Lok Sabha Question No. 295 (UNSTARRED), answered on 2023-02-03
Subject: AYUSH Wellness Centres
Ministry: AYURVEDA,YOGA & NATUROPATHY,UNANI,SIDDHA AND HOMEOPATHY (AYUSH)
Asked by: Kripanath Mallah

## GOVERNMENT OF INDIA MINISTRY OF AYUSH

## LOK SABHA UNSTARRED QUESTION NO. 295 ANSWERED ON 3 RD  FEBRUARY, 2023

## AYUSH WELLNESS CENTRES

## 295. SHRI KRIPANATH MALLAH:

Will the MINISTER OF AYUSH be pleased to state:

- (a) the salient features of AYUSH Wellness Centres;
- (b) the number of functional AYUSH Wellness Centres in Assam;
- (c) the  targets  set  and  achievements  made  so  far  for  setting  up  the  AYUSH  Wellness Centres across the country along with its impact on health facilities;
- (d) the steps taken/being taken by the Government to increase the popularity of AYUSH medicines in the country;
- (e) whether the Government has a plan to establish more AYUSH Wellness Centres in the country; and
- (f) if so, the details thereof?

## ANSWER THE MINISTER OF AYUSH

## (SHRI SARBANANDA SONOWAL)

(a) The  Union  Cabinet  approved  the  proposal  to  operationalize  12,500  AYUSH  HWCs (AHWCs)  through  State/UT  Governments  under  the  broad  umbrella  of  the  Centrally Sponsored Scheme of the National AYUSH Mission (NAM) in a phased manner from the year  2019-20 to 2023-24.The salient features of AYUSH wellness centres are furnished in

## Annexure-I

- (b) Under  the  Centrally  Sponsored  Scheme  of  the  National  AYUSH  Mission,  as  per  the proposals received from State/UT Governments including Assam, a total of 12,500 health facilities are  approved for upgradation as AYUSH HWCs in the State/UT Governments. However, grant-in-aid has been released for 9,108 units. As per the reports received from States/UTs, 5527 AYUSH HWCs have been made functional till date. The State/UT wise status of approved and functional AHWCs including Assam is furnished in Annexure-II .
- (c) Since, the scheme implementation comes under the purview of State/UT Governments; no target is being fixed by Government of India. However as per the report submitted by the  State/UT  Government,  patients  are  visiting  AHWCs  and  getting  comprehensive primary health care as per the AYUSH principles and practices which also include yoga sessions conducted at the dispensary level as well as community.

(d)  Ministry  of  Ayush  is  implementing  the  Centrally  Sponsored  Scheme  of  National AYUSH Mission  (NAM)  through  State/UT  Governments  to  increase  the  popularity  of AYUSH medicines in the Country and providing financial assistance to them as per the proposals  received  in  their  State  Annual  Action  Plans  (SAAPs).  The  Mission  inter-alia makes provision for the following: -

- i. AYUSH Health & Wellness Centres
- ii. Co-location of AYUSH facilities at PHCs, CHCs and DHs
- iii. Up-gradation of existing standalone Government AYUSH Hospitals
- iv. Up-gradation of existing Government/Panchayat/Government aided AYUSH Dispensaries/Construction of building for existing AYUSH Dispensary (Rented/dilapidated  accommodation)/Construction  of  building  to  establish  new AYUSH Dispensary
- v. Setting up of up to 10/30/50 bedded integrated AYUSH Hospitals
- vi. Supply of essential drugs to Government AYUSH  Hospitals, Government Dispensaries  and  Government/Government  aided  Teaching  Institutional  AYUSH Hospitals
- vii. AYUSH Public Health Programs
- viii. Behaviour Change Communication (BCC)
- ix. Mobility support at State and District level
- x. AYUSH Gram
- xi. Infrastructural development of AYUSH Under-Graduate Institutions
- xii. Infrastructural  development  of  AYUSH  Post-Graduate  Institutions/  add  on  PG/ Pharmacy/Para-Medical Courses

State/UT Government may avail financial assistance by submitting proposals through State Annual Action Plan (SAAP) as per NAM guidelines.

(e)  to  (f)  Public  Health  being  the  State  subject,  opening    wellness  centres  in  the  country comes  under  the  purview  of  respective  State/UT  Governments.  However,  under  NAM, financial assistance is provided to State/UT Governments for  upgrading  AYUSH dispensaries and sub health centres into AYUSH  HWCs.  Accordingly, State/UT Governments may avail financial assistance by submitting suitable proposals through State Annual Action Plans (SAAPs) as per NAM guidelines.

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## Salient Features of AYUSH Health & Wellness Centres (AHWCs)

## Background:

The  Union  Cabinet  approved  the  proposal  to  operationalize  12,500  AYUSH HWCs  through  State/UTs  in  Centrally  Sponsored  Scheme  mode  and  under  the  broad umbrella of the National AYUSH Mission (NAM) in a phased manner from the year 201920 to 2023-24.

## Vision

-  To establish a holistic wellness model based on AYUSH principles and practices.

## Objectives

-  To provide comprehensive primary healthcare through AYUSH using a team-based approach
-  To establish a holistic wellness model based on AYUSH principles and practices focusing on preventive, promotive, curative and rehabilitative healthcare by establishing integration with existing public healthcare systems
-  To provide informed choice to the needy public by making AYUSH services available.

## Strategy of Implementation

The  Ministry  of  AYUSH  has  been  given  the  task  of  developing  12,500  HWCs  under Ayushman Bharat. This will be achieved in a phased manner through State Governments and Union Territories .The funding will be through the Centrally Sponsored Scheme of National AYUSH Mission (NAM).

The  Ministry  of  AYUSH,  in  consultation  with  States/UTs  and  the  Ministry  of  Health  & Family Welfare has proposed two following models for up-gradation as AYUSH Health and Wellness Centres:

- i. Up-gradation of AYUSH dispensaries
- ii. Up-gradation of existing sub health centres (SCs)

The  funding  for  both  the  above  models  would  be  through  National  AYUSH  Mission.  The responsibility to upgrade and operationalize AYUSH  dispensaries  will  rest with the Department  of  AYUSH.  The  upgraded  Sub  Health  Centres  will  be  operationalized  by  the State  health  departments  and  the  fund  flow  in  this  case  will  be  made  from  State  AYUSH society to State health society.

## State/UT wise status of approved and functional AYUSH HWCs

| Sl. No.   | Name of the States/UTs           |   Total No. of approved AYUSH HWCs |   Total No. of approved AYUSH HWCs (GIA released) |   Functional AYUSH HWCs |
|-----------|----------------------------------|------------------------------------|---------------------------------------------------|-------------------------|
| 1         | Andaman &Nicobar Island          |                                  6 |                                                 6 |                       6 |
| 2         | Andhra Pradesh                   |                                203 |                                               110 |                     126 |
| 3         | Arunachal Pradesh                |                                 89 |                                                89 |                      36 |
| 4         | Assam                            |                                489 |                                                89 |                     106 |
| 5         | Bihar                            |                                388 |                                               268 |                      83 |
| 6         | Chandigarh                       |                                 12 |                                                12 |                       5 |
| 7         | Chhattisgarh                     |                                400 |                                               240 |                     240 |
| 8         | Delhi                            |                                  0 |                                                 0 |                       0 |
| 9         | Dadra Nagar Haveli and Daman Diu |                                  1 |                                                 0 |                       0 |
| 10        | Goa                              |                                 74 |                                                40 |                       9 |
| 11        | Gujarat                          |                                365 |                                               365 |                     231 |
| 12        | Haryana                          |                                569 |                                               569 |                     365 |
| 13        | Himachal Pradesh                 |                                740 |                                               740 |                     240 |
| 14        | Jammu &Kashmir                   |                                442 |                                               442 |                     317 |
| 15        | Jharkhand                        |                                745 |                                               267 |                     249 |
| 16        | Karnataka                        |                                376 |                                               376 |                     176 |
| 17        | Kerala                           |                                520 |                                               520 |                     208 |
| 18        | Ladakh                           |                                 14 |                                                14 |                       0 |
| 19        | Lakshadweep                      |                                  7 |                                                 7 |                       7 |
| 20        | Madhya Pradesh                   |                                762 |                                               562 |                     362 |
| 21        | Maharashtra                      |                                390 |                                               294 |                     281 |
| 22        | Manipur                          |                                 67 |                                                17 |                      14 |
| 23        | Meghalaya                        |                                 45 |                                                45 |                       0 |
| 24        | Mizoram                          |                                 38 |                                                38 |                      24 |
| 25        | Nagaland                         |                                 49 |                                                49 |                       4 |
| 26        | Odisha                           |                                422 |                                               250 |                     245 |
| 27        | Puducherry                       |                                  4 |                                                 4 |                       4 |
| 28        | Punjab                           |                                217 |                                               217 |                       0 |
| 29        | Rajasthan                        |                               2019 |                                              1000 |                     484 |
| 30        | Sikkim                           |                                 18 |                                                18 |                      18 |
| 31        | Tamil Nadu                       |                                650 |                                               350 |                     250 |
| 32        | Telangana                        |                                421 |                                               421 |                     421 |
| 33        | Tripura                          |                                 84 |                                                84 |                       0 |
| 34        | Uttar Pradesh                    |                               1034 |                                              1034 |                     552 |
| 35        | Uttarakhand                      |                                300 |                                               300 |                     193 |
| 36        | West Bengal                      |                                540 |                                               271 |                     271 |
| Total     | Total                            |                              12500 |                                              9108 |                    5527 |