Lok Sabha Question No. 4501 (UNSTARRED), answered on 2020-03-20
Subject: Education and Research under AYUSH
Ministry: AYURVEDA,YOGA & NATUROPATHY,UNANI,SIDDHA AND HOMEOPATHY (AYUSH)
Asked by: Shashi Tharoor

## GOVERNMENT OF INDIA MINISTRY OF AYURVEDA, YOGA & NATUROPATHY, UNANI, SIDDHA AND HOMOEOPATHY (AYUSH)

LOK  SABHA UNSTARRED  QUESTION NO. 4501 TO BE ANSWERED ON  20 TH MARCH, 2020

## EDUCATION AND RESEAR CH UNDER AYUSH

## 4501. DR. SHASHI THAROOR:

Will  the  Minister of AYURVEDA,  YOGA  AND  NATUROPATHY,  UNANI, SIDDHA AND HOMOEOPATHY (AYUSH) be pleased to state:

- (a) whether AYUSH, the governmental body that is purposed with developing, education and research in the field of alternative medicine, is substantially funded by the Government;
- (b) if so, the details thereof and if not, the reasons therefor;
- (c)  the  scheme - wise plan,  outlay  and  expenditure  under  department  of  AYUSH  for  the  year 2019- 20;
- (d) whether the  Government has made recommendations under 15th Finance Commission for considerable grants to AYUSH departments in the country, State/UT - wise and if so, the details thereof; and
- (e)  the  details  of  the  performance  of  Kerala  in  implementing  the  various schemes  under AYUSH?

## ANSWER

## THE MINISTER OF STATE (IC) OF THE MINISTRY OF AYURVEDA, YOGA & NATUROPATHY, UNANI, SIDDHA AND HOMOEOPATHY (SHRI SHRIPAD YESSO NAIK)

- (a):    No.
- (b):The comparison of projected requi rement and allocated funds for this Ministry for the las four years are as under: -

| Year     |   Projected Demand |   Allocated Demand |   % of allocation w.r.t. |
|----------|--------------------|--------------------|--------------------------|
| 2016- 17 |            2111.52 |            1326.2  |                    62.8  |
| 2017- 18 |            2478.78 |            1428.65 |                    57.64 |
| 2018- 19 |            2796.93 |            1626.37 |                    58.73 |
| 2019- 20 |            4469.59 |            1939.76 |                    43.4  |

(c): The scheme - wise Plan, Outlay and expenditure for year 2019 - 20 is at Annexure - A.

(d): Yes. The  recommendation  made  under  15th  Finance  Commission  for  the  grant  of additional fund is at Annexure - B.

(e): For  the  promotion  and  development  of  AYUSH  System  the  Ministry  of  AYUSH  is implementing  through  its    flagship  Centrally  Sponsored  Scheme  namely  National  AYUSH Mission. As per the proposal received from the Government of Kerala, an amount of Rs. 71 13.72 lakh  has  been  released  for  different  activities  of  National  AYUSH  Mission.  Furthre, expenditure reported by the State Government of Kerala, an amount of Rs. 5227.138 lakhs been utilized till date .

Annexure- A

## Scheme - wise Plan, Outlay and Expenditure Statement for the year 2019 - 20

(Rs. In Crore)

| Sl. No   | Schemes/ Programmes                                                                                    | BE 2019- 20     | RE 2019- 20   | Expdt. as on 18.03.20   |
|----------|--------------------------------------------------------------------------------------------------------|-----------------|---------------|-------------------------|
| 1        | 2                                                                                                      | 3               | 4             | 5                       |
|          | CENTRAL SECTOR SCHEMES                                                                                 |                 |               |                         |
| A        | Establishment of Expenditure of the Centre                                                             | 110.04          | 104.21        | 97.62                   |
| 1        | Secretariat -Ministry of AYUSH                                                                         | 40.29           | 35.91         | 33.14                   |
| 2        | National Medicinal Plant Board                                                                         | 59.50           | 59.50         | 57.62                   |
| 3        | Pharmacopoeial Laboratory of Indian Medicine, Ghaziabad                                                | 4.75            | 4.00          | 2.74                    |
| 4        | Homoeopathic Pharmacopoeia Laboratory, Ghaziabad                                                       | 5.50            | 4.80          | 4.12                    |
| B        | Statutory Institutions                                                                                 | 8.90            | 9.40          | 8.55                    |
| 1        | Grant to Central Council of Indian Medicine, Delhi                                                     | New 5.50        | 5.75          | 5.50                    |
| 2        | Grant to Central Council of Homoeopathy, Delhi                                                         | New 3.40        | 3.65          | 3.05                    |
| C        | Autonomous Bodies                                                                                      | 1022.49         | 1153.35       | 965.49                  |
| 1        | Grant to Central Council for Research Ayurvedic Sciences                                               | in 292.31       | 288.50        | 272.71                  |
| 2        | Grant to Central Council for Research Medicine                                                         | in Unani 152.65 | 159.54        | 155.04                  |
| 3        | Grant to Central Council for Research Homoeopathy                                                      | in 118.53       | 128.83        | 120.83                  |
| 4        | All India Institute of Ayurveda(AIIA), New                                                             | Delhi 40.00     | 79.30         | 46.23                   |
| 5        | Grant to National Institute of Homoeopathy, Kolkata                                                    | 50.00           | 87.61         | 46.55                   |
| D        | Others ABs                                                                                             | 369.00          | 409.57        | 324.13                  |
| 1        | Pharmacopoeia Committees of ASU and strenghtening of Pharmacopoeia Commision of Indian Medicine (PCIM) | 4.48            | 4.40          | 2.96                    |
| 2        | Grant for Instt. Post Grad. Teaching & Jamnagar                                                        | Research, 35.00 | 36.50         | 35.00                   |
| 3        | Grant to National Institute of Ayurveda,                                                               | Jaipur 93.50    | 122.00        | 93.48                   |
| 4        | Grant to Rashtriya Ayurveda Vidyapeeth                                                                 | 8.50            | 9.00          | 6.60                    |
| 5        | Grant to National Institute of Siddha,                                                                 | Chennai 38.00   | 51.81         | 38.56                   |
| 6        | Grant to National Institute of Unani Bangalore                                                         | Medicine, 40.00 | 45.72         | 40.00                   |
| 7        | Morarji Desai National Institute of                                                                    | Yoga 18.00      | 16.38         | 16.38                   |
| 8        | Grant to National Institute of Naturopathy,                                                            | Pune 26.00      | 11.55         | 11.55                   |
| 9        | North Eastern Institute of Ayurveda Homoeopathy, Shillong                                              | & 18.02         | 12.99         | 7.51                    |
| 10       | North Eastern Institute of AYUSH/Folk Medicine, Passighat                                              | 8.50            | 2.57          | 0.92                    |
| 11       | Grant to Central Council for Research in                                                               | Yoga & 41.35    | 62.45         | 39.72                   |

|    | Naturopathy                                                                                                                                                                      |              |         |         |
|----|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|--------------|---------|---------|
| 12 | National Research Institute of Sowa Rigpa                                                                                                                                        | 1.00         | 1.20    | 1.20    |
| 13 | National Institute of Medicianl Plants                                                                                                                                           | 0.15         | 0.00    | 0.00    |
| 14 | Grant for Central Councils for Research in                                                                                                                                       | Siddha 36.50 | 33.00   | 30.25   |
| B  | Strengthening of AYUSH Delivery System                                                                                                                                           | 142.33       | 89.44   | 77.11   |
| 1  | Public Sector Undertaking (IMPCL, Mohan,                                                                                                                                         | UP) 0.01     | 0.00    | 0.00    |
| 2  | Information, Education and Communication                                                                                                                                         | 52.60        | 44.50   | 42.46   |
| 3  | AYUSH and Public Health                                                                                                                                                          | 5.00         | 4.95    | 3.54    |
| 4  | Assistance to accredited AYUSH Centres of Excellence in non -governmental/ private sector engaged in AYUSH education/drug development & research/clinical research/folk medicine | etc. 5.00    | 5.00    | 3.53    |
| 5  | Extra Mural Research Projects through Research Institutes etc.                                                                                                                   | 6.00         | 6.00    | 4.81    |
| 6  | Re-orientation Training Programme of AYUSH Personnel/ Continuing Medical Education (ROTP/CME)                                                                                    | 3.50         | 3.50    | 3.13    |
| 7  | Promotion of International Cooperation                                                                                                                                           | 16.00        | 22.37   | 17.47   |
| 8  | Development of common facilities for AYUSH industry clusters                                                                                                                     | 1.00         | 0.33    | 0.33    |
| 9  | Pharmacovigilance initiative for ASU drugs                                                                                                                                       | 1.80         | 2.68    | 1.75    |
| 10 | Central Drug Controller for AYUSH                                                                                                                                                | 1.41         | 0.11    | 0.09    |
| 11 | Champion Sector Scheme                                                                                                                                                           | 50.01        | 0.00    | 0.00    |
|    | Total : CS                                                                                                                                                                       | 1283.76      | 1356.40 | 1148.77 |
|    | CENTRALLY SPONSORED SCHEMES                                                                                                                                                      |              |         |         |
| 1  | National AYUSH Mission                                                                                                                                                           | 656.00       | 500.60  | 404.41  |
|    | Total : CSS                                                                                                                                                                      | 656.00       | 500.60  | 404.41  |
|    | Grand Total :                                                                                                                                                                    | 1939.76      | 1857.00 | 1553.18 |

Recommendations of Ministry of AYUSH under 15 th Finance Commission

Inadequate Budget availability to States/UTs

AYUSH Ministry's budgetary allocation is quite meager and is roughly 3-4% of total budget allocation of Ministry of Health & Family Welfare. The budgetary allocations of States and UTs are also  in  the  same  range.  State  AYUSH  Departments  do  not  receive  any financial  support  from sources like Finance Commissions Awards, external funding and thus lack of adequate budgetary provisions comes in the way of speedy and timely execution of schemes aimed at infrastructure development, improving public healthcare delivery services, Research activities and strengthening of Regulatory institutional frameworks. States and UTs have not been able to productively utilize the  Central  grants  due  to  non-availability  of  matching  States  shared  required  under  Centrally Sponsored  Schemes.  The  administrative  set  ups  in  States  and  UTs  in  AYUSH  Departments  are grossly inadequate and there is heavy shortage of trained manpower. There are instances where infrastructure created through central aid remains partially or completely unutilized due to nonpositioning of manpower. Positions in health facilities and related institutions remain vacant due to non-availability of financial resources with States to pay their salaries. It is in this backdrop that Ministry has proposed before the Fifteenth Finance Commission that  there  is  a  strong  need  to  earmark  exclusive funds  for  State  AYUSH  Departments to take up activities  aimed  at  promotion  of  AYUSH  healthcare  system  especially  comprehensive  primary healthcare / related activities so that potential of AYUSH systems is harnessed for the benefit and welfare of the people of this country. Meeting the targets through enhanced allocation of budget: The  budget  allocation  to  AYUSH  Sector  is  roughly  around  3-4%  of  entire  health  sector which is grossly insignificant considering the role these medical systems are required to play in primary  health  care  focusing  on  holistic  wellness  model  based  principles  of  prevention  and promotion.  Enhanced  investment  in  this  sector  will  yield  reduced  disease  burden  and  resultant reduction in the over-crowding of tertiary health care facilities. This will in turn reduce the out of pocket expenditure and financial burden on the population in developing country like India. Given  the  Center's  own  limitations  in  increasing  resource  transfers  to  states  through Centrally  Sponsored  Schemes,  mobilizing  the  additional  resources  would  require  adoption  of  a comprehensive approach including Finance Commission awards rather than making incremental increase to the annual plans years after every year. In  this  regard,  Ministry  of  AYUSH  submitted  its  Approach  Paper  to  Finance  Commission through nodal Ministry of Health & Family Welfare. Ministry projected its demand for allocation of minimum 10% of grant earmarked for Health Sector.