Lok Sabha Question No. 125 (STARRED), answered on 2023-07-28
Subject: PM National Dialysis Programme (PMNDP)
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Dileshwar Kamait

## GOVERNMENT OFINDIA MINISTRY OF HEALTH AND FAMILY WELFARE DEPARTMENTOFHEALTH AND FAMILYWELFARE

## LOKSABHA STARRED QUESTION NO. 125 TO BE ANSWERED ON THE 28 TH JULY, 2023

## PM NATIONALDIALYSIS PROGRAMME (PMNDP)

## *125. SHRI DILESHWAR KAMAIT:

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

- (a) whether Pradhan Mantri National Dialysis Programme (PMNDP) has been implemented in the country, particularly in Bihar, Jharkhand, West Bengal and Uttar Pradesh and if so, the details and the current status thereof, State/UT-wise;

(b) the total amount spent on each patient of Chronic Kidney Disease along with the number of beneficiaries who have availed dialysis sessions under the programme during each of the last three years and the current year, particularly in Bihar, Jharkhand and West Bengal;

(c) the challenges faced by the Government while implementing the programme;

- (d) whether the PMNDP has not been implemented in some States and if so, the reasons therefor and the efforts made by the Government to implement PMNDP in such States/UTs;

(e) whether the number of dialysis machines in the country is less than the actual requirement, if so, the details thereof and the reasons therefor; and

(f) the steps taken/being taken by the Government to effectively implement PMNDP in the country?

## ANSWER THE MINISTER OF HEALTH AND FAMILY WELFARE

## (DR MANSUKH MANDAVIYA)

(a) to ( f) A Statement is laid on the Table of the House.

## STATEMENT REFERRED TO IN REPLY TO LOK SABHA STARRED QUESTION NO. 125 FOR 28 TH JULY, 2023

(a) to (f): Pradhan Mantri National Dialysis Programme (PMNDP) for Chronic Kidney Disease (CKD) patients ensures availability of dialysis services in all the district hospitals in the country free of cost to all BPL beneficiaries. PMNDP is operational in both Public-Private Partnership (PPP) mode and in-house mode.

PMNDPhas been implemented in the country in all the 36 States/UT including Bihar, Jharkhand, West Bengal and Uttar Pradesh in 686 Districts at 1403 centres by deploying 9477 hemo-dialysis machines. Total 19.58 lakh patients availed dialysis services and 217.75 Lakh Hemo-dialysis sessions heldas on 30th June 2023. State-wise details are available at Annexure-1.

Pradhan Mantri National Dialysis Programme (PMNDP) portal is developed with the objective to build renal registries in the states/UTs with portability of dialysis services under the 'One Nation-One Dialysis' concept. The portal is operational across the states in the country.

National Health Mission (NHM) supports States/UTs in implementation of Haemodialysis and Peritoneal Dialysis services under PMNDP through the annual Programme Implementation Plan (PIP).

State-wise Expenditure for "PMNDP" under National Health Mission (NHM) during the F .Y.2020-21 to 2022-23 is given at Annexure-2.

|                                                                                       |                                                                                       |                                                                                       |                                                                                       |                                                                                       |                                                                                       |                                                                                       |                                                                                       | Annexure-1                                                                            |
|---------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------|
| PRADHAN MANTRI NATIONALDIALYSIS PROGRAM NATIONALPROGRESS REPORT as on 30th June, 2023 | PRADHAN MANTRI NATIONALDIALYSIS PROGRAM NATIONALPROGRESS REPORT as on 30th June, 2023 | PRADHAN MANTRI NATIONALDIALYSIS PROGRAM NATIONALPROGRESS REPORT as on 30th June, 2023 | PRADHAN MANTRI NATIONALDIALYSIS PROGRAM NATIONALPROGRESS REPORT as on 30th June, 2023 | PRADHAN MANTRI NATIONALDIALYSIS PROGRAM NATIONALPROGRESS REPORT as on 30th June, 2023 | PRADHAN MANTRI NATIONALDIALYSIS PROGRAM NATIONALPROGRESS REPORT as on 30th June, 2023 | PRADHAN MANTRI NATIONALDIALYSIS PROGRAM NATIONALPROGRESS REPORT as on 30th June, 2023 | PRADHAN MANTRI NATIONALDIALYSIS PROGRAM NATIONALPROGRESS REPORT as on 30th June, 2023 | PRADHAN MANTRI NATIONALDIALYSIS PROGRAM NATIONALPROGRESS REPORT as on 30th June, 2023 |
| S.No.                                                                                 | State Name                                                                            | Operation 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                                             | Cumulative No. of patients registered                                                 | Cumulative No. of Dialysis sessions held                                              |
| 1                                                                                     | A&N lslands                                                                           | In-house                                                                              | 3                                                                                     | 3                                                                                     | 7                                                                                     | 38                                                                                    | 6715                                                                                  | 61938                                                                                 |
| 2                                                                                     | Andhra Pradesh                                                                        | PPP                                                                                   | 26                                                                                    | 23                                                                                    | 40                                                                                    | 526                                                                                   | 174987                                                                                | 2098505                                                                               |
| 3                                                                                     | Arunachal Pradesh                                                                     | PPP                                                                                   | 25                                                                                    | 15                                                                                    | 9                                                                                     | 32                                                                                    | 2012                                                                                  | 213064                                                                                |
| 4                                                                                     | Assam                                                                                 | PPP                                                                                   | 33                                                                                    | 30                                                                                    | 38                                                                                    | 238                                                                                   | 55690                                                                                 | 608276                                                                                |
| 5                                                                                     | Bihar                                                                                 | PPP                                                                                   | 38                                                                                    | 38                                                                                    | 38                                                                                    | 252                                                                                   | 35361                                                                                 | 415382                                                                                |
| 6                                                                                     | Chandigarh                                                                            | In-house                                                                              | 1                                                                                     | 1                                                                                     | 1                                                                                     | 2                                                                                     | 190                                                                                   | 3550                                                                                  |
| 7                                                                                     | Chhattisgarh                                                                          | PPP                                                                                   | 28                                                                                    | 22                                                                                    | 23                                                                                    | 107                                                                                   | 4748                                                                                  | 101003                                                                                |
| 8 (a)                                                                                 | D&N Haveli                                                                            | In-house                                                                              | 1                                                                                     | 1                                                                                     | 1                                                                                     | 9                                                                                     | 1717                                                                                  | 36085                                                                                 |
| 8 (b)                                                                                 | Daman & Diu                                                                           | In house                                                                              | 2                                                                                     | 2                                                                                     | 1                                                                                     | 5                                                                                     | 471                                                                                   | 13781                                                                                 |
| 9                                                                                     | Delhi                                                                                 | PPP                                                                                   | 11                                                                                    | 8                                                                                     | 7                                                                                     | 70                                                                                    | 7917                                                                                  | 141625                                                                                |
| 10                                                                                    | Goa                                                                                   | PPP                                                                                   | 2                                                                                     | 2                                                                                     | 14                                                                                    | 132                                                                                   | 39320                                                                                 | 309091                                                                                |
| 11                                                                                    | Gujarat                                                                               | In-house                                                                              | 33                                                                                    | 33                                                                                    | 260                                                                                   | 1249                                                                                  | 156843                                                                                | 1537003                                                                               |
| 12                                                                                    | Haryana                                                                               | PPP                                                                                   | 22                                                                                    | 22                                                                                    | 21                                                                                    | 204                                                                                   | 68382                                                                                 | 552441                                                                                |
| 13                                                                                    | Himachal Pradesh                                                                      | PPP                                                                                   | 12                                                                                    | 12                                                                                    | 23                                                                                    | 117                                                                                   | 56780                                                                                 | 339468                                                                                |
| 14                                                                                    | Jammu & Kashmir                                                                       | In-house                                                                              | 20                                                                                    | 20                                                                                    | 22                                                                                    | 130                                                                                   | 27722                                                                                 | 193408                                                                                |
| 15                                                                                    | Jharkhand                                                                             | PPP                                                                                   | 24                                                                                    | 24                                                                                    | 24                                                                                    | 84                                                                                    | 12867                                                                                 | 184411                                                                                |
| 16                                                                                    | Karnataka                                                                             | PPP                                                                                   | 31                                                                                    | 31                                                                                    | 167                                                                                   | 551                                                                                   | 251203                                                                                | 2269547                                                                               |
| 17                                                                                    | Kerala                                                                                | In-house                                                                              | 14                                                                                    | 14                                                                                    | 105                                                                                   | 1120                                                                                  | 196946                                                                                | 1924684                                                                               |
| 18                                                                                    | Ladakh                                                                                | In-house                                                                              | 2                                                                                     | 2                                                                                     | 2                                                                                     | 10                                                                                    | 67                                                                                    | 4726                                                                                  |
| 19                                                                                    | Lakshadwee p                                                                          | In-house &PPP                                                                         | 1                                                                                     | 1                                                                                     | 2                                                                                     | 3                                                                                     | 81                                                                                    | 7063                                                                                  |
| 20                                                                                    | Madhya Pradesh                                                                        | PPP                                                                                   | 52                                                                                    | 52                                                                                    | 61                                                                                    | 303                                                                                   | 28532                                                                                 | 595366                                                                                |
| 21                                                                                    | Maharashtra                                                                           | In-house                                                                              | 36                                                                                    | 29                                                                                    | 53                                                                                    | 358                                                                                   | 77245                                                                                 | 549149                                                                                |
| 22                                                                                    | Manipur                                                                               | In-house                                                                              | 16                                                                                    | 9                                                                                     | 9                                                                                     | 40                                                                                    | 17926                                                                                 | 66764                                                                                 |
| 23                                                                                    | Meghalaya                                                                             | In-house                                                                              | 11                                                                                    | 5                                                                                     | 2                                                                                     | 6                                                                                     | 304                                                                                   | 1975                                                                                  |
| 24                                                                                    | Mizoram                                                                               | In-house                                                                              | 11                                                                                    | 7                                                                                     | 4                                                                                     | 24                                                                                    | 5315                                                                                  | 39980                                                                                 |
| 25                                                                                    | Nagaland                                                                              | In-house                                                                              | 12                                                                                    | 6                                                                                     | 4                                                                                     | 15                                                                                    | 1833                                                                                  | 24064                                                                                 |
| 26                                                                                    | Odisha                                                                                | In-house &PPP                                                                         | 30                                                                                    | 30                                                                                    | 36                                                                                    | 345                                                                                   | 29282                                                                                 | 722961                                                                                |
| 27                                                                                    | Puducherry                                                                            | In-house                                                                              | 4                                                                                     | 2                                                                                     | 2                                                                                     | 25                                                                                    | 631                                                                                   | 45987                                                                                 |
| 28                                                                                    |                                                                                       | In-house                                                                              | 23                                                                                    | 22                                                                                    |                                                                                       |                                                                                       | 29011                                                                                 | 173238                                                                                |
|                                                                                       | Punjab                                                                                | PPP&                                                                                  |                                                                                       |                                                                                       | 34                                                                                    | 115                                                                                   |                                                                                       |                                                                                       |
| 29                                                                                    | Rajasthan                                                                             | In-house                                                                              | 33                                                                                    | 33                                                                                    | 35                                                                                    | 123                                                                                   | 57363                                                                                 | 388412                                                                                |

| 30   | Sikkim        | In-house                  |   4 |   4 |    4 |   35 |    1919 |    72566 |
|------|---------------|---------------------------|-----|-----|------|------|---------|----------|
| 31   | Tamil Nadu    | In-house &PPP(08 Centres) |  38 |  38 |  130 | 1134 |  110026 |  2173389 |
| 32   | Telangana     | PPP                       |  33 |  31 |   74 |  537 |  101803 |  1110787 |
| 33   | Tripura       | PPP&In house              |   8 |   7 |    8 |   42 |    4878 |   168326 |
| 34   | Uttar Pradesh | PPP                       |  75 |  72 |   72 |  884 |   34508 |  1768200 |
| 35   | Uttarakhand   | In-house &PPP             |  13 |  13 |   18 |  139 |   12826 |   441483 |
| 36   | West Bengal   | PPP& In-House             |  23 |  22 |   52 |  473 |  344524 |  2417634 |
|      |               |                           | 751 | 686 | 1403 | 9477 | 1957945 | 21775332 |

| State/UT   | State/UT                 | FY2020-21 Expenditure   | FY2021-22 Expenditure   | FY2022-23 Expenditure   | (Rs. In Lakhs) FY2023-24 Expenditure   |
|------------|--------------------------|-------------------------|-------------------------|-------------------------|----------------------------------------|
| S.No.      |                          |                         |                         |                         |                                        |
| 1          | Andaman &Nicobar Islands | 0.00                    | 0.00                    | 0.00                    | 0.00                                   |
| 2          | Andhra Pradesh           | 0.00                    | 3592.73                 | 4061.58                 | 2617.73                                |
| 3          | Arunachal Pradesh        | 139.82                  | 263.00                  | 405.90                  | 0.00                                   |
| 4          | Assam                    | 1037.21                 | 801.84                  | 1587.45                 | 0.00                                   |
| 5          | Bihar                    | 0.00                    | 907.13                  | 2597.89                 | 488.83                                 |
| 6          | Chandigarh               | 0.00                    | 1.44                    | 0.02                    | 0.00                                   |
| 7          | Chhattisgarh             | 0.00                    | 188.10                  | 617.78                  | 1.57                                   |
| 8          | Dadra &Nagar Haveli      | 0.00                    | 0.00                    | 0.00                    | 0.00                                   |
| 9 10       | Daman &Diu Delhi         | 0.00                    | 429.29                  | 416.76                  | 84.95                                  |
| 11         | Goa                      | 0.00                    | 198.33                  | 937.74                  | 1.65                                   |
| 12         | Gujarat                  | 0.00                    | 2000.00                 | 1869.73                 | 0.98                                   |
| 13         | Haryana                  | 0.00                    | 199.24                  | 243.71                  | 13.72                                  |
| 14         | Himachal Pradesh         | 0.00                    | 125.11                  | 10.78                   | 2.77                                   |
| 15         | Jammu and Kashmir        | 0.00                    | 302.69                  | 67.57                   | 0.00                                   |
| 16         | Jharkhand                | 6.16                    | 0.00                    | 324.04                  | 13.15                                  |
| 17         | Karnataka                | 3038.72                 | 2971.88                 | 3413.39                 | 690.56                                 |
| 18         | Kerala                   | 1.25                    | 3.19                    | 401.89                  | 248.77                                 |
| 19         | Ladakh                   | 22.76                   | 55.12                   | 89.71                   | 0.00                                   |
| 20         | Lakshadweep              | 0.00                    | 0.00                    | 0.00                    | 0.00                                   |
| 21         | Madhya Pradesh           | 475.58                  | 599.92                  | 1704.39                 | 79.30                                  |
| 22         | Maharashtra              | 0.00                    | 16.80                   | 466.76                  | 22.14                                  |
| 23         | Manipur                  | 47.70                   | 15.00                   | 334.05                  | 30.99                                  |
| 24         | Meghalaya                | 50.00                   | 0.00                    | 74.31                   | 0.56                                   |
| 25         | Mizoram                  | 0.00                    | 0.00                    | 0.00                    | 0.00                                   |
| 26         | Nagaland                 | 0.00                    | 101.37                  | 133.24                  | 13.16                                  |
| 27         | Odisha                   | 1473.25                 | 1908.10                 | 2202.31                 | 107.60                                 |
| 28         | Puducherry               | 0.00                    | 24.49                   | 44.36                   | 0.02                                   |
| 29         | Punjab                   | 0.00                    | 22.82                   | 58.97                   | 0.00                                   |
| 30         | Rajasthan                | 481.67                  | 409.71                  | 213.12                  | 3.68                                   |
| 31         | Sikkim                   | 0.00                    | 0.00                    | 31.06                   | 0.00                                   |
| 32         | Tamil Nadu               | 0.00                    | 1.00                    | 1226.81                 | 79.75                                  |
| 33         | Telangana                | 0.00                    | 0.00                    | 2.38                    | 1.02                                   |

| 34                                                                                                                                                                                                                                                                                                           | Tripura                                                                                                                                                                                                                                                                                                      | 16.38                                                                                                                                                                                                                                                                                                        | 45.53                                                                                                                                                                                                                                                                                                        | 86.05                                                                                                                                                                                                                                                                                                        | 2.61                                                                                                                                                                                                                                                                                                         |
|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| 35                                                                                                                                                                                                                                                                                                           | Uttar Pradesh                                                                                                                                                                                                                                                                                                | 3416.83                                                                                                                                                                                                                                                                                                      | 4240.16                                                                                                                                                                                                                                                                                                      | 5613.32                                                                                                                                                                                                                                                                                                      | 7.30                                                                                                                                                                                                                                                                                                         |
| 36                                                                                                                                                                                                                                                                                                           | Uttarakhand                                                                                                                                                                                                                                                                                                  | 9.53                                                                                                                                                                                                                                                                                                         | 117.64                                                                                                                                                                                                                                                                                                       | 78.02                                                                                                                                                                                                                                                                                                        | 0.00                                                                                                                                                                                                                                                                                                         |
| 37                                                                                                                                                                                                                                                                                                           | West Bengal                                                                                                                                                                                                                                                                                                  | 0.00                                                                                                                                                                                                                                                                                                         | 2480.82                                                                                                                                                                                                                                                                                                      | 5276.15                                                                                                                                                                                                                                                                                                      | 7.09                                                                                                                                                                                                                                                                                                         |
| Note:                                                                                                                                                                                                                                                                                                        |                                                                                                                                                                                                                                                                                                              |                                                                                                                                                                                                                                                                                                              |                                                                                                                                                                                                                                                                                                              |                                                                                                                                                                                                                                                                                                              |                                                                                                                                                                                                                                                                                                              |
| 1. The above Figures are as per the available Financial Management Report (FMR) reported by State/UTs. It is updated upto 31.05.2023 and is provisional. (except Punjab and Ladakh) 2. After the Reorganisation of the State of Jammu and Kashmir (J&K) into the Union Territory of J&KandUnion Territory of | 1. The above Figures are as per the available Financial Management Report (FMR) reported by State/UTs. It is updated upto 31.05.2023 and is provisional. (except Punjab and Ladakh) 2. After the Reorganisation of the State of Jammu and Kashmir (J&K) into the Union Territory of J&KandUnion Territory of | 1. The above Figures are as per the available Financial Management Report (FMR) reported by State/UTs. It is updated upto 31.05.2023 and is provisional. (except Punjab and Ladakh) 2. After the Reorganisation of the State of Jammu and Kashmir (J&K) into the Union Territory of J&KandUnion Territory of | 1. The above Figures are as per the available Financial Management Report (FMR) reported by State/UTs. It is updated upto 31.05.2023 and is provisional. (except Punjab and Ladakh) 2. After the Reorganisation of the State of Jammu and Kashmir (J&K) into the Union Territory of J&KandUnion Territory of | 1. The above Figures are as per the available Financial Management Report (FMR) reported by State/UTs. It is updated upto 31.05.2023 and is provisional. (except Punjab and Ladakh) 2. After the Reorganisation of the State of Jammu and Kashmir (J&K) into the Union Territory of J&KandUnion Territory of | 1. The above Figures are as per the available Financial Management Report (FMR) reported by State/UTs. It is updated upto 31.05.2023 and is provisional. (except Punjab and Ladakh) 2. After the Reorganisation of the State of Jammu and Kashmir (J&K) into the Union Territory of J&KandUnion Territory of |