Ministry of Health and Family Welfare

Healthcare of Elderly People

Posted On: 29 DEC 2017 4:14PM by PIB Delhi

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.

 

*****

MV/LK

 



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