Lok Sabha Question No. 1891 (UNSTARRED), answered on 2024-08-02
Subject: U-WIN Platform
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Dr. K Sudhakar

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

## LOK SABHA UNSTARRED QUESTION NO. 1891 TO BE ANSWERED ON 02 ND AUGUST 2024

## U-WIN PLATFORM

## 1891: DR. K SUDHAKAR:

Will the Minister of HEALTH AND FAMILYWELFARE be pleased to state:

- (a) whether U-WIN platform has been launched across the country, if so, the details along with the registrations and immunization undertaken across districts of Karnataka;
- (b) whether the Government has data regarding the total number of TB patients in Karnataka, if so, the details thereof along with the steps taken/proposed to be taken by the Government for elimination of TB, district-wise;
- (c) whether the Government has observed a rise in neglected tropical diseases across the country, if so, the details thereof along with the precautions taken in this regard;
- (d) whether the Government has any data regarding the level of obesity and other lifestyle diseases in Karnataka, if so, the details thereof;
- (e) whether the Government has taken note that certain life-saving medical devices such as stents, pacemakers, etc. are too costly for the common man to afford, if so, the details thereof; and
- (f) the steps taken/proposed to be taken by the Government to make such life-saving devices affordable to the common man?

## ANSWER THE MINISTER OFSTATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE (SHRI PRATAPRAO JADHAV)

- (a) U-WIN is in pilot phase since 11th January 2023. The district-wise details of registrations and number of doses administered in Karnataka (as on 29th July 2024) is attached at Annexure I.
- (b) The district-wise and total number of TB cases reported for the last three year and current year in Karnataka State under National TB Elimination Programme is placed as Annexure-II. The steps taken for elimination of TB is detailed in Annexure III.
- (c) The details of reported cases of Neglected Tropical Diseases along with the steps taken in this regard are placed at Annexure IV.

(d) The data regarding the level of obesity and other lifestyle diseases in Karnataka is available. The details are given at Annexure V.

(e) & (f) As per the provisions of the Drugs (Prices Control) Order, 2013 (DPCO,2013), National Pharmaceutical Pricing Authority (NPPA) under Department of Pharmaceuticals (DoP) fixes the ceiling price of scheduled drugs listed in the Schedule-I of the DPCO, 2013. (i) Bare Metal Stents, (ii) Drug Eluting Stents are included in the Schedule-I of DPCO, 2013. NPPA has notified the ceiling price of scheduled medical devices. The present ceiling price is Rs.10,509.79/- and Rs.38,267.18/ for Bare Metal Stents and Drug Eluting Stents respectively.

Further, as per Para 20 of the DPCO, 2013, NPPA monitors the Maximum Retail Price of all nonscheduled drugs, which includes medical devices, and ensures that no manufacturer increases the maximum retail price of any drug by more than ten percent of maximum retail prices during preceding twelve months. Instances of overcharging are dealt with by NPPA under the relevant provisions of DPCO, 2013.

The latest version of the National Health Benefit Package (HBP) master under ABPMJAY provides cashless healthcare treatment related to secondary and tertiary care ailments which include a total of 1949 procedures under 27 different specialties including chronic diseases such as Cancer, Diabetes, heart Disease and other Non communicable diseases. Under the scheme, states have been provided flexibility to further customise the Health Benefit Packages as per local requirement.

Annexure I District-wise details of Karnataka on U-WIN (as on 29th July 2024)

| S. No.   | Name of District   | No. of Beneficiaries Registered   | No. of Doses Administered   |
|----------|--------------------|-----------------------------------|-----------------------------|
| 1        | Bagalkote          | 1,15,124                          | 4,75,222                    |
| 2        | Ballari            | 96,912                            | 3,90,494                    |
| 3        | Belagavi           | 3,21,644                          | 10,29,146                   |
| 4        | Bengaluru Rural    | 60,215                            | 2,38,352                    |
| 5        | Bengaluru Urban    | 4,67,012                          | 17,41,389                   |
| 6        | Bidar              | 1,27,979                          | 4,65,956                    |
| 7        | Chamarajanagara    | 37,260                            | 1,80,848                    |
| 8        | Chikkaballapura    | 61,807                            | 2,53,010                    |
| 9        | Chikkamagaluru     | 53,663                            | 2,31,977                    |
| 10       | Chitradurga        | 75,089                            | 3,10,701                    |
| 11       | Dakshina Kannada   | 81,357                            | 4,00,929                    |
| 12       | Davangere          | 76,092                            | 3,05,266                    |
| 13       | Dharwad            | 98,619                            | 3,65,841                    |
| 14       | Gadag              | 50,661                            | 2,10,934                    |
| 15       | Hassan             | 70,722                            | 2,87,696                    |
| 16       | Haveri             | 88,963                            | 3,55,865                    |
| 17       | Kalaburagi         | 1,69,472                          | 6,91,365                    |
| 18       | Kodagu             | 34,318                            | 1,21,046                    |
| 19       | Kolar              | 84,399                            | 3,87,128                    |
| 20       | Koppal             | 85,525                            | 3,45,529                    |
| 21       | Mandya             | 67,132                            | 3,05,843                    |
| 22       | Mysuru             | 1,12,885                          | 4,65,250                    |
| 23       | Raichur            | 1,24,680                          | 4,97,213                    |
| 24       | Ramanagara         | 47,581                            | 1,86,429                    |
| 25       | Shivamogga         | 91,164                            | 3,89,251                    |
| 26       | Tumakuru           | 1,37,412                          | 6,43,693                    |
| 27       | Udupi              | 63,241                            | 2,63,327                    |
| 28       | Uttara Kannada     | 75,369                            | 2,60,247                    |
| 29       | Vijayanagar        | 63,166                            | 2,81,649                    |
| 30       | Vijayapura         | 1,63,854                          | 6,74,230                    |
| 31       | Yadgir             | 1,23,100                          | 5,45,744                    |
|          | Total              | 33,26,417                         | 1,33,01,570                 |

## District-wise TB cases notified in Karnataka under National TB Elimination Programme for 2021 -2024

| NTEPDistricts*   | 2021      | 2022      | 2023      | 2024       |
|------------------|-----------|-----------|-----------|------------|
| NTEPDistricts*   | (Jan-Dec) | (Jan-Dec) | (Jan-Dec) | (Jan-June) |
| Bagalkot         | 2440      | 3034      | 3082      | 1484       |
| Bangalore City   | 3467      | 4115      | 4241      | 2053       |
| Bangalore Rural  | 4511      | 4600      | 2865      | 1476       |
| Bangalore Urban  | 13554     | 14761     | 15840     | 6924       |
| Belgaum          | 802       | 857       | 797       | 386        |
| Bellary          | 2079      | 1085      | 1123      | 608        |
| Bidar            | 2290      | 2704      | 2525      | 1262       |
| Chamrajnagar     | 907       | 1096      | 1085      | 537        |
| Chikkaballapur   | 1418      | 1541      | 1551      | 897        |
| Chikkamagalur    | 740       | 761       | 750       | 363        |
| Chitradurga      | 1862      | 2079      | 2003      | 946        |
| Dakshin Kannada  | 2738      | 2984      | 3031      | 1423       |
| Davangere        | 2072      | 2507      | 2686      | 1177       |
| Dharwad          | 2892      | 3191      | 3682      | 1528       |
| Gadag            | 1379      | 1530      | 1449      | 738        |
| Kalaburagi       | 1128      | 1357      | 1315      | 699        |
| Hassan           | 1281      | 1325      | 1215      | 633        |
| Haveri           | 3445      | 4220      | 4261      | 2037       |
| Kodagu           | 358       | 400       | 444       | 217        |
| Kolar            | 1292      | 1316      | 1317      | 695        |
| Koppal           | 2470      | 2622      | 2537      | 1277       |
| Mandya           | 1194      | 1500      | 1423      | 674        |
| Mysuru           | 3666      | 4057      | 3823      | 1789       |
| Raichur          | 3935      | 4819      | 5089      | 2256       |
| Ramnagar         | 823       | 791       | 814       | 421        |
| Shimoga          | 1549      | 1797      | 1681      | 954        |
| Tumkur           | 2703      | 2887      | 2950      | 1414       |
| Udupi            | 1325      | 1439      | 1404      | 717        |
| Uttara Kannada   | 818       | 927       | 778       | 383        |
| Vijayanagara     | 1         | 45        | 1607      | 826        |
| Vijayapura       | 2047      | 2566      | 2475      | 1203       |
| Yadgir           | 1509      | 1713      | 2019      | 1000       |
| Total            | 72695     | 80626     | 81862     | 38997      |

Data Source: Ni-kshay

*Districts showing the data of NTEP districts, which includes revenue districts and the districts divided as per their population in reporting districts for program implementation

## Steps taken for Elimination of TB

The Government implements the National TB Elimination Programme (NTEP) under the aegis of the National Health Mission (NHM) in all States/UTs including all districts of Karnataka. With the goal of achieving Sustainable Development Goals related to TB by 2025, five years ahead of the global targets, the programme is implemented with the following objectives: -

1. Early diagnosis of TB patients, prompt treatment with quality assured drugs and treatment regimens.
2. To engage with the patients seeking care in the private sector.
3. Prevention strategies including active case finding and contact tracing in high risk/vulnerable population.
4. Airborne infection control.

Further, to address the challenges and achieve SDGs related to TB by 2025, the National TB Elimination programme implements key activities as under:

- State and District Specific Strategic plan for targeted interventions in high-burden areas.
- Provision of free drugs and diagnostics to TB patients including for drug-resistant TB.
- Active TB case-finding campaign in key vulnerable and co-morbid populations.
- Integration with Ayushman Arogya Mandir to decentralize screening and treatment services closer to the community.
- Private sector engagement including incentives for notification and management of TB cases.
- Scale up of molecular diagnostic laboratories to sub-district levels.
- Ni-kshay Poshan Yojana for nutritional support to TB patients.
- Intensified IEC campaigns to reduce stigma, raise community awareness and improve health seeking behaviour.
- Multi-sectoral response with involvement of line ministries.
- Scale up TB preventive therapy to contacts of pulmonary TB.
- Tracking of notified TB cases through a case-based web-based portal namely Ni-kshay
- Pradhan Mantri TB Mukt Bharat Abhiyan (PMTBMBA) under which Ni-kshay Mitra from the community come forward to adopt consented TB patients with the objective to provide people with TB with additional nutritional, diagnostic and vocational support.

## Annexure IV

## The details of reported rise in cases of Dengue and Chikungunya and steps taken in this regard by Government of India

In 2024 (Till 30th June) a total of 32091 Dengue cases were reported across the country against 18391 dengue cases reported in corresponding period of 2023. Similarly, a total of 69395 Chikungunya clinical cases were reported across the country against 45292 such cases reported in corresponding period of 2023.

Government of India (GoI) has taken the following precautionary steps for Dengue and Chikungunya in the Country:

-  Under National Health Mission, necessary and sufficient budgetary support is provided to States and Union Territories for Dengue and Chikungunya control activities like epidemic preparedness, monitoring, case management, vector control (provision of domestic breeding checkers, ASHA involvement, insecticide, fogging machines), training, inter-sectoral coordination, awareness activities, etc.
-  For surveillance and free of cost diagnosis of Dengue, 848 Sentinel Surveillance Hospitals with laboratory facility and 17 Apex Referral laboratories with advance diagnostic facilities identified across the country.
-  Test kits are provided to the identified laboratories through Indian Council of Medical Research (ICMR)- National Institute of Virology (NIV), Pune. Cost is borne by Government of India.
-  Trainings have been imparted to Doctors on clinical management and to Entomologists on Integrated Vector Management.
-  Advisories have been issued from Ministry and Director General of Health Services to sensitize and forewarn the States.
-  Total 7 reviews of the situation of Dengue and Chikungunya have been held in 2024.
-  For awareness of the community, various Information, Education and Communication(IEC) activities have been undertaken like interpersonal communication, messages on social and electronic media emphasising on keeping the houses and surroundings mosquito breeding free.
-  Central Government has provided technical guidelines for prevention and control of Dengue, case management and effective community participation to the States for implementation.

## Data regarding level of Obesity and other lifestyle diseases in Karnataka

| Indicators                                                                                                                        |   Percentage |
|-----------------------------------------------------------------------------------------------------------------------------------|--------------|
| Children under 5 years who are overweight (weight-for-height) 1                                                                   |          3.2 |
| Percentage of women age 15-49 years who are obese (BMI ≥ 30.0 kg/m2) 2                                                            |          8.5 |
| Percentage of men age 15-49 years who are obese (BMI ≥ 30.0 kg/m2)                                                                |          5.8 |
| Prevalence of hypertension 3 among women age 15 and over                                                                          |         25   |
| Prevalence of hypertension 3 among men age 15 and over                                                                            |         26.9 |
| Women age 15 and over whose blood sugar level is high or very high (>140 mg/dl) or taking medicine to control blood sugar level 4 |         14   |
| Men age 15 and over whose blood sugar level is high or very high (>140 mg/dl) or taking medicine to control blood sugar level 4   |         15.6 |

Source: National Report of NFHS 5 (2019-21)

1 Above +2 standard deviations, based on the WHO standard.

2 The Body Mass Index (BMI) is expressed as the ratio of weight in kilograms to the square of height in meters (kg/m2).

4 Random blood sugar measurement.

3 Awoman/man is classified as having hypertension if s/he has SBP ≥ 140 mmHg or DBP ≥ 90 mmHg as the time of the survey, or s/he is currently taking medicine to lower her blood pressure