Lok Sabha Question No. 1121 (UNSTARRED), answered on 2016-07-22
Subject: TB and Cardio Vascular Diseases Screening
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. 1121 TO BE ANSWERED ON 2 2 ND JULY, 2016

## TB AND CARDIO VASCUL AR DISEASES SCREENING

## 1121. SHRI P.R. SUNDARAM:

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

- (a) whether the Government has any scheme to facilitate States/UTs for treatment of TB and Cardio vascular related treatments;
- (b) if so, the details thereof;
- (c) the details of the funds allocated, disbursed and utilised in the last three years in this regard; and
- (d) the steps taken by the Government to start screening centres with the help of Public Private Partnership to diagnose and treat these diseases?

## ANSWER THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE (SHRI FAGGAN SINGH KULASTE )

(a)& (b): Yes. Under the National Health Mission, treatment of Tuberculosis is provided Revised  National  Tuberculosis  Control  Programme  (RNTCP)  and  cardi ovascular  related treatments are provided under the National Programme for Prevention and Control of Canc Diabetes, Cardiovascular Diseases and Stroke (NPCDCS). RNTCP provides free diagnostic an treatment services for all tuberculosis patients under th e programme including for Drug Resistant Tuberculosis.    Under  NPCDCS,  diagnosis  and  treatment  facilities  for  NCDs  are  provid through  different  levels  of  healthcare  by  setting  up  NCD  Clinics  in  District  Hospit Community Health Centres (CHCs). State s are also supported for Health systems strengthening as per the guidelines of National Health Mission.

- (c ): The details of funds allocated, disbursed and utilized for RNTCP and NPCDCS in the three years are at Annexure I and II.
- (d):  To increase r each and encourage involvement of NGO's and private stakeholders for TB prevention and control, Public Private Partnership (PPP) schemes are also being impleme The Government has released the National Guidelines for Partnerships, 2014 for the Rev National Tuberculosis Control Programme. However, there is currently no such proposal un NPCDCS.

## Revised National TB Control Programme (RNTCP)

## State wise Allocation, Releases & Expenditure (cash and kind)

## Annexure I

(Rs. In lakhs)

| Sl.No.                                         | Name of theState / UT                          | 2013- 14   | 2013- 14   | 2013- 14    | 2014- 15   | 2014- 15   | 2014- 15    | 2015- 16   | 2015- 16   | 2015- 16    |
|------------------------------------------------|------------------------------------------------|------------|------------|-------------|------------|------------|-------------|------------|------------|-------------|
| Sl.No.                                         | Name of theState / UT                          | Allocation | Release    | Expenditure | Allocation | Release    | Expenditure | Allocation | Release    | Expenditure |
| 1                                              | Andhra Pradesh                                 | 4907.34    | 3947.42    | 3785.90     | 2861.96    | 2411.67    | 2308.49     | 2200.34    | 2315.49    | 2002.85     |
| 2                                              | Andaman & Nicobar                              | 87.15      | 75.23      | 59.49       | 87.15      | 69.8       | 88.34       | 90.90      | 90.9       | 110.86      |
| 3                                              | Arunachal Pradesh                              | 565.36     | 418.48     | 451.14      | 565.36     | 577.51     | 580.95      | 552.32     | 552.32     | 585.22      |
| 4                                              | Assam                                          | 4303.74    | 1535.01    | 1505.54     | 4303.74    | 2500.55    | 1549.79     | 2527.13    | 2527.13    | 2622.95     |
| 5                                              | Bihar                                          | 4094.59    | 1013.72    | 1729.66     | 4094.59    | 2089.95    | 2589.91     | 2963.81    | 2464.15    | 2757.19     |
| 6                                              | Chandigarh                                     | 154.54     | 134.74     | 145.24      | 154.54     | 191.71     | 140.70      | 156.14     | 156.14     | 144.07      |
| 7                                              | Chattisgarh                                    | 1440.60    | 912.66     | 1183.97     | 1440.6     | 1620.95    | 1540.53     | 1401.08    | 1152.24    | 1587.32     |
| 8                                              | D & N Haveli                                   | 68.05      | 52.68      | 48.83       | 68.05      | 44.55      | 50.68       | 72.03      | 64.3       | 67.59       |
| 9                                              | Daman & Diu                                    | 43.47      | 25.83      | 20.61       | 43.47      | 12.62      | 21.77       | 45.98      | 45.98      | 43.21       |
| 10                                             | Delhi                                          | 1820.02    | 1426.7     | 1325.35     | 1820.02    | 1844.34    | 1350.22     | 1705.12    | 1705.12    | 1605.19     |
| 11                                             | Goa                                            | 116.34     | 103.08     | 118.82      | 116.34     | 134.56     | 104.74      | 127.78     | 72.77      | 105.25      |
| 12                                             | Gujarat                                        | 4857.52    | 5845.89    | 6217.91     | 4857.52    | 3623.03    | 4698.01     | 3298.04    | 3423.41    | 5056.34     |
| 13                                             | Haryana                                        | 1292.26    | 604.37     | 796.49      | 1292.26    | 1125.74    | 1419.57     | 1207.93    | 1261.1     | 1093.27     |
| 14                                             | Himachal Pradesh                               | 581.22     | 548.08     | 532.05      | 581.22     | 819.6      | 515.31      | 837.57     | 852.38     | 834.98      |
| 15                                             | Jammu & Kashmir                                | 943.43     | 680.01     | 644.8       | 943.43     | 720.57     | 552.05      | 1038.26    | 829.1      | 892.45      |
| 16                                             | Jharkhand                                      | 1783.56    | 1001.41    | 899.72      | 1783.56    | 855.1      | 1583.85     | 1512.16    | 1216.61    | 1302.31     |
| 17                                             | Karnataka                                      | 3195.23    | 1789.59    | 2122.1      | 3195.23    | 3084.58    | 2683.65     | 3186.19    | 2011.15    | 3591.43     |
| 18                                             | Kerala                                         | 1440.91    | 1807.19    | 1621.39     | 1440.91    | 1246.72    | 1253.73     | 1395.33    | 1365.74    | 1056.88     |
| 19                                             | Lakshadweep                                    | 35.39      | 19.91      | 15.54       | 35.39      | 23.16      | 8.33        | 37.95      | 37.95      | 27.31       |
| 20                                             | Madhya Pradesh                                 | 3081.84    | 2105.28    | 2394.38     | 3081.84    | 2483.31    | 3893.81     | 2880.71    | 3031.22    | 3287.48     |
| 21                                             | Maharashtra                                    | 6657.74    | 6708.83    | 6918.98     | 6657.74    | 9688.05    | 9695.28     | 8085.75    | 8438.54    | 8058.82     |
| 22                                             | Manipur                                        | 657.22     | 277.82     | 333.91      | 657.22     | 446.82     | 398.06      | 524.57     | 524.57     | 398.77      |
| 23                                             | Meghalaya                                      | 550.67     | 288.08     | 309.31      | 550.67     | 685.85     | 457.57      | 427.62     | 427.62     | 441.28      |
| 24                                             | Mizoram                                        | 414.39     | 304.09     | 366.75      | 414.39     | 386.57     | 385.20      | 392.75     | 392.75     | 341.42      |
| 25                                             | Nagaland                                       | 596.41     | 253.26     | 310.51      | 596.41     | 377.66     | 364.14      | 460.49     | 460.49     | 445.42      |
| 26                                             | Orissa                                         | 2141.81    | 1205.67    | 1335.27     | 2141.81    | 2031.3     | 1856.30     | 1991.54    | 1664.56    | 2053.24     |
| 27                                             | Puducherry                                     | 183.56     | 177.96     | 167.48      | 183.56     | 148.63     | 172.27      | 187.88     | 204.88     | 163.47      |
| 28                                             | Punjab                                         | 1207.19    | 1239.71    | 1240.91     | 1207.19    | 1414.16    | 1511.48     | 1273.22    | 1332.87    | 1135.85     |
| 29                                             | Rajasthan                                      | 3653.38    | 2404.08    | 2450.25     | 3653.38    | 2956.61    | 3375.79     | 2792.23    | 2934.77    | 2741.05     |
| 30                                             | Sikkim                                         | 242.98     | 181.61     | 199.75      | 242.98     | 488.26     | 428.77      | 426.92     | 426.92     | 442.29      |
| 31                                             | Tamilnadu                                      | 3131.84    | 2519.66    | 2756.03     | 3131.84    | 3622.28    | 3850.35     | 3367.31    | 3515.37    | 4028.96     |
| 32                                             | Tripura                                        | 583.71     | 184.02     | 165.49      | 583.71     | 138.76     | 172.88      | 290.20     | 290.2      | 259.18      |
| 33                                             | Uttar Pradesh                                  | 7631.54    | 4982.92    | 6374.47     | 7631.54    | 7856.69    | 10785.86    | 7350.90    | 10455.95   | 11610.11    |
| 34                                             | Uttrakhand                                     | 661.14     | 537.47     | 570.64      | 661.14     | 826.36     | 852.15      | 651.62     | 672.4      | 930.21      |
| 35                                             | West Bengal                                    | 3834.82    | 2685.07    | 3574.16     | 3834.82    | 3191.68    | 3253.00     | 3187.70    | 3383.41    | 3513.61     |
| 36                                             | Telangana                                      |            |            |             | 2045.38    | 1795.27    | 814.87      | 1672.53    | 1429.96    | 2462.18     |
|                                                | Total                                          | 66960.96   | 47997.53   | 52692.84    | 66960.96   | 61534.97   | 65308.40    | 60320.00   | 60320.00   | 61730.46    |
| Releases on Loan basis (Jharkhand & Tamilnadu) | Releases on Loan basis (Jharkhand & Tamilnadu) |            | 1676.62    |             |            |            |             |            |            |             |
| Releases to NGOs/ Study                        | Releases to NGOs/ Study                        | 1754.04    | 1540.81    | 516.51      | 1754.04    | 853.59     | 405.13      | 1000.00    | 882.98     |             |
| HQ Expenditure                                 | HQ Expenditure                                 | 2300.00    | 439.92     | 439.92      | 2300.00    | 1605.69    | 1605.69     | 2680.00    | 1372.07    | 1372.07     |
| Grand Total                                    | Grand Total                                    | 71015.00   | 51654.88   | 53649.27    | 71015.00   | 63994.25   | 67319.22    | 64000.00   | 63985.51   | 69172.08    |

## Fund allocated and utilised in NPCDCS

## Annexure II

(in crore)

|               | 2013-14          | 2013-14     | 2014-15          | 2014-15     | 2015-16          | 2015-16     |
|---------------|------------------|-------------|------------------|-------------|------------------|-------------|
|               | Revised Estimate | Expenditure | Revised Estimate | Expenditure | Revised Estimate | Expenditure |
| Health Budget | 50               | 3.91        | 352.38           | 352.37      | 130              | 130         |
| NCD Flexipool | 75.67            | 75.67       | 235              | 217.8       | 431.83           | 421.3*      |

* N.B.: from F.Y. 2015-16, NPCDCS has been subsumed under NHM and consolidated funds are being released for various NCD programmes including NPCDCS under NCD Flexipool by NHM division. Hence, no separate information is available in NCD division. During the FY 2015-16, funds to the tune of Rs. 379 crores have been released to States/ UTs for the implementation of NCD programmes.