Lok Sabha Question No. 1121 (UNSTARRED), answered on 2015-12-04
Subject: Health Care for Elderly
Ministry: HEALTH AND FAMILY WELFARE
Asked by: KAUSHAL KISHORE, VINOD KUMAR BOIANAPALLI, RAJAN BABURAO  VICHARE, MEENAKASHI LEKHI, PREM DAS RAI

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

## LOK SABHA UNSTARRED QUESTION NO. 1121 TO BE ANSWERED ON 4 TH DECEMBER, 2015

## HEALTH CARE FOR ELDE RLY

## 1121. SHRI KAUSHAL KISHORE:

SHRI B. VINOD KUMAR:

SHRI RAJAN VICHARE:

SHRIMATI MEENAKASHI LEKHI:

SHRI PREM DAS RAI:

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

- (a)  whether  the  Government  has formulated  a  National  Programme  for Health  Care  of  the Elderly (NPHCE)aligned with National R ural Health Mission, if so, the details thereof;
- (b) the details of the initiatives taken and the health infrastructure put in place thereunder for easy access to preventive, curative and rehabilitative healthcare by the elderly;
- (c) the funds allocated and utilized under the scheme during each of the last three years and the current year, State/UTwise;
- (d) whether any assistance has been received from the Central Public Sector Enterprises (CPSEs) for healthcare of the elderly as part of their CSR mandated by the Companies Act, 2013 and if so, the details thereof during the above period, company-wise; and
- (e) the other measures being taken by the Government for healthcare of elderly in the country?

## ANSWER

## THE MINISTER OF HEALTH AND FAMI LY WELFARE (SHRI JAGAT PRAKASH NADDA)

- (a) & (b): Keeping  in  view  the  recommendations  made  in  the  'National  Policy  on  Older Persons' as well as the State's obligation under the 'Maintenance & Welfare of Parents & Senior Citizens  Act  2007',  the  Ministry  of  H ealth  &  Family  Welfare  ha d launched the  'National Programme for the Health Care of Elderly' (NPHCE) during 2010- 11 t o address various health related problems of elderly people .

The  major  objectives  of  the  NPHCE  are  establishment  of  Department  of  Geriatric identified Medical Institutions as Regional Geriatric Centres for different regions of t and  to  provide  dedicated  health  facilities  in  District  Hospitals,  Com munity  Health  Centres (CHCs),  Primary  Health  Centres  (PHCs)  and  Sub - Centres  (SCs)  levels  through  State  Health Society. The following facilities are being provided under the programme:

- I. Geriatric  OPD,  30  Bedded  ward  for  in - patient  care  etc.  at  Regional  Geri atric Centres.
- II. Geriatric OPD and 10 bedded Geriatric Ward at District Hospitals.
- III. Bi- weekly Geriatric Clinic at Community Health Centres (CHCs).
- IV. Weekly Geriatric Clinic at Primary Health Centres (PHCs)
- V. Provision of Aids and Appliances at Sub - centres.

As on date, a total of 104 districts of 24 States/UTs and 08 Regional Geriatric have  been  covered  under  the  programme.  Details  of  activities  undertaken  at  different under the NPHCE as per information available are enclosed at Annexure - I .

- (c): Details of funds released to the States/Union Territories during 2012 - 13 to 2014 - 15 and the current year are at Annexure - II
- (d): No.
- (e ): At present, Government had launched following programmes/schemes i.e. under which, inter alia health care facili ties are being provided to elderly people also in the country.
- I. National Programme for Prevention and Control of Cancer, Diabetes, Cardiovascular Diseases and Stroke (NPCDCS) -The programme is being implemented  under  National  Health  Mission  (NHM)  for  intervention  upto  the  distri level includes awareness generation for Cancer prevention, screenining, early det and referral to an appropriate level institution for treatment.
- II. NationalProgramme for Control of Blindness (NPCB) This programmewas launched in the year 1976 as a 100% centrally sponsored scheme with the goal of reducing prevalence  of  blindness  to  0.3%  by  2020.    Rapid  Survey  on  Avoidable  Blindnes conducted under NPCB dur ing 2006 - 07 showed reduction in the prevalence of blindness from 1.1% (2001 - 02)  to  1%  (2006 - 07.    Under  this  programme  there  are  p rovision for distribut ionof free spectacles to old persons suffering from presbyopia and free treat for cataract surgery.
- III. National Oral Health Programme: Taking into account the oral health situation in the country, Government of India has initiated a National Oral Health Programme to prov integrated,  comprehensive  oral  health  care  in  the  existing  health  care  facilitie with  a view to improve the determinants of oral health, reduce morbidity from oral dise integrate oral health promotion and provide preventive services.
- IV. National  Programme  for  Prevention  and  Control  of  Deafness  (NPPCD): This Ministry  has  launched  this  programme  on  the  pilot  phase  basis  in  the  year  20 -07(January  2007).    Under  this  programme,  hearing - aid  are  provided  as  per  synergy between Assistance to Disabled Persons (ADIP) Scheme of Ministry of Social Justice Empowe rment (MSJE) and National Programme for Prevention and Control of Deafness (NPPCD) of Ministry of Health & Family Welfare. At present, the Programme is bein implemented in 281 districts of 27 States and 6 Union Territories.

## Annexure - I tiated at different levels under the National Programme for

## Activities ini Health Care of Elderly

| Institution       |   Institutions covered under NPHCE | OPD   | Indoor wards   | Physiotherapy   |   Equipments |
|-------------------|------------------------------------|-------|----------------|-----------------|--------------|
| District Hospital |                                104 | 68    | 58             | 48              |           43 |
| CHCs              |                                832 | 403   | NA             | 171             |          334 |
| PHCs              |                               4032 | 1018  | NA             | NA              |          646 |
| SCs               |                              27173 | NA    | NA             | NA              |         4541 |

NA=Not applicable

|                                                                       |                                                                       |                                                                       |                                                                       |                                                                       |                                                                       |                                                                       |                                                                       | Annexure-II                                                           |
|-----------------------------------------------------------------------|-----------------------------------------------------------------------|-----------------------------------------------------------------------|-----------------------------------------------------------------------|-----------------------------------------------------------------------|-----------------------------------------------------------------------|-----------------------------------------------------------------------|-----------------------------------------------------------------------|-----------------------------------------------------------------------|
| NATIONAL PROGRAMME FOR HEALTH CARE OF THE ELDLERY (NPHCE)             | NATIONAL PROGRAMME FOR HEALTH CARE OF THE ELDLERY (NPHCE)             | NATIONAL PROGRAMME FOR HEALTH CARE OF THE ELDLERY (NPHCE)             | NATIONAL PROGRAMME FOR HEALTH CARE OF THE ELDLERY (NPHCE)             | NATIONAL PROGRAMME FOR HEALTH CARE OF THE ELDLERY (NPHCE)             | NATIONAL PROGRAMME FOR HEALTH CARE OF THE ELDLERY (NPHCE)             | NATIONAL PROGRAMME FOR HEALTH CARE OF THE ELDLERY (NPHCE)             | NATIONAL PROGRAMME FOR HEALTH CARE OF THE ELDLERY (NPHCE)             | NATIONAL PROGRAMME FOR HEALTH CARE OF THE ELDLERY (NPHCE)             |
| Showing Allocation/Release of fund and Expenditure (As on 31.05.2015) | Showing Allocation/Release of fund and Expenditure (As on 31.05.2015) | Showing Allocation/Release of fund and Expenditure (As on 31.05.2015) | Showing Allocation/Release of fund and Expenditure (As on 31.05.2015) | Showing Allocation/Release of fund and Expenditure (As on 31.05.2015) | Showing Allocation/Release of fund and Expenditure (As on 31.05.2015) | Showing Allocation/Release of fund and Expenditure (As on 31.05.2015) | Showing Allocation/Release of fund and Expenditure (As on 31.05.2015) | Showing Allocation/Release of fund and Expenditure (As on 31.05.2015) |
| Sl.                                                                   | Statement                                                             | Statement                                                             | Name of the States                                                    | Name of the States                                                    | Name of the States                                                    | Name of the States                                                    | Name of the States                                                    |                                                                       |
| No                                                                    |                                                                       | 2012-13                                                               |                                                                       | 2013-14                                                               |                                                                       | 2014-15                                                               | 2015-16*                                                              | Rs. In Lakhs                                                          |
|                                                                       |                                                                       | GIA Released by GOI                                                   | Expenditure Reported By the State                                     | GIA Released by GOI                                                   | Expenditure Reported By the State                                     | GIA Released by GOI                                                   | Expenditure By GIA Released by GOI                                    | Expenditure Report By the States                                      |
| s1                                                                    | Andhra Pradesh                                                        | 871.52                                                                | 0                                                                     | 0                                                                     | 1.37                                                                  | 0                                                                     | States 0 0.00                                                         | 0.00                                                                  |
| 2                                                                     | Assam                                                                 | 0                                                                     | 23.44                                                                 | 0                                                                     | 128.61                                                                | 142.27                                                                | 53.55 3333.00                                                         | 32.72                                                                 |
| 3                                                                     | Bihar                                                                 | 446.72                                                                | 13.28                                                                 | 0                                                                     | 83.02                                                                 | 150                                                                   | 134.91 597.00                                                         | 0.00                                                                  |
| 4                                                                     | Chattisgarh                                                           | 229.2                                                                 | 23.39                                                                 | 50.94                                                                 | 121.24                                                                | 99                                                                    | 49.2 526.00                                                           | 0.00                                                                  |
| 5                                                                     | Gujarat                                                               | 225.44                                                                | 85.28                                                                 | 0                                                                     | 99.5                                                                  | 215.66                                                                | 230.87 1551.00                                                        | 71.54                                                                 |
| 6                                                                     | Haryana                                                               | 0                                                                     | 65.73                                                                 | 0                                                                     | 133.86                                                                | 77.62                                                                 | 48.81 331.00                                                          | 32.83                                                                 |
| 7                                                                     | Himachal Pradesh                                                      | 0                                                                     | 0                                                                     | 0                                                                     | 19.15                                                                 | 11.85                                                                 | 68.04 263.00                                                          | 3.03                                                                  |
| 8                                                                     | Jammu& Kashmir                                                        | 0                                                                     | 218.29                                                                | 0                                                                     | 126.76                                                                | 0                                                                     | 84.94 629.00                                                          | 0.00                                                                  |
| 9                                                                     | Jharkhand                                                             | 0                                                                     | 1.28                                                                  | 0                                                                     | 20.42                                                                 | 111                                                                   | 37.77 790.00                                                          | 22.37                                                                 |
| 10                                                                    | Karnataka                                                             | 0                                                                     | 151.78                                                                | 0                                                                     | 158.3                                                                 | 170.95                                                                | 16.33 1187.00                                                         | 13.65                                                                 |
| 11                                                                    | Kerala                                                                | 470.72                                                                | 88.88                                                                 | 0                                                                     | 122.81                                                                | 150                                                                   | 749.74 467.00                                                         | 0.00                                                                  |
| 12                                                                    | Madya Pradesh                                                         | 391.84                                                                | 150.26                                                                | 0                                                                     | 237.09                                                                | 209.45                                                                | 2681.00                                                               | 35.55                                                                 |
| 13                                                                    | Maharashtra                                                           | 426.96                                                                | 412.22                                                                | 0                                                                     | 145.36                                                                | 203.64                                                                | 81.54 239.44 2375.00                                                  | 37.95                                                                 |
| 14                                                                    | Odisha                                                                | 374.56                                                                | 109.35                                                                | 33.89                                                                 | 354.15                                                                | 116                                                                   | 140.71 1065.00                                                        | 32.95                                                                 |
| 15                                                                    | Punjab                                                                | 196.24                                                                | 31.51                                                                 | 0                                                                     | 171.31                                                                | 111.36                                                                | 48.14 312.00                                                          | 0.10                                                                  |
| 16                                                                    | Rajasthan                                                             | 711.2                                                                 | 147.65                                                                | 0                                                                     | 61.94                                                                 | 87.05                                                                 | 23.15 2704.00                                                         | 476.53                                                                |
| 17                                                                    | Sikkim                                                                | 0                                                                     | 77.46                                                                 | 31.08                                                                 | 43.27                                                                 | 44                                                                    | 0 66.00                                                               | 53.10                                                                 |
| 18                                                                    | Tamil Nadu                                                            | 344.16                                                                | 0                                                                     | 0                                                                     | 0                                                                     | 0.42                                                                  | 0 1300.00                                                             | 0.00                                                                  |
| 19                                                                    | Uttarakhand                                                           | 81.04                                                                 | 56.77                                                                 | 0                                                                     | 94.14                                                                 | 0                                                                     | 11.24 624.00                                                          | 1.11                                                                  |
| 20                                                                    | Uttar Pradesh                                                         | 1855.04                                                               | 0                                                                     | 0                                                                     | 188.77                                                                | 0                                                                     | 0 3626.00                                                             | 40.66                                                                 |
| 21                                                                    | West Bengal                                                           | 231.2                                                                 | 0.95                                                                  | 0                                                                     | 88.9                                                                  | 150                                                                   | 18.58 0.00                                                            | 12.98                                                                 |
| 22                                                                    | Daman & Diu                                                           | 0                                                                     | 0                                                                     | 0                                                                     | 0                                                                     | 24.34                                                                 | 0 35.00                                                               | 0.00                                                                  |
| 23                                                                    |                                                                       | 0                                                                     |                                                                       |                                                                       |                                                                       |                                                                       |                                                                       |                                                                       |
|                                                                       | Lakshdweep                                                            |                                                                       | 0                                                                     | 0                                                                     | 0                                                                     | 95.66                                                                 | 0 0.00                                                                | 0.00                                                                  |
| 24                                                                    | Mizoram Total                                                         | 0 6855.84                                                             | 0 1657.52                                                             | 0 115.91                                                              | 0 2399.97                                                             | 119.06 2289.33                                                        | 0 137.00 2036.96 24599.00                                             | 0.00 867.07                                                           |