Question : National Dialysis Service Programme

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

(a) whether the Government has taken cognizance of the World Health Organisation report that kidney ailment is one of the major causes of death in India and a sizeable number of population in India are dependent on life long dialysis or require kidney transplant, if so, the details thereof and the reasons therefor;

(b) whether taking into consideration the above facts, the Government has started/proposes to start National Dialysis Service Programme (NDSP) under National Health Mission (NHM);

(c) if so, the details and allocation of funds thereof, State/UT-wise including Goa along with the other steps taken by the Government to address the problems of chronic kidney patients;

(d) the status of funds allocated by the Government and utilised by the States for strengthening of health infrastructure, State/UT-wise including Rajasthan during the last three years and the current year; and

(e) whether the Government has made any assessment of the improvements made in health infrastructure of States/UTs based on the financial support provided to them from time to time, if so, the details thereof and the outcome thereon?

THE MINISTER OF HEALTH AND FAMILY WELFARE
(SHRI JAGAT PRAKASH NADDA)
(a): 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, it was found to be in 0.79 % in North India and 0.16% in South India. State/UT-wise data is not available.

(b) & (c): The Government has announced a new Programme, namely, the National Dialysis Program under the National Health Mission (NHM) in Public Private Partnership (PPP) mode in the Union Budget, 2016-17. This is a Government of India initiative which is to be implemented by State / UT Governments though proposals in their respective Programme Implementation Plans (PIPs). The Guidelines of National Dialysis Programme including the Request for Proposal from the private providers were released on the World Health Day, i.e. 7th April, 2016. As per the guidelines framed for the programme, the private partner is envisaged to provide medical human resource, dialysis machine along with RO water plant infrastructure, dialyzer and consumables while the space, power and water supply within the District Hospitals is to be provided by the State Governments.

(d): A statement showing the State/UT wise PIP Approval vs Utilization against Hospital Strengthening and New Constructions / Renovation and Setting up under entire NHM from the Financial Year 2012-13 to 2015-16 is at Annexure.
(e): Under NHM, Common Review Mission (CRMs) are undertaken every year to make assessment on the improvements made, inter-alia, in health infrastructure of States/UTs. The State/UT-wise details of the observations made by the CRMs held so far, are available at the URL http://nhm.gov.in/monitoring/common-review-mission.html.

The CRM report is disseminated at the National Level Dissemination Workshop which is attended by State health officials including the State Health Secretaries and Mission Directors. Ministry also sends State specific suggestions to the States every year based on the observations of CRM.