Lok Sabha Question No. 1028 (UNSTARRED), answered on 2023-12-08
Subject: AYUSH Wellness Centres in Punjab
Ministry: AYURVEDA,YOGA & NATUROPATHY,UNANI,SIDDHA AND HOMEOPATHY (AYUSH)
Asked by: Sushil Kumar Rinku

## GOVERNMENT OF INDIA MINISTRY OF AYUSH

## LOK SABHA UNSTARRED QUESTION No. 1028 ANSWERED ON 8 th  DECEMBER 2023

## AYUSH Wellness Centres in Punjab

## 1028.  SHRI SUSHIL KUMAR RINKU:

Will the Minister of AYUSH be pleased to state:

- (a) the salient features of AYUSH Wellness Centre;
- (b) the  details  of  AYUSH  Wellness  Centres  functional  in  the  country,  particularly  in Punjab so far;
- (c) the details of the target set for their establishment and the achievements made so far, along with its response across the country;
- (d) the  details  of  the  initiatives  taken/proposed  to  be  taken  for  the  development  of AYUSH Wellness Centres at district level in the country, State/UT-wise;
- (e) whether the Government has set-up any department/nodal officers for ensuring quality control  of  Ayurvedic  medicines  and  herbal  products  manufactured  by  several companies in the country; and
- (f) if so, the details thereof, State/UT-wise particularly in Punjab?

## ANSWER THE MINISTER OF AYUSH

## (SHRI SARBANANDA SONOWAL)

(a)  The  Union  Cabinet  approved  the  proposal  to  operationalize  12,500  AYUSH  Health  & Wellness Centres (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  Health  &  Wellness Centres are furnished in Annexure-I .

(b)  to  (d)  Public  Health  being  the  State  subject,  the  development  of  AYUSH  Wellness Centres   at district level in the country comes under the purview of the respective State/UT Governments.  However,  Ministry  of  Ayush  is  implementing  the  operationalization  of AHWCs under Ayushman  Bharat  as  a  component  of  the  Centrally  Sponsored  Scheme  of National  AYUSH  Mission  (NAM)  through  State/UT  Governments.  As  per  the  proposals received from State/UT Governments through their State Annual Action Plans (SAAPs), a total  of  12,500  units  of  existing  AYUSH  dispensaries  and  sub  health  centres  have  been approved to be upgraded as AHWCs. As per the progress reports received from States/UTs, 8168 AHWCs have been made functional till date. The State/UT wise status of approved and functional AHWCs including Punjab is furnished in Annexure II . Further, 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 AHWC level as well as community.

(e) to (f) As prescribed in Drugs and Cosmetics Act 1940 and Drugs and Cosmetics Rules 1945 made thereunder, enforcement of the legal provisions pertaining to Quality Control and issuance of drug license of Ayurveda, Siddha, Unani and Homoeopathy drugs, is vested with the  State  Drug  Controllers/  State  Licensing  Authorities  appointed  by  the  concerned  State/ Union Territory Government. The Ministry of Ayush has set up Pharmacopoeia Commission for Indian Medicines and Homoeopathy (PCIM&H), as a subordinate office under Ministry of Ayush by merging into it, the two erstwhile central laboratories namely Pharmacopoeial Laboratory  for  Indian  Medicine  (PLIM)  and  Homoeopathic  Pharmacopoeial  Laboratory (HPL) and has been given the status for appellate laboratory for testing of Ayurveda, Siddha, Unani & Homeopathy (ASU&H) drugs. Further Rule 160 A to J of the Drugs and Cosmetics Rules, 1945 provides the regulatory guidelines for approval of Drug Testing Laboratory for carrying  out  such  tests  of  identity,  purity,  quality  and  strength  of  Ayurvedic,  Siddha  and Unani drugs as may be required under the provisions of these rules, on behalf of licensee for manufacture  of  Ayurvedic,  Siddha  and  Unani  drugs.  As  on  date,  35  State  Drug  Testing Laboratories  have  been  supported  for  strengthening  their  infrastructural  and  functional capacity.  Further, 97 laboratories are approved or licensed under the provisions of Drugs and Cosmetics  Rules,  1945  for  quality  testing  of  Ayurvedic,  Siddha  and  Unani  drugs  and  raw materials. (The rest of the details are available in the public domain at https://ayush.gov.in/images/domains/quality\_standards/ASUdrugTestingLabUnderRule160E ng.pdf and https://ayush.gov.in/images/domains/quality\_standards/StateDrugTestingLaboratoryASUHEn g.pdf ).

## 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.

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Annexure II State/UT wise status of approved and functional AYUSH HWCs

| S. No.   | Name of States / UTs               |   Approved AYUSH HWCs |   Functional AYUSH HWCs |
|----------|------------------------------------|-----------------------|-------------------------|
| 1        | Andhra Pradesh                     |                   203 |                     126 |
| 2        | Arunachal Pradesh                  |                    89 |                      49 |
| 3        | Assam                              |                   489 |                     289 |
| 4        | Bihar                              |                   388 |                     113 |
| 5        | Chhattisgarh                       |                   400 |                     400 |
| 6        | Goa                                |                    74 |                      72 |
| 7        | Gujarat                            |                   365 |                     283 |
| 8        | Haryana                            |                   569 |                     372 |
| 9        | Himachal Pradesh                   |                   740 |                     303 |
| 10       | Jharkhand                          |                   745 |                     560 |
| 11       | Karnataka                          |                   376 |                     376 |
| 12       | Kerala                             |                   520 |                     357 |
| 13       | Madhya Pradesh                     |                   762 |                     562 |
| 14       | Maharashtra                        |                   390 |                     281 |
| 15       | Manipur                            |                    67 |                      15 |
| 16       | Meghalaya                          |                    45 |                      22 |
| 17       | Mizoram                            |                    38 |                      38 |
| 18       | Nagaland                           |                    49 |                      47 |
| 19       | Odisha                             |                   422 |                     250 |
| 20       | Punjab                             |                   217 |                       0 |
| 21       | Rajasthan                          |                  2019 |                     919 |
| 22       | Sikkim                             |                    18 |                      18 |
| 23       | Tamil Nadu                         |                   650 |                     250 |
| 24       | Telangana                          |                   421 |                     421 |
| 25       | Tripura                            |                    84 |                      38 |
| 26       | Uttar Pradesh                      |                  1034 |                     756 |
| 27       | Uttarakhand                        |                   300 |                     267 |
| 28       | West Bengal                        |                   540 |                     520 |
| 29       | Andaman                            |                     6 |                       6 |
| 30       | Chandigarh                         |                    12 |                       5 |
| 31       | Delhi                              |                     0 |                       0 |
| 32       | Dadra &Nagar Haveli and Daman &Diu |                     1 |                       0 |
| 33       | Jammu &Kashmir                     |                   456 |                     442 |
| 34       | Ladakh                             |                     0 |                       0 |
| 35       | Lakshadweep                        |                     7 |                       7 |
| 36       | Puducherry                         |                     4 |                       4 |
| Total    | Total                              |                 12500 |                    8168 |