Lok Sabha Question No. 187 (STARRED), answered on 2023-12-15
Subject: Centres for Early Detection of LifeThreatening Diseases
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Rita Bahuguna Joshi, Sujay Radhakrishna Vikhepatil

## GOVERNMENT OFINDIA MINISTRY OF HEALTH AND FAMILY WELFARE DEPARTMENTOFHEALTH AND FAMILYWELFARE

## LOKSABHA STARRED QUESTION NO. 187 TO BE ANSWERED ON THE 15 TH DECEMBER, 2023

## CENTRES FOR EARLY DETECTION OF LIFE-THREATENING DISEASES

## *187. PROF. RITA BAHUGUNA JOSHI: DR. SUJAY RADHAKRISHNAVIKHE PATIL:

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

- (a) whether the Government has set up specialised screening centres for early detection of life-threatening diseases such as cancer in the country and if so, the details thereof;
- (b) the present number of such fully functional screening centres in the country, State/UT-wise;
- (c) whether the Government has plan(s) to implement any special measures to ensure early/ timely diagnosis of life-threatening diseases in the country; and
- (d) if so, the details thereof and if not, the reasons therefor?

## ANSWER THE MINISTER OF HEALTH AND FAMILY WELFARE (DR MANSUKH MANDAVIYA)

- (a) to (d) A Statement is laid on the Table of the House.

## STATEMENT REFERRED TO IN REPLY TO LOK SABHA STARRED QUESTION NO. 187 FOR 15 TH DECEMBER, 2023

(a) to (d): Population based prevention, screening and management initiative for NCDs including common cancers viz. oral, breast and cervical cancer is implemented in Ayushman Arogya Mandir as a part of comprehensive primary health care under National Health Mission (NHM). A total of 1,63,273 Ayushman Arogya Mandirs are operational across the country. The details of operational status of Ayushman Arogya Mandir States/UTs wise are attached at Annexure 1. A total of 18.46 Cr for oral cancer, 8.88 Cr for breast cancer and 4.96 Cr for cervical cancer are screened. The screened positive patients are referred to CHC NCD clinics and / or District Hospital NCD Clinics to get diagnosed and referred to appropriate facility for treatment. A total of 753 District NCD Clinics and 6237 Community Health Center NCD Clinics has been set up so far.

To generate awareness for Cancer prevention & treatment following actions have been initiated:-

1. Preventive aspect of Cancer is strengthened under Comprehensive Primary Health Care through Ayushman Arogya Mandir Scheme, by promotion of wellness activities and targeted communication at the community level.
2. Public awareness creation through print, electronic and social media about promotion of healthy lifestyle including observation of National Cancer Awareness Day, World Cancer Day.
3. Healthy Eating is promoted through Food Safety and Standards Authority of India (FSSAI).
4. Fit India movement is implemented by Ministry of Youth Affairs and Sports.
5. Various Yoga related activities are carried out by Ministry of AYUSH.

Action taken by Government in respect of infrastructure are:

1. The Central Government implements Strengthening of Tertiary Care Cancer Facilities Scheme. 19 State Cancer Institutes (SCIs) and 20 Tertiary Care Cancer Centres (TCCCs) have been approved under the said scheme.
2. National Cancer Institute at Jhajjar (Haryana) and second campus of Chittaranjan National Cancer Institute, Kolkata have also been setup.
3. All new AIIMS and 13 upgraded existing Government Medical Colleges/Institutions under Pradhan Mantri Swasthya Suraksha Yojna (PMSSY) also focus on treatment of cancer.

To facilitate accessible and affordable healthcare and treatment, the following steps have been taken:-

1. Under Pradhan Mantri Jan Arogya Yojana (PMJAY), health insurance cover of Rs. 5 lakhs per family per year for secondary or tertiary care hospitalization to 12 Crore beneficiary families is provided. The Health Benefit Package (HBP) 2022 provides treatment corresponding to a total of 1,121 treatment packages comprising of 1,949 procedures across 27 different specialties for NCDs. 549 procedures are related to cancer. As of 7th December 2023, a total of 35.07 lakh hospital admissions amounting to Rs 6572.25 Crores have been authorized through a network of 1980 hospitals.

2. Financial assistance is provided to poor patients belonging to families living below poverty line, suffering from major life-threatening diseases including cancer under Umbrella scheme of Rashtriya Arogya Nidhi (RAN) and Health Minister ' s Discretionary Grant (HMDG). Financial assistance upto a maximum of Rs. 1,25,000/- is provided under HMDG to defray a part of the treatment cost and the maximum financial assistance provided under the Umbrella Scheme of RAN is Rs. 15 lakhs.

3. 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, to make available Cancer drugs at a substantial discount vis-à-vis the Maximum Retail Price.

| Ayushman Arogya Mandir operational as on 11.12.23 (Source: Ayushman Arogya Mandir portal)   | Ayushman Arogya Mandir operational as on 11.12.23 (Source: Ayushman Arogya Mandir portal)   | Ayushman Arogya Mandir operational as on 11.12.23 (Source: Ayushman Arogya Mandir portal)   |
|---------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------|
| SN                                                                                          | STATE                                                                                       | TOTAL                                                                                       |
| 1                                                                                           | Andaman &Nicobar Islands                                                                    | 129                                                                                         |
| 2                                                                                           | Andhra Pradesh                                                                              | 11847                                                                                       |
| 3                                                                                           | Arunachal Pradesh                                                                           | 435                                                                                         |
| 4                                                                                           | Assam                                                                                       | 4480                                                                                        |
| 5                                                                                           | Bihar                                                                                       | 10315                                                                                       |
| 6                                                                                           | Chandigarh                                                                                  | 49                                                                                          |
| 7                                                                                           | Chhattisgarh                                                                                | 5786                                                                                        |
| 8                                                                                           | DNH&DD                                                                                      | 93                                                                                          |
| 9                                                                                           | Goa                                                                                         | 273                                                                                         |
| 10                                                                                          | Gujarat                                                                                     | 10043                                                                                       |
| 11                                                                                          | Haryana                                                                                     | 2723                                                                                        |
| 12                                                                                          | Himachal Pradesh                                                                            | 1875                                                                                        |
| 13                                                                                          | Jammu &Kashmir                                                                              | 2990                                                                                        |
| 14                                                                                          | Jharkhand                                                                                   | 2612                                                                                        |
| 15                                                                                          | Karnataka                                                                                   | 9854                                                                                        |
| 16                                                                                          | Kerala                                                                                      | 6324                                                                                        |
| 17                                                                                          | Ladakh                                                                                      | 321                                                                                         |
| 18                                                                                          | Lakshadweep                                                                                 | 13                                                                                          |
| 19                                                                                          | Madhya Pradesh                                                                              | 11364                                                                                       |
| 20                                                                                          | Maharashtra                                                                                 | 11007                                                                                       |
| 21                                                                                          | Manipur                                                                                     | 406                                                                                         |
| 22                                                                                          | Meghalaya                                                                                   | 495                                                                                         |
| 23                                                                                          | Mizoram                                                                                     | 387                                                                                         |
| 24                                                                                          | Nagaland                                                                                    | 394                                                                                         |
| 25                                                                                          | Odisha                                                                                      | 6645                                                                                        |
| 26                                                                                          | Puducherry                                                                                  | 127                                                                                         |
| 27                                                                                          | Punjab                                                                                      | 2984                                                                                        |
| 28                                                                                          | Rajasthan                                                                                   | 9898                                                                                        |
| 29                                                                                          | Sikkim                                                                                      | 184                                                                                         |
| 30                                                                                          | Tamil Nadu                                                                                  | 8245                                                                                        |
| 31                                                                                          | Telangana                                                                                   | 5248                                                                                        |
| 32                                                                                          | Tripura                                                                                     | 1094                                                                                        |
| 33                                                                                          | Uttar Pradesh                                                                               | 21970                                                                                       |
| 34                                                                                          | Uttarakhand                                                                                 | 2023                                                                                        |
| 35                                                                                          | West Bengal                                                                                 | 10640                                                                                       |
| Total 163273 UTDelhi is not implementing the scheme                                         | Total 163273 UTDelhi is not implementing the scheme                                         | Total 163273 UTDelhi is not implementing the scheme                                         |