GOVERNMENT OF INDIA

MINISTRY OF HEALTH AND FAMILY WELFARE

DEPARTMENT OF HEALTH AND FAMILY WELFARE

LOK SABHA
UNSTARRED QUESTION No. 1595
TO BE ANSWERED ON 28.07.2023
‘CATARACT SURGERY AND DIABETES-TYPE-1 PATIENTS’

1595. SHRIMATI RAMA DEVI

SHRI AJAY KUMAR MANDAL
SHRIMATI NAVNEET RAVI RANA
SHRI SUNIL UMAR PINTU
MS. LOCKET CHATTERJEE

Will the Minister of HEALTH AND FAMILY WELFARE be pleased to state:

(a) whether the Government is aware that huge discrepancies have been observed in
the coverage of Cataract Surgery across various States in the Country and if so,
the details thereof, State/UT –wise
(b) the number of cataract operations performed so far in Bihar, West Bengal and
Maharashtra particularly in Amravati, during the last two years, year wise and
district-wise;
(c) whether the Government has received any complaint for charging of
higher/excessive fees by the physicians for intraocular lens (IOLS) in cataract
surgery under National Blindness Control Programme;
(d) if so, the details thereof along with the necessary steps taken /proposed to be
taken in this regard;
(e) the number of Type-1 diabetes patients in the country;
(f) whether any census has been conducted by the Government in this regard and if
so, the details thereof;
(g) whether any welfare measures have been taken by the Government for the poor
children suffering from Type-1 diabetes since their childhood and if so, the details
thereof; and
(h) Whether the Government proposes to provide financial assistance for the cost of
expensive treatments like insulin therapy and if so, the details thereof and if not,
the reasons thereof?

ANSWER
THE MINISTER OF STATE FOR HEALTH AND FAMILY WELFARE
(PROF. S.P SINGH BAGHEL)

(a) & (b) National Programme for Control of Blindness & Visual Impairment (NPCB&VI)
is implemented all over the country uniformly. Year wise target of cataract surgery is
allotted to the States and Union Territories (UTs) based on their population and
prevalence of blindness. The details of Cataract Surgeries performed across various
States/UTs in the Country for the year 2022-23 is placed at Annexure-I and details of
Cataract Surgeries performed in Bihar, West Bengal & Maharashtra for the last two years
i.e. 2021-22 & 2022-23 is placed at annexure-II
(c) & (d) Under National Programme for Control of Blindness & Visual Impairment
(NPCB&VI) all intra-ocular surgeries are done free of cost by the Government. NGOs/
hospitals are paid Rs. 2000/- per surgery as per the norms of the programme. Under the
National Programme for Control of Blindness & Visual Impairment (NPCB&VI), no
complaint regarding higher/exorbitant charges by doctors for intraocular lenses in
cataract surgeries has been reported.

(e) & (f) As per the 10th edition of International Diabetes Federation Atlas 2021, the
estimated children and adolescents with type 1 diabetes is 22,94,000 (between the age of
0 -19). There is a registry maintained by the Indian Council of Medical Research called
as the Young Diabetes Registry (YDR) entitled Registry of people with diabetes in India
which collects data on patients with type 1 diabetes from the different parts of the country.

(g) & (h): The Department of Health & Family Welfare, Government of India, provides
technical and financial support to the States/UTs under the National Programme for
Prevention and Control of Non-Communicable Diseases (NP-NCD) as part of National
Health Mission (NHM), based on the proposals received from the States/UTs. Diabetes is
an integral part of NP-NCD. The programme focusses on strengthening infrastructure,
human resource development, health promotion & awareness generation for prevention,
early diagnosis, management and referral to an appropriate level of healthcare facility for
treatment of the Non-Communicable Diseases (NCDs), including Diabetes. Under NP-
NCD, 724 District NCD Clinics, 210 Cardiac Care Centre, and 6110 Community Health
Center NCD Clinics have been set up.

Under NP-NCD, glucometer and drugs for diabetes are provided as per the proposals
received from the States. Further, under Free Drugs Service Initiative of NHM, financial
support is provided to States/UTs for provision of free essential medicines including
insulin for poor and needy people. Furthermore, quality generic medicines including
insulin are made available at affordable prices to all, under ‘Pradhan Mantri Bhartiya
Janaushadhi Pariyojana (PMBJP), in collaboration with the State Governments.

*****
 Annexure-1

National Programme for Control of Blindness and Visual Impairment

State wise targets & Achievement for Cataract Surgeries during 2022-23
States Cataract Operations
Target* Achiev. %
Major States
Andhra Pradesh 227500 404841 178
Bihar 405800 369203 91
Chhatisgarh 177300 135113 76
Goa 5300 18176 343
Gujarat 126300 636428 504
Haryana 109900 212050 193
Himachal Pradesh 41700 47682 114
Jharkhand 183000 222599 122
Karnataka 339600 533668 157
Kerala 152100 241512 159
Madhya Pradesh 473200 740644 157
Maharashtra 776400 873513 113
Orissa 332400 335121 101
Punjab 132400 246964 187
Rajasthan 308700 314599 102
Tamilnadu 501900 592354 118
Telangana 409900 256499 63
Uttar Pradesh 1541530 1156045 75
Uttarakhand 59800 72994 122
West Bengal 644200 586954 91
North Eastern States
Arunachal Pradesh 7800 3009 39
Assam 278000 154539 56
Manipur 8200 4185 51
Meghalaya 16600 2966 18
Mizoram 6900 3725 54
Nagaland 9100 1825 20
Sikkim 1300 1261 97
Tripura 16800 10994 65
UTs
A &N Nicobar 2200 1057 48
Chandigarh 6100 12295 202
D&N Haveli and DD 3500 2330 67
Delhi 76000 94914 125
Jammu & Kashmir 104700 31373 30
Lakshdeep 70 139 199
Pondicherry 7200 22428 312
ladakh 6600 825 13
Grand Total 7500000 8344824 111

Note:- Physical progress report for the year 2022-23 is upto March 2023.
 Annexure- II

DISTRICT WISE PERFORMANCE OF CATARACT SURGERY OF BIHAR State

DURING FY 2021-22 and 2022-23

2021-22 2022-23
S.No. District
1 Araria 4049 4326
2 Arwal 79 122
3 Aurangabad 4803 17205
4 Banka 1 1160
5 Begusarai 3854 3070
6 Bhagalpur 10320 12909
7 Bhojpur 5095 5970
8 Buxar 0 572
9 Darbhanga 3789 5421
10 East Champaran 43070 18490
11 Gaya 22154 76151
12 Gopalganj 2217 1651
13 Jamui 2954 3485
14 Jehanabad 0 401
15 Kaimur 0 364
16 Katihar 0 826
17 Khagaria 0 214
18 Kishanganj 3842 5202
19 Lakhisarai 0 567
20 Madhepura 634 1517
21 Madhubani 389 2676
22 Munger 798 1889
23 Muzaffarpur 20002 20295
24 Nalanda 5783 12203
25 Nawada 444 864
26 Patna 11257 23916
27 Purnia 10974 19277
28 Rohtas 552 25706
29 Saharsa 1147 2158
30 Samastipur 8652 20429
31 Saran 56177 67301
32 Sheikhpura 819 561
33 Sheohar 453 485
34 Sitamarhi 1808 2781
35 Siwan 4031 4199
36 Supaul 630 1098
37 Vaishali 1268 969
38 West Champaran 4 2773
Total 232049 369203
 Annexure-II

DISTRICT WISE PERFORMANCE OF CATARACT SURGERY OF MAHARASHTRA

STATE DURING FY 2021-22 and 2022-23

S.No. District 2021-22 2022-23

1 Akola 13182 14907
2 Amravati 20983 24715
3 Buldhana 12772 21299
4 Washim 4998 5334
5 Yavatmal 13933 21151
6 Aurangabad 20791 24485
7 Hingoli 3813 2828
8 Jalna 9560 12134
9 Parbhani 7331 10457
10 Kolhapur 19978 33262
11 Ratnagiri 9479 13881
12 Sangli 20978 28606
13 Sindhudurg 2667 7584
14 Beed 8811 18643
15 Latur 19917 23506
16 Nanded 15480 17070
17 Osmanabad 6085 11909
18 Mumbai 33831 102425
19 Palghar 15756 17944
20 Raigad 8448 20011
21 Thane 20897 38162
22 Bhandara 8170 9957
23 Chandrapur 13043 16582
24 Gadchiroli 3277 6991
25 Gondia 4234 6621
26 Nagpur 25218 37431
27 Wardha 16861 19615
28 Ahmadnagar 27905 29612
29 Dhule 19470 18851
30 Jalgaon 22914 28198
31 Nandurbar 8950 10497
32 Nashik 10706 47603
33 Pune 65043 113594
34 Satara 15892 23340
35 Solapur 19661 34308
Total 551034 873513
 Annexure-II

DISTRICT WISE PERFORMANCE OF CATARACT SURGERY OF WEST BENGAL

STATE DURING FY 2021-22 and 2022-23

S.No. District 2021-22 2022-23

1 Alipurduar 4111 8239
2 Bankura 10937 18580
3 Bisnupur_HD 6168 7825
4 Birbhum 3141 6672
5 Rampurhat HD 868 2213
6 Cooch-beehar 4306 10670
7 Dakshin Dinajpur 3091 5171
8 Darjeeling 7368 11312
9 Hoogly 34502 45511
10 Howrah 14541 20835
11 Jalpaiguri 10811 16926
12 Jhargram_ 1502 3291
13 Kalimpong 630 989
14 Malda 7812 13790
15 Murshidabad 31962 38225
16 Nadia 18452 41541
17 North 24 Parganas 62787 105063
18 Basirhat_HD 291 2439
19 Paschim Bardhaman 17172 35306
20 Paschim Medinipure 19637 22372
21 Purba Bardhaman 11325 19852
22 Purba Medinipure 23896 30309
23 Nandigram HD 798 5355
24 Purulia 15827 14977
25 South 24 Parganas 18149 28845
26 Diamon Harbour_HD 7128 7346
27 Uttar Dinajpur 996 4211
28 Kolkata 34728 59115
Total 372936 586980