakshdeep            | 70                    | 139                   | 199                   |
| Pondicherry          | 7200                  | 22428                 | 312                   |
| ladakh               | 6600                  | 825                   | 13                    |
| Grand Total          | 7500000               | 8344824               | 111                   |

Note:- Physical progress report for the year 2022-23 is upto March 2023.

| DISTRICT WISE PERFORMANCE OF CATARACT SURGERY OF BIHAR State DURING FY 2021-22 and 2022-23   | DISTRICT WISE PERFORMANCE OF CATARACT SURGERY OF BIHAR State DURING FY 2021-22 and 2022-23   | DISTRICT WISE PERFORMANCE OF CATARACT SURGERY OF BIHAR State DURING FY 2021-22 and 2022-23   | DISTRICT WISE PERFORMANCE OF CATARACT SURGERY OF BIHAR State DURING FY 2021-22 and 2022-23   |
|----------------------------------------------------------------------------------------------|----------------------------------------------------------------------------------------------|----------------------------------------------------------------------------------------------|----------------------------------------------------------------------------------------------|
|                                                                                              |                                                                                              | 2021-22                                                                                      | 2022-23                                                                                      |
| S.No.                                                                                        | District                                                                                     |                                                                                              |                                                                                              |
| 1                                                                                            | Araria                                                                                       | 4049                                                                                         | 4326                                                                                         |
| 2                                                                                            | Arwal                                                                                        | 79                                                                                           | 122                                                                                          |
| 3                                                                                            | Aurangabad                                                                                   | 4803                                                                                         | 17205                                                                                        |
| 4                                                                                            | Banka                                                                                        | 1                                                                                            | 1160                                                                                         |
| 5                                                                                            | Begusarai                                                                                    | 3854                                                                                         | 3070                                                                                         |
| 6                                                                                            | Bhagalpur                                                                                    | 10320                                                                                        | 12909                                                                                        |
| 7                                                                                            | Bhojpur                                                                                      | 5095                                                                                         | 5970                                                                                         |
| 8                                                                                            | Buxar                                                                                        | 0                                                                                            | 572                                                                                          |
| 9                                                                                            | Darbhanga                                                                                    | 3789                                                                                         | 5421                                                                                         |
| 10                                                                                           | East Champaran                                                                               | 43070                                                                                        | 18490                                                                                        |
| 11                                                                                           | Gaya                                                                                         | 22154                                                                                        | 76151                                                                                        |
| 12                                                                                           | Gopalganj                                                                                    | 2217                                                                                         | 1651                                                                                         |
| 13                                                                                           | Jamui                                                                                        | 2954                                                                                         | 3485                                                                                         |
| 14                                                                                           | Jehanabad                                                                                    | 0                                                                                            | 401                                                                                          |
| 15                                                                                           | Kaimur                                                                                       | 0                                                                                            | 364                                                                                          |
| 16                                                                                           | Katihar                                                                                      | 0                                                                                            | 826                                                                                          |
| 17                                                                                           | Khagaria                                                                                     | 0                                                                                            | 214                                                                                          |
| 18                                                                                           | Kishanganj                                                                                   | 3842                                                                                         | 5202                                                                                         |
| 19                                                                                           | Lakhisarai                                                                                   | 0                                                                                            | 567                                                                                          |
| 20                                                                                           | Madhepura                                                                                    | 634                                                                                          | 1517                                                                                         |
| 21                                                                                           | Madhubani                                                                                    | 389                                                                                          | 2676                                                                                         |
| 22                                                                                           | Munger                                                                                       | 798                                                                                          | 1889                                                                                         |
| 23                                                                                           | Muzaffarpur                                                                                  | 20002                                                                                        | 20295                                                                                        |
| 24                                                                                           | Nalanda                                                                                      | 5783                                                                                         | 12203                                                                                        |
| 25                                                                                           | Nawada                                                                                       | 444                                                                                          | 864                                                                                          |
| 26                                                                                           | Patna                                                                                        | 11257                                                                                        | 23916                                                                                        |
| 27                                                                                           | Purnia                                                                                       | 10974                                                                                        | 19277                                                                                        |
| 28                                                                                           | Rohtas                                                                                       | 552                                                                                          | 25706                                                                                        |
| 29                                                                                           | Saharsa                                                                                      | 1147                                                                                         | 2158                                                                                         |
| 30                                                                                           | Samastipur                                                                                   | 8652                                                                                         | 20429                                                                                        |
| 31                                                                                           | Saran                                                                                        | 56177                                                                                        | 67301                                                                                        |
| 32                                                                                           | Sheikhpura                                                                                   | 819                                                                                          | 561                                                                                          |
| 33                                                                                           | Sheohar                                                                                      | 453                                                                                          | 485                                                                                          |
| 34                                                                                           | Sitamarhi                                                                                    | 1808                                                                                         | 2781                                                                                         |
| 35                                                                                           | Siwan                                                                                        | 4031                                                                                         | 4199                                                                                         |
| 36                                                                                           | Supaul                                                                                       | 630                                                                                          | 1098                                                                                         |
| 37                                                                                           | Vaishali                                                                                     | 1268                                                                                         | 969                                                                                          |
| 38                                                                                           | West Champaran                                                                               | 4                                                                                            | 2773                                                                                         |
| Total                                                                                        | Total                                                                                        | 232049                                                                                       | 369203                                                                                       |

## Annexure-II

| DISTRICT WISE PERFORMANCE OF CATARACT SURGERY OF MAHARASHTRA STATE DURING FY 2021-22 and 2022-23   | DISTRICT WISE PERFORMANCE OF CATARACT SURGERY OF MAHARASHTRA STATE DURING FY 2021-22 and 2022-23   | DISTRICT WISE PERFORMANCE OF CATARACT SURGERY OF MAHARASHTRA STATE DURING FY 2021-22 and 2022-23   | DISTRICT WISE PERFORMANCE OF CATARACT SURGERY OF MAHARASHTRA STATE DURING FY 2021-22 and 2022-23   |
|----------------------------------------------------------------------------------------------------|----------------------------------------------------------------------------------------------------|----------------------------------------------------------------------------------------------------|----------------------------------------------------------------------------------------------------|
| S.No.                                                                                              | District                                                                                           | 2021-22                                                                                            | 2022-23                                                                                            |
| 1                                                                                                  | Akola                                                                                              | 13182                                                                                              | 14907                                                                                              |
| 2                                                                                                  | Amravati                                                                                           | 20983                                                                                              | 24715                                                                                              |
| 3                                                                                                  | Buldhana                                                                                           | 12772                                                                                              | 21299                                                                                              |
| 4                                                                                                  | Washim                                                                                             | 4998                                                                                               | 5334                                                                                               |
| 5                                                                                                  | Yavatmal                                                                                           | 13933                                                                                              | 21151                                                                                              |
| 6                                                                                                  | Aurangabad                                                                                         | 20791                                                                                              | 24485                                                                                              |
| 7                                                                                                  | Hingoli                                                                                            | 3813                                                                                               | 2828                                                                                               |
| 8                                                                                                  | Jalna                                                                                              | 9560                                                                                               | 12134                                                                                              |
| 9                                                                                                  | Parbhani                                                                                           | 7331                                                                                               | 10457                                                                                              |
| 10                                                                                                 | Kolhapur                                                                                           | 19978                                                                                              | 33262                                                                                              |
| 11                                                                                                 | Ratnagiri                                                                                          | 9479                                                                                               | 13881                                                                                              |
| 12                                                                                                 | Sangli                                                                                             | 20978                                                                                              | 28606                                                                                              |
| 13                                                                                                 | Sindhudurg                                                                                         | 2667                                                                                               | 7584                                                                                               |
| 14                                                                                                 | Beed                                                                                               | 8811                                                                                               | 18643                                                                                              |
| 15                                                                                                 | Latur                                                                                              | 19917                                                                                              | 23506                                                                                              |
| 16                                                                                                 | Nanded                                                                                             | 15480                                                                                              | 17070                                                                                              |
| 17                                                                                                 | Osmanabad                                                                                          | 6085                                                                                               | 11909                                                                                              |
| 18                                                                                                 | Mumbai                                                                                             | 33831                                                                                              | 102425                                                                                             |
| 19                                                                                                 | Palghar                                                                                            | 15756                                                                                              | 17944                                                                                              |
| 20                                                                                                 | Raigad                                                                                             | 8448                                                                                               | 20011                                                                                              |
| 21                                                                                                 | Thane                                                                                              | 20897                                                                                              | 38162                                                                                              |
| 22                                                                                                 | Bhandara                                                                                           | 8170                                                                                               | 9957                                                                                               |
| 23                                                                                                 | Chandrapur                                                                                         | 13043                                                                                              | 16582                                                                                              |
| 24                                                                                                 | Gadchiroli                                                                                         | 3277                                                                                               | 6991                                                                                               |
| 25                                                                                                 | Gondia                                                                                             | 4234                                                                                               | 6621                                                                                               |
| 26                                                                                                 | Nagpur                                                                                             | 25218                                                                                              | 37431                                                                                              |
| 27                                                                                                 | Wardha                                                                                             | 16861                                                                                              | 19615                                                                                              |
| 28                                                                                                 | Ahmadnagar                                                                                         | 27905                                                                                              | 29612                                                                                              |
| 29                                                                                                 | Dhule                                                                                              | 19470                                                                                              | 18851                                                                                              |
| 30                                                                                                 | Jalgaon                                                                                            | 22914                                                                                              | 28198                                                                                              |
| 31                                                                                                 | Nandurbar                                                                                          | 8950                                                                                               | 10497                                                                                              |
| 32                                                                                                 | Nashik                                                                                             | 10706                                                                                              | 47603                                                                                              |
| 33                                                                                                 | Pune                                                                                               | 65043                                                                                              | 113594                                                                                             |
| 34                                                                                                 | Satara                                                                                             | 15892                                                                                              | 23340                                                                                              |
| 35                                                                                                 | Solapur                                                                                            | 19661                                                                                              | 34308                                                                                              |
|                                                                                                    | Total                                                                                              | 551034                                                                                             | 873513                                                                                             |

## Annexure-II

| DISTRICT WISE PERFORMANCE OF CATARACT SURGERY OF WEST BENGAL STATE DURING FY 2021-22 and 2022-23   | DISTRICT WISE PERFORMANCE OF CATARACT SURGERY OF WEST BENGAL STATE DURING FY 2021-22 and 2022-23   | DISTRICT WISE PERFORMANCE OF CATARACT SURGERY OF WEST BENGAL STATE DURING FY 2021-22 and 2022-23   | DISTRICT WISE PERFORMANCE OF CATARACT SURGERY OF WEST BENGAL STATE DURING FY 2021-22 and 2022-23   |
|----------------------------------------------------------------------------------------------------|----------------------------------------------------------------------------------------------------|----------------------------------------------------------------------------------------------------|----------------------------------------------------------------------------------------------------|
| S.No.                                                                                              | District                                                                                           | 2021-22                                                                                            | 2022-23                                                                                            |
| 1                                                                                                  | Alipurduar                                                                                         | 4111                                                                                               | 8239                                                                                               |
| 2                                                                                                  | Bankura                                                                                            | 10937                                                                                              | 18580                                                                                              |
| 3                                                                                                  | Bisnupur_HD                                                                                        | 6168                                                                                               | 7825                                                                                               |
| 4                                                                                                  | Birbhum                                                                                            | 3141                                                                                               | 6672                                                                                               |
| 5                                                                                                  | Rampurhat HD                                                                                       | 868                                                                                                | 2213                                                                                               |
| 6                                                                                                  | Cooch-beehar                                                                                       | 4306                                                                                               | 10670                                                                                              |
| 7                                                                                                  | Dakshin Dinajpur                                                                                   | 3091                                                                                               | 5171                                                                                               |
| 8                                                                                                  | Darjeeling                                                                                         | 7368                                                                                               | 11312                                                                                              |
| 9                                                                                                  | Hoogly                                                                                             | 34502                                                                                              | 45511                                                                                              |
| 10                                                                                                 | Howrah                                                                                             | 14541                                                                                              | 20835                                                                                              |
| 11                                                                                                 | Jalpaiguri                                                                                         | 10811                                                                                              | 16926                                                                                              |
| 12                                                                                                 | Jhargram_                                                                                          | 1502                                                                                               | 3291                                                                                               |
| 13                                                                                                 | Kalimpong                                                                                          | 630                                                                                                | 989                                                                                                |
| 14                                                                                                 | Malda                                                                                              | 7812                                                                                               | 13790                                                                                              |
| 15                                                                                                 | Murshidabad                                                                                        | 31962                                                                                              | 38225                                                                                              |
| 16                                                                                                 | Nadia                                                                                              | 18452                                                                                              | 41541                                                                                              |
| 17                                                                                                 | North 24 Parganas                                                                                  | 62787                                                                                              | 105063                                                                                             |
| 18                                                                                                 | Basirhat_HD                                                                                        | 291                                                                                                | 2439                                                                                               |
| 19                                                                                                 | Paschim Bardhaman                                                                                  | 17172                                                                                              | 35306                                                                                              |
| 20                                                                                                 | Paschim Medinipure                                                                                 | 19637                                                                                              | 22372                                                                                              |
| 21                                                                                                 | Purba Bardhaman                                                                                    | 11325                                                                                              | 19852                                                                                              |
| 22                                                                                                 | Purba Medinipure                                                                                   | 23896                                                                                              | 30309                                                                                              |
| 23                                                                                                 | Nandigram HD                                                                                       | 798                                                                                                | 5355                                                                                               |
| 24                                                                                                 | Purulia                                                                                            | 15827                                                                                              | 14977                                                                                              |
| 25                                                                                                 | South 24 Parganas                                                                                  | 18149                                                                                              | 28845                                                                                              |
| 26                                                                                                 | Diamon Harbour_HD                                                                                  | 7128                                                                                               | 7346                                                                                               |
| 27                                                                                                 | Uttar Dinajpur                                                                                     | 996                                                                                                | 4211                                                                                               |
| 28                                                                                                 | Kolkata                                                                                            | 34728                                                                                              | 59115                                                                                              |