Question : Dialysis Facilities

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

(a) whether the number of patients requiring dialysis is steadily increasing in the country and if so, the details thereof during the last four years, State/UT-wise;

(b) whether the number of dialysis machines in the country is lesser than the actual requirement and if so, the details thereof indicating the number of hospitals where dialysis centre have been opened and where they are yet to be opened, State/UTwise;

(c) whether Government hospitals are adequately equipped to provide free dialysis to the increasing number of patients and if so, the details thereof;

(d) whether the Government is providing any financial and logistic support to States to increase the number of dialysis machines and if so, the details thereof, indicating the financial and other assistance provided during each of the last three years, State/UT-wise; and

(e) the other steps being taken by the Government to effectively implement the Pradhan Mantri National Dialysis Programme in the country?

ANSWER
THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND
FAMILY WELFARE
(SMT. ANUPRIYA PATEL)
(a) to (e): As informed by Indian Council of Medical Research, Kidney diseases are estimated to be increasing, mostly due to increasing number of patients with diabetes and hypertension and increasing acute kidney injury cases which may require increased number of dialysis machines in the country.

Nationwide scientific estimation of number of patients of Chronic Kidney Diseases (CKDs) 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.

The details of dialysis machines available in the country is not maintained centrally. However, such facilities are provided at many Central and State Government institutions.



Public Health being a State subject, financial and technical support under NHM including under National Programme for Prevention and Control of Cancer, Diabetes, Cardiovascular Disease and Stroke (NPCDCS) is being provided to States/UTs for strengthening of their healthcare system including for dialysis services in District Hospitals/public health facilities, based on the proposals received from State/UT governments in their Programme Implementation Plans.

The Government of India is implementing PMNDP, which was rolled out in 2016 for which guidelines for the Programme including model Request for Proposal (RFP) from the private providers (for Public Private Partnership Mode) have been issued. As per the guidelines, the private partner is envisaged to provide medical human resource, dialysis machine along with Reverse Osmosis (RO) water plant infrastructure, dialyzer and consumables, while the space, power, and water supply within District Hospitals are to be provided by the State Governments.

The State-wise detail of approvals given for implementation of Pradhan Mantri National Dialysis Programme (PMNDP) for the FY 2016-17 & 2017-18 are at Annexure-I & Annexure-II respectively.