Lok Sabha Question No. 4213 (UNSTARRED), answered on 2024-12-20
Subject: Opening of Dialysis Units
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Shri Rahul Kaswan

## GOVERNMENTOFINDIA

## MINISTRY OFHEALTH AND FAMILY WELFARE DEPARTMENTOFHEALTH AND FAMILY WELFARE

## LOK SABHA UNSTARRED QUESTION NO. 4213 TO BE ANSWERED ON 20 th DECEMBER, 2024

## OPENING OF DIALYSIS UNITS

## 4213. SHRI RAHUL KASWAN:

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

- (a) whether the Government has formulated any policy to open dialysis units in district hospitals across the country to provide free dialysis facilities to the patients below the poverty line and to those who can't afford treatment and if so, the details thereof, State/UT-wise;
- (b) whether the Government has received any proposal from States/UTs in this regard and if so, the details thereof, State/UT-wise including Rajasthan;
- (c) the number of approved/pending proposals, State/UT-wise till date along with the fund allocated/utilized for the same;
- (d) the time by which the pending proposals are likely to be approved;
- (e) whether the death rate of people suffering from heart and cancer diseases is increasing rapidly in the country; and
- (f) if so, the details thereof?

## 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 for Chronic Kidney Disease(CKD) patients to support in district hospitals in-house mode/Public Private Partnership (PPP) mode under National Health Mission (NHM).Dialysis services are provided in the country free of cost to all the Below Poverty Line (BPL) beneficiaries. Haemodialysis services are provided under the program. Peritoneal Dialysis is also included 2020 onwards.

As on 30 th November 2024, PMNDP has been implemented in all 36 States/Union Territories in 748(50 Linked to nearby districts) Districts at 1558 centres with 10824 hemo-dialysis machines and total 311.23 Lakh Hemo-dialysis sessions held. State/UT-wise fund allocated/utilized is attached at Annexure-I.

(e) and (f) As per the Indian Council of Medical Research's National Cancer Registry Programme (ICMR-NCRP), the estimated mortality of cancer cases in the country during last five years (2019 2023) is as below:

| Estimated mortality of cancer cases and mortality(2019-2023) - Both sexes   | Estimated mortality of cancer cases and mortality(2019-2023) - Both sexes   | Estimated mortality of cancer cases and mortality(2019-2023) - Both sexes   | Estimated mortality of cancer cases and mortality(2019-2023) - Both sexes   | Estimated mortality of cancer cases and mortality(2019-2023) - Both sexes   | Estimated mortality of cancer cases and mortality(2019-2023) - Both sexes   |
|-----------------------------------------------------------------------------|-----------------------------------------------------------------------------|-----------------------------------------------------------------------------|-----------------------------------------------------------------------------|-----------------------------------------------------------------------------|-----------------------------------------------------------------------------|
| Year                                                                        | 2019                                                                        | 2020                                                                        | 2021                                                                        | 2022                                                                        | 2023                                                                        |
| Estimated mortality of cancer cases in India                                | 7,51,517                                                                    | 7,70,230                                                                    | 7,89,202                                                                    | 8,08,558                                                                    | 8,28,252                                                                    |

| State/UT-wise S. N o.   | State/UT                         | 2021-22        | 2021-22     | PMNDPduring 2020-21 to 2023-24 (Rs 2022-23   | PMNDPduring 2020-21 to 2023-24 (Rs 2022-23   | 2023-24        | 2023-24      |
|-------------------------|----------------------------------|----------------|-------------|----------------------------------------------|----------------------------------------------|----------------|--------------|
| State/UT-wise S. N o.   | State/UT                         | SPIP Approvals | Expenditure | SPIP Approvals                               | Expenditure                                  | SPIP Approvals | Expenditure* |
| 1                       | Andaman & Nicobar Islands        | -              | -           | -                                            | -                                            | 8.5            | -            |
| 2                       | Andhra Pradesh                   | 4,934.42       | 3,592.73    | 5,307.87                                     | 4,061.58                                     | 5,680.55       | 5,143.70     |
| 3                       | Arunachal Pradesh                | 150.76         | 263         | 611.66                                       | 405.9                                        | 728.99         | 93.98        |
| 4                       | Assam                            | 859.01         | 801.84      | 1,715.75                                     | 1,587.45                                     | 1,985.98       | 2,100.71     |
| 5                       | Bihar                            | 2,962.57       | 907.13      | 3,112.37                                     | 2,597.89                                     | 3,521.01       | 1,144.30     |
| 6                       | Chandigarh                       | 28             | 1.44        | 4                                            | 0.02                                         | 4.25           | 0.13         |
| 7                       | Chattisgarh                      | 768.48         | 188.1       | 1,182.40                                     | 617.78                                       | 1,225.48       | 395.81       |
| 8                       | Dadra & Nagar Haveli Daman & Diu | -              | -           | 2.22                                         | -                                            | 2.22           | -            |
| 9                       | Delhi                            | 2,010.00       | 429.29      | 703.84                                       | 416.76                                       | 709.03         | 511.14       |
| 10                      | Goa                              | 1,064.32       | 198.33      | 1,247.32                                     | 937.74                                       | 1,234.32       | 443.04       |
| 11                      | Gujarat                          | 3,267.50       | 2,000.00    | 4,308.05                                     | 1,869.73                                     | 4,280.60       | 6.13         |
| 12                      | Haryana                          | 350            | 199.24      | 337.95                                       | 243.71                                       | 337.95         | 103.91       |
| 13                      | Himachal Pradesh                 | 200            | 125.11      | 291.5                                        | 10.78                                        | 309.5          | 7.5          |
| 14                      | Jammu & Kashmir                  | 562.71         | 302.69      | 303                                          | 67.57                                        | 768.6          | 20.36        |
| 15                      | Jharkhand                        | 18.5           | -           | 826.76                                       | 324.04                                       | 674.56         | 139.89       |
| 16                      | Karnataka                        | 4,554.00       | 2,971.88    | 7,735.07                                     | 3,413.39                                     | 6,604.02       | 2,938.02     |
| 17                      | Kerala                           | 947.3          | 3.19        | 1,522.36                                     | 401.89                                       | 1,024.14       | 440.99       |
| 18                      | Ladakh                           | 100.06         | 55.12       | 204.86                                       | 89.71                                        | 194.06         | 36.14        |
| 19                      | Lakshadweep                      | 14             | -           | 18.7                                         | -                                            | 19.64          | 2.54         |
| 20                      | Madhya Pradesh                   | 1,063.73       | 599.92      | 1,965.30                                     | 1,704.39                                     | 3,073.97       | 542.3        |
| 21                      | Maharashtra                      | 247.88         | 16.8        | 2,516.93                                     | 466.76                                       | 1,488.39       | 350.36       |
| 22                      | Manipur                          | 444.74         | 15          | 563.33                                       | 334.05                                       | 568.83         | 152.59       |
| 23                      | Meghalaya                        | 63.36          | -           | 65.07                                        | 74.31                                        | 50.05          | 24.22        |
| 24                      | Mizoram                          | 6.54           | -           | 49.01                                        | -                                            | 40.95          | 0.37         |
| 25                      | Nagaland                         | 199.2          | 101.37      | 247.28                                       | 133.24                                       | 208.53         | 138.37       |
| 26                      | Orissa                           | 2,377.10       | 1,908.10    | 2,413.73                                     | 2,202.31                                     | 3,317.57       | 1,456.89     |
| 27                      | Puducherry                       | 81.4           | 24.49       | 107.2                                        | 44.36                                        | 105.1          | 4.82         |
| 28                      | Punjab                           | 267            | 22.82       | 185.14                                       | 58.97                                        | 196.29         | 58.2         |
| 29                      | Rajasthan                        | 1,267.40       | 409.71      | 877.31                                       | 213.12                                       | 877.31         | 113.38       |
| 30                      | Sikkim                           | 206.03         | -           | 98.5                                         | 31.06                                        | 14.83          | 73.51        |
| 31                      | Tamil Nadu                       | 3,644.85       | 1           | 966.32                                       | 1,226.81                                     | 1,224.30       | 583.64       |
| 32                      | Telangana                        | -              | -           | 64.74                                        | 2.38                                         | 54.95          | 10.33        |
| 33                      | Tripura                          | 73.14          | 45.53       | 210.41                                       | 86.05                                        | 202.85         | 65.66        |
| 34                      | Uttar Pradesh                    | -              | 4,240.16    | 8,097.37                                     | 5,613.32                                     | 11,691.30      | 3,474.67     |
| 35                      | Uttarakhand                      | 280            | 117.64      | 259.74                                       | 78.02                                        | 263.26         | 41.02        |
| 36                      | West Bengal                      | 4,568.13       | 2,480.82    | 6,586.68                                     | 5,276.15                                     | 7,248.67       | 1,497.11     |
|                         | Total                            | 37,582.13      | 22,022.45   | 54,709.74                                    | 34,591.24                                    | 59940.55       | 22,115.73    |