Lok Sabha Question No. 2664 (UNSTARRED), answered on 2023-08-04
Subject: National AYUSH Mission
Ministry: AYURVEDA,YOGA & NATUROPATHY,UNANI,SIDDHA AND HOMEOPATHY (AYUSH)
Asked by: V. Kalanidhi

## GOVERNMENTOFINDIA MINISTRY OF AYUSH

## LOK SABHA

## UNSTARRED QUESTION NO. 2664 TO BE ANSWERED ON 4 TH AUGUST 2023

## NATIONALAYUSHMISSION

## 2664. DR. KALANIDHI VEERASWAMY:

Will the Minister of AYUSH be pleased to state:

- (a) the salient features of National Ayush Mission along with the number of States in which it is being implemented across the country;
- (b) the funds sanctioned, allocated and utilized under the mission, State/UT-wise, including Tamil Nadu;
- (c) the details of the target set, achievements made so far along with its response within the country including Tamil Nadu;
- (d) whether the Government has taken any initiatives to strengthen AYUSH infrastructure in the country to enable larger population to benefit from AYUSH services under National AYUSH Mission; and
- (e) if so, the details thereof and if not, the reasons therefor?

## ANSWER THE MINISTER OFAYUSH (SHRI SARBANANDASONOWAL)

(a) Ministry of Ayush is implementing the Centrally Sponsored Scheme of the National AYUSH Mission (NAM) through 36 State/UT Governments for development and promotion of AYUSH systems across the country.The salient features of the National AYUSH Mission (NAM) are furnished at Annexure-I.

(b) to (e) Public Health being a State subject, the primary responsibility to strengthen AYUSH infrastructure in the country to enable larger population to benefit from AYUSH services under National AYUSH Mission lies with the respective State/UT Governments. Further, the Government of India is implementing Centrally Sponsored Scheme of the National Ayush Mission (NAM) through State/UT Governments for the overall development of Ayush systems which also includes infrastructural development. National Ayush Mission inter-alia makes provisions for the following:-

(i) Ayush Health & Wellness Centres

(ii)Co-location of Ayush facilities at Primary Health Centres (PHCs), Community Health Centres (CHCs) and District Hospitals (DHs)

(iii) Upgradation of existing standalone Government Ayush Hospitals

(iv)Upgradation 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 upto50/30/10 bedded integrated Ayush Hospitals

(vi) Infrastructural development of Ayush Under-Graduate Institutions and Ayush Post-Graduate Institutions

(vii) Establishment of new Ayush Colleges in the States where availability of Ayush teaching institutions is inadequate in the Government Sector.

Accordingly, State/UT Governments may avail the eligible financial assistance by submitting suitable proposals through State Annual Action Plans (SAAPs) as per the NAM guidelines. As per proposals received from State/UT Governments including Tamil Nadu, State/UT-wise status of funds allocated/released and utilization as reported by State/UT Governments for different activities from 2014-15 to 2022-23 is furnished at Annexure-II . Since implementation of the programme comes under the purview of State/UT Governments, no target has been fixed by Government of India for different States/UTs. However, resource pool with respect to NAM has been communicated to each State/UT Governments as per the defined criteria of NAM guidelines. Accordingly, States/UTs are required to prepare their State Annual Action Plans (SAAPs) as per their requirements in accordance with NAM guidelines. The status of major activities supported under NAM from 2014-15 to 2020-21 is furnished at Annexure-III .

## Salient features ofCentrally Sponsored Scheme of National AYUSH Mission (NAM)

Government of India is implementing a Centrally Sponsored Scheme of the National AYUSH Mission (NAM) for the development and promotion of Ayurveda, Yoga and Naturopathy, Unani, Siddha and Homoeopathy (AYUSH) in the country through States/UTs.

The National AYUSH Mission (NAM) inter-alia makes provision for the following:-

- (i) AYUSH Health & Wellness Centres under Ayushman Bharat
- (ii) Co-location ofAYUSHfacilities at PHCs, CHCsandDistrictHospitals
- (iii) Upgradation of existing standalone Government AYUSH Hospitals
- (iv) Upgradation of existing/ setting up of new standalone Government/ Panchayat/ Government aided AYUSH Dispensaries
- (v) Setting up of upto 10 bedded/ 30 bedded/ 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 Programmes:-

- a) National Program for Prevention and Management of Musculoskeletal Disorders
- b) Integration of AYUSH with National Programme for Prevention and Control of Cancer, Diabetes, Cardiovascular Diseases and Stroke (NPCDCS)
- c) SUPRAJA: AYUSH Maternal & Neo-natal Intervention
- d) VAYOMITRA:AYUSHGeriatric Healthcare Services
- e) AYURVIDYA: Promotion of healthy lifestyle through AYUSH System in 75000 School
- f) AYUSHMobile Medical Unit
- g) KARUNYA:AYUSHPalliative Services
- h) National Program on AYUSH for morbidity management and Disability Prevention (MMDP) of Lymphatic Filariasis (lymphoedema)

(viii) Flexible components with provision for the following activities:

- a. Yoga Wellness Centres
- b. Tele-medicine
- c. Sports Medicine through AYUSH
- d. Reimbursement of Testing charges
- e. IEC activities
- f. Training and capacity building for teaching staff, Medical Officers and other paramedical staff working in the educational institution and AYUSH Hospitals/Dispensaries.
- g. To meet the mitigation and restorative activities of natural calamities including the outbreak of epidemics/pandemics happened. This is also relevant in the present scenario of COVID-19 pandemic.
- h. An incentive to frontline workers of AYUSH- Multiple AYUSH activities are being added and various AYUSH public health programs can be implemented only by effective community outreach by frontline health workers. Therefore, provision for need based engagement of frontline workers of AYUSH may be provided in public health programs. The State may provide the incentive as per local criteria.
- i. In AYUSH Dispensaries, wherever posts have been created but lying vacant due to administrative reasons, the States/UTs may propose 01 AYUSH Medical Officer & 01 Pharmacist for maximum limit upto the plan period or till the posts are filled up whichever is earlier, on a need basis.
- j. Support for Hospital Management Information System (HMIS) and Direct Benefit Transfer (DBT) tracking system.
- k. States/UTs may propose activities to meet local needs & requirements and Pilot innovation for the AYUSH system.
- l. Accreditation of AYUSH Healthcare facilities by National Accreditation Board Hospitals andHealthcare providers (NABH)

## Annexure-II

## State/UT-wise status of funds allocated/released and utilization as reported by State/UT Governments

(Rs. in lakhs)

| S. No.   | Name of the States/UTs             | Amount Approved/Allocations   | Central Share Released   | Matching State Share   | Expenditure reported by the State/UT Governments   | Expenditure reported by the State/UT Governments   | Expenditure reported by the State/UT Governments   |
|----------|------------------------------------|-------------------------------|--------------------------|------------------------|----------------------------------------------------|----------------------------------------------------|----------------------------------------------------|
| S. No.   | Name of the States/UTs             | Amount Approved/Allocations   | Central Share Released   | Matching State Share   | Central Share                                      | State Share                                        | Total                                              |
| 1        | Tripura                            | 4823.57                       | 4348.43                  | 475.14                 | 3634.09                                            | 387.92                                             | 4022.01                                            |
| 2        | Sikkim                             | 3783.82                       | 3405.44                  | 378.38                 | 3235.85                                            | 342.95                                             | 3578.81                                            |
| 3        | Andaman& Nicobar Islands           | 2315.74                       | 2222.48                  | 93.25                  | 2191.52                                            | 93.26                                              | 2284.78                                            |
| 4        | Mizoram                            | 4195.02                       | 3775.52                  | 419.50                 | 3644.81                                            | 380.92                                             | 4025.73                                            |
| 5        | Puducherry                         | 2819.32                       | 2169.99                  | 649.32                 | 1844.95                                            | 447.22                                             | 2292.17                                            |
| 6        | Arunachal Pradesh                  | 4257.81                       | 3831.99                  | 425.81                 | 3409.27                                            | 346.94                                             | 3756.21                                            |
| 7        | Haryana                            | 18260.87                      | 11079.08                 | 7181.78                | 10546.95                                           | 6555.97                                            | 17102.93                                           |
| 8        | Karnataka                          | 25019.47                      | 15420.62                 | 9598.84                | 14055.03                                           | 8573.95                                            | 22628.98                                           |
| 9        | Jammu& Kashmir                     | 15964.52                      | 14319.42                 | 1645.09                | 12479.34                                           | 1518.78                                            | 13998.12                                           |
| 10       | Gujarat                            | 17267.75                      | 10542.63                 | 6725.12                | 8488.36                                            | 5040.52                                            | 13528.88                                           |
| 11       | Telangana                          | 13777.36                      | 8564.06                  | 5213.29                | 8476.76                                            | 2738.06                                            | 11214.82                                           |
| 12       | Madhya Pradesh                     | 43521.57                      | 26892.60                 | 16628.97               | 23819.55                                           | 14580.64                                           | 38400.20                                           |
| 13       | Maharashtra                        | 13572.32                      | 8439.51                  | 5132.81                | 7047.90                                            | 4215.49                                            | 11263.39                                           |
| 14       | Uttarakhand                        | 13026.21                      | 11729.64                 | 1296.57                | 11213.82                                           | 1010.24                                            | 12224.06                                           |
| 15       | Lakshadwee p                       | 1508.33                       | 1389.76                  | 118.57                 | 1346.09                                            | 0.00                                               | 1346.09                                            |
| 16       | Nagaland                           | 7645.88                       | 6881.29                  | 764.59                 | 6317.03                                            | 690.57                                             | 7007.61                                            |
| 17       | Tamil Nadu                         | 24285.10                      | 14571.06                 | 9714.04                | 12442.78                                           | 8295.19                                            | 20737.97                                           |
| 18       | West Bengal                        | 20716.60                      | 12912.91                 | 7803.69                | 11114.25                                           | 6604.78                                            | 17719.03                                           |
| 19       | Uttar Pradesh                      | 127788.42                     | 77685.14                 | 50103.27               | 69041.64                                           | 37908.02                                           | 106949.67                                          |
| 20       | Assam                              | 11599.90                      | 10439.91                 | 1159.99                | 8654.38                                            | 961.60                                             | 9615.98                                            |
| 21       | Rajasthan                          | 37222.81                      | 23051.30                 | 14171.50               | 18174.14                                           | 10930.98                                           | 29105.12                                           |
| 22       | Jharkhand                          | 18538.05                      | 11257.38                 | 7280.67                | 8598.02                                            | 5519.30                                            | 14117.32                                           |
| 23       | Kerala                             | 27029.39                      | 16545.06                 | 10484.33               | 14885.41                                           | 8590.02                                            | 23475.44                                           |
| 24       | Dadra& Nagar Haveli and Daman &Diu | 533.06                        | 484.24                   | 48.81                  | 415.44                                             | 3.06                                               | 418.50                                             |
| 25       | Goa                                | 2827.66                       | 1696.60                  | 1131.06                | 1238.26                                            | 711.33                                             | 1949.60                                            |
| 26       | Chandigarh                         | 1532.79                       | 1532.79                  | 0.00                   | 1028.59                                            | 0.00                                               | 1028.59                                            |

| 27    | Odisha           |   14076.10 |   8710.17 |   5365.92 |   6226.60 |   3993.83 |   10220.44 |
|-------|------------------|------------|-----------|-----------|-----------|-----------|------------|
| 28    | Himachal Pradesh |   12590.7  |  11337.8  |   1252.87 |   8074.4  |    793.67 |    8868.07 |
| 29    | Chhattisgarh     |   14040.5  |   8590.4  |   5450.04 |   6896.44 |   3182.28 |   10078.7  |
| 30    | Meghalaya        |    4503.96 |   4053.56 |    450.39 |   2726.32 |    113.51 |    2839.83 |
| 31    | Manipur          |    9132.62 |   8227.98 |    904.63 |   5229.39 |    405.61 |    5635    |
| 32    | Punjab           |    8291.53 |   5091.97 |   3199.56 |   3123.51 |   2035.22 |    5158.73 |
| 33    | Ladakh           |     259.71 |    259.71 |      0    |    182.6  |      0    |     182.61 |
| 34    | Delhi            |     859.4  |    726.3  |    133.1  |    344.5  |      0    |     344.51 |
| 35    | Andhra Pradesh   |   12019.9  |   7578.05 |   4441.83 |   2510.68 |    919.34 |    3430.02 |
| 36    | Bihar            |   11551.3  |   6930.79 |   4620.53 |    730.7  |    371.28 |    1101.98 |
| Total | Total            |  551159    | 366696    | 184463    | 303389    | 138262    |  441652    |

## Annexure-III The status of major activities supported under NAM from 2014-15 to 2022-23

(i) 137 units supported for setting up of Integrated Ayush hospitals. (37functional, 86 Under Construction and 14 in process)

(ii) 315 Ayush Hospitals and 5023 Ayush dispensaries have been supported for Up-gradation of infrastructure and other facilities.

(iii) 2375 PHCs, 713 CHCs and 306 DHs have been supported under co-location for recurring assistance of medicines and contingency on an average in each year.

(iv) 895Ayush Hospitals and 12194 Ayush dispensaries have been supported for supply of essential Ayush medicines on an average in each year.

(v) 13 units supported for establishment of New Ayush Educational Institutions.

(vi)77 Under-Graduate and 35 Post-Graduate Ayush Educational Institutes have been supported for Upgradation of infrastructure, Library and other things.

(vii) 36 ASU & H Pharmacies and 29 Drug Testing Laboratories have been supported for strengthening.

(viii) 2813 Yoga Wellness Centres have been supported.

(ix) 12500 Ayush Health &Wellness Centres have been approved and grant-in-aid has been released for 10275 AHWCs.

(x) 692 Ayush Grams have been supported.