Lok Sabha Question No. 2259 (UNSTARRED), answered on 2016-05-06
Subject: National Programme for Health Care of Elderly
Ministry: HEALTH AND FAMILY WELFARE
Asked by: KINJARAPU RAM MOHAN NAIDU

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

## LOK SABHA UNSTARRED QUESTION NO. 2259 TO BE ANSWERED ON 6 TH MAY, 2016

## NATIONAL PROGRAMME F OR HEALTH CARE OF ELDERLY

## 2259. SHRI RAM MOHAN NAIDU KINJARAPU:

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), if so, the salient features thereof;
- (b)  whether  the  said  programme  is  likely to be  aligned  with  National  Rural  Health Mission (NRHM) and if so, the details thereof;
- (c) the funds allocated under the programme during each of the last three years and the current year, State/UT -wise;and
- (d) the other initiatives and programmes implemented by the Government for easy access to the preventive, curative and rehabilitative healthcare by the elderly?

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

- (a): The Ministry of Health & Family Welfare had 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  Geriatrics identified Medical Instit utions as Regional Geriatric Centres for different regions of the cou and  to  provide  dedicated  health  facilities  in  District  Hospitals,  Community  Health  C (CHCs),  Primary  Health  Centres  (PHCs)  and  Sub - Centres  (SCs)  levels  through  State  Health Society. The salient features of the programme are as follows:

- i) Setting up of Geriatric department in identified Regional Geriatric Centres (RGC) with care services and 30 bedded Geriatric ward for p oviding indoor services.
2. ii) Setting  up  of  10  bedded  Geria tric  units  at  District  Hospitals  that  will  provide  specia services.
3. iii) Establishment of Rehabilitation unit at all Community Health Centres (CHCs) and Geria clinic twice/week.
4. iv) Setting  up  weekly  Geriatric  clinic  by  trained  medical  Officer  at  Primary Health  Centres (PHCs).
- v) IEC on healthy life style, home care to the bed ridden and supportive devices for th elderly persons at sub - centre level.
6. (b): The programme is being implemented under Non -Communicable Disease (NCD) flexible pool within the overarching umbrella of National Health Mission for Districts and below in States.
7. ( c) : Details of funds allocated under programme during 2013 - 14 to 2015 - 16 and the current year are at Annexure.
8. (d): At present, Government had launched following programmes/schemes i.e. under which, inter  alia,  health  care  facilities  are  being  provided  including  the    elderly  people  a 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 treatmen t.
- II. National Programme for Control of Blindness (NPCB) This programmewas launched in the year 1976 as a centrally sponsored scheme with the goal of reducing the prev of blindness to 0.3% by 2020.  Rapid Survey on Avoidable Blindness conducted unde NPCB  during  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 treatment for c 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 provide integrated,  comprehensive  oral  health  care  in  the  existing  health  care  facilitie view to improve the determinants of oral health, reduce morbidity from oral dise integrate oral health promotion and provide preventive services.
- IV. Na tional  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 Disa bled Persons (ADIP) Scheme of Ministry of Social Justice & Empowerment (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 2 7 States and 6 Union Territories.

Annexure National Programme for Health Care of the Elderly (NPHCE)- Releases during last three years and the current year (Amount Rs. in crores)

| No.           | Name of States/Uts   | 2013-14             | 2014-15             | *2015-16            | *2016-17                                                      |
|---------------|----------------------|---------------------|---------------------|---------------------|---------------------------------------------------------------|
| No.           | Name of States/Uts   | GIA Released by GoI | GIA Released by GoI | GIA Released by GoI | GIA Released by GoI                                           |
| 1             | Andhra Pradesh       | 0.00                | 0.00                | so far              | No funds have been released during the current Financial Year |
| 2             | Assam                | 0.00                | 1.42                | 14.78 35.78         |                                                               |
|               | Bihar                | 0.00                | 1.50                | 22.34               | 3                                                             |
|               | Chattisgarh          | 0.51                | 0.99                | 8.47                | 4                                                             |
|               | Gujarat              | 0.00                | 2.16                | 20.98               | 5                                                             |
|               | Haryana              | 0.00                | 4.93                |                     | 6 0.78                                                        |
| Himachal      |                      | 0.00                | 4.78                |                     | 7 0.12                                                        |
| Jammu         | Pradesh &Kashmir     | 0.00                | 8.16                |                     | 8 0.00                                                        |
|               | Jharkhand            | 0.00                | 10.57               |                     | 9 1.11                                                        |
|               | Karnataka            | 0.00                | 14.29               |                     | 10 1.71                                                       |
|               | Kerala               | 0.00                | 5.18                |                     | 11 1.50                                                       |
| Madya Pradesh | 0.00                 |                     | 26.82               |                     | 12 2.15                                                       |
| Maharashtra   | 0.00                 |                     | 27.54               |                     | 13 1.98                                                       |
| Odisha        |                      | 0.33                | 16.19               |                     | 14 1.16                                                       |
|               | Punjab               | 0.00                | 6.71                |                     | 15 1.11                                                       |
| 16            | Rajasthan Sikkim     | 0.00                | 27.04               |                     | 0.87                                                          |
| 17            |                      | 0.31                | 0.95                |                     | 0.44                                                          |
| 18            | Tamil Nadu           | 0.00                | 17.16               |                     | 0.00                                                          |
|               | Uttarakhand          | 0.00 0.00           | 6.62                |                     | 19 0.00                                                       |
| Uttar         | Pradesh              |                     | 54.39               |                     | 20 0.00                                                       |
|               | West Bengal          | 0.00                | 13.03               |                     | 21 1.50                                                       |
|               | Daman &Diu           | 0.00                | 0.35                |                     | 22 0.24                                                       |
| 23            | Lakshdweep           | 0.00                | 0.07                |                     | 0.96                                                          |
|               | Mizoram              | 0.00                | 1.42                |                     | 24 1.19                                                       |
| 25            | Telamgana            | 0.00                | 9.41                |                     | 0.00                                                          |
| Goa           |                      | 0.00                | 0.23                |                     | 26 0.00                                                       |
| Chandigarh    |                      | 0.00                | 0.69                |                     | 27 0.00                                                       |
| Delhi         |                      | 0.00                | 2.23                |                     | 28 0.00                                                       |
|               | Puducherry           | 0.00                | 0.29                |                     | 29 0.00                                                       |
|               | Andaman              | 0.00                | 0.55                |                     | 30 0.00                                                       |
|               | DNH                  | 0.00                | 0.63                |                     | 31 0.00                                                       |
|               | Arunachal            | 0.00                | 5.70                |                     | 32 0.00                                                       |
| 33            | Manipur              | 0.00                | 3.08                |                     | 0.00                                                          |
|               | Meghalaya            | 0.00                | 2.46                |                     | 34 0.00                                                       |
| Nagaland      |                      | 0.00                | 2.63                |                     | 35 0.00                                                       |
| 36            | Tripura Total        | 0.00 1.15           | 2.55 22.89          | 379.00              | 0.00                                                          |