Gujarat sickle cell programme crosses 1.11 crore screenings in two decades
Synopsis
Key Takeaways
Gujarat's sickle cell control programme has screened more than 1.11 crore people since its launch two decades ago, making it one of the largest and longest-running state-led initiatives against hereditary blood disorders in India. The milestone, highlighted ahead of World Sickle Cell Awareness Day on 19 June, positions Gujarat as a foundational model for the country's broader elimination drive targeting 2047.
Scale and Reach of the Programme
The initiative was launched in 2006 under then Gujarat Chief Minister and current Prime Minister Narendra Modi, becoming the first large-scale state-led sickle cell control effort in India. Under the current administration of Chief Minister Bhupendra Patel, more than 23 lakh screenings have been conducted over the past five years alone, pushing the cumulative total past 1.11 crore. The state currently has 30,512 registered patients under the programme.
Healthcare Infrastructure Deployed
Initial screening using DTT tests is now available at all Primary Health Centres across Gujarat. The state has deployed 41 High-Performance Liquid Chromatography (HPLC) and mini-electrophoresis machines across 14 tribal districts, where sickle cell disease is most prevalent. Dedicated day-care centres for patients are operational in Valsad, Navsari, and Dang-Rumla. Additionally, 180 dedicated counsellors have been placed at Primary Health Centres to reduce the risk of genetic transmission to future generations.
Financial Support for Patients
Under the state's Patient Assistance Scheme, a total of ₹18.15 crore has been disbursed to 13,040 beneficiaries. In the 2024-25 financial year, the monthly lifelong assistance for patients was raised from ₹500 to ₹2,500 — a fivefold increase. State Health Minister Praful Pansheriya has encouraged young people to determine their sickle cell status before marriage, describing the test as an important 'medical horoscope.'
Expert Assessment: The Gujarat Model
Speaking on the occasion of World Sickle Cell Awareness Day 2026, observed globally under the theme 'Closing the Survival Gap: Equity in Sickle Cell Disease', Padma Shri awardee and translational scientist Dr Yazdi Italia said the Gujarat programme had demonstrated how healthcare services could be successfully delivered to remote tribal populations.
'In 2006, Gujarat established an important milestone by launching a holistic Sickle Cell Control Programme. The programme introduced free screening in rural and tribal areas, early diagnosis, genetic and ethical counselling, vaccination, availability of medicines such as folic acid and hydroxyurea, and regular follow-up services,' Dr Italia said. He added that the Gujarat model significantly reduced pain crises, complications, and hospitalisations, and later became the basis for national adoption through the National Health Mission.
National Mission and the Road to 2047
The Centre launched the National Sickle Cell Anaemia Elimination Mission on 1 July 2023, with the objective of substantially reducing the disease burden by 2047. According to national programme data, more than 7 crore people have been screened in high-prevalence states across India. Authorities have identified more than 2.46 lakh patients with sickle cell disease and over 20 lakh individuals carrying the sickle cell trait. The mission, alongside the Ayushman Bharat scheme, provides free screening, diagnosis, treatment, blood transfusion services, ambulance support, and complication management. Gujarat has also confirmed plans to establish a specialised Centre of Competence, Research and Counselling at Surat Civil Hospital to strengthen clinical research and genetic counselling as the long-term elimination goal draws closer.