Health Minister J P Nadda has already chaired two review meetings to speed up implementation — so far, 27 states have placed their proposals, the most, 57, having come from Uttar Pradesh. (Express photo by Jaipal Singh 9-6-2011)
Four months after a scheme was announced, the Union Health Ministry has received almost 400 proposals for district hospitals to start dialysis units using the PPP mode. Of these, 275 have already been approved. With Health Minister J P Nadda personally monitoring the scheme, officials say all of them should be up and running by year end.
This despite the fact that though it was one of the big ticket Budget announcements, there is no separate allocation for it and states are submitting proposals under the programme implementation plans of the National Health Mission.
There was a small increase of Rs 700 crore in the NHM budget this year taking it to Rs 19,000 crore. There are an estimated 2.2 lakh new patients every year with end stage renal disease who need dialysis at an annual cost of about Rs 1-1.5 lakh. A patient requires about 150 sittings of dialysis every year.
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The Budget plan was to have at least one dialysis unit in every district of the country given the high-burden of chronic kidney disease and the diabetes load that is only likely to raise those numbers further in the coming years.
The initial target is to provide free dialysis service to BPL patients, but once a unit is in place all patients would have access to the services, reducing the large traffic of kidney patients to big centres.
Nadda has already chaired two review meetings to speed up implementation — so far, 27 states have placed their proposals, the most, 57, having come from Uttar Pradesh.
The guidelines for the programme were issued in April and Prime Minister Narendra Modi has made it clear to the ministry that the scheme should take off as soon as possible.
Places like Puducherry, Delhi etc where there are ample facilities available in the private or government sector, have not opt…