Question : Kidney related Diseases

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

(a) whether the Government is aware of steep rise in the number of kidney related disease in the country;

(b) if so, the details thereof including the number of patients reported with kidney failure in the Government hospitals in the country during the last two years, year and State/UT-wise;

(c) whether the Government has taken note of the fact that the dialysis facilities are very costly and inaccessible to ordinary patients; and

(d) if so, the details thereof along with the number of hospitals/dispensaries having dialysis facilities in various States/ UTs of the country at present?

ANSWER
THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND
FAMILY WELFARE
(SMT. ANUPRIYA PATEL)
(a) & (b): Nationwide scientific estimation of number of patients of Chronic Kidney Diseases (CKD) has not been carried out. However, in some of the small population based studies, prevalence was found to be 0.79% in North India and 0.16% in South India.

(c) & (d): Government is aware that dialysis treatment is costly, but it varies across facilities.

While Health is a State subject, the Central Government supplements the efforts of State Government in providing Tertiary Health Care including for Dialysis facilities. In addition to such facilities provided by the State Government Health Institutions, facility for Dialysis are also available in many Central Government Hospitals, free of cost or at affordable rates for poor patients. Further, health institutions supported under the Pradhan Mantri Swasthya Suraksha Yojana (PMSSY) enhance the tertiary care facilities in the country including for Chronic Kidney Diseases.




Pradhan Mantri National Dialysis Programme (PMNDP) was rolled out in 2016. Support under NHM is being provided to State/UTs for dialysis services free of cost to the poor under PMNDP. Such support is based on the proposals received from States/UTs in their annual Programme Implementation Plans (PIPs).

The details of patients and dialysis sessions held under PMNDP are at Annexure.

National Programme for Prevention and Control of Cancer, Diabetes, Cardiovascular Diseases and Stroke (NPCDCS) is implemented for interventions up to District level under National Health Mission. NPCDCS has a focus on awareness generation for behavior and life-style changes, screening and early diagnosis of persons with high level of risk factors and their referral to high facilities for appropriate management of NCDs including CKD.

Further, for early diagnosis, population level initiative for prevention, control and screening for common Non- Communicable Diseases including diabetes and hypertension, which are the biological risk factors of CKD, has been rolled out in over 150 districts of the country in 2017-18 under NHM, as a part of comprehensive primary healthcare.