(a) the details of projects undertaken under the National TB Control Programme, National Malaria Eradication Programme, National Leprosy, Control Programme and National Programme for Control of Blindness;
(b) the extent to which success has been achieved under
each of the said projects in the country, State-wise; and
(c) the steps proposed to be taken by the Government to
ensure the implementation of these projects successfully?
THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE(INDEPENDENT CHARGE)(SHRI N.T.SHANMUGAM)
(a) National TB Control Programme has been under
implementation in the country in 1962, integrated with
primary Health care through a network of 447 District TB
Centres and 330 TB clinics which provides diagnosis and
treatment free of cost, including free drug supply of anti-
TB drugs to patients. Short Term Chemotherapy Course (SCC)
which seeks to reduce the duration of treatment has been
introduced in 292 districts. Since 1997 the revised
strategy of DOTS with the objective of 70% detection and 85%
cure under the RNTCP is under implementation, to cover 171.1
million population in a phased manner by March, 2002. In
addition 203 districts implementing SSC will also be
strengthened to prepare them to adopt revised strategy at a
later date. World Bank assistance of US $ 142.4 million is
available for the implementation of the RNTCP. In addition
DANIDA assistance to the extent of DKK 58.8 m (approx. Rs
31.95 crores) as grant is being provided for implementation
of RNTCP in 14 tribal districts of Orissa. DFID assistance
to the extent of Rs. 109.93 crores is also being obtained
from DFID for support of the RNTCP in AP and also to
strengthen the Central TB Division and training activities.
World bank supported project for NLEP has been under
implementation from 1993-94 for a period of 6 years to
extend free MDT facilities in all the districts of the
country.
Enhanced Malaria Control Project with the assistance of
World Bank covers 1045 Primary Health Centres (PHCs) in 100
districts of seven State of Andhra Pradesh, Bihar, Gujarat,
Madhya Pradesh, Maharashtra, Orissa and Rajasthan and 19
Cities/Towns having high endemicity of Malaria in these
States and States of Karnataka, Tamil Nadu and West Bengal.
The Project aims at intensifying the existing Malaria
Control activities in the above mentioned areas. The
components of training, Information, Education,
Communication (IEC) and Management Information System (MIS)
are being implemented throughout the country. The total
financial implications for the Project for 5 years duration
is Rs. 891.4 crores.
Under the National Programme for control of Blindness,
two projects are currently being undertaken viz.
(i) World Bank Assisted Cataract Blindness Control Project;
being implemented in Seven States namely Andhra Pradesh,
Tamil Nadu, Orissa, Maharashtra, Madhya Pradesh and
Rajasthan which aims at reducing Cataract Blindness and
developing infrastructure for Eye care services.
(ii) Danish Assistance under National Programme for Control
of Blindness in Karnataka State.
(b) During 1998, 85% of new infectious patients were
documented to have become non-infectious within 3 months of
starting treatment. In 1998 the All India cure rate was 83%
as per details given statewise at Annex-I.
In the case of the National Leprosy Programme, MDT
facilities have been extended in all districts of
the country. 31.39 lakh new leprosy cases have been
detected and 38.66 lakh cases cured till March,
1999. Comparative position of case load is given in
Annex.II
A statement of positive cases of Malaria Statewise is given in Annexe.III.
Under the Blindness Control Programme, in 1998,
21,34,362. Cataract operations were performed in the
country at the rate of 388 cases/lakh population as
against the target of 400 cases/lakh population.
Statewise details in this regard are given at Annex.IV.
(c) Following steps are being taken to implement these programmes successfully;
1. Implementation through District Societies. Funds are released to them directly.
2. Strengthening, Monitoring and Supervision.
3. Providing commodity assistance to States in the form of drugs,equipments,consumables etc
4. Regular and intensive training
5. Public awareness Programmes and Campaigns.
Annexure-I
New Smear Positive Cure Rate for INDIA Registrations from `98 under RNTCP
Key :
CURE = patients cured COMPLETE = Patients completed REG TOTAL = Total registrations CURE RATE = Percentage of patients Cured
Summary by State
STATE CURE REG TOTAL CURERATE
ANDHRA PRADESH 1071 1386 77.3 ASSAM 0 0 0 BIHAR 193 219 88.1 DELHI 1901 2348 81.0 GUJARAT 783 978 80.1 HIMACHAL 285 329 86.6 KARNATAKA 123 165 74.5 KERALA 1020 1225 83.3 MADHYA PRADESH 86 113 76.1 MAHARASHTRA 1076 1280 84.1 MANIPUR 69 76 90.8 ORISSA 1476 1745 84.6 RAJASTHAN 493 560 88.0 TAMIL NADU 71 81 87.7 UTTAR PRADESH 505 572 88.3 WEST BENGAL 928 1054 88.0
INDIA 10080 12131 83.1
Annexure-II
CASELOAD BY STATES AT THE END OF MARCH, 1999 IN COMPARISON TO POSITION IN 1981
S. No. State/UT PR PER 1000 POPULATION
1981 1999
1 Andhra Pradesh 11.72 0.47 2 Arunachal Pradesh 1.59 0.38 3 Assam 0.75 0.20 4 Bihar 5.43 1.66 5 Goa 0.16 0.34 6 Gujarat 2.93 0.16 7 Haryana 0.07 0.05 8 Himachal Pradesh 1.64 0.10 9 Jammu & Kashmir 0.83 0.14 10 Karnataka 5.98 0.25 11 Kerala 2.95 0.13 12 Madhya Pradesh 2.30 0.44 13 Maharashtra 6.37 0.34 14 Manipur 4.23 0.21 15 Meghalaya 4.55 0.21 16 Mizoram 2.04 0.11 17 Nagaland 6.49 0.04 18 Orissa 12.14 0.97 19 Punjab 1.19 0.08 20 Rajasthan 0.29 0.19 21 Sikkim 5.00 0.20 22 Tamil Nadu 15.14 0.53 23 Tripura 4.88 0.16 24 Uttar Pradesh 3.79 0.46 25 West Bengal 7.88 0.67
UNION TERRITORIES
26 A & N Islands 5.26 0.24 27 Chandigarh 0.00 0.68 28 D & N Haveli 1.00 1.40 29 Daman & Diu 3.50 2.24 30 Delhi 0.16 0.18 31 Lakshadweep 25.00 0.17 32 Pondicherry 12.50 0.26
Total 5.73 0.51
Annexure-III
STATEMENT OF STATEWISE POSITIVE MALARIA CASES
STATE/UT 1998 1999
ANDHRA PRADESH 106574 117728 ARUNACHAL PRADESH 36105 43774 ASSAM 75136 109418 BIHAR 20014 25979 GOA 22766 13236 DELHI 3994 2698 GUJARAT 94927 57289 HARYANA 11877 2563 HIMACHAL 1404 669 KARNATAKA 111144 86666 KERALA 6726 4651 MADHYA PRADESH 388408 417284 MAHARASHTRA 15.366 128458 MANIPUR 1113 2421 ORISSA 333246 273266 NAGALAND 1700 288 MIZORAM 9293 13705 MEGHALAYA 16186 12913 PUNJAB 5200 1092 RAJASTHAN 70934 48780 TAMIL NADU 59161 50334 SIKKIM 12 11 UTTAR PRADESH 103746 86048 WEST BENGAL 115929 180377 A&N ISLANDS 742 875 CHANDIGARH 1644 455 D&N HAVELI 5882 3175 DAMN & DIU 599 342 LAKSHADWEEP 0 1 PONDICHERRY 158 129
TOTAL 1770283 1699256
Annexure-IV
State-wise Cataract Surgery Rate during 1998-99
Target : Cataract per lakh population - 400
State/UTs Estimated CATOPS Cataract Population Performed Surgery (1998) Rate/Lakh Population
World Bank Project States
Andhra 75819129 340478 449 Pradesh Madhya 75446534 287201 381 Pradesh Maharashtra 89988393 404738 450 Orissa 36092099 79271 220 Rajasthan 50157709 176955 353 Tamil Nadu 63679198 373690 587 Uttar Pradesh 158588007 472029 298
Sub-Total 549771069 2134362 388