Palliative Care Units for Cancer Patients

As per Indian Council of Medical Research’s Cancer registry data, the estimated incidence of cancer in the country, State/UT wise during 2017 is given below:

Estimated Incidence of cancer cases in India, State/UT - All sites -- Both sexes
States	2017
Jammu & Kashmir	16480
Himachal Pradesh	8348
Punjab	33781
Chandigarh	1335
Uttaranchal	12995
Haryana	32049
Delhi	20899
Rajasthan	86675
Uttar Pradesh	257353
Bihar	137656
Sikkim	485
Arunachal Pradesh	1292
Nagaland	1309
Manipur	3082
Mizoram	1687
Tripura	2229
Meghalaya	3376
Assam	32177
West Bengal	112466
Jharkhand	43071
Orissa	51763
Chhattisgarh	33477
Madhya Pradesh	93754
Gujarat	77097
Daman & Diu	504
Dadra & Nagar Haveli	542
Maharashtra	138271
Telangana	43784
Andhra Pradesh	60475
Karnataka	76867
Goa	1801
Lakshadweep	96
Kerala	44566
Tamil Nadu	83554
Pondicherry	1687
Andaman & Nicobar Islands	443
Total	1517426

Health is a State subject, however to supplement the efforts of State, the Government of India is implementing  National Programme for Palliative Care (NPPC) under National Health Mission (NHM). There is no state-wise/national data maintained under NPPC, which suggest the inadequacy of number of palliative care units in the country as the support under the Program for the States/UTs is primarily for establishing basic palliative care services at district hospitals.

The program is a part of the ‘Mission Flexipool’ of National Health Mission (NHM). A framework of operational and financial guidelines for the states has been developed, on the basis of which the states/UTs prepare their proposals related to palliative care and incorporate them in their respective Programme Implementation Plan (PIPs) to seek financial support under NHM. The palliative care units at district hospitals, which are supported under the program, are at different stages of getting operational. A list of the districts covered, so far, under the program is given below:

List of districts, state-wise, covered under National Program for Palliative Care

S.No	States/UTs	Districts
1	Maharashtra	8; Amravati, Bhandara, Chandrapur, Gadchiroli, Wardha, Washim, Parbhani&Satara
2	Tamilnadu	20; Cuddalore, Dindigul, KovilpattiRamanathapuram, Tiruppur, Krishnagiri, Thiruvallur, Namakkal, Thiruvarur, Tiruvannamalai, Kanchipuram, Pollachi, Villupuram, Vellore, Kumbakonam, Erode, Trichy, Salem, Tirunelveli& Kanniyakumari
3	West Bengal	19; Darjeeling, Jalpaigudi, Coochbehar, Uttar Dinajpur, Dakshin Dinajpur, Malada, Murshidabad, Nadia, North 24 Parganas, South 24 Parganas, Hooghly, Hawrah, PoorviMidnapur, PashchimMidnapur, Bankura, Birbhum, Purulia, Bardhman& Alipurduar
4	Odisha	5; Balangir; Nabrangpur; Koraput; Malkangiri and Naupada)
5	Assam	5; Kamrup, Jorhat, Sibsagar, Dibrugarh and Lakhimpur
6	Tripura	4; Kumarghat Rural Hospital, Kulai District Hospital, Udaipur District Hospital and Jolaibari Rural Hospital
7	Nagaland	1; Naga hospital, Kohima
8	Andhra Pradesh	5; Visakhapatnam, Guntur, Nellore, Tirupathi& Kurnool
9	Telangana	8; districts yet to be identified by the state.
10	Mizoram	1; East Aizwal
11	Puducherry	1; Puducherry
12	Kerala	14;Thiruvananthpuram, Kollam, Pathanamthitta, Kottayam, Alapuzza, Idukki, Ernakulam, Thrissur, Palakkad, Malaputtam, Kozhikode, Wayanad, Kannur, Kasargode
13	Uttar Pradesh	10; Jalaun, Jhansi, Kheri, Lalitpur, Etawah, Faizabad, Firozabad, Farrukhabad, Raibareilly&Sultanpur
14	Jammu & Kashmir	4; districts yet to be identified by the state in Jammu division.
15	Karnataka	5; Bangalore Rural, Raichur, Mangalore, Dharwad& Mysore.
16	Gujarat	6; Gandhinagar, Surendranagar, Rajkot, Jamnagar, Porbandar& Junagadh
17	Haryana	1; Ambala
18	Chhattisgarh	3; Raipur, Durg and Dhamtari
19	Madhya Pradesh	1; Ujjain

The Minister of State (Health and Family Welfare), Smt Anupriya Patel stated this in a written reply in the Rajya Sabha here today.

Courtesy: pib.nic.in