THE MINISTER OF HEALTH AND FAMILY WELFARE (SHRI GHULAM NABI AZAD)
(a)to(e): A statement is laid on the Table of the House.
STATEMENT REFERRED TO IN REPLY TO LOK SABHA STARRED QUESTION NO.369 FOR 22ND MARCH, 2013
Indian Council of Medical Research (ICMR) implemented the comprehensive Noncommunicable
Disease Risk Factor Survey under the World Bank supported Integrated Disease Surveillance
Project (IDSP) for the Ministry of Health & Family Welfare, Government of India in 2007-08.
The first phase of the survey included seven states namely Andhra Pradesh, Kerala, Madhya
Pradesh, Maharashtra, Mizoram, Tamil Nadu and Uttarakhand. It collected data on
demographic information of individuals including age, sex, marital status, education
and occupation. In the behavioural information section, information about tobacco use,
alcohol consumption, diet, physical activity, history of raised blood pressure and
history of diabetes were collected. A summary of survey is at Annexure-I.
The Government Medical Colleges / Hospitals have the manpower and facilities to screen
patients for non-communicable diseases such as diabetes and hypertension. Screening for
common cancers such as breast, oral and cervical cancers can also be undertaken in such
medical colleges / hospitals. In so far as the beneficiaries covered under Central
Government Health Scheme (CGHS) are concerned, such screening facilities are available
at designated CGHS Wellness Centres. Suspected cases are referred to higher centres for
further investigations and confirmation of diagnosis.
While Health is a State subject, the Government of India supplements the efforts of the
State Governments for providing health services. Under the National Programme for
Prevention and Control of Cancer, Diabetes, Cardiovascular Diseases and Stroke (NPCDCS)
launched in 2010 in 100 Districts of 21 States, opportunistic screening of diabetes and
hypertension at sub-centres has been taken up for persons aged 30 years and above.
In addition, health promotion for behavioural change, augmentation and training of health
personnel, referral of suspected cases of diabetes and hypertension and up-gradation
of health facilities is also being done. The programme also envisages strengthening of
Government Medical Colleges / Hospitals including erstwhile Regional Cancer Centres (RCC)
across the country as Tertiary Cancer Centre (TCC) for providing comprehensive Cancer
care services. Government of India also supplements the efforts of the State Governments
under National Rural Health Mission (NRHM) and infrastructure and manpower support is
provided to States to upgrade their healthcare facilities.
Details of screening, State/UT-wise, are given at Annexure - II.
Two guidelines have been issued by Government regarding NCDs as under :
1. Clinical Management Guidelines for Coronary Artery Disease (CAD) for National
Programme for Diabetes, CVDs and Stroke (NPDCS)
2. Manual for Medical Officers contains guidelines on following diseases:
(a) Diabetes
(b) Hypertension
(c) Hypercholesterolemia
(d) CAD
(e) Stroke
(f) Cancer
