Lok Sabha Question No. 1068 (UNSTARRED), answered on 2016-04-29
Subject: Treatment Facilities for Cancer, TB and Lung Disorders
Ministry: HEALTH AND FAMILY WELFARE
Asked by: P.R. SUNDARAM

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

## LOK SABHA UNSTARRED  QUESTION NO. 1068 TO BE ANSWERED ON 29 TH APRIL, 2016

## TREATMENT FACILITIES FOR CANCER, TB AND LUNG DISORDERS

## 1068. SHRI P.R. SUNDARAM:

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

- (a)  whether  the  Government  has provided  adequate  financial,  infrastructural and  manpower facilities to record and maintain cancer and tuberculosis patient registry in the Gover nment run hospitals in various States/UTs;
- (b)  if  so,  the  details  thereof  indicating the  medical  facilities  and  funds  provided  to various States/UTs  for  the  treatment  of poor  TB  and  cancer  patients  and  also  to support  non - profit organisations to promotecancer awareness; and
- (c)  the  further  measures  taken  by  the Government  to  establish  more  screening and  testing facilities for identifying patients suffering from cancer, tuberculosis and lung disorders and for their subsequent treatments?

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

(a) to (c ): National  Cancer  Registry  Programme  (NCRP)  under  the  Indian  Council  of Medical Research (ICMR) has 29 Population Based and 29 Hospital Based Registries which maintain data related to Cancer in the country. Under the Revised National Tuberculosis Contro Programme (RNTCP), in addition to the Tuberculosis registers at TB Unit level, a case -based web  based  system  named  NIKSHAY  is  being  used  for  capturing  the  details  of  TB  patient R NTCP supports provision of computers and peripherals to all the RNTCP districts along data entry operators at district level. Notification of all TB cases has been made mandat

As informed by ICMR, total grants received by National Centre for Dis ease Informatics and Research (NCDIR), which coordinates NCRP, for the financial years 2013 - 14, 2014 - 15 and 2015- 16 is Rs. 6.52 crores. In addition, Rs. 42.32 crores budget has been sanctioned b 2013- 16 and the current year for Hospital Based Cancer Registries in erstwhile Regional Cancer Centres.

While Health is a State subject, the Central Government supplements the efforts o State  Governments  for  providing  healthcare  including  prevention,  diagnosis  and  treatme various diseases.  At presen t, the National Programme for Prevention and Control of Cancer, Diabetes, Cardiovascular Diseases and Stroke (NPCDCS), being implemented under National Health Mission (NHM) for interventions upto the district level, includes awareness gene for Cancer prevention, screening, early detection and referral to an appropriate level in for treatment.  Suspected cases are to be referred for confirmatory diagnosis by vario including  histopathological  biopsy. M re  than  200  NCD  clinics  have  been established  under NPCDCS which inter alia are tasked to carry out screening for common cancer viz. Breast, and  Cervical    Cancer.  To  further  enhance  the  facilities  for  tertiary  Care  of  can Government  is  also  implementing  a  scheme  to  support  the establishment  of  State  Cancer Institutes and Tertiary Care Cancer Centres across the country. Statement showing rele funds under NPCDCS and Tertiary Care for Cancer scheme are at Annexure I & II .

In  addition  to  the  State  Government  Health  Institutio ns  the  Central  Government Institutions  such  as  All  India  Institute  of  Medical      Sciences,  Safdurjung  Hospital, Manohar  Lohia  Hospital,  PGIMER  Chandigarh,  JIPMER  Puducherry,  Regional  Institute  of Medical  Sciences,  Imphal,  NEIGHRIMS  Shillong  etc.  prov ide  facilities  for  diagnosis  and treatment of Cancer and Lung diseases. Oncology in its various aspects has focus in case AIIMS  and  many  upgraded  institutions  under  Pradhan  Mantri  Swasthya  Suraksha  Yojna (PMSSY).      Setting  up  of  National  Cancer  Inst itute  at  Jhajjar  (Haryana)  and  2nd  campus  of Chittranjan National Cancer Institute, Kolkata has also been approved.

Under the Revised National Tuberculosis Control programme (RNTCP), diagnostic and treatment facilities are provided free of cost to all TB patients. Designated Microscopy Centers (DMC) have been established for quality diagnosis for every one lakh population in the g areas  and  for  50,000  population  in  the  tribal,  hilly  and  difficult  areas.  Diagnosis Resistant  TB  is  being  underta ken  at  64  Culture  &  Drug  Susceptibility  Testing  (C - DST) laboratories, of which 51 laboratories are also equipped with rapid molecular test name Probe  Assay  (LPA).  Additionally,  Cartridge  Based  Nucleic  Acid  Amplification  Techniqu (CBNAAT) Test Machines have been installed across the country. The funds released to States and UTs, under RNTCP for the year 2013 -14, 2014 - 15 and 2015 - 16 are at Annexure III .

Financial  assistance  to  Below  Poverty  Line  (BPL)  patients  is  available  under Rashtriya Arogya  Nidhi  (RAN).    Besides  this,  the  Health  Minister's  Cancer  Patient  Fund (HMCPF)  within  the  Rashtriya  Arogya  Nidhi  has  been  set  up  in  2009  wherein    erstwhil Regional  Cancer  Centres  (RCCs)  are  provided  with  revolving  funds  to  provide  financ assistan ce upto Rs.2.00 lakh to BPL Cancer patients.

Electronic  and  Print  media  is  utilized  for  awareness  for  cancer.  Public  awar regarding health promotion and prevention of NCDs through social mobilization by involvem of  self  help  groups,  community leaders,  NGOs  etc.  can  be  undertaken  by  the  States  under NPCDCS.

## STATEMENT SHOWING RELEASE OF FUNDS UNDER NATIONAL PROGRAMME FOR PREVENTION AND CONTROL OF CANCER, DIABETES, CARDIOVASCLAR DISEASES AND STROKE (NPCDCS)

| Sl. No   | Name of State       | (Amount in Lakh)   | (Amount in Lakh)   |
|----------|---------------------|--------------------|--------------------|
|          |                     | 2013-14            | 2014-15            |
| 1        | Andhra Pradesh      | 0.00               | 561.00             |
| 2        | Assam               | 1714.00            | 579.00             |
| 3        | Bihar               | 972.00             | 1208.00            |
| 4        | Chhattisgarh        | 0.00               | 504.00             |
| 5        | Gujarat             | 0.00               | 666.00             |
| 6        | Haryana             | 0.00               | 799.00             |
| 7        | Himachal Pradesh    | 0.00               | 0.00               |
| 8        | Jharkhand           | 332.00             | 835.00             |
| 9        | Jammu &Kashmir      | 0.00               | 913.00             |
| 10       | Karnataka           | 0.00               | 976.00             |
| 11       | Kerala              | 0.00               | 545.00             |
| 12       | Madhya Pradesh      | 462.00             | 1694.00            |
| 13       | Maharashtra         | 586.00             | 1289.00            |
| 14       | Odisha              | 0.00               | 1234.00            |
| 15       | Punjab              | 0.00               | 803.00             |
| 16       | Rajasthan           | 59.00              | 1180.00            |
| 17       | Sikkim              | 0.00               | 176.00             |
| 18       | Tamil Nadu          | 89.00              | 1355.00            |
| 19       | Uttrakhand          | 0.00               | 545.00             |
| 20       | Uttar Pradesh       | 1398.00            | 2027.00            |
| 21       | West Bengal         | 1027.00            | 754.00             |
| 22       | Andaman &Nicobar    | 5.00               | 25.00              |
| 23       | Dadra &Nagar Haveli | 5.00               | 17.00              |
| 24       | Daman &Diu          | 4.00               | 13.00              |
| 25       | Lakshadweep         | 1.00               | 13.00              |
| 26       | Delhi               | 247.00             | 141.00             |
| 27       | Pondicherry         | 18.00              | 152.00             |
| 28       | Goa                 | 22.00              | 127.00             |
| 29       | Chandigarh          | 16.00              | 13.00              |
| 30       | Arunachal Pradesh   | 76.00              | 354.00             |
| 31       | Meghalaya           | 163.00             | 147.00             |
| 32       | Mizoram             | 60.00              | 176.00             |
| 33       | Nagaland            | 109.00             | 346.00             |
| 34       | Tripura             | 202.00             | 176.00             |
| 35       | Manipur             | 0.00               | 296.00             |
| 36       | Telangana           | 0.00               | 401.00             |
|          | TOTAL               | 7567.00            | 21040.00           |

State-wise  funds  released  under  TCCC  component  of  National  Programme  for Prevention  and  Control  of  Cancer,  Diabetes,  Cardiovascular  Diseases  and  Stroke (NPCDCS):

## (1) Funds released during the financial year 2014-15:

| S No.   | State/UTs      | Name of the Institute                                  | SCI/ TCCC   |   Amount Released (in Crore) |
|---------|----------------|--------------------------------------------------------|-------------|------------------------------|
| 1       | Karnataka      | Kidwai Memorial Institute of Oncology(RCC), Bangaluru  | SCI         |                        67.5  |
| 2       | Kerala         | Government Medical College, Kozhikode                  | TCCC        |                        22.24 |
| 3       | Tripura        | Cancer Hospital(RCC), Agartala                         | SCI         |                        55    |
| 4       | Gujarat        | Gujarat Cancer Research Institute, Ahmedabad           | SCI         |                        67.5  |
| 5       | West Bengal    | Government Medical College, Burdwan                    | TCCC        |                        25.03 |
| 6       | Jammu& Kashmir | Sher-i-Kashmir Institute of Medical Sciences, Srinagar | SCI         |                        47.25 |
| 7       | Tamil Nadu     | Cancer Institute (RCC) Adyar, Chennai                  | SCI         |                        67.38 |
| Total   | Total          | Total                                                  | Total       |                       351.9  |

## (2) Funds released during the financial year 2015-16:

| S No.   | State/UTs        | Name of the Institute                                             | SCI/ TCCC   |   Amount Released (in Crore) |
|---------|------------------|-------------------------------------------------------------------|-------------|------------------------------|
| 1       | Himachal Pradesh | Indira Gandhi Medical College, Shimla                             | TCCC        |                       14.87  |
| 2       | Bihar            | Indira Gandhi Institute of Medical Sciences, Patna                | SCI         |                       33.06  |
| 3       | Mizoram          | Civil Hospital, Aizawl                                            | TCCC        |                       14.64  |
| 4       | Uttar Pradesh    | Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow | TCCC        |                       11.43  |
| 5       | Rajasthan        | S P Medical College, Bikaner                                      | TCCC        |                       17.123 |
| 6       | Karnataka        | Mandya Institute of Medical Sciences                              | TCCC        |                       17.257 |
| 7       | Telangana        | MNJ Institute of Oncology& RCC, Hyderabad                         | SCI         |                       18.12  |
| Total   | Total            | Total                                                             | Total       |                      126.5   |

| Revised National TB Control Programme State wise Releases lakhs)   | Revised National TB Control Programme State wise Releases lakhs)   | Revised National TB Control Programme State wise Releases lakhs)   | Revised National TB Control Programme State wise Releases lakhs)   | Revised National TB Control Programme State wise Releases lakhs)   |
|--------------------------------------------------------------------|--------------------------------------------------------------------|--------------------------------------------------------------------|--------------------------------------------------------------------|--------------------------------------------------------------------|
| Sl.No.                                                             | Name of the State / UT                                             | 2013-14 Releases                                                   | 2014-15 Releases                                                   | 2015-16 Releases (upto 11.12.2015)                                 |
| 1                                                                  | Andhra Pradesh                                                     | 1782.22                                                            | 1195.55                                                            | 1363.41                                                            |
| 2                                                                  | Andaman & Nicobar                                                  | 73.08                                                              | 59.37                                                              | 65.52                                                              |
| 3                                                                  | Arunachal Pradesh                                                  | 408.57                                                             | 364.51                                                             | 371.53                                                             |
| 4                                                                  | Assam                                                              | 1170.40                                                            | 1796.01                                                            | 1020.32                                                            |
| 5                                                                  | Bihar                                                              | 890.04                                                             | 1269.60                                                            | 2126.81                                                            |
| 6                                                                  | Chandigarh                                                         | 113.02                                                             | 151.66                                                             | 109.61                                                             |
| 7                                                                  | Chattisgarh                                                        | 788.18                                                             | 1321.91                                                            | 0.00                                                               |
| 8                                                                  | D &NHaveli                                                         | 51.24                                                              | 43.26                                                              | 51.45                                                              |
| 9                                                                  | Daman &Diu                                                         | 24.80                                                              | 11.70                                                              | 32.66                                                              |
| 10                                                                 | Delhi                                                              | 1049.23                                                            | 1338.87                                                            | 1196.54                                                            |
| 11                                                                 | Goa                                                                | 91.74                                                              | 90.19                                                              | 58.25                                                              |
| 12                                                                 | Gujarat                                                            | 1890.13                                                            | 1826.61                                                            | 1665.80                                                            |
| 13                                                                 | Haryana                                                            | 451.61                                                             | 545.90                                                             | 755.45                                                             |
| 14                                                                 | Himachal Pradesh                                                   | 421.06                                                             | 603.31                                                             | 438.09                                                             |
| 15                                                                 | Jammu &Kashmir                                                     | 591.32                                                             | 573.00                                                             | 703.91                                                             |
| 16                                                                 | Jharkhand                                                          | 886.63                                                             | 424.00                                                             | 1087.07                                                            |
| 17                                                                 | Karnataka                                                          | 1695.53                                                            | 1943.99                                                            | 1303.43                                                            |
| 18                                                                 | Kerala                                                             | 996.98                                                             | 814.55                                                             | 928.91                                                             |
| 19                                                                 | Lakshadweep                                                        | 19.56                                                              | 22.85                                                              | 28.01                                                              |
| 20                                                                 | Madhya Pradesh                                                     | 1449.59                                                            | 1382.86                                                            | 2029.83                                                            |
| 21                                                                 | Maharashtra                                                        | 4983.68                                                            | 5043.57                                                            | 4728.71                                                            |
| 22                                                                 | Manipur                                                            | 255.87                                                             | 332.49                                                             | 310.06                                                             |
| 23                                                                 | Meghalaya                                                          | 266.88                                                             | 433.73                                                             | 152.18                                                             |
| 24                                                                 | Mizoram                                                            | 295.92                                                             | 334.23                                                             | 261.08                                                             |
| 25                                                                 | Nagaland                                                           | 233.18                                                             | 250.84                                                             | 286.06                                                             |
| 26                                                                 | Orissa                                                             | 1031.72                                                            | 1562.03                                                            | 1247.84                                                            |
| 27                                                                 | Puducherry                                                         | 156.71                                                             | 133.84                                                             | 134.71                                                             |
| 28                                                                 | Punjab                                                             | 881.29                                                             | 871.10                                                             | 792.48                                                             |
| 29                                                                 | Rajasthan                                                          | 1395.76                                                            | 1056.04                                                            | 1536.85                                                            |
| 30                                                                 | Sikkim                                                             | 176.59                                                             | 164.46                                                             | 151.80                                                             |
| 31                                                                 | Tamilnadu                                                          | 1666.16                                                            | 2121.49                                                            | 1800.55                                                            |
| 32                                                                 | Tripura                                                            | 156.03                                                             | 105.66                                                             | 181.90                                                             |
| 33                                                                 | Uttar Pradesh                                                      | 3817.66                                                            | 5628.85                                                            | 4853.47                                                            |
| 34                                                                 | Uttrakhand                                                         | 381.01                                                             | 538.67                                                             | 428.85                                                             |
| 35                                                                 | West Bengal                                                        | 1808.91                                                            | 1891.18                                                            | 2156.70                                                            |
| 36                                                                 | Telangana                                                          |                                                                    | 1139.24                                                            | 0.00                                                               |
|                                                                    | Total                                                              | 32352.30                                                           | 37387.12                                                           | 34359.84                                                           |