- A recently released ICMR report titled “India: Health of nation’s states” says that non-communicable diseases is the leading cause of deaths in Maharashtra.
- The report shows that the life expectancy in the females and males has increased from 55 and 55 in 1990 to 69 and 65 in 2016 respectively.
- It highlights the change in the risk factors for deaths from 1990 to 2016. While malnutrition was the leading risk factors earlier it’s place has now been taken by dietary risks, followed by high blood pressure and then by malnutrition.
- The report revealed that around 65 per cent of deaths were reported and the cause behind those deaths was non-communicable diseases (NCDs). Communicable diseases forms 24 per cent, while the injuries form 12 per cent as the cause behind total deaths reported in Maharashtra.
While answering on a question regarding deaths due to non-communicable diseases, Anupriya Patel, Minister of State in the Ministry of Health And Family Welfare, put forth her reply.
She said, As per World Health Organisation (WHO)’s “Non-Communicable Diseases (NCD) Country Profiles 2014”, NCDs are estimated to account for 60 per cent of total deaths in India.
The Indian Council of Medical Research has informed that as per Global Burden of Disease Study 2016 Estimates, 61.8% of all deaths were due to Non-Communicable Diseases (NCDs) in India.
Cardiovascular Diseases (coronary heart diseases, stroke and hypertension) contribute to 28.1% of all NCD deaths, followed by chronic respiratory diseases (10.9%) and cancer (8.3%).
Data on morbidity and mortality due to NCDs is not maintained centrally. As per Indian Council of Medical Research’s cancer registry data, the estimated number of deaths of cancer cases in the country during 2014, 2015 and 2016 are 6, 70,541, 7, 01,007 and 7, 32,921, respectively.
The National Health Policy 2017 aims for attainment of the highest possible level of health and well-being for all at all ages, through a preventive and promotive health care orientation.
The policy seeks to move away from sick-care to wellness, with thrust on prevention and health promotion. The policy, inter alia, seeks to reduce premature mortality from cardiovascular diseases, cancer, diabetes or chronic respiratory diseases.
National Multisectoral Action Plan has been developed to integrate different sectors and ministries for successful control of spread of NCDs.
Government of India is implementing National Programme for Prevention and Control of Cancer, Diabetes, Cardiovascular Diseases and Stroke (NPCDCS) under the National Health Mission. The objectives of the programme include health promotion activities and opportunistic screening for common NCDs.
For early diagnosis, population level initiative of prevention, control and screening of common NCDs (diabetes, hypertension and cancers viz. oral, breast and cervical cancer) has been rolled out in over 100 districts of the country in 2017-18.
Niti Aayog with the technical assistance of the World Bank Group and in consultation with Ministry of Health and Family Welfare is working to develop a Model Concessionaire Agreement for the provision of prevention and treatment services for Non-Communicable Diseases such as Cardiovascular Diseases, Oncology and Pulmonology at the district level.
This is with the objective to bring advanced healthcare systems where there is a clear unmet need. The states would have the option to adopt and/or to customise before rolling out as well as to decide the group of patients who can be provided free services. Niti Aayog shared the draft framework with the states for their inputs.