Pradhan Mantri National Dialysis Program

Pradhan Mantri National Dialysis Program Latest News

The Pradhan Mantri National Dialysis Program (PMNDP) is presently implemented in all 36 States/UTs covering 751 districts (including 44 linked districts) through 1,856 haemodialysis centres equipped with 13,535 haemodialysis machines, according to the Union Health Ministry.

About Pradhan Mantri National Dialysis Program

• It is a centrally-funded health scheme rolled out in 2016 with the objective to strengthen the district hospitals under National Health Mission (NHM) to make dialysis services affordable and accessible to the community. 
• Under PMNDP, dialysis services are provided free of cost to all Below Poverty Line (BPL) beneficiaries at the public health facilities while non- BPL patients are benefitted of accessing the services close to the community at the subsidized rates. 
• Initially, the Government recommended the setting up of haemodialysis centres in all district hospitals. 
• Based on local requirements, States have been encouraged to scale down the facilities to Community Health Centres (CHCs) at the taluka level, especially in remote and tribal regions. 
• The programme has two components namely Hemodialysis (HD) services & Peritoneal dialysis (PD) services. 
  • Hemodialysis (HD, commonly known as blood dialysis): 
    • In HD, the blood is filtered through a machine that acts like an artificial kidney and is returned back into the body. 
    • HD needs to be performed in a designated dialysis centre.
    • It is usually needed about 3 times per week, with each episode taking about 3-4 hours.
  • Peritoneal dialysis (PD, commonly known as water dialysis): 
    • In PD, the blood is cleaned without being removed from the body. 
    • The abdomen sac (lining) acts as a natural filter. A solution (mainly made up of salts and sugars) is injected into the abdomen that encourages filtration such that the waste is transferred from the blood to the solution.
    • Close medical supervision is not required for most PD cases, thus making it a feasible option for patients who may want to undergo dialysis in the home setting. 
• PMNDP supports establishment of dialysis centres (In-house & public private partnership/hybrid models) for HD service delivery as per the state/UT requirement. 
• Currently, HD Services under PMNDP is operational in Private Public Partnership (PPP) mode in 14 States/UTs, in-house mode in 16 States/UTS and hybrid mode in 6 States/UTs. 
• Private Public Partnership (PPP) mode: As per the guidelines, the private partner is to provide medical human resource, dialysis machine along with Reverse Osmosis (RO) water plant infrastructure, dialyzer and consumables, while the space, power, and water supply within District Hospitals is to be provided by the State Government.
• Under this initiative the PMNDP portal was launched in 2022.
  • The portal will integrate all the dialysis centres operational in the state under NHM and facilitate building of renal registry and ensuring portability within the state (one state one dialysis) and later throughout the country (One Nation-One Dialysis). 
• Funding: The NHM provides financial assistance to States and UTs for establishing and operating dialysis centres to ensure equitable access to kidney care services for all, regardless of geography.
• Nodal Ministry: Ministry of Health and Family Welfare.

News: PIB

‹ ›