Lok Sabha Question No. 832 (UNSTARRED), answered on 2018-12-14
Subject: Health Cards and Basic Medical Examination
Ministry: AYURVEDA,YOGA & NATUROPATHY,UNANI,SIDDHA AND HOMEOPATHY (AYUSH)
Asked by: SRINIVAS KESINENI

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

## LOK  SABHA UNSTARRED  QUESTION NO. 832 TO BE ANSWERED ON 14 TH DECEMBER, 2018

## HEALTH CARDS AND BAS IC MEDICAL EXAMINATI ON

## 832. SHRI KESINENI NANI:

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

- (a)  the  steps  being  taken  by  the  Government  to  provide  Health  Cards  and  Basic  Medi examination under the National AYUSH Mission;
- (b) the nu mber of centers providing AYUSH services and the number of people availing thes services;
- (c) the number of registered AYUSH centers at present in Andhra Pradesh; (d) the steps ta make the AYUSH healthcare system accessible to more and more people in the country; and (e) the manner in which the AYUSH healthcare system complement the existing network of wester medicine system across the country?

## ANSWER

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

- (a) : Under Centrally Sponsored Scheme of National AYUSH Mission (NAM), there is no provision of Health Cards facility. However, under the NAM, Ministry of AYUSH is providin financial assistance to the States/UTs for supply of medicines to AYUSH Hospitals/Dispe nsaries, Up gradation  of  exclusive  State  Government  AYUSH  Hospitals  and Dispensaries and Setting  up  of  up  to  50  bedded  integrated  AYUSH  Hospital for  providing health services through AYUSH system of medicine including basic medical examination.
- (b) & (c) : Public Health being a State subject, the primary responsibility to provide h care services lies with the respective State/UT Governments and registration of AYUSH centres also comes under purview of State/UT Governments. However, t he status of AYU SH hospi tals, AYUSH dispensaries and number of people availing these services in the State s/UTs including Andhra Pradesh are furnished at Annexure.
- (d):     Under NAM ,there is provision for the following main activities to make the AYUSH healthcare system accessible to more and more people in the country :-
- (i)Co - location  of  AYUSH  facilities  at  Primary  Health  Centers  (PHCs),  Community  Health Centers (CHCs) and District Hospitals (DHs). (ii) Up gradation of exclusive State Government AYUSH Hospitals and Dispensaries. (iii) Setting up of up to 50 bedded integrated AYUSH Hospital. (iv) S upply of essential drugs to AYUSH Hospitals and Dispensaries (e): Government  of  India  has  adopted  a  strategy  of  Co - lo cation  of  AYUSH  facilities  at Primary  Health  Centres  (PHCs),  Community  Health  Centres  (CHCs)  and  District  Hospitals (DHs),  thus  enabling  choice  to  the  patients    for  different  systems  of  medicines  under window. The engagement of AYUSH Doctors / param edics and their training is supported by the Department  of  Health  &  Family  Welfare,  while  the  support  for  AYUSH  infrastructure equipment  /  furniture  and  medicines  are  provided  by  Ministry  of  AYUSH  under  Nationa AYUSH Mission (NAM).

……………………

Annexure - 4- 2017

## State wise/System wise Number of AYUSH Hospitals as on 1

| S. No .                     | State / UT                  | Ayurve da                   | Unan i                      | Siddh a                     | Yog a                       | Naturopat hy                | Homoeop athy                | Sowa - Rigpa                | Total                       |
|-----------------------------|-----------------------------|-----------------------------|-----------------------------|-----------------------------|-----------------------------|-----------------------------|-----------------------------|-----------------------------|-----------------------------|
| A. States/Union Territories | A. States/Union Territories | A. States/Union Territories | A. States/Union Territories | A. States/Union Territories | A. States/Union Territories | A. States/Union Territories | A. States/Union Territories | A. States/Union Territories | A. States/Union Territories |
| 1                           | Andhra Pradesh              | 3                           | 2                           | 0                           | 0                           | 0                           | 3                           | 0                           | 8                           |
| 2                           | Arunachal Pradesh           | 10                          | 0                           | 0                           | 0                           | 0                           | 2                           | 0                           | 12                          |
| 3                           | Assam                       | 1                           | 0                           | 0                           | 0                           | 0                           | 3                           | 0                           | 4                           |
| 4                           | Bihar                       | 5                           | 1                           | 0                           | 0                           | 0                           | 2                           | 0                           | 8                           |
| 5                           | Chhattisgarh                | 10                          | 1                           | 0                           | 1                           | 0                           | 3                           | 0                           | 15                          |
| 6                           | Delhi                       | 2                           | 1                           | 0                           | 0                           | 0                           | 2                           | 0                           | 5                           |
| 7                           | Goa                         | 1                           | 0                           | 0                           | 0                           | 0                           | 1                           | 0                           | 2                           |
| 8                           | Gujarat                     | 42                          | 0                           | 0                           | 0                           | 6                           | 16                          | 0                           | 64                          |
| 9                           | Haryana                     | 9                           | 1                           | 0                           | 0                           | 0                           | 1                           | 0                           | 11                          |
| 10                          | Himachal Pradesh            | 33                          | 0                           | 0                           | 0                           | 1                           | 0                           | 0                           | 34                          |
| 11                          | Jammu & Kashmir             | 1                           | 1                           | 0                           | 0                           | 0                           | 0                           | 0                           | 2                           |
| 12                          | Jharkhand                   | 1                           | 0                           | 0                           | 0                           | 0                           | 4                           | 0                           | 5                           |
| 13                          | Karnataka                   | 170                         | 18                          | 0                           | 3                           | 6                           | 16                          | 0                           | 213                         |
| 14                          | Kerala                      | 126                         | 0                           | 1                           | 0                           | 1                           | 34                          | 0                           | 162                         |
| 15                          | Madhya Pradesh              | 21                          | 0                           | 0                           | 0                           | 0                           | 2                           | 0                           | 23                          |
| 16                          | Maharashtra                 | 64                          | 6                           | 0                           | 0                           | 0                           | 1                           | 0                           | 71                          |
| 17                          | Manipur                     | 2                           | 1                           | 0                           | 1                           | 0                           | 6                           | 0                           | 10                          |
| 18                          | Meghalaya                   | 3                           | 0                           | 0                           | 0                           | 0                           | 7                           | 0                           | 10                          |
| 19                          | Mizoram                     | 1                           | 0                           | 0                           | 0                           | 0                           | 1                           | 0                           | 2                           |
| 20                          | Nagaland                    | 1                           | 0                           | 0                           | 0                           | 0                           | 1                           | 0                           | 2                           |
| 21                          | Odisha                      | 8                           | 0                           | 0                           | 0                           | 0                           | 6                           | 0                           | 14                          |
| 22                          | Punjab                      | 5                           | 0                           | 0                           | 0                           | 0                           | 4                           | 0                           | 9                           |
| 23                          | Rajasthan                   | 117                         | 11                          | 0                           | 1                           | 2                           | 6                           | 0                           | 137                         |
| 24                          | Sikkim                      | 1                           | 0                           | 0                           | 0                           | 0                           | 0                           | 0                           | 1                           |
| 25                          | Tamil Nadu                  | 2                           | 1                           | 288                         | 1                           | 0                           | 1                           | 0                           | 293                         |
| 26                          | Tripura                     | 2                           | 0                           | 0                           | 0                           | 0                           | 2                           | 0                           | 4                           |
| 27                          | Uttar Pradesh               | 2104                        | 204                         | 0                           | 0                           | 0                           | 8                           | 0                           | 2316                        |
| 28                          | Uttarakhand                 | 402                         | 2                           | 0                           | 0                           | 0                           | 1                           | 0                           | 405                         |
| 29                          | West Bengal                 | 6                           | 1                           | 0                           | 0                           | 0                           | 15                          | 0                           | 22                          |
| 30                          | A&N Island                  | 1                           | 1                           | 1                           | 1                           | 0                           | 1                           | 0                           | 5                           |
| 31                          | Chandigarh                  | 1                           | 0                           | 0                           | 0                           | 0                           | 1                           | 0                           | 2                           |
| 32                          | D&N Haveli                  | 0                           | 0                           | 0                           | 0                           | 0                           | 0                           | 0                           | 0                           |

| 33   | Daman&Diu                                  |    1 |   0 |   0 |   0 |   0 |   1 |   0 |    2 |
|------|--------------------------------------------|------|-----|-----|-----|-----|-----|-----|------|
| 34   | Lakshdweep                                 |    0 |   0 |   0 |   0 |   0 |   0 |   0 |    0 |
| 35   | Puducherry                                 |    0 |   0 |   0 |   0 |   0 |   0 |   0 |    0 |
| 36   | Telangana                                  |    9 |   4 |   0 |   0 |   1 |   6 |   0 |   20 |
|      | TOTAL(A)                                   | 3165 | 256 | 290 |   8 |  17 | 157 |   0 | 3893 |
|      | B. CGHS & Central Government Organizations |   21 |   8 |   7 |   5 |   2 |   7 |   0 |   50 |
|      | TOTAL(A+B)                                 | 3186 | 264 | 297 |  13 |  19 | 164 |   0 | 3943 |

Source: State Governments & concerned agencies

Note:Ayurveda, Unani, Siddha, Yoga, Naturopathy and Sowa -rigpa : -Figures in r/o states of Arunachal Pradesh

(2016), Assam(2009), Bihar (2016), Haryana (2016), J&K (2015), Jharkhand(2011), Karnataka (2016), Odisha(2012), Rajasthan (2015), Uttrakhand (2014) and Puducherry (2016) has been repeated as the current yea in formation was not available.

Homoeopathy: Note: - Figures in r/o states of Arunachal Pradesh (2016), Assam (2016), Bihar (2016), Haryana (2016), J&K (2015), Jharkhand(2011), Karnataka (2016), Odisha(2012), Rajasthan (2016), Uttar Pradesh(2011), Uttrakhand (2014) and Puducherry (2016) has been repeated as the current year information was not available.

## State wise/System wise Number of Ayush Dispensaries as on 1 - 4- 2017

|   S. No . | State / UT        |   Ayurved a |   Unan i |   Siddh a |   Yog a |   Naturopat hy |   Homoeopa thy |   Sowa Rigpa |   Total |
|-----------|-------------------|-------------|----------|-----------|---------|----------------|----------------|--------------|---------|
|         1 | Andhra Pradesh    |         467 |      112 |         0 |       0 |             20 |            266 |            0 |     865 |
|         2 | Arunachal Pradesh |          17 |        1 |         0 |       0 |              0 |             95 |            0 |     113 |
|         3 | Assam             |         380 |        1 |         0 |       0 |              0 |             75 |            0 |     456 |
|         4 | Bihar             |        1082 |      449 |         0 |       0 |              0 |            644 |            0 |    2175 |
|         5 | Chhattisgarh      |         956 |       26 |         0 |       0 |              0 |            112 |            0 |    1094 |
|         6 | Delhi             |          40 |       20 |         0 |       0 |              0 |            103 |            0 |     163 |
|         7 | Goa               |          99 |        0 |         0 |       0 |              0 |             83 |            0 |     182 |
|         8 | Gujarat           |         560 |        0 |         0 |      16 |             14 |            216 |            0 |     806 |
|         9 | Haryana           |         483 |       19 |         0 |       0 |              0 |             22 |            0 |     524 |
|        10 | Himachal Pradesh  |        1150 |        3 |         0 |       0 |              0 |             14 |            4 |    1171 |
|        11 | Jammu & Kashmir   |         240 |      177 |         0 |       0 |              0 |              0 |           25 |     442 |
|        12 | Jharkhand         |         220 |       54 |         0 |       0 |              0 |             92 |            0 |     366 |
|        13 | Karnataka         |         592 |       50 |         0 |       0 |              5 |             43 |            0 |     690 |
|        14 | Kerala            |         806 |        1 |         6 |       0 |              1 |            659 |            0 |    1473 |
|        15 | Madhya Pradesh    |        1496 |       64 |         0 |       0 |              0 |            213 |            0 |    1773 |
|        16 | Maharashtra       |         466 |       25 |         0 |       0 |              0 |              0 |            0 |     491 |
|        17 | Manipur           |           0 |        0 |         0 |       0 |              0 |              1 |            0 |       1 |
|        18 | Meghalaya         |           7 |        0 |         0 |       0 |              0 |              6 |            0 |      13 |
|        19 | Mizoram           |           2 |        0 |         0 |       0 |              0 |             22 |            0 |      24 |
|        20 | Nagaland          |           0 |        0 |         0 |       0 |              0 |              1 |            0 |       1 |
|        21 | Odisha            |         624 |        9 |         0 |      35 |             30 |            638 |            0 |    1336 |
|        22 | Punjab            |         489 |       35 |         0 |       1 |              0 |            111 |            0 |     636 |
|        23 | Rajasthan         |        3577 |      120 |         0 |       0 |              3 |            252 |            0 |    3952 |
|        24 | Sikkim            |           2 |        0 |         0 |       0 |              0 |              9 |            1 |      12 |
|        25 | Tamil Nadu        |          97 |       64 |       784 |     121 |              0 |            106 |            0 |    1172 |
|        26 | Tripura           |          36 |        0 |         0 |       0 |              0 |             73 |            0 |     109 |
|        27 | Uttar Pradesh     |        2104 |       49 |         0 |       0 |              0 |           1575 |            0 |    3728 |
|        28 | Uttarakhand       |         142 |        3 |         0 |       0 |              0 |             60 |            3 |     208 |
|        29 | West Bengal       |         502 |        7 |         0 |       0 |              0 |           1520 |            0 |    2029 |
|        30 | A&N Island        |          13 |        0 |         0 |       2 |              0 |             18 |            0 |      33 |
|        31 | Chandigarh        |          10 |        1 |         0 |       0 |              0 |             10 |            0 |      21 |
|        32 | D&N Haveli        |          10 |        0 |         0 |       0 |              0 |             10 |            0 |      20 |
|        33 | Daman&Diu         |           6 |        0 |         0 |       0 |              0 |              6 |            0 |      12 |
|        34 | Lakshdweep        |           8 |        0 |         0 |       0 |              0 |              7 |            0 |      15 |

| 35                                        | Puducherry                                |    27 |    0 |   24 |   4 |   0 |   17 |   0 |    72 |
|-------------------------------------------|-------------------------------------------|-------|------|------|-----|-----|------|-----|-------|
| 36                                        | Telangana                                 |   418 |  183 |    1 |   0 |  28 |  196 |   0 |   826 |
|                                           | TOTAL (A)                                 | 17128 | 1473 |  815 | 179 | 101 | 7275 |  33 | 27004 |
| B.CGHS & Central Government Organizations | B.CGHS & Central Government Organizations |   288 |   38 |   33 |  55 |  10 |  269 |   1 |   694 |
| TOTAL (A+B)                               | TOTAL (A+B)                               | 17416 | 1511 |  848 | 234 | 111 | 7544 |  34 | 27698 |

Source: State Governments/ UTs & concerned agencies

Note:Ayurveda, Unani, Siddha, Yoga, Naturopathy and Sowa -rigpa : -Figures in r/o states of Arunachal Pradesh (2016), Assam(2009), Bihar (2016), Haryana (2016), J& K (2015), Jharkhand(2011), Karnataka (2016), Odisha(2012), Rajasthan (2015), Uttrakhand (2014) and Puducherry (2016) has been repeated as the current year information available.

Homoeopathy: Note: - Figures in r/o states of  Arunachal Pradesh (2016 ), Assam (2016), Bihar (2016), Haryana (2016), J&K (2015), Jharkhand(2011), Karnataka (2016), Odisha(2012), Rajasthan (2016), Uttar Pradesh(2011), Uttrakhand (2014) and Puducherry (2016) has been repeated as the current year information was not available.

## Number of Patients who visited Gov ernment Health Care Facilities d uring 2016 - 17

| S. No.            | Name of States/UTs   | Hospitals (incl. CHCs)   | Hospitals (incl. CHCs)   | Dispensarie s     | PHCs              | Total             |                   |
|-------------------|----------------------|--------------------------|--------------------------|-------------------|-------------------|-------------------|-------------------|
| S. No.            | Name of States/UTs   | IPD                      | OPD                      | OPD               | OPD               | IPD               | OPD (4)+(5)+(6)   |
| 1                 | 2                    | (3)                      | (4)                      | (5)               | (6)               | (7)=(3)           | (8)               |
| 1                 | Andhra Pradesh*      | 37381                    | 291092                   | 8005613           | 144               | 37381             | 8296849           |
| 2                 | Bihar*               | 34702                    | 394636                   | 1104220           | 0                 | 34702             | 1498856           |
| 3                 | Chhattisgarh         | 19320                    | 190927                   | 3617756           | 963969            | 19320             | 4772652           |
| 4                 | Delhi                | 22139                    | 875666                   | 3393024           | 0                 | 22139             | 4268690           |
| 5                 | Goa                  | 0                        | 0                        | 10882             | 47272             | 0                 | 58154             |
| 6                 | Gujarat              | 217868                   | 1175104                  | 3019481           | 0                 | 217868            | 4194585           |
| 7                 | Haryana*             | 14289                    | 304502                   | 2659929           | 0                 | 14289             | 2964431           |
| 8                 | Himachal Pradesh     | 122271                   | 621880                   | 4340808           | 0                 | 122271            | 4962688           |
| 9                 | Jammu and Kashmir**  | 2101                     | 352828                   | 2351724           | 0                 | 2101              | 2704552           |
| 10                | Jharkhand*           | 348                      | 60942                    | 38621             | 209509            | 348               | 309072            |
| 11                | Karnataka*           | 18500                    | 1552602                  | 3199258           | 0                 | 18500             | 4751860           |
| 12                | Kerala               | 440464                   | 5402972                  | 18382895          | 0                 | 440464            | 23785867          |
| 13                | Madhya Pradesh*      | 5170                     | 285739                   | 12517348          | 2035000           | 5170              | 14838087          |
| 14                | Maharashtra          | 160991                   | 6003789                  | 0                 | 3440              | 160991            | 6007229           |
| 15                | Odisha*              | 98297                    | 430015                   | 9939879           | 0                 | 98297             | 10369894          |
| 16                | Punjab               | 7600                     | 262771                   | 3308285           | 1362938           | 7600              | 4933994           |
| 17                | Rajasthan*           | 4013                     | 22870                    | 16411308          | 0                 | 4013              | 16434178          |
| 18                | Tamil Nadu           | 267064                   | 13315029                 | 1755792           | 20274475          | 267064            | 35345296          |
| 19                | Telangana            | 108652                   | 806451                   | 4118842           | 1461459           | 108652            | 6386752           |
| 19                | Uttar Pradesh^       | 37000                    | 139000                   | 1113879           | 0                 | 37000             | 1252879           |
| 20                | Uttarakhand*         | 61148                    | 3104736                  | 1114324           | 477948            | 61148             | 4697008           |
| 21                | West Bengal          | 3755                     | 550156                   | 1000623           | 4650593           | 3755              | 6201372           |
| North East States | North East States    | North East States        | North East States        | North East States | North East States | North East States | North East States |
| 22                | Arunachal Pradesh*   | 0                        | 30600                    | 199780            | 90976             | 0                 | 321356            |
| 23                | Assam*               | 0                        | 0                        | 0                 | 0                 | 0                 | 0                 |
| 24                | Manipur              | 0                        | 23872                    | 892               | 13876             | 0                 | 38640             |
| 25                | Meghalaya            | 0                        | 109191                   | 9068              | 139743            | 0                 | 258002            |
| 26                | Mizoram*             | 0                        | 76769                    | 0                 | 3076              | 0                 | 79845             |
| 27                | Nagaland#            | 0                        | 0                        | 0                 | 0                 | 0                 | 33880             |
| 28                | Sikkim               | 0                        | 4624                     | 28855             | 0                 | 0                 | 33479             |
| 29                | Tripura              | 510                      | 58093                    | 418682            | 586470            | 510               | 1063245           |

| 30    | A & N Islands   |     257 |   153030 |     52917 |   168082 |     257 |    374029 |
|-------|-----------------|---------|----------|-----------|----------|---------|-----------|
| 31    | Chandigarh      |       0 |        0 |    224462 |        0 |       0 |    224462 |
| 32    | D & N Haveli    |     755 |    16582 |     34825 |     4794 |     755 |     56201 |
| 33    | Daman & Diu     |    1178 |    37887 |     34123 |        0 |    1178 |     72010 |
| 34    | Lakshadweep     |       0 |    40991 |         0 |    20746 |       0 |     61737 |
| 35    | Puducherry*     |       0 |        0 |         0 |  1082362 |       0 |   1082362 |
| Total | Total           | 1685773 | 36695346 | 102408095 | 33596872 | 1685773 | 172700313 |

Note *  : -States have not reported the figures of IPD, OPD Patients in the Hospitals, Dispensaries & during   2016 - 17 so the latest available figures have been used.

- # Nagaland have reported the combined figure of Ayurveda & Homoeopathy.
- ^ Uttar Pradesh has reported the figures of Ayurveda only.
- ** Total may not be tally due to the combine figure regarding AYUSh system Number of Patients who visited Government Health Care facilities during 2016 - 17