June 6, 2022 admin
Different schemes extended by the government for renal care
An Overview of dialysis care in India:
In India, the number of fatalities caused by CKD increased from 0.59 million in 1990 to 1.18 million in 2016. Because there are no renal failure registries, data on the incidence and prevalence of kidney failure must be inferred. According to the Million Death Study, 136,000 people died of renal failure in 2015. According to a 2018 estimate, India’s chronic dialysis patients number 175,000, with a frequency of 129 per million people. Dialysis is quickly expanding in India, yet there is still space to increase access and service quality. Scaling up service delivery is an attainable aim with commitment from the federal Union and state governments, as well as the addition of additional service providers. In addition to the National Dialysis Scheme, administered through designated district-level centres, eligible patients can receive dialysis at other hospitals reimbursed under the National Health Protection Scheme (launched in 2018), which was later renamed Ayushman Bharat Pradhan Mantri Jan Arogya Yojana(1).
Pradhan Mantri National Dialysis Programme:
End-stage renal disease is still a result of the present and rising non-communicable disease burden. Patients require long-term care, which includes operations that use a lot of resources, such as dialysis. The Pradhan Mantri National Dialysis Program (PMNDP) aims to enhance District Hospitals by making dialysis treatments more affordable. To make use of the private sector’s capability in the dialysis care segment, the Dialysis Program is run as a Public-Private Partnership in some states, with certain states having their own in-house service delivery system. Following is the optimum and cost-effective strategy, as determined by collaboration with experts and discussions with some of the states implementing the Dialysis program in the PPP manner.
A) It is desirable to spread out dialysis services across the states, starting with District Hospitals in a public-private partnership. Direct provisioning by state governments would be time-consuming, expensive, and dangerous.
B) The service provider shall supply medical personnel, dialysis equipment, as well as the infrastructure for a RO water plant, a dialyzer, and consumables.
C) The payer government should provide space at district hospitals, drugs, electricity, and water, as well as pay for dialysis for impoverished patients.
Pradhan Mantri Jan Arogya Yojana- Ayushman Bharat (PMJAY-AB):
PMJAY-AB is a government of India-run national public health insurance fund that intends to provide low-income Indians with free health insurance coverage. This programme benefits around half of the country’s population. PMJAY is Ayushman Bharat’s tertiary care arm, through which qualified families are given a Rs 5 lakh yearly health cover. Under PMJAY, any empanelled government or private institution receives Rs 2,000 every haemodialysis session. Chhattisgarh, Gujarat, and Maharashtra are the states with the most claims, with 4,68,438, 3,33,883, and 2,98,208 claims, respectively. Dialysis has emerged as the most popular package under the Pradhan Mantri Jan Arogya Yojana (PMJAY) nine months after its launch. Despite the fact that the Pradhan Mantri National Dialysis Programme, which began in 2016, offers free dialysis to renal patients at district hospitals, this remains the case. The growing number of applicants under PMJAY demonstrates India’s high prevalence of hypertension and renal disease.(3)
Mahatma Jyotirao Phule Jan Arogya Yojana (MJPJAY):
Jyotirao Pule, Mahatma Jyotirao The Maharashtra government’s major health insurance plan is the Jan Arogya Yojana. Through a network of government and private sector service providers, the initiative delivers end-to-end cashless services for designated conditions. The initiative was previously known as the Rajiv Gandhi Jeevandayee Arogya Yojana, and it began on July 2, 2012, in eight districts before being expanded to 28 districts in Maharashtra on November 21, 2013. In Maharashtra, the AB-PMJAY was introduced in collaboration with Mahatma Jyotirao Phule Jan Arogya Yojna and was executed in a combined insurance and assurance mode. The Ayushman Bharat-Pradhan Mantri Mahatma Jyotirao Phule Jan Arogya Yojana (MJPJAY) and the Integrated Mahatma Jyotirao Phule Jan Arogya Yojana (MJPJAY) On April 1, 2020, the state’s Jan Arogya Yojana (AB-PMJAY) was inaugurated.
Under the insurance mode, United India Insurance Company Limited (Public Sector Undertaking Company) offers health insurance coverage to beneficiaries, while the assurance method is provided by the State Health Assurance Society. The State Health Assurance Society pays the Insurance Company an annual insurance premium of 797/- per family in quarterly instalments on behalf of qualified beneficiary households. Mahatma Jyotirao Phule Jan Arogya Yojana is fully funded by the Government of Maharashtra. Pradhan Mantri Jan Arogya Yojana is jointly funded by the Government of India and the Government of Maharashtra in a ratio of 60:40(2).
Reference:
- Bharati, J., & Jha, V. (2020). Global Dialysis Perspective: India. Kidney360, 1(10), 1143–1147. https://doi.org/10.34067/KID.0003982020
- MJPJAY. (n.d.). Retrieved June 6, 2022, from https://www.jeevandayee.gov.in/MJPJAY/FrontServlet?requestType=CommonRH&actionVal=RightFrame&page=undefined%3E%3E%3Cb%3EMJPJAY%3C/b%3E&pageName=MJPJAY&mainMenu=About&subMenu=MJPJAY
- Under PMJAY, most claims for dialysis. (2019, June 30). The Indian Express. https://indianexpress.com/article/india/pradhan-mantri-jan-arogya-yojana-claims-for-dialysis-kidney-disease-health-scheme-5807064/