Lok Sabha Question No. 886 (UNSTARRED), answered on 2024-07-26
Subject: Lack of Functional Dialysis Machines
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Dr. M P Abdussamad Samadani

## GOVERNMENTOFINDIA MINISTRY OFHEALTH AND FAMILY WELFARE DEPARTMENT OFHEALTH AND FAMILY WELFARE

## LOK SABHA UNSTARRED QUESTION NO. 886 TO BE ANSWERED ON 26 th JULY, 2024

## LACK OF FUNCTIONALDIALYSIS MACHINES

## 886 DR. M P ABDUSSAMAD SAMADANI:

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

- (a) whether the Government is aware of the fact that lack of functional dialysis machines, patient access, and regional disparities in dialysis services across the country;
- (b) if so, the details thereof, State/UT-wise;
- (c) whether the Government has any plan to facilitate the provision of dialysis machines across the country to ensure adequate and equitable access for all the required patients; and
- (d) if so, the details thereof, State/UT-wise?

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

(a) to (d) : Pradhan Mantri National Dialysis Programme (PMNDP) launched in 2016-17 provides dialysis services for Chronic Kidney Disease (CKD) patients in the country free of cost to all the Below Poverty Line (BPL) beneficiaries under National Health Mission(NHM).Under PMNDP, dialysis services are available at district hospitals in both Public-Private Partnership (PPP) mode and in -house mode. National Health Mission (NHM) supports States/UTs in implementation of Haemodialysis and Peritoneal Dialysis services under PMNDP on the basis of proposals received from the States in Programme Implementation Plans (PIPs).

PMNDP portal was launched on 5 th May 2022 and is integrated with Ayushman Bharat Health Account (ABHA) ID. The portal integrates all the dialysis centres operational in the States/UTs under NHMand facilitates portability of dialysis services across the country.

PMNDP has been implemented in all 36 States/UTs in 748 Districts (including 54 districts linked to nearby functional districts) at 1495 centres with 10183 hemodialysis machines. As on 30 th June 2024, 281.52 Lakh Hemodialysis sessions have been held. States/UTs-wise status of Hemodialysis Machines under PMNDP is at Annexure .

| Annexure: States/UTs-wise status of Hemodialysis Machines under PMNDP(as on 30th June 2024)   | Annexure: States/UTs-wise status of Hemodialysis Machines under PMNDP(as on 30th June 2024)   | Annexure: States/UTs-wise status of Hemodialysis Machines under PMNDP(as on 30th June 2024)   | Annexure: States/UTs-wise status of Hemodialysis Machines under PMNDP(as on 30th June 2024)   | Annexure: States/UTs-wise status of Hemodialysis Machines under PMNDP(as on 30th June 2024)   | Annexure: States/UTs-wise status of Hemodialysis Machines under PMNDP(as on 30th June 2024)   | Annexure: States/UTs-wise status of Hemodialysis Machines under PMNDP(as on 30th June 2024)   |
|-----------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------|
| S.No.                                                                                         | State Name                                                                                    | Operatio n Mode: In-house / PPP                                                               | Total No. of Districts                                                                        | No. of Districts (where Dialysis services are functional)                                     | Total No. of functional Dialysis centers                                                      | Total No. of functional Dialysis Machines                                                     |
| 1                                                                                             | A&N lslands                                                                                   | In-house                                                                                      | 3                                                                                             | 3                                                                                             | 7                                                                                             | 36                                                                                            |
| 2                                                                                             | Andhra Pradesh                                                                                | PPP                                                                                           | 26                                                                                            | 26                                                                                            | 42                                                                                            | 555                                                                                           |
| 3                                                                                             | Arunachal Pradesh                                                                             | PPP                                                                                           | 25                                                                                            | 25                                                                                            | 9                                                                                             | 32                                                                                            |
| 4                                                                                             | Assam                                                                                         | PPP                                                                                           | 33                                                                                            | 33                                                                                            | 41                                                                                            | 277                                                                                           |
| 5                                                                                             | Bihar                                                                                         | PPP                                                                                           | 38                                                                                            | 38                                                                                            | 38                                                                                            | 291                                                                                           |
| 6                                                                                             | Chandigarh                                                                                    | In-house                                                                                      | 1                                                                                             | 1                                                                                             | 1                                                                                             | 2                                                                                             |
| 7                                                                                             | Chhattisgarh                                                                                  | PPP                                                                                           | 28                                                                                            | 28                                                                                            | 31                                                                                            | 135                                                                                           |
| 8 (a)                                                                                         | D&N Haveli                                                                                    | In-house                                                                                      | 1                                                                                             | 1                                                                                             | 1                                                                                             | 9                                                                                             |
| 8 (b)                                                                                         | Daman &Diu                                                                                    | In house                                                                                      | 2                                                                                             | 2                                                                                             | 1                                                                                             | 7                                                                                             |
| 9                                                                                             | Delhi                                                                                         | PPP                                                                                           | 11                                                                                            | 11                                                                                            | 7                                                                                             | 70                                                                                            |
| 10                                                                                            | Goa                                                                                           | PPP                                                                                           | 2                                                                                             | 2                                                                                             | 15                                                                                            | 146                                                                                           |
| 11                                                                                            | Gujarat                                                                                       | In-house                                                                                      | 33                                                                                            | 33                                                                                            | 270                                                                                           | 1303                                                                                          |
| 12                                                                                            | Haryana                                                                                       | PPP                                                                                           | 22                                                                                            | 22                                                                                            | 21                                                                                            | 204                                                                                           |
| 13                                                                                            | Himachal Pradesh                                                                              | PPP                                                                                           | 12                                                                                            | 12                                                                                            | 23                                                                                            | 124                                                                                           |
| 14                                                                                            | Jammu& Kashmir                                                                                | In-house                                                                                      | 20                                                                                            | 20                                                                                            | 22                                                                                            | 131                                                                                           |
| 15                                                                                            | Jharkhand                                                                                     | PPP                                                                                           | 24                                                                                            | 24                                                                                            | 24                                                                                            | 92                                                                                            |
| 16                                                                                            | Karnataka                                                                                     | PPP                                                                                           | 31                                                                                            | 31                                                                                            | 168                                                                                           | 541                                                                                           |
| 17                                                                                            | Kerala                                                                                        | In-house                                                                                      | 14                                                                                            | 14                                                                                            | 106                                                                                           | 1176                                                                                          |
| 18                                                                                            | Ladakh                                                                                        | In-house                                                                                      | 2                                                                                             | 2                                                                                             | 2                                                                                             | 10                                                                                            |
| 19                                                                                            | Lakshadweep                                                                                   | In-house &PPP                                                                                 | 1                                                                                             | 1                                                                                             | 2                                                                                             | 3                                                                                             |
| 20                                                                                            | Madhya Pradesh                                                                                | PPP                                                                                           | 52                                                                                            | 52                                                                                            | 65                                                                                            | 329                                                                                           |
| 21                                                                                            | Maharashtra                                                                                   | In-house                                                                                      | 36                                                                                            | 36                                                                                            | 63                                                                                            | 404                                                                                           |
| 22                                                                                            | Manipur                                                                                       | In-house                                                                                      | 16                                                                                            | 16                                                                                            | 9                                                                                             | 40                                                                                            |
| 23                                                                                            | Meghalaya                                                                                     | In-house &PPP                                                                                 | 11                                                                                            | 11                                                                                            | 3                                                                                             | 9                                                                                             |
| 24                                                                                            | Mizoram                                                                                       | In-house                                                                                      | 11                                                                                            | 11                                                                                            | 4                                                                                             | 24                                                                                            |
| 25                                                                                            | Nagaland                                                                                      | In-house                                                                                      | 12                                                                                            | 9                                                                                             | 4                                                                                             | 26                                                                                            |
| 26                                                                                            | Odisha                                                                                        | In-house &PPP                                                                                 | 30                                                                                            | 30                                                                                            | 58                                                                                            | 451                                                                                           |
| 27                                                                                            | Puducherry                                                                                    | In-house                                                                                      | 4                                                                                             | 4                                                                                             | 2                                                                                             | 27                                                                                            |
| 28                                                                                            | Punjab                                                                                        | In-house                                                                                      | 23                                                                                            | 23                                                                                            | 37                                                                                            | 138                                                                                           |
| 29                                                                                            | Rajasthan                                                                                     | PPP &In- house                                                                                | 33                                                                                            | 33                                                                                            | 35                                                                                            | 130                                                                                           |
| 30                                                                                            | Sikkim                                                                                        | In-house                                                                                      | 4                                                                                             | 4                                                                                             | 4                                                                                             | 35                                                                                            |

| 31    | Tamil Nadu    | In-house &PPP(08 Centres)   |   38 |   38 |   139 |   1219 |
|-------|---------------|-----------------------------|------|------|-------|--------|
| 32    | Telangana     | PPP                         |   33 |   33 |    84 |    592 |
| 33    | Tripura       | PPP &In house               |    8 |    8 |     8 |     63 |
| 34    | Uttar Pradesh | PPP                         |   75 |   75 |    76 |    884 |
| 35    | Uttarakhand   | In-house &PPP               |   13 |   13 |    18 |    138 |
| 36    | West Bengal   | PPP &In- House              |   23 |   23 |    55 |    530 |
| Total | Total         | Total                       |  751 |  748 |  1495 |  10183 |