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Healthcare of Elderly People
The Government of India had launched National Programme for Health Care of the Elderly (NPHCE) during 2010-11 with a view to provide separate and specialized comprehensive health care facilities to senior citizens at various levels of state health care delivery system including outreach services. The health care facilities, being provided under this programme, are either free or highly subsidised.
The major activities of the NPHCE are:-
- i) Setting up of Geriatric department in identified Regional Geriatric Centres (RGCs) with OPD care services and 30 bedded Geriatric ward for providing indoor services. RGCs will also undertake PG Courses in Geriatric for developing Human Resource
- ii) Setting up of 10 bedded Geriatric units at all District Hospitals that will provide indoor services for elderly during hospitalisation.
- ii) Establishment of Rehabilitation unit at all Community Health Centres (CHCs) and Geriatric clinic twice/week.
- iv) Setting up weekly Geriatric clinic by trained medical Officer at Primary Health Centres (PHCs).
In addition, the Government of India is supporting the development of two National Centres of Ageing (NCAs) – one in AIIMS, New Delhi and another in Madras Medical College, Chennai.The NCAs are supposed to function as a National Centres of Excellence with 200 bedded facility and aimed to be teaching, research & referral institute for geriatric care in the country.
Apart from this, the Government of India is implementing Senior Citizen Health Insurance Scheme (SCHIS) for Senior Citizens of age 60 years and above, belonging to Below Poverty Line (BPL) and 11 other defined categories such as MGNREGA Workers, Construction Workers, Mine Workers, Licensed Railway Porters, Street Vendors, Beedi Workers, Rickshaw Pullers, Rag Pickers and Auto/ Taxi drivers with effect from 01.04.2016, as a top up scheme of RashtriyaSwasthyaBimaYojna (RSBY). The health coverage is uptoRs. 30,000/–per annum per senior citizen for treatment packages, over and above RSBY entitlement.
At present, SCHIS is being implemented in 8 States namely Assam, Gujarat, Karnataka, Kerala, Meghalaya, Nagaland, Tripura and West Bengal. 211 treatment packages (Cardiology-17, Cardio Thoracic Surgery- 18, Cardio Vascular Surgery- 18, Neuro Surgery-5, Polytrauma& Repair- 7, Burns-8, Surgical Oncology-89, and Medical Oncology-49) are covered under SCHIS.
The details of the funds released and expenditure incurred under NPHCE are given below:
| NATIONAL PROGRAMME FOR HEALTH CARE OF THE ELDLERY (NPHCE) (Amount Rs. in Lakhs) | ||||
| Sl. No | Name of the States | 2014-15 | ||
| GIA Released by GOI | Expenditure Reported by the States | |||
| 1 | Andhra Pradesh | 0.00 | 0 | |
| 2 | Assam | 142.27 | 53.55 | |
| 3 | Bihar | 150.00 | 84.22 | |
| 4 | Chattisgarh | 99.00 | 126.71 | |
| 5 | Gujarat | 215.66 | 230.87 | |
| 6 | Haryana | 77.62 | 48.81 | |
| 7 | Himachal Pradesh | 11.85 | 68.04 | |
| 8 | Jammu & Kashmir | 0.00 | 84.94 | |
| 9 | Jharkhand | 111.00 | 56.00 | |
| 10 | Karnataka | 170.95 | 16.33 | |
| 11 | Kerala | 150.00 | 749.74 | |
| 12 | Madya Pradesh | 215.34 | 81.54 | |
| 13 | Maharashtra | 203.64 | 239.44 | |
| 14 | Odisha | 116.00 | 140.71 | |
| 15 | Punjab | 111.36 | 48.14 | |
| 16 | Rajasthan | 87.05 | 86.03 | |
| 17 | Sikkim | 44.00 | 0 | |
| 18 | Tamil Nadu | 0.42 | 0 | |
| 19 | Uttarakhand | 0.00 | 11.24 | |
| 20 | Uttar Pradesh | 0.00 | 0 | |
| 21 | West Bengal | 150.00 | 18.58 | |
| 22 | Daman & Diu | 24.34 | 0 | |
| 23 | Lakshdweep | 95.66 | 10.90 | |
| 24 | Mizoram | 119.06 | 0 | |
| Total | 2295.22 | 2155.79 | ||
| *National Programme for Health Care of the Elderly (NPHCE)- Funds Allocation/released/Expenditure under Non- Communicable Diseases (NCD) flexible pool | |||||||||||||||||
| Rs. in Crore | |||||||||||||||||
| 2015-16 | 2016-17 | 2017-18** | |||||||||||||||
| Sl. No. | Name of State | Allocation under NCD flexible pool | Release | Expenditure | Allocation | Release | Expenditure | Allocation | Release | Expenditure | |||||||
| 1 | Andaman & Nicobar Island | 0.73 | 0.55 | 0.00 | 1.21 | 1.21 | 0.00 | 1.06 | 0.79 | 0.00 | |||||||
| 2 | Andhra Pradesh | 17.66 | 14.78 | 0.00 | 17.49 | 30.82 | 0.00 | 30.23 | 22.67 | 0.94 | |||||||
| 3 | Arunachal Pradesh | 7.81 | 5.7 | 0.00 | 7.81 | 8.41 | 0.69 | 14.17 | 0.00 | 0.00 | |||||||
| 4 | Assam | 44.44 | 35.78 | 1.18 | 44.44 | 55.33 | 3.02 | 80.61 | 0.00 | 0.12 | |||||||
| 5 | Bihar | 36.43 | 22.34 | 0.18 | 36.08 | 18.04 | 0.28 | 63.01 | 47.26 | 0.04 | |||||||
| 6 | Chandigarh | 0.25 | 0.69 | 0.00 | 0.42 | 0.46 | 0.00 | 0.9 | 0.61 | 0.00 | |||||||
| 7 | Chhattisgarh | 14.99 | 8.47 | 0.26 | 14.85 | 14.85 | 1.59 | 25.93 | 19.45 | 7.92 | |||||||
| 8 | Dadra & Nagar Haveli | 0.66 | 0.63 | 0.15 | 1.09 | 0.82 | 0.35 | 0.96 | 0.48 | 0.00 | |||||||
| 9 | Daman & Diu | 0.47 | 0.35 | 0.00 | 0.78 | 0.39 | 0.00 | 0.68 | 0.00 | 0.00 | |||||||
| 10 | Delhi | 4.05 | 2.23 | 0.00 | 6.72 | 5.64 | 0.00 | 14.31 | 0.00 | 0.00 | |||||||
| 11 | Goa | 0.47 | 0.23 | 0.00 | 0.46 | 0.00 | 0.00 | 0.8 | 0.00 | 0.00 | |||||||
| 12 | Gujarat | 21.53 | 20.98 | 1.91 | 21.32 | 21.32 | 1.83 | 36.85 | 27.64 | 0.06 | |||||||
| 13 | Haryana | 7.67 | 4.93 | 0.68 | 7.6 | 3.80 | 1.01 | 13.18 | 9.89 | 0.01 | |||||||
| 14 | Himachal Pradesh | 6.55 | 4.78 | 0.47 | 6.48 | 3.24 | 0.35 | 11.32 | 5.66 | 0.00 | |||||||
| 15 | Jammu & Kashmir | 14.73 | 8.16 | 0.91 | 14.59 | 14.59 | 0.72 | 25.48 | 19.11 | 0.04 | |||||||
| 16 | Jharkhand | 15.26 | 10.57 | 0.00 | 15.11 | 15.11 | 0.52 | 26.4 | 0.00 | 0.00 | |||||||
| 17 | Karnataka | 21.56 | 14.29 | 0.92 | 21.34 | 21.34 | 2.38 | 36.9 | 27.68 | 0.01 | |||||||
| 18 | Kerala | 9.33 | 5.18 | 0.76 | 9.24 | 6.93 | 1.28 | 16.07 | 12.05 | 1.40 | |||||||
| 19 | Lakshadweep | 0.12 | 0.07 | 0.25 | 0.21 | 0.00 | 0.024 | 0.18 | 0.000 | 0.03 | |||||||
| 20 | Madhya Pradesh | 35.75 | 26.82 | 1.05 | 35.4 | 35.40 | 0.81 | 61.83 | 46.37 | 0.00 | |||||||
| 21 | Maharashtra | 38.05 | 27.54 | 1.86 | 37.68 | 37.68 | 0.79 | 65.2 | 48.90 | 0.19 | |||||||
| 22 | Manipur | 5.00 | 3.08 | 0.60 | 5.00 | 2.50 | 0.00 | 9.07 | 0.00 | 0.00 | |||||||
| 23 | Meghalaya | 5.31 | 2.46 | 0.00 | 5.31 | 5.31 | 0.00 | 9.62 | 4.33 | 0.00 | |||||||
| 24 | Mizoram | 2.85 | 1.42 | 0.07 | 2.85 | 2.14 | 0.64 | 5.17 | 3.49 | 0.06 | |||||||
| 25 | Nagaland | 3.66 | 2.63 | 0.00 | 3.66 | 1.83 | 0.00 | 6.64 | 4.48 | 0.00 | |||||||
| 26 | Orissa | 19.74 | 16.19 | 0.81 | 19.55 | 19.55 | 0.70 | 34.14 | 17.07 | 0.14 | |||||||
| 27 | Pudducherry | 0.31 | 0.29 | 0.00 | 0.52 | 0.39 | 0.182 | 2.5 | 1.250 | 0.22 | |||||||
| 28 | Punjab | 8.43 | 6.71 | 0.82 | 8.35 | 8.35 | 0.69 | 14.49 | 0.00 | 0.00 | |||||||
| 29 | Rajasthan | 36.05 | 27.04 | 8.26 | 35.7 | 26.78 | 6.38 | 62.35 | 46.76 | 0.10 | |||||||
| 30 | Sikkim | 1.27 | 0.95 | 0.51 | 1.27 | 1.58 | 0.31 | 2.31 | 0.00 | 0.00 | |||||||
| 31 | Tamil Nadu | 21.66 | 17.16 | 0.00 | 21.45 | 21.45 | 1.26 | 37.22 | 27.91 | 0.00 | |||||||
| 32 | Tripura | 5.32 | 2.55 | 0.00 | 5.32 | 2.66 | 0.00 | 9.65 | 4.34 | 0.00 | |||||||
| 33 | Uttar Pradesh | 72.51 | 54.39 | 6.28 | 71.81 | 71.81 | 9.15 | 125.4 | 94.00 | 2.08 | |||||||
| 34 | Uttarakhand | 8.99 | 6.62 | 0.00 | 8.9 | 8.90 | 0.0044 | 15.54 | 0.0000 | 0.01 | |||||||
| 35 | West Bengal | 25.09 | 13.03 | 0.24 | 24.85 | 24.85 | 0.51 | 43.22 | 21.61 | 0.00 | |||||||
| 36 | Telangana | 12.63 | 9.41 | 0.00 | 12.5 | 11.23 | 0.00 | 21.61 | 16.20 | 0.00 | |||||||
| Total | 527.33 | 379.00 | 28.16 | 527.36 | 504.71 | 35.47 | 925.00 | 530.00 | 13.38 | ||||||||
| *From the F.Y. 2015-16 onwards, the programme has been covered under NCD Flxible Pool including 4 other programmes i.e. National Programme for Control of Blindness & Visual Imairment (NPCB&VI), National Program for Prevention and Control of Cancer, Diabetes, CVD and Stroke (NPCDCS), National Mental Health Programme (NMHP) & National Programme for Tobacco Control (NPTC). The allocation and releases are shown under NCD Flexible Pool and expenditure is for this programme only. | |||||||||||||||||
| **As on date | |||||||||||||||||
| National Programme for Health Care of Elderly | ||||||||||
| Funds released to Regional Geriatric Centre (RGC) and National Centres of Ageing (NCAs) | ||||||||||
| Rs. in Lakhs | ||||||||||
| Sl. No | Name of the States | 2014-15 | 2015-16 | 2016-17 | 2017-18 | |||||
| GIA Released by GOI | Expenditure Reported By the Institutes | GIA Released by GOI | Expenditure Reported By the Institutes | GIA Released by GOI | Expenditure Reported By the Institutes | GIA Released by GOI | Expenditure Reported By the Institutes* | |||
| RGCs covered during 11th Five Year Plan | ||||||||||
| 1 | Govt. Medical College, Tiruvananthapuram, Kerala | 0.00 | 14.78 | 0.00 | 8.55 | 0.00 | 0.00 | 0.00 | 0.00 | |
| 2 | Intt. Of Medical Sciences, BHU, UP | 0.00 | 52.01 | 0.00 | 36.97 | 224.98 | 34.64 | 0.00 | 21.35 | |
| 3 | Guwahati Medical College, Guwahati, Assam | 0.00 | 71.26 | 0.00 | 31.87 | 88.44 | 18.05 | 238.44 | 11.73 | |
| 4 | S.N Medical College Jodhpur, Rajasthan (Insttitute) | 0.00 | 0.00 | 50.00 | 0.00 | 0.00 | 0.00 | 0.00 | 11.45 | |
| 5 | Madras Medical College , Chennai,Tamil Nadu | 0.00 | 5.41 | 50.00 | 26.26 | 50.00 | 0.00 | 0.00 | 1.39 | |
| 6 | Grants Medical College & JJ Hospital, Mumbai, Maharashtra | 0.00 | 54.54 | 50.00 | 27.82 | 0.00 | 80.51 | 238.44 | 7.34 | |
| 7 | Sher-e-Kashmir Institute of Medical Science, Srinagar, J &K | 0.00 | 30.34 | 50.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | |
| 8 | All India Institute of Medical Science, New Delhi | 0.00 | 31.73 | 0.00 | 10.26 | 163.00 | 7.50 | 0.00 | 5.00 | |
| Sub Total (A) | 0.00 | 260.07 | 200.00 | 141.73 | 526.42 | 140.69 | 476.88 | 58.26 | ||
| RGCs and NCAs covered during 12th Five Year Plan | ||||||||||
| 1 | Gandhi Medical College, Bhopal | 100.00 | 0.00 | 247.11 | 0.00 | 0.00 | 0.00 | |||
| 2 | Kolkata Medical College, Kolkata | 100.00 | 0.00 | 247.11 | 0.00 | 0.00 | 0.00 | |||
| 3 | Nizam’s Institute of Medical Sciences, Hyderabad | 100.00 | 0.00 | 247.11 | 0.00 | 0.00 | 0.00 | |||
| 4 | S.C.B. Medical College, Cuttack | 100.00 | 0.00 | 247.11 | 0.00 | 0.00 | 0.00 | |||
| 5 | King George’s Medical University, Lucknow | 100.00 | 0.00 | 247.11 | 0.00 | 0.00 | 0.00 | |||
| 6 | Rajendra Institute of Medical Sciences, Ranchi | 347.11 | 0.00 | 238.44 | 0.00 | |||||
| 7 | Bangalore Medical College & Research Institute, Bengaluru | 347.11 | 0.00 | 238.44 | 0.00 | |||||
| 8 | B.J. Medical College, Ahmadabad | 347.11 | 0.00 | 238.44 | 0.00 | |||||
| 9 | Government Medical College, Nagpur | 0.00 | 0.00 | 0.00 | 0.00 | |||||
| 10 | Agartala Medical College, Agartala | 347.11 | 0.00 | 238.44 | 0.00 | |||||
| 11 | Patna Medical College, Patna | 0.00 | 0.00 | 413.44 | 0.00 | |||||
| 12 | Rajendra Prasad Government Medical College, Himachal Pradesh | 347.11 | 0.00 | 238.44 | 0.00 | |||||
| Sub Total (B) | 500.00 | 0.00 | 2971.10 | 0.00 | 1605.64 | 0.00 | ||||
| National Centres for Ageing (NCAs) | ||||||||||
| 1 | Madras Medical College, Chennai | 1000.00 | 0.00 | 2400.00 | 3400.00 | 4400.00 | ||||
| 2 | All India Istitute of Medical Science, New Delhi | 900.00 | 0.00 | 2490.00 | 0.00 | 0.00 | 0.00 | |||
| Sub Total (C) | 1900.00 | 0.00 | 4890.00 | 3400.00 | 4400.00 | 0.00 | ||||
| Grand Total (A+B+C) | 0.00 | 260.07 | 2600.00 | 141.73 | 8387.52 | 3540.69 | 6482.52 | 58.26 | ||
| * As on date. | ||||||||||
The funds for SCHIS will be released through Senior Citizens Welfare Fund administered by Ministry of Social Justice & Empowerment. No funds have been released to State Governments implementing SCHIS till now.
The Minister of State (Health and Family Welfare), Smt Anupriya Patel stated this in a written reply in the LokSabha here today.
