THE MINISTER OF HEALTH AND FAMILY WELFARE
(DR MANSUKH MANDAVIYA)
(a) to (e) A Statement is laid on the Table of the House.
STATEMENT REFERRED TO IN REPLY TO LOK SABHA
STARRED QUESTION NO. 145* FOR 11TH FEBRUARY, 2022
(a) and (b): As per the Indian Council of Medical Research’s Cancer Registry Data Report on “National Cancer Registry Programme Report, 2020”, the estimated number of incidence and mortality of cancer cases in the country including Ladakh UT (Leh and Kargil) during 2018 to 2020 by State/UT wise is enclosed in Annexure 1 (Table 1 & Table 2).
(c): Cancer is a multi-factorial disease, the risk factors of which, include ageing population, sedentary lifestyle, use of tobacco products, alcohol, unhealthy diet and air pollution.
(d) and (e): Health is a state subject. The Department of Health & Family Welfare, Government of India, however, provides technical and financial support to the States/UTs including Ladakh UT under the National Programme for Prevention and Control of Cancer, Diabetes, Cardiovascular Diseases and Stroke (NPCDCS), as part of National Health Mission (NHM), based on the proposals received from the States/UTs and subject to the resource envelope. Cancer is an integral part of NPCDCS. The programme focusses on strengthening infrastructure, human resource development, health promotion & awareness generation for Cancer prevention, early diagnosis, management and referral to an appropriate level of healthcare facility for treatment of the Non-Communicable Diseases, including Cancer.
Cancer is diagnosed and treated at various levels in the health care facilities. The treatment in Government Hospitals is either free or highly subsidized for the poor and needy. The facility for treatment of cancer patients is available in the hospitals at Leh District & Kargil District and patients are being provided chemotherapy. Under NPCDCS, 2 District NCD Clinics, 2 Cardiac Care Units, 2 District Day Care Centres and 5 CHC NCD Clinics have been set up in Ladakh UT.
A population-based initiative for prevention, control and screening for common Non-Communicable Diseases (NCDs) i.e. diabetes, hypertension and common cancers has been rolled out in the country under NHM and also as a part of Comprehensive Primary Health Care. Under the initiative, persons more than 30 years of age are targeted for their screening for the three common cancers i.e oral, breast and cervical. Screening of these common cancers is an integral part of service delivery under Ayushman Bharat – Health and Wellness Centres. As on 31st January 2022, 110 HWCs have been operationalized in Ladakh UT. The number of persons screened so far through Health and Wellness Centres includes 18,680 for oral cancer, 9,569 for breast cancer and 6,938 for cervical cancers.
Preventive aspect of Cancer is strengthened under Comprehensive Primary Health Care through Ayushman Bharat Health Wellness Centre scheme, by promotion of wellness activities and targeted communication at the community level. Other initiatives for increasing public awareness about Cancer and for promotion of healthy lifestyle includes observation of National Cancer Awareness Day and use of print, electronic and social media for continued community awareness. Furthermore, healthy eating is also promoted through FSSAI. Fit India movement is implemented by Ministry of Youth Affairs and Sports, and various Yoga related activities are carried out by Ministry of AYUSH. In addition, NPCDCS gives financial support under NHM for awareness generation (IEC) activities for Cancer to be undertaken by the States/UTs as per their Programme Implementation Plans (PIPs).
There is focus on Oncology in its various aspects in case of 22 new AIIMS and many upgraded institutions under Pradhan Mantri Swasthya Suraksha Yojna (PMSSY). Treatment of Cancers is also available under Ayushman Bharat – Pradhan Mantri Jan Arogya Yojana (PMJAY). Financial assistance is provided to poor patients belonging to families living below poverty line, suffering from major life-threatening diseases including Cancer under Umbrella scheme of Rashtriya Arogya Nidhi and Health Minister’s Discretionary Grant (HMDG). Financial assistance upto a maximum of Rs. 1,25,000/- is provided under HMDG to defray a part of the treatment cost and the maximum financial assistance provided under the Umbrella Scheme of RAN is Rs. 15 lakhs.
Quality generic medicines are made available at affordable prices to all, under Pradhan Mantri Bhartiya Janaushadhi Pariyojana (PMBJP) in collaboration with the State Governments. Three Jan Aushadhi Kendras have been set up in Ladakh UT under the scheme.
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