Mainstreaming of AYUSH

The Indian systems of medicine have age old acceptance in the communities in India and in most places they form the first line of treatment in case of common ailments. Of these, Ayurveda is the most ancient medical system with an impressive record of safety and efficacy. Other components such as Yoga, Naturopathy are being practiced by the young and old alike, to promote good health. Increasing awareness of AYUSH’s potential in solving community health problems resulting from nutritional deficiencieschronic disease condition epidemics and vector- borne diseases have open vistas for AYUSH in public health, thus paving the way for realizing the full potential for AYUSH system in Public Health.

Before NHM AYUSH system are running parrarell to the modern medicine, for a long time it was felt that Doctors/practitioners of AYUSH can play important role in the delivery of health services then it was planned to integrate AYUSH to National Health care delivery system to incorporate the AYUSH system in National Health Policy to attain the Health for all and give people to have choice of treatment. These effort also revitalize & Mainstreaming the AYUSH system under NHM.

Aspects of Mainstreaming Ayush

The Indian systems of medicine have age old acceptance in the communities particularly in Rural areas .These medicines are economical, comparatively safe, efficacious and easily available and can be prepared from locally available resources. Each system has it unique strength to tackle diseases which may not be amenable to treat in other system like chronic debilitating diseases, life style diseases, musculoskeletal disorder and joint disorder through Panchkarma Therapies, Ano rectal diseases through ksharsutra technique, etc .It is therefore the Role of AYUSH doctors to promote the use of these system for prevention and cure.

Integration of AYUSH systems including infrastructure, manpower, and AYUSH medicine to strengthen public health care delivery system at all level and promote AYUSH medicine at gross root level or village level with different National Health Progrramme.The AYUSH personnel would work under the same roof of Public Health infrastructure.

It is to make efforts to ensure that AYUSH practitioners are brought into mainstream of Health Care Delivery system of PHC, CHC and SC so that they provide comprehensive health care along with practitioners of modern systems of medicine.There are many areas where the traditional systems have evidence of better cure and disease management e.g. Ayurveda has better cure for certain chronic lifestyle disorders like piles, fistula, jaundice, arthritis and menstrual disorders, homoeopathy in allergic disorders and similarly yoga and naturopathy has proven strength in managing lifestyle disorders and psychosomatic diseases. Mainstreaming of AYUSH in the health care service delivery system to strengthen the existing public health system.

  • To recreate interest and faith in Indian Systems of Medicine & Homoeopathy
  • Restructure the delivery mechanism of AYUSH systems to make them responsive to the people’s needs.
  • To promote the AYUSH systems with full emphasis on quality.
  • Integrate and mainstream AYUSH in health care delivery system including the National Programmes.
  • Co-locate AYUSH facilities with those of Modern Medicine hospital as to provide choice of treatment to the patient.
  • Utilize the AYUSH institutions, dispensaries and hospitals for health and population related Programme
  • Disseminate the tried and tested concepts and practices of the Indian systems of medicine and Homoeopathy.
  • Encourage and facilitate in setting up of specialty centers and AYUSH clinics at PHC, CHC & District Hospital level eg. Panchkarma, Ksharsootra etc.
  • Facilitate maintaining quality standard in delivery of AYUSH services.
  • Promote systematic participatory documentation of Local Health Traditions (LHT) related to one or more of the following aspects in order to enhance health security of rural communities

The concept of Mainstreaming of AYUSH revolves around optimal use of all available human resources for health care provision in the country. Mainstreaming has essentially two aspects Firstly, there should be a cafeteria approach of making AYUSH and allopathic systems available under one roof at the PHC/CHC/District level .Apart from improving peoples access to health services ,it will also provide choice of treatment to the patients. Secondlythe qualified AYUSH practitioner can fill the manpower gaps, in primary Health care particularly at the CHCs and PHCs level.

Main strategy
  • Under NHM where AYUSH doctors are collocated in the PHCs /CHCs, essential drugs are supplied from financial assistance provided to state Government from the Department of AYUSH, Ministry of Health and Family welfare, Government of India.
  • AYUSH doctors is involved in IEC, Health Promotion ,Supervisory activities and all National Health care Programmes, especially in the priorities areas like MCH etc.
  • Training of AYUSH doctors in Primary Health care and National Disease Control programme.
  • AYUSH dispensaries that are not functioning well may be merged with the PHC or CHC.
  • Joint Monitoring Visit to Health centers to be undertaken by both AYUSH and Health care official at the District level and state level.

A total of 919 Ayurvedic and Homeopathic doctors under NHM (132 at CHC level & 787 PHCs level) have been approved by GOI. Govt.of Gujarat an additionally approved 200 post of Ayurvedic Doctors in Tribal District at Vanbandhus areas at PHCs level from state Budget for improving Healthcare delivery system .

Department of AYUSH

There are 33 Government Ayurveda hospitals and 07 Grant-in-aid hospitals in Gujarat, which provide ancient Ayurveda services to the society with modern tools. Total 1865 beds are available for indoor admission of patients amongst them 1345 beds are existing at government hospital and 520 beds are offered at grant in aid hospitals respectively. More then 2 lack patients admitted in this hospitals and get holistic approach to eliminate from root cause level.

Sr. No Institute Hospitals/ Dispensaries
1 Grant in aid Ayurveda Hospitals 007
2 Government Ayurveda Hospitals 033
3 Ayurvedic Dispensaries 545
4 Mobile Ayurvedic Dispensaries 012
5 Homoeopathy Dispensaries 216
Total 813
  • SBA Training for AYUSH
  • IUCD Training for AYUSH
  • GIS Mapping of AYSUH Facility and ISM&H Dispensary
  • Monthly Performance of AYUSH Doctors as per job chart

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