Lok Sabha Question No. 279 (UNSTARRED), answered on 2023-02-03
Subject: Cases of Breast and Cervical Cancer
Ministry: HEALTH AND FAMILY WELFARE
Asked by: S. Jothimani

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

## LOK SABHA UNSTARRED QUESTION NO. 279 TO BE ANSWERED ON 3 rd  FEBRUARY, 2023

## CASES OF BREAST AND CERVICAL CANCER

## 279.   MS. S. JOTHIMANI:

Will the MINISTER OF HEALTH AND FAMILY WELFARE be pleased to state:

(a) the steps taken or proposed to be taken by the Government to provide for early detection of breast and cervical cancer so as to help reduce mortality;

(b)  whether  the  Government would  consider making it mandatory  for all district and taluk hospitals to provide breast cancer screening facilities and if so, the details thereof and if not, the reasons therefor;

(c) whether the Government proposes to spread awareness about the early signs of breast cancer among Indian women, including those living in rural areas and if so, the details thereof along with yearly expenditure incurred on such activities since 2019;

(d) whether the Government would consider allowing free mammograms to women aged above 40 years once a year in Government hospitals and if so, the details thereof; and

(e) the steps taken or proposed to be taken by the Government to sensitise and train ASHA/ Anganwadi workers on detecting early symptoms of breast cancer?

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

## ANSWER (DR. BHARATI PRAVIN PAWAR)

(a)  to  (e):  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 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. Three most common types of cancers (oral cancer, breast cancer  and  cervical  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.

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& World Cancer Day and use of print, electronic and social media for continued community awareness. Furthermore, healthy eating is also promoted through Food Safety  and  Standards  Authority  of  India  (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 taken by the States/UTs as per their Programme Implementation Plans (PIPs).

The details of States/UTs wise funds utilised under NCD flexible pool for activities conducted under NPCDCS is attached at Annexure.

Trainings of ASHAs are conducted for early detection of three common cancers including breast cancer.

<!-- image -->

## Annexure

| State/UT wise details of Expenditure for NPCDCSunderFlexible Pool forNCDsunderNHMduring the period of F.Y. 2019-20 to 2021-22   | State/UT wise details of Expenditure for NPCDCSunderFlexible Pool forNCDsunderNHMduring the period of F.Y. 2019-20 to 2021-22   | State/UT wise details of Expenditure for NPCDCSunderFlexible Pool forNCDsunderNHMduring the period of F.Y. 2019-20 to 2021-22   | State/UT wise details of Expenditure for NPCDCSunderFlexible Pool forNCDsunderNHMduring the period of F.Y. 2019-20 to 2021-22   | State/UT wise details of Expenditure for NPCDCSunderFlexible Pool forNCDsunderNHMduring the period of F.Y. 2019-20 to 2021-22   |
|---------------------------------------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------------------------------------|
| S.No.                                                                                                                           | State/UT                                                                                                                        | 2019-20 Utilisation                                                                                                             | 2020-21 Utilisation                                                                                                             | 2021-22 Utilization                                                                                                             |
| 1                                                                                                                               | Andaman &Nicobar Islands                                                                                                        | 11.44                                                                                                                           | 24.23                                                                                                                           | 19.61                                                                                                                           |
| 2                                                                                                                               | Andhra Pradesh                                                                                                                  | 287.92                                                                                                                          | 1193.22                                                                                                                         | 4206.67                                                                                                                         |
| 3                                                                                                                               | Arunachal Pradesh                                                                                                               | 128.28                                                                                                                          | 151.06                                                                                                                          | 825.60                                                                                                                          |
| 4                                                                                                                               | Assam                                                                                                                           | 625.33                                                                                                                          | 238.50                                                                                                                          | 736.35                                                                                                                          |
| 5                                                                                                                               | Bihar                                                                                                                           | 277.96                                                                                                                          | 818.86                                                                                                                          | 453.73                                                                                                                          |
| 6                                                                                                                               | Chandigarh                                                                                                                      | 1.63                                                                                                                            | 0.41                                                                                                                            | 7.35                                                                                                                            |
| 7                                                                                                                               | Chhattisgarh                                                                                                                    | 508.25                                                                                                                          | 703.69                                                                                                                          | 1686.65                                                                                                                         |
| 8                                                                                                                               | Dadra &Nagar Haveli                                                                                                             | 25.11                                                                                                                           |                                                                                                                                 |                                                                                                                                 |
| 9                                                                                                                               | Daman &Diu                                                                                                                      | 16.38                                                                                                                           | 45.16                                                                                                                           | 55.18                                                                                                                           |
| 10                                                                                                                              | Delhi                                                                                                                           | 12.24                                                                                                                           | 3.65                                                                                                                            | 26.92                                                                                                                           |
| 11                                                                                                                              | Goa                                                                                                                             | 35.31                                                                                                                           | 24.50                                                                                                                           | 96.54                                                                                                                           |
| 12                                                                                                                              | Gujarat                                                                                                                         | 460.97                                                                                                                          | 375.67                                                                                                                          | 926.67                                                                                                                          |
| 13                                                                                                                              | Haryana                                                                                                                         | 195.34                                                                                                                          | 181.62                                                                                                                          | 353.18                                                                                                                          |
| 14                                                                                                                              | Himachal Pradesh                                                                                                                | 164.88                                                                                                                          | 64.67                                                                                                                           | 190.19                                                                                                                          |
| 15                                                                                                                              | Jammu &Kashmir                                                                                                                  | 136.72                                                                                                                          | 42.49                                                                                                                           | 890.34                                                                                                                          |
| 16                                                                                                                              | Jharkhand                                                                                                                       | 118.98                                                                                                                          | 238.12                                                                                                                          | 1273.15                                                                                                                         |
| 17                                                                                                                              | Karnataka                                                                                                                       | 644.56                                                                                                                          | 604.32                                                                                                                          | 2186.39                                                                                                                         |
| 18                                                                                                                              | Kerala                                                                                                                          | 144.55                                                                                                                          | 1035.71                                                                                                                         | 734.43                                                                                                                          |
| 19                                                                                                                              | Ladakh                                                                                                                          | -                                                                                                                               | 10.39                                                                                                                           | 150.91                                                                                                                          |
| 20                                                                                                                              | Lakshadweep                                                                                                                     | 1.24                                                                                                                            | 2.85                                                                                                                            | 3.07                                                                                                                            |
| 21                                                                                                                              | Madhya Pradesh                                                                                                                  | 257.45                                                                                                                          | 694.32                                                                                                                          | 1262.50                                                                                                                         |
| 22                                                                                                                              | Maharashtra                                                                                                                     | 1377.52                                                                                                                         | 486.75                                                                                                                          | 3474.90                                                                                                                         |
| 23                                                                                                                              | Manipur                                                                                                                         | 267.66                                                                                                                          | 20.14                                                                                                                           | 95.41                                                                                                                           |
| 24                                                                                                                              | Meghalaya                                                                                                                       | 79.11                                                                                                                           | 330.26                                                                                                                          | 401.94                                                                                                                          |
| 25                                                                                                                              | Mizoram                                                                                                                         | 15.21                                                                                                                           | 15.80                                                                                                                           | 230.86                                                                                                                          |
| 26                                                                                                                              | Nagaland                                                                                                                        | 93.89                                                                                                                           | 37.86                                                                                                                           | 610.04                                                                                                                          |
| 27                                                                                                                              | Odisha                                                                                                                          | 549.30                                                                                                                          | 1021.54                                                                                                                         | 1944.10                                                                                                                         |
| 28                                                                                                                              | Puducherry                                                                                                                      | 19.34                                                                                                                           | 1.46                                                                                                                            | 24.81                                                                                                                           |
| 29                                                                                                                              | Punjab                                                                                                                          | 107.62                                                                                                                          | 83.17                                                                                                                           | 160.83                                                                                                                          |
| 30                                                                                                                              | Rajasthan                                                                                                                       | 2126.20                                                                                                                         | 882.62                                                                                                                          | 3301.67                                                                                                                         |
| 31                                                                                                                              | Sikkim                                                                                                                          | 25.44                                                                                                                           | 9.20                                                                                                                            | 45.79                                                                                                                           |
| 32                                                                                                                              | Tamil Nadu                                                                                                                      | 735.97                                                                                                                          | 371.00                                                                                                                          | 2985.56                                                                                                                         |
| 33                                                                                                                              | Telangana                                                                                                                       | 239.42                                                                                                                          | 351.54                                                                                                                          | 2657.83                                                                                                                         |
| 34                                                                                                                              | Tripura                                                                                                                         | 162.00                                                                                                                          | 104.05                                                                                                                          | 247.35                                                                                                                          |
| 35                                                                                                                              | Uttar Pradesh                                                                                                                   | 2908.04                                                                                                                         | 1888.30                                                                                                                         | 5237.37                                                                                                                         |

|   36 | Uttarakhand   |   39.66 |   0.00 |   327.57 |
|------|---------------|---------|--------|----------|
|   37 | West Bengal   |     672 | 916.39 |  3517.71 |

## Note:

1. The above data comprises of Non-Recurring: Renovation and furnishing, District NCD Clinic, NCD Clinic at  CHC, etc. Recurring  grant: Miscellaneous & Contingencies, Education & Communication & Training, Public Private Partnership, Research & Surveillance, etc.
2.  Utilisation  includes  Utilisation  against  Central  Release,  State  release  &  unspent  balances  at  the beginning of the year. It is updated upto 31.03.2022 and is provisional.
3.  The  above  data  is  as  per  the  available  Financial  Management  Reports  (FMRs)  reported  by  the States/UTs.