Lok Sabha Question No. 1387 (UNSTARRED), answered on 2023-07-28
Subject: Sharp Rise in Cases of Non-communicable Diseases
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Manjulata Mandal, Amol Ramsing Kolhe, DNV Senthilkumar. S., Supriya Sadanand Sule, Ganesan Selvam, C.N. Annadurai, Kuldeep Rai Sharma, Subhash Ramrao Bhamre

## GOVERNMENT OFINDIA MINISTRY OFHEALTH AND FAMILY WELFARE DEPARTMENT OFHEALTH AND FAMILY WELFARE

## LOK SABHA UNSTARRED QUESTION NO. 1387 TO BE ANSWERED ON 28 th JULY, 2023

## SHARPRISE IN CASES OF NON-COMMUNICABLE DISEASES

## 1387. SHRIMATI MANJULATAMANDAL:

DR. AMOLRAMSING KOLHE:

DR. DNV SENTHILKUMAR S.:

SHRIMATI SUPRIYA SULE:

SHRI SELVAM G.:

SHRI C.N. ANNADURAI:

SHRI KULDEEPRAI SHARMA:

DR. SUBHASH RAMRAO BHAMRE:

Will the MINISTER OF HEALTH AND FAMILYWELFARE be pleased to state:

- (a) whether there has been a rapid increase in cases of non-communicable diseases, particularly heart diseases, diabetes, and obesity in the country;
- (b) if so, the details thereof, State/UT-wise along with the action taken/proposed to be taken by the Government in this regard;
- (c) the steps taken/proposed to be taken by the Government to create awareness about noncommunicable diseases and decrease the mortality rate due to these diseases in the country;
- (d) whether the Government is committed to the target set under the National Action Plan for Prevention and Control of Non-Communicable Diseases (NCDs);
- (e) if so, the details thereof; and
- (f) the progress made in achieving the said targets and if so, the details thereof?

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

## (PROF. SATYA PAL SINGH BAGHEL)

- (a) to (c): As per Indian Council of Medical Research (ICMR) study report 'India: Health of the Nation's States', the burden of Non-communicable Diseases (NCDs) like cancer, diabetes, cardiovascular diseases (CVDs) & stroke have increased in India from 1990 to 2016. The contribution of major NCDs to total deaths and total Disability-Adjusted Life Years (DALYs) is given in the table below:

| Name of the disease group   | Contribution to total deaths   | Contribution to total deaths   | Contribution to total DALYs   | Contribution to total DALYs   |
|-----------------------------|--------------------------------|--------------------------------|-------------------------------|-------------------------------|
| Name of the disease group   | 1990                           | 2016                           | 1990                          | 2016                          |
| All NCDs                    | 37.9%                          | 61.8%                          | 30.5%                         | 55.4%                         |
| CVDs                        | 6.9%                           | 14.1%                          | 15.2%                         | 28.1%                         |
| Stroke                      | N/A                            | N/A                            | 2.0%                          | 3.5%                          |
| Cancer                      | 4.15%                          | 8.3%                           | 2.5%                          | 5.0%                          |
| Diabetes                    | 10.0%*                         | 23.1%*                         | 5.5%**                        | 7.7%**                        |

## [Complete report is available at

https://www.healthdata.org/sites/default/files/files/policy\_report/2017/India\_Health\_of\_the\_Nation%2 7s\_States\_Report\_2017.pdf ].

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 Non Communicable Diseases (NP-NCD) as part of National Health Mission (NHM), based on the proposals received from the States/UTs and subject to the resource envelope. The programme focusses on strengthening infrastructure, human resource development, health promotion & awareness generation for prevention, early diagnosis, management and referral to an appropriate level of healthcare facility for treatment of the Non-Communicable Diseases (NCDs). Under NP-NCD, 724 District NCD Clinics, 210 Cardiac Care Centre, and 6110 Community Health Center NCD Clinics have been set up.

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. Preventive aspect of NCDs 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.

Further initiatives for increasing public awareness about NCDs and for promotion of healthy lifestyle includes observation of National & International Health Days and use of print, electronic and social media for continued community awareness. Furthermore, healthy eating is also promoted through 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, NP-NCD gives financial support under NHM for awareness generation (IEC) activities for NCDs to be undertaken by the States/UTs as per their Programme Implementation Plans (PIPs).

(d) to (f): As per Ayushman Bharat Health and Wellness Centre portal (FY 2022-23), the achievements with respect to NP-NCD are provided below:

|   S.No. | Name of the Indicator                   | Achievement   |
|---------|-----------------------------------------|---------------|
|       1 | Health and Wellness Centres Operational | 1,59,212      |
|       2 | Hypertension Screening                  | 35.46 Cr.     |
|       3 | Diabetes Screening                      | 30.75 Cr.     |
|       4 | Oral Cancer Screening                   | 20.97 Cr.     |
|       5 | Breast Cancer Screening                 | 9.83 Cr.      |
|       6 | Cervical Cancer Screening               | 6.72 Cr.      |