Lok Sabha Question No. 3082 (UNSTARRED), answered on 2024-08-09
Subject: Indian Public Health Standards for AYUSH Healthcare Facilities
Ministry: AYUSH
Asked by: Shri P P Chaudhary

## GOVERNMENT OF INDIA MINISTRY OF AYUSH

## LOK SABHA UNSTARRED QUESTION NO. 3082 ANSWERED ON 09.08.2024

## Indian Public Health Standards for AYUSH Healthcare Facilities

3082 Shri P P Chaudhary:

Will the Minister of AYUSH be pleased to state:

- (a) the timeline fixed for implementation of the Indian Public Health Standards for AYUSH healthcare facilities across the country;
- (b) the steps being taken by the Government to ensure integration of AYUSH systems with modern medicine in the selected AIIMS and other healthcare facilities;
- (c)  whether  the  Government  plans  to  extend  the  AYUSH-ICMR  Advanced  Centres  for Integrative Health Research to more AIIMS or other medical institutions in the future and if so, the details thereof; and
- (d)  the  steps  being  taken  by  the  Government  to  ensure  the  quality  and  standardization  of AYUSH medicines used in these integrative health research centres and clinical trials?

## ANSWER THE MINISTER OF STATE (IC) OF THE MINISTRY OF AYUSH (SHRI PRATAPRAO JADHAV)

(a) Public Health being a State Subject, implementation of the Indian Public Health Standards for Ayush healthcare facilities comes under purview of the respective State/UT Governments.

Indian Public Health Standards (IPHS), for Ayush Hospitals and Ayushman Arogya Mandir

(Ayush)  have  been  launched  on  04 th March,  2024  and  have  been  shared  with  State  /UT Governments for compliance to improve the quality of health care delivery in the country.

(b)  As  per  Memorandum  of  Understanding  (MoU)  between  Indian  Council  of  Medical Research (ICMR) and Central Council for Research in Ayurvedic Sciences (CCRAS),  four centres and four research areas have been identified, which are as follows:

- I. AIIMS Delhi:
2. (a) Advanced Centre for Integrative Health Research in Gastro-intestinal Disorders.
3. (b) Advanced Centre for Integrative Health Research in Women and Child Health.
- II. AIIMS Jodhpur: Advanced Centre for Integrative Health Research in Geriatric Health.
- III. AIIMS Nagpur:  Advanced Centre for Integrative Health Research in Cancer Care.
- IV. AIIMS  Rishikesh:    Advanced  Centre  for  Integrative  Health  Research  in  Geriatric Health.

Further, the steps being taken by the Government to ensure integration of AYUSH systems with modern medicine in the selected AIIMS and other healthcare facilities, are as under:

(i)  Government of India has adopted a strategy of Co-location 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 single window. The engagement of Ayush Doctors/paramedics and their training is being supported by the Ministry  of  Health  &  Family  Welfare  under  National  Health  Mission  (NHM),  while  the support  for  Ayush  infrastructure,  equipment  /furniture  and  medicines  is  being  provided  by Ministry of Ayush under National Ayush Mission (NAM) as shared responsibilities.

(ii) In All India Institute of Ayurveda (AIIA) - New Delhi, the integrative medical services are available under one roof, with the following units:

- a) Centre for Integrative Ayush Therapy (Unani,  Siddha & Homeopathy)
- b) Integrative Cancer Care Unit
- c) Centre for Integrative Dentistry
- d) Centre for Integrative Critical Care & Emergency Medicine
- e) Centre for Integrative Orthopaedics
- f) Centre for Integrative Dietetics and Nutrition
- g) Causality OPD section

(iii) Satellite Clinical Services Units by All India Institute of Ayurveda (AIIA) - New Delhi at:-

- a) Integrative Medical Services Unit at Safdarjung Hospital - New Delhi

- b) Centre of Integrative Oncology (CIO) Unit AIIMS - Jhajjar.
- c) Ayurveda Wellness Centre at Lal Bahadur Shastri National Academy
3. of         Administration, Mussoorie, Uttarakhand.

d) Ayurveda Wellness Centre at Arogya Van, Ekta Nagar, Kevadia Forest Division, Statue  of  Unity  area  Development  and  Tourism  Governance Authority (SoUADTGA), Gujarat.

(iv) The Department of Integrative Medicine began on 8 July, 2022 in Vardhaman Mahavir Medical  College  and  Safdarjung  Hospital,  Delhi  providing  services  like  Specialty  OPD, Panchakarma Therapy, Free Ayurvedic Medicine Dispensary and Dietary Consultation.

(v)  Central  Council  for  Research  in  Ayurvedic  Sciences  (CCRAS)  has  undertaken  various research studies to examine the benefits and feasibility of integration of Ayurveda through the following research projects for integration of Ayurveda with modern system of medicine:

a.  Operational study to  explore the feasibility of integrating Ayurveda with modern system of medicine in a tertiary care hospital (Safdarjung Hospital New Delhi) for the management of Osteoarthritis (Knee).

b.  Feasibility  of  introducing  Indian System of Medicine (Ayurveda) in the National Reproductive  and  Child  Health  services  at  Primary  Health  Care  (PHC)  level  in Himachal Pradesh.

c. Integration of AYUSH systems in National Programme for Prevention and Control of Cancer, Diabetes, Cardiovascular Diseases & Stroke (NPCDCS).

d. Feasibility of introducing Ayurveda Intervention in Reproductive and Child Health (RCH)  in  PHCs  of  Selected  district  (Gadchiroli)  of  Maharashtra  (Effectiveness  of Ayurvedic intervention for Ante-Natal care (Garbhini Paricharya) at Primary Health Care level: A Multi Centre Operational Study).

(vi) Central Council for Research in Homoeopathy (CCRH) has undertaken research studies of integrative nature using homoeopathic medicine in collaboration with health care facilities of  allopathic  system  of  medicine  in  the  following  clinical  conditions:  acute  encephalitis syndrome,  side  effects  due  to  radio/chemotherapy  in  cancer,  thrombocytopenia  due  to dengue,  diabetic  foot  ulcer,  COVID-19,  chronic  kidney  disease,  trigeminal  neuralgia,  and Respiratory Sequelae of Post- Covid Cases.

(vii)  Central  Council  for  Research  in  Siddha  (CCRS)  is  currently  involved  in  validating Siddha drugs through clinical trials, pre-clinical, Pharmacological / Toxicological studies for acute and chronic diseases in integrative manner utilizing modern system of techniques and equipment.  During  the  pandemic  outbreak  of  COVID  -19  various  collaborative  clinical studies have been initiated with modern institutions and published research articles in indexed journals.

CCRS  has  entered  into  MoU  with  allopathy  institute  like  Government  Stanley Medical College, Chennai, Tamil Nadu, Govt. Institute of Medical Sciences, Greater Noida and Siddha Clinical Research Unit, New Delhi and Govt. Theni medical college, Tamil Nadu to  manage  and  treat  the  patients  in  the  integrative  manner  for  reasonable  developments. Integrated Siddha cancer OPD has also been successfully functioning at All India Institute of Ayurveda campus aiding the Palliative care of cancer patients through Siddha system.

(viii) National Institute of Homoeopathy (NIH), Kolkata provides Homoeopathic consultation at  Centenary  Hospital,  Syama  Prasad  Mookerjee  Port,  Kolkata  along  with  mainstream medicine.

(ix)    Central  Council  for  Research  in  Unani  Medicine  has  undertaken  one  programme  on integration of Unani Medicine in National Programme for Prevention and Control of Cancer, Diabetes, Cardiovascular Diseases and Stroke (NPCDCS) in the selected district Lakimpur Kheri, Uttar Pradesh.

(x) National Institute  of  Siddha  has  conducted  clinical  trials  during  COVID-19  in collaboration with Allopathic Medical College with Siddha add-on treatment regimen along with  standard  allopathic  care.  The  three  researches  have  been  published  in  reputed,  peer reviewed, Pub Med indexed journals. Integrated clinical studies have also been carried out in Diabetes Mellitus with Aavaarai Kudineer, Wound Healing, Psoriasis, Fistula-in-ano etc.

(xi) Institute of Teaching and Research in Ayurveda, Jamnagar has started conducting various research  projects  by  keeping  modern  physician  as  Co-investigator  in  various  disease condition.

Few areas of such integrated researches are as under:-

-  COVID-19
-  Type I diabetes
-  Thalassemia major
-  Asthma
-  Fracture
-  Anorectal surgeries etc.

(xii) Morarji Desai National Institute of Yoga is running 20 Preventive Health Care Units of Yoga in CGHS Dispensaries. They have 4 Yoga Therapy Centres in AYUSH / Allopathy Hospitals.

(xiii) The elective module on different Health systems in India have been added as mandatory elective  in  the  first  BHMS  curriculum.  Further,  National  Medical  Commission  has  added Ayurveda, Yoga, Unani, Siddha & Sowa Rigpa Homoeopathy system of medicine as elective in the Internship of MBBS course curriculum.

(xiv)  Central  Council  for  Research  in  Homoeopathy  has  undertaken  25  projects  in  Health Research for Integrated Medicine in Homoeopathy.

(c) No such proposal is under consideration.

(d)  Ministry  of  Ayush  is  implementing  a  Central  Sector  Scheme  called  'Ayush  Oushadhi Gunavatta  evam  Uttpadan  Samvardhan  Yojana  (AOGUSY)'.  The  detailed  guidelines  are available at:  https://ayush.gov.in/images/Schemes/aoushdhi.pdf.

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