Lok Sabha Question No. 2250 (UNSTARRED), answered on 2016-05-06
Subject: TB Treatment and Research
Ministry: HEALTH AND FAMILY WELFARE
Asked by: DHARAM VIRA GANDHI, PRALHAD VENKATESH JOSHI, RAHUL KASWAN, HARISH CHANDRA MEENA

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

## LOK SABHA UNSTARRED QUESTION NO. 2250 TO BE ANSWERED ON 6 TH MAY, 2016

## TB TREATMENT AND RES EARCH

## 2250. SHRI DHARAM VIRA:

SHRI PRALHAD JOSHI:

SHRI RAHUL KASWAN:

SHRI HARISH MEENA:

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

- (a) whether a major percentage of patients access the private hospitals for TB diagnosis and care and if so, the details thereof;
- (b) whether there is any mechanism devised by the Government to ensure that these TB patients receive standardised care as per Revised National Tuberculosis Control Program (RNTCP)/World HealthOrganisation (WHO) guidelines and if so, the details thereof;
- (c)  the  details  of  commi tments  of Government  towards  'End  TB  Strategy' and  achievements made so far in this regard;
- (d)  whether  the  funds  allocated  under RNTCP  for  TB  treatment  and  research  are inadequate causing impediment in mplementing the programme, if so, the details there of during the last three years, State/UT - wise; and
- (e)  the  present  status  of  TB  research vaccines,  diagnostics  and  drugs  and  its presence  under 'Make in India'?

## ANSWER

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

- (a)& (b): No such data is maintained centrally.

TB  cases  are  being  treated  in  the  public  sector  under  Revised  National  Tubercul Control  Programme  (RNTCP)  and  for  this  purpose  guidelines  and  standards  have  been prescribed. Standard for Tuberculosis Care in Indi a were finalized by Government and released in the year 2014 and is the Standard for private sector also.

(c): 'End TB Strategy' is for the period beyond 2015 till 2035 and has endorsed this strategy with,

- Integrated patient centered care and prevention
- bold policies and support systems
- Intensified research and innovation

The estimated prevalence, incidence and mortality as per the WHO Global TB Repor (2015)  for  India  has  reduced  to  195/lakh,167/lakh  and  17/lakh  population  compared 211/lakh,171/lak h and 19/lakh reported in 2014 WHO Global TB Report.

(d): Allocation  for  the  Revised  National  Tuberculosis  Control  Programme  is  part  of National Health Mission communicable disease flexipool. Funds are allocated after evalu the  programme  implemen tation  plan.    Sufficient  funds  have  been  provided  to  the  Sta governments for activities in their programme implementation plans.

Details of the funds allocated to the states during the last three year are annexed.

(e): Several new TB vaccines and anti - t uberculosis diagnosis kits are in advanced stages of evaluation.

## State/UT wise Allocation (in Lakhs)

| Sl.No.   | Name of the State / UT   | 2013-14            | 2014-15            | 2015-16            |
|----------|--------------------------|--------------------|--------------------|--------------------|
| 1        | Andhra Pradesh           | Allocation 4907.34 | Allocation 2861.96 | Allocation 2200.34 |
| 2        | Andaman & Nicobar        | 87.15              | 87.15              | 90.9               |
| 3        | Arunachal Pradesh        | 565.36             | 565.36             | 552.32             |
| 4        | Assam                    | 4303.74            | 4303.74            | 2527.13            |
| 5        | Bihar                    | 4094.59            | 4094.59            | 2963.81            |
| 6        | Chandigarh               | 154.54             | 154.54             | 156.14             |
| 7        | Chattisgarh              | 1440.6             | 1440.6             | 1401.08            |
| 8        | D & N Haveli             | 68.05              | 68.05              | 72.03              |
| 9        | Daman & Diu              | 43.47              | 43.47              | 45.98              |
| 10       | Delhi                    | 1820.02            | 1820.02            | 1705.12            |
| 11       | Goa                      | 116.34             | 116.34             | 127.78             |
| 12       | Gujarat                  | 4857.52            | 4857.52            | 3298.04            |
| 13       | Haryana                  | 1292.26            | 1292.26            | 1207.93            |
| 14       | Himachal Pradesh         | 581.22             | 581.22             | 837.57             |
| 15       | Jammu & Kashmir          | 943.43             | 943.43             | 1038.26            |
| 16       | Jharkhand                | 1783.56            | 1783.56            | 1512.16            |
| 17       | Karnataka                | 3195.23            | 3195.23            | 3186.19            |
| 18       | Kerala                   | 1440.91            | 1440.91            | 1395.33            |
| 19       | Lakshadweep              | 35.39              | 35.39              | 37.95              |
| 20       | Madhya Pradesh           | 3081.84            | 3081.84            | 2880.71            |
| 21       | Maharashtra              | 6657.74            | 6657.74            | 8085.75            |
| 22       | Manipur                  | 657.22             | 657.22             | 524.57             |
| 23       | Meghalaya                | 550.67             | 550.67             | 427.62             |
| 24       | Mizoram                  | 414.39             | 414.39             | 392.75             |
| 25       | Nagaland                 | 596.41             | 596.41             | 460.49             |
| 26       | Orissa                   | 2141.81            | 2141.81            | 1991.54            |
| 27       | Puducherry               | 183.56             | 183.56             | 187.88             |
| 28       | Punjab                   | 1207.19            | 1207.19            | 1273.22            |
| 29       | Rajasthan                | 3653.38            | 3653.38            | 2792.23            |
| 30       | Sikkim                   | 242.98             | 242.98             | 426.92             |
| 31       | Tamilnadu                | 3131.84            | 3131.84            | 3367.31            |
| 32       | Tripura                  | 583.71             | 583.71             | 290.2              |
| 33       | Uttar Pradesh            | 7631.54            | 7631.54            | 7350.9             |
| 34       | Uttrakhand               | 661.14             | 661.14             | 651.62             |
| 35       | West Bengal              | 3834.82            | 3834.82            | 3187.7             |
| 36       | Telangana                |                    | 2045.38            | 1672.53            |
| Total    | Total                    | 66960.96           | 66960.96           | 60320              |