National Health MissionMaharashtra

Ayush

Introduction

Department of ISM&H established under MOHFW in 1995 and it was renamed has Department of AYUSH in the year 2003. AYUSH is a umbrella term covers Ayurveda, Yoga & Naturopathy, Unani & Homeopathy streams of Indian systems of medicine, AYUSH are important Component of NRHM.

Aims and Objectives :

Mainstreaming of AYUSH and Revitalization of Local Health Tradition, under NRHM.
Training of AYUSH doctors and paramedical staff.
Involvement of ASHA and ANM in AYUSH.

Implementation Strategies:

Strategy to implement the component “Mainstreaming of AYUSH” under NRHM, AYUSH services provided at Government Health Institutions as follows:

Programme Management Unit (PMU)

Programme Management Unit (PMU) under AYUSH is established at State Health Society. It is approved and granted by GOI.

  • Assistant Director AYUSH – 1
  • AYUSH Consultant - 1
  • Data Entry Operator – 2
District AYUSH Cell

To monitor the programme at district level District AYSUH Cell has been established at 33 District Head Quarter. Monitoring of information at District level and communication with state is being done by this cell. This cell is well equipped by computer, printer and furniture. Following officers are look after District AYUSH Cell:

  • Dist. AYUSH Officer- 1
  • Assistant District AYUSH Officer - 1
Co-location of AYUSH Services at District Hospital Level

AYUSH Services are provided in 23 Districts Hospitals. Pattern of District Hospitals for AYUSH wing is as follows:

  • Assistant District AYUSH Officer – 1 (1 of the PG MO)
  • Ayurved Doctor- PG- 1 and UG- 1
  • Homoeopathy Doctor - PG- 1 and UG- 1
  • Unani Docotr - PG- 1 and UG- 1
  • Pharmasist – 1
  • Yoga & Naturotherapist – 1
  • Massasist cum Attendant – 1

Special AYUSH wing is established by the fund provided by Department of AYUSH, New Delhi, in 6 DH (Thane, Pune, Nashik, Amravati, Beed and Parbhani), also proposed in other 19 DH. Renovation and Repair of existing building is done and Equipment, Medicines are also provided with this fund. OPD, IPD and Specialized services like Panchkarma, Kshrasutra, Illaj-bid-tadbir, Yoga practices are also provided by AYUSH wing.

Co-location of AYUSH Services at Women Hospital Level

AYUSH services are provided to Female patients as well as Pregnant Mothers in 8 Women Hospitals. Pattern of Women Hospitals for AYUSH wing is as follows:

  • Ayurved Doctor- PG 1 (Female)
  • Yoga & Naturotherapist – 1 (Female)
  • Massagist cum Attendant – 1 (Female)
Co-location of AYUSH Services at Sub District Hospital/ Rural Hospital Level

Total 77 SDH and 153 RH are facilitated with AYUSH Services according to the Local demand. OPD as well as IPD services of Ayurved, Homoeopathy and Unani system are provided in these Sub-District and Rural Hospitals under Mainstreaming of AYUSH.

  • Ayurved Doctor- GD 1
  • Homoeopathy Doctor – GD 1
  • Unani Doctor – GD 1
Primary Health Center Level

Already existing AYUSH infrastructure has been mobilized in 860 PHCs Ayurved Medical Officers posted from regular services of Health Dept. are rendering services of Ayurved OPD.

Ayurved Dispensaries Level

Already existing AYUSH infrastructure has been mobilized in 680 Ayurved Dispensaries. Ayurved Medical Officers posted from regular services of Health Dept. are rendering services of Ayurved OPD.

Unani Dispensaries Level

Already existing AYUSH infrastructure has been mobilized in 25 Unani Dispensaries. Unani Medical Officers posted from regular services of Health Dept. are rendering services of Unani OPD.

Medicine Supply

Supply of AYUSH Medicine is made from grants received from GoI, Dept. of AYUSH, New Delhi

Additional activities

AYUSH Doctors are involved in IEC activities. They are utilized for supportive supervision of ASHA Programme and other National Health Programmes. District AYUSH Officer and Assistant District AYUSH Officers visit to Health Institutions.

Facility providing AYUSH services
Sr No Type of Institute Total no of Institutes in state Total AYUSH facility in 2008-09 Total AYUSH facility in 2009-10 Total AYUSH facility in 2010-11 Total AYUSH facility in 2011-12 Total AYUSH facility in 2012-13 Total AYUSH facility in 2013-14 Total AYUSH facility in 2014-15
1 District Hospitals 23 19 23 23 23 23 23 23
2 Community Health Centers 458 70 170 233 236 238 238 238
3 TOTAL 481 89 193 256 259 261 261 261
Man power under AYUSH
Type of Institute Ayurved Homeopathy Unani Yoga & Nuturotherapist Pharmacists Massasist cum Attendant DAO
DH 42 46 44 23 23 23 0
WH 8 2 2 8 0 8 0
CHC 199 178 96 0 0 0 0
Dist. AYUSH Cell 0 0 0 0 0 0 33
TOTAL 249 226 142 31 23 31 33
Sanctioned/Vacancy Status under AYUSH
Post Sanctioned Posts Filled Posts Vacant Posts
Ayurved PG 20 18 2
Graduate 229 227 2
Homoeopathy PG 23 23 0
Graduate 203 200 3
Unani PG 23 16 7
Graduate 119 115 4
Yog and Naturotherapist 31 29 2
Pharmasist 23 22 1
Massasits cum Attendant 31 30 1
DAO 9 8 1
Total 711 689 22
Sanctioned/Vacancy Status under AYUSH
Post Sanctioned Posts Filled Posts Vacant Posts
Ayurved PG 20 18 2
Graduate 229 227 2
Homoeopathy PG 23 23 0
Graduate 203 200 3
Unani PG 23 16 7
Graduate 119 115 4
Yog and Naturotherapist 31 29 2
Pharmasist 23 22 1
Massasits cum Attendant 31 30 1
DAO 9 8 1
Total 711 689 22
Various Schemes and Activities and their Present Status
  • Involvement of ASHA and ANM in AYUSH:-

3 State Level Officers are trained in Training of Trainers Programme of ASHA/Health Workers on Mainstreaming of AYUSH under NRHM. at NIHFW, Department of AYUSH,  New Delhi.
AYUSH syllabus is added in ASHA training, module No.4. This topic lectured by Local AYUSH doctors.

Status of ASHAtraining Module-4
Year Target Training Held Percentage
2011-12 59220 51693 87.28%
2012-13 58810 55241 94%
2013-14 58897 56425 95.80%
Sr.No. Subject 2012-13
Target Achiev
  Training of Mainstreaming of AYUSH to Contractual AYUSH Mos (PHI Nagpur) 60 51
  Training of Mainstreaming of AYUSH to MBBS Medical Officers (HFWTC -Pune,Thane,Nashik,Amravati, Nagpur, Kolhapur, Aurangabad) 420 261
  Clinical Training of Panchkarma Treatment 80 73
  Clinical Training of Ksharsutra Treatment 80 78
  CME on Homoeopathy at Kolkatta -- 5
  Panchkarma Training at Arya Vaid Shala, Kottkal, Kerla 20 9
  SMP Workshop inYashada, Pune 15 15
  Workshop of WH Staff in Hotel Bijis at Lonavala 26 20
  Illaj- Bid- Tadbid in ZVM Unani College,Pune 10 10
  Yoga and Naturopathy in  National Institute of Naturopathy, Pune 30 23
Training status of AYUSH Doctors, MBBS Doctors & Paramedical in 2013-14
Sr.No. Subject 2013-14 Details
Venue Target Achieve
  CME  on Cancer and Radiation Prabhadevi Mumbai 10 10 Held on 26.04.13
  Panchkarma Training Ayurved Mahavidyala, Nashik 10 10 From 19.08.2013 to 24.08.2013
  R.A. Podar, Worli, Mumbai 10 10 From 02.09.2013 to 07.09.2013
  Govt. Ayurved College, Nanded 10 10 Form 23.09.2013 to 28.09.2013
  Bhaisaheb Savant Ayurved College, Sawantwadi 10 10 Form 25.09.2013 to 30.09.2013
  Kharsutra Training Tilak Mahavidyala, Pune 10 10 From 26.08.2013 to 31.08.2013
  R A Podar Ayurved College,Mumbai 10 10 From 02.09.2013 to 07.09.2013
  Govt. Ayurved College, Nanded 10 10 Form 23.09.2013 to 28.09.2013
  Illaj-Bid-Tadbid Training Unani Mahavidyala, Pune 10 10 From 26.08.2013 to 31.08.2013
  Unani Mahavidyala, Pune 10 10 Form 16.09.2013 to 21.09.2013
  Unani Mahavidyala, Pune 10 10 Form 30.09.2013 to 05.10.2013
  Unani Mahavidyala, Pune 10 10 Form 07.10.2013 to 12.10.2013
  Yoga and Naturotherapist National Institute of Naturopathy, Pune 26 25 From 18.11.2013 to 22.11.2013
Free AYUSH Camps At Districts:-

Free AYUSH Diagnosis & Treatment camps are held at DH/SDH/RH & WH level in the state. Services provided in camps are as given below   

Year Total Camps AyurvedPt. examined Homoeopathy Pt. examined Unani Pt. examined Y & NPt. examined Total
2011-12 117 38868 23742 16222 5263 84095
2012-13 81 25083 18828 13720 4985 62616
2013-14 32 8522 5804 3736 1314 19376
Services are provided under Mainstreaming of AYUSH in Various Health Facilities
Year Ayurvedic Panchkarma Homeopathy Unani Illaj Bid Tadbid Y & N Total
OPD IPD OPD IPD OPD IPD OPD IPD OPD IPD OPD IPD OPD IPD
2010-11 24,02,101 42,166 31,081 2,369 10,29,356 7,561 6,91,837 6,408 0 0 0 0 41,54,375 58,504
2011-12 30,79,336 19,064 49,004 1,030 9,87,654 4,256 6,90,904 1,656 10,784 604 29,715 1,582 48,47,397 28,192
2012-13 34,44,550 43,948 1,29,565 8,425 15,18,295 16,224 9,48,625 9,162  62,305 1,865 77,981 10,761 61,81,321 90,385
2013-14 33,02,214 49,720 1,60,216 11,958 15,94,004 31,511 10,54,864 15,050 83,468 3,559 99,235 23,531 62,94,001 1,35,329
April -2014 2,36,281 3,545 13,917 1,112 1,26,763 1,729 87,730 1,153 6,383 437 9,993 6,982 4,81,067 14,958
Financial Report of Last 3 years (Rs. In lakhs)
Year Grant Received Expenditure Percentage
2010-11 611.23 477.29 78.09
2011-12 1243.29 1146.92 92.23
2012-13 1251.34 1231.82 98.44
2013-14 1240.02 1258.10 101.46

Activities established in 2013-14

AYUSH Booklet –For propagate of AYSUH services among Policy holders, Bureaucrats, Health Workers, ASHA and Public, AYUSH Booklet is published. It has been distributed to periphery.

AYUSH Standard Management Protocol -Disease wise Standard Management Protocol of AYUSH pathies is proposed.  A committee of experts from Government/ Semi Government/ Private Sector is established.

DHIS-2 -AYUSH formats are included in DHIS-2 software. The actual process of data filling is started by the institutes.

Study Projects – To assess the efficacy of AYUSH drugs on particular disease, four study projects are started by AYUSH doctors under Mainstreaming of AYUSH all projects are in progress.

Medicinal Garden-To introduce the importance of various medicinal plants, to create awareness about benefits and uses of plants in home remedies, the Medicinal garden is proposed and approved by GoI Medicinal Garden are established at DH Pune and DH Satara.

 
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