Lok Sabha Question No. 3185 (UNSTARRED), answered on 2024-12-13
Subject: Promotion of integrative Healthcare System
Ministry: AYUSH
Asked by: Dr. Sanjay Jaiswal

## GOVERNMENT OF INDIA MINISTRY OF AYUSH

## LOK SABHA UNSTARRED QUESTION NO. 3185 TO BE ANSWERED ON 13.12.2024

## Promotion of integrative Healthcare System

3185. Dr. Sanjay Jaiswal:

Will the Minister of AYUSH

be pleased to state:

(a)  whether  the  Government  has  taken  any  steps  to  promote  integrative  healthcare  by combining  AYUSH  practices  with  modern  medicine  in  primary  healthcare  centers  in  the country;

(b) if so, the details of such initiatives of the Government, State/UT-wise particularly in Bihar including Champaran district;

(c)  whether  any  support  is  being  provided  to  promote  medicinal  plant  cultivation  in  Bihar under National Ayush Mission and if so, the details thereof;

(d) the current status of these projects and their impact on local farmers; and

(e)  the  steps  taken/proposed  to  be  taken  by  the  Government  to  ensure  availability  and affordability of AYUSH medicines in the rural areas of the country?

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

(a)  &  (b)  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) of modern medicine, thus enabling the choice to the patients for different systems of medicines under a 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 the Ministry of Ayush under National Ayush Mission (NAM), as shared responsibilities. The State/UT wise details of co-located Ayush facilities at PHCs, CHCs and DHs including Champaran in Bihar is furnished at Annexure-I.

(c)  &  (d)  Ministry  of Ayush,  Government  of  India  had  implemented  Centrally  Sponsored Scheme of National Ayush Mission (NAM) to promote the cultivation of medicinal plants since  2015-16  to  2020-21.  Under  'Medicinal  Plants'  component  of  the  National  Ayush Mission Scheme, market driven cultivation of 140 prioritized medicinal plants in identified clusters/zones  was  supported  and  implemented  in  a  mission  mode  through  selected  State Implementing agencies throughout the country including Bihar. As per the scheme guidelines, the support was provided for:

- (i) Cultivation of prioritized medicinal plants on farmer's land.
- (ii) Establishment  of  nurseries  with  backward  linkages  for  raising  and  supply  of quality planting material.
- (iii) Post-harvest management with forwarding linkages.
- (iv) Primary processing, marketing infrastructure etc.

Till date, Ministry of Ayush had approved an amount of Rs. 287.201 lakh & released an amount of Rs. 172.32 lakh as a central share and supported 175 hectare area for 07 species namely  Giloy,  Kalmegh,  Shatavari,  Tulsi,  Bach,  Sarpagandha  and  Safed  Musli  under cultivation  of  medicinal  plants,  07  nurseries,  14  post-harvest  management  units  (storage  / godown and drying shed) and 07 processing units in Bihar under medicinal plants component of  NAM scheme from the financial year 2015-16 to 2020-21. Detail is given at AnnexureII . Presently, National Medicinal Plant Board (NMPB), Ministry of Ayush is not supporting financial assistance for cultivation/ plantation of medicinal plants on farmer's land.

(e)  Ministry  is  supporting  the  effort  of  State/UT  Governments  by  providing  financial assistance under different activities like supply of medicine to Ayush Hospital/Dispensary, colocation of Ayush facilities at the level of PHC, CHC & DH, operationalisation of Ayushman Arogya Mandir (Ayush) by upgrading existing Ayush dispensaries and Sub Health Centre to ensure  availability  and  affordability  of  Ayush  medicines  in  the  rural  areas  of  the  country under NAM scheme.

*****

The State/UT status of co-located Ayush facilities at PHCs, CHCs and DHs

| Sl. No.   | Name of the State/UT               |   DH |   CHC |   PHC |   Total |
|-----------|------------------------------------|------|-------|-------|---------|
| 1         | Andhra Pradesh                     |    9 |   105 |   273 |     387 |
| 2         | Arunachal Pradesh                  |   16 |    34 |    50 |     100 |
| 3         | Assam                              |   21 |   110 |   364 |     495 |
| 4         | Bihar                              |   36 |     0 |     0 |      36 |
| 5         | Chhattisgarh                       |   18 |    98 |   454 |     570 |
| 6         | Goa                                |    2 |     6 |    22 |      30 |
| 7         | Gujarat                            |    0 |     0 |   868 |     868 |
| 8         | Haryana                            |   21 |   101 |   106 |     228 |
| 9         | Himachal Pradesh                   |    0 |     0 |     0 |       0 |
| 10        | Jharkhand                          |   24 |   188 |    97 |     309 |
| 11        | Karnataka                          |   15 |    78 |   375 |     468 |
| 21        | Kerala                             |    0 |     0 |     0 |       0 |
| 13        | Madhya Pradesh                     |   36 |    99 |   285 |     420 |
| 14        | Maharashtra                        |   23 |   238 |    20 |     281 |
| 15        | Manipur                            |    7 |    17 |    78 |     102 |
| 16        | Meghalaya                          |   11 |    25 |    54 |      90 |
| 17        | Mizoram                            |   12 |     9 |    10 |      31 |
| 18        | Nagaland                           |    9 |    20 |     9 |      38 |
| 19        | Odisha                             |    0 |   302 |   858 |    1160 |
| 20        | Punjab                             |   15 |    72 |   100 |     187 |
| 21        | Rajasthan                          |    0 |    52 |   146 |     198 |
| 22        | Sikkim                             |    4 |     1 |     4 |       9 |
| 23        | Tamil Nadu                         |   37 |   388 |   475 |     900 |
| 24        | Telangana                          |    0 |    42 |   352 |     394 |
| 25        | Tripura                            |    3 |    21 |    84 |     108 |
| 26        | Uttarakhand                        |   13 |    53 |    44 |     110 |
| 27        | Uttar Pradesh                      |  102 |   666 |   627 |    1395 |
| 28        | West Bengal                        |    8 |   280 |   368 |     656 |
| 29        | Andaman &Nicobar Islands           |    3 |     4 |    20 |      27 |
| 30        | Chandigarh                         |    1 |     2 |    29 |      32 |
| 31        | Dadra &Nagar Haveli and Daman &Diu |    2 |     4 |     9 |      15 |
| 32        | NCT of Delhi                       |    0 |     0 |     0 |       0 |
| 33        | Jammu &Kashmir                     |   13 |    13 |   372 |     398 |
| 34        | Ladakh                             |    2 |     7 |    32 |      41 |
| 35        | Lakshadweep                        |    2 |     3 |     4 |       9 |
| 36        | Puducherry                         |    4 |     4 |    39 |      47 |
|           |                                    |  469 |  3042 |  6628 |   10139 |

Source: as per NHM-MIS database as on 31st March 2024

The  detail  of  activities  approved  in  Bihar  under  Medicinal  Plants  Component  of National Ayush Mission (NAM) scheme from the financial year 2015-16 to 2020-21.

| S.No.   | Activities                                                           | 2015-16   | 2016-17   | 2017-18   | 2018-19   | 2019-20   | 2019-20   | 2020-21   |
|---------|----------------------------------------------------------------------|-----------|-----------|-----------|-----------|-----------|-----------|-----------|
|         |                                                                      |           |           |           |           | Physical  | Financial |           |
| 1       | Area covered under cultivation of medicinal plants (Area in hectare) | 0         | 0         | 0         | 0         | 175       | 74.487    | 0         |
| 2       | Establishment of Nursery                                             | 0         | 0         | 0         | 0         | 7         | 8.75      | 0         |
| 3       | No. of Post-Harvest Management units (in numbers)                    | 0         | 0         | 0         | 0         | 14        | 140       | 0         |
| 4       | Processing Unit                                                      | 0         | 0         | 0         | 0         | 7         | 39.97     | 0         |
| 5       | Flexi component                                                      | 0         | 0         | 0         | 0         | -         | 23.994    | 0         |
| 6       | Fund approved (Rs. in lakh)                                          | 0         | 0         | 0         | 0         | 0         | 287.201   | 0         |
| 7       | Fund released (Central share) (Rs. in lakh)                          | 0         | 0         | 0         | 0         | 0         | 172.32    | 0         |