CKD management costs ₹2-5 lakh annually, AB-PMJAY covers only 15 days post-transplant

The Health and Family Welfare Committee examined the rising prevalence of Chronic Kidney Disease (CKD) in India to address gaps in prevention, diagnosis, treatment, and management. This matters to citizens because CKD affects an estimated 138 million people and involves high costs for dialysis and transplantation.

Ministry of Health and Family Welfare; the general public, particularly the estimated 138 million people with CKD, agricultural workers, and patients requiring dialysis or organ transplants.

• Committee recommended extending Ayushman Bharat-Pradhan Mantri Jan Arogya Yojana (AB-PMJAY) post-transplant coverage from 15 days to one year and increasing the family health cover from Rs 5 lakh to Rs 10 lakh.
• Committee recommended filling vacant specialist posts in states like Bihar, Odisha, Rajasthan, Assam, and Chhattisgarh, and establishing dedicated nephrology departments in government medical colleges.
• Committee recommended a prevention-first strategy using Ayushman Arogya Mandirs and ASHA/ANM workers for early identification of high-risk individuals.
• Committee recommended mandatory reporting of estimated Glomerular Filtration Rate (eGFR) with every serum creatinine test at no additional cost, and biannual Kidney Function Tests for those aged 20 and above.
• Committee recommended establishing transplant facilities in at least three government medical colleges in large states and one in small states/UTs, and simplifying organ retrieval protocols.
• Committee recommended a national framework for preventing and surveilling CKD of unknown causes (CKDu) in coordination with Ministries of Agriculture, Jal Shakti, Environment, and Labour, including workplace safety measures for agricultural workers.

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