Medical facilities provided by government for Treatment of various diseases

According to the World Health Organization, the estimated number of tuberculosis patients in the country is 26 lakh whereas the estimated mortality attributable to tuberculosis is 2.4 lakh. As of May 2015, a total of 8, 69,576 HIV/AIDS patient are receiving free Antiretroviral Therapy (ART). Numbers of patients reported died at ART centres during the last three financial years are as below:

• 2011-12: 35,265
• 2012-13: 29,466
• 2013-14: 41,956

Indian Council of Medical Research (ICMR) conducts studies on incidence and prevalence of different diseases. Among the major Non-Communicable Diseases (NCDs), as per disease burden study on non-communicable diseases by ICMR, the number of estimated cases and deaths for Diabetes Mellitus and Ischemic Heart Disease (IHD) in 2004 are as under:

While health is a state subject, the Central Government supplements the efforts of the state governments to provide health care.

The Government of India, along with state governments, has been implementing the Revised National Tuberculosis Control Programme (RNTCP) in the country which since 2005 is under the aegis of the National Health Mission (NHM). Under the programme, more than 13000 designated microscopy centres have been established for quality diagnosis of TB. Programmatic Management of Drug Resistant TB (PMDT) Services under RNTCP were initiated in India from year 2007 and the entire country was covered by 2013. Diagnosis of Drug Resistant TB is conducted through quality assured drug susceptibility testing at 62 Culture and Drug Susceptibility Testing laboratories, in addition to availability of rapid molecular tests like Line Probe Assay (LPA) and Cartridge Based Nucleic Acid Amplification Test (CBNAAT). Under RNTCP, drugs are provided under direct observation and the patients are monitored to facilitate adherence to and completion of treatment. Most government hospitals, Community Health Centres (CHCs), Primary Health Centres (PHC), sub-Centres function as DOT centres. Diagnosis and treatment under RNTCP is provided free of cost. In the year 2014, 1445284 persons were registered under RNTCP.

As of May 2015, there are 510 Antiretroviral Therapy (ART) centres and 1068 Link Antiretroviral Therapy (LAC) in the country and through them a total of 8, 69,576 HIV/AIDS patients are receiving free of cost Antiretroviral Therapy (ART). The PLHIV are provided free basic diagnostic services, free CD4 count and free ARV drugs.  Medicines for NCD’s are made available to patients both in Central and State Governments Health facilities free of cost or at subsidized rates. However, the number of persons getting such benefits is not maintained centrally.

The Government of India launched a National Programme for Prevention and Control of Cancer, Diabetes, Cardio-vascular Diseases and Stroke (NPCDCS) in July, 2010 in 100 Districts in 21 States.  From 2013-14, the programme has been brought under the umbrella of National Health Mission (NHM) and expanded to cover more districts in all states and UTs.  During 12th Plan, the activities under NPCDCS include strengthening of health infrastructure by setting up of NCD clinics, providing necessary manpower for programme activities, health promotion activities, screening, early diagnosis, treatment and referral of patients suffering from these diseases through public health delivery system.

The trend of support under RNTCP is on the rise. During the last 3 years, Rs.1621 crores (aggregate) was released to the States under RNTCP.

The amount spent on procurement of (Antiretroviral) ARV Drugs by National Aids Control Organization (NACO) during the last two years is as under:-

During the last 3 years, Rs.310.38 crore was released to the State Government under the NPCDCS. The details of average expenditure incurred by individuals for treatment of RNTCP, AIDS, Diabetes and heart-related diseases from private or with government health facilities in the country are not centrally maintained.