Lok Sabha Question No. 282 (STARRED), answered on 2015-12-18
Subject: Promotion of AYUSH
Ministry: AYURVEDA,YOGA & NATUROPATHY,UNANI,SIDDHA AND HOMEOPATHY (AYUSH)
Asked by: E. AHAMED, RAMESH POKHRIYAL NISHANK

## GOVERNMENT OF INDIA MINISTRY OF AYURVEDA, YOGA & NATUROPATHY, UNANI, SIDDHA AND HOMOEOPATHY (AYUSH)

## LOK SABHA STARRED QUESTION NO.282 TO BE ANSWERED ON THE 18 TH DECEMBER, 2015 PROMOTION OF AYUSH

## *282. SHRI E. AHAMED:

DR. RAMESH POKHRIYAL "NISHANK":

Will  the  Minister  of AYURVEDA,  YOGA  AND  NATUROPATHY, UNANI, SIDDHA AND HOMOEOPATHY (AYUSH) be pleased to state:

- (a) whether adequate steps have been taken to promote and popularise AYUSH including Unani System of medicine and if so, the details thereof;
- (b) whether the Government has taken note of reported use of heavy metal Ayurveda and other AYUSH products/ medicines;
- (c) if so, the details thereof along with the reaction of the Government th
- (d) the details of the Unani hospitals and medical centres presently funct the country, State/UT - wise; and
- (e) whether the Government proposes to open more such hospitals/Centres in country particularly in Delhi and if so, the details thereof ?

## ANSWER

THE MINISTER OF STATE (IC) OF THE MINISTRY OF AYURVEDA, YOGA & NATUROPATHY, UNANI, SIDDHA AND HOMOEOPATHY(AYUSH) (SHRI SHRIPAD YESSO NAIK)

(a) to (e ):  A statement is laid on the Table of the House

## STATEMENT REFERRED TO IN REPLY TO LOK SABHA STARRED QUESTION NO. 282* FOR 18 TH DECEMBER, 2015

(a) Yes.National Policy on Indian System s of Medicine and Homoeopathy is already  in  place  since  2002  which  aims  at  overall  growth  and  development Ayurveda,  Yoga  &  Naturopathy,  Unani,  Siddha and  Homoeopathy  (AYUSH). With  the  policy  support,  National  Institutes  and  Research  Councils  of systems have been set up and financial support is provided to the States/U institutions through the Centrally Sponsored Scheme sand Central Sector Schemes f or  promotion  and  popularisation  of  AYUSH,  including  Unani  System  of medicine . The details of Schemes are furnished at ANNEXURE - I.

(b) &  (c) There  is  a  specific category  of  herbo - mineral  or  metallic Ayurvedic medicines  called  Rasaushadhies or  Rasa - yoga.  Many  of  such medicines  make      use  of  heavy  metals  like  Mercury,  Arsenic  and  Lead  a ingredients  after  subjecting  them  to  a  series  of  processes  called  Shod Marana,  Amritikarana  etc.  to  render  them  safe  and  therapeutically  effec Heavy metals in Ayurvedic formulations are not present in free elemental f but in complex compounds and it is the synergy of various ingredients and u purification and detoxification techniques that makes the formulation compa to the body system for therapeutic action with judicious consumption. Permissible   limits of heavy metals are defined in the Ayurvedic Pharmacop and are not applicable to Rasaushadhies. The Government has issued direction the States and Central Government Health Sch eme (CGHS) to accept supply of ASU&H medicines with batch wise quality analysis from an approved laboratory/NABL accredited Laboratory.

(d) the details of the Unani hospitals and medical centres presently func in the country, State/UT - wise is furnished at Annexure - II .

(e) As Health is a State subject, opening or setting up of Hospitals inc Unani Hospitals  in  the  State/UT  lies  within  the  purview  of  the  respec State/UT  Government.    However,  Ministry  of  AYUSH  operates  a  Centrally Sponsored Scheme of National AYUSH Mission, in which financial assistance i being  provided  to  the  States/UTs  for  set ting  up  of  upto  50  bedded  Integrated AYUSH Hospitals including Unani system of medicine subject to the submissio of State Annual Action Plan (SAAP) within the allocated resource pool for state,  commitment  for  matching  state  share  as  per  the  Scheme  gui delines  and clearance of pending Utilization Certificates (UCs).

## Salient features of the Centrally Sponsored and Central Sector Schemes for promotion  and  popularisation  of  AYUSH,  including  Unani  System  of medicine:

## I. Centrally Sponsored Sch eme of National AYUSH Mission:

The  Government  of  India  has  approved  and  notified  National  AYUSH Mission  (NAM)  on  29.09.2014  which  envisages  better  access  to  AYUSH services, strengthening of AYUSH educational institutions, facilitate enforcement of quality control of Ayurveda, Siddha and Unani & Homoeopathy (ASU &H) drugs and sustainable availability of ASU & H raw -materials in the States/UTs during 12th Plan.

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

(i)  Co - location  of  AYUSH  facilities  at  Primary  Health  Centers  (PHCs) Community Health Centers (CHCs) and District Hospitals (DHs).

(ii)  Up  gradation  of  exclusive  State  Govern ment  AYUSH  Hospitals  and Dispensaries.

(iii) Setting up of up to 50 bedded integrated AYUSH Hospital.

(iv) Upgradation of State Government Educational Institutions.

(v)  Setting  up  of  new  State  Government  AYUSH  Educational  Institutions including Yoga and Na turopathy in the State where it is not available.

(vi)  Strengthening  of  State  Government/  Public  Sector  Undertaking  (PS Ayurveda,  Siddha,  Unani  and  Homoeopathy  (ASU&H)  Pharmacies  and  Drug Testing Laboratories (DTL).

(vii) Cultivation and Promotion of Med icinal Plants.

(viii) Under the flexible components of the scheme of NAM, provision has b made for following activities:

- a) AYUSH Wellness Centres including Yoga & Naturopathy
- b) Tele - medicine
- c) Sports Medicine through AYUSH
- d) Innovations in AYUSH including Public Private Partnership
- e) Interest subsidy component for Private AYUSH educational Institutions
- f) Reimbursement of Testing charges
- g) IEC activities
- h) Research & Development in areas related to Medicinal Plants
- i) Voluntary certification scheme: Project based.
- j) Ma rket Promotion, Market intelligence & buy back interventions
- k) Crop Insurance for Medicinal Plants

## Revisedfunding patterns under National AYUSH Mission are as follows:

As  per  the  Letter  D.O  .No.32/PSO/FS/2015  dated  28.10.2015  from Ministry  of  Finance,  the  funding  pattern  of  Centrally  Sponsored  Sche including all components of National AYUSH Mission has been revised to th ratio of 60:40 between Centre and State, while it ou d be in the ratio of 90:10 for 8 Northern East States and 3 Himalaya States (Jammu Kashmir, Uttarakha and Himachal Pradesh). For the UTs Centrally Sponsored Scheme will be 100% funded by the Central Government.

## II. Central Sector Schemes:

## 1. Central  Sector  Scheme  for  promotion  of  informatio n, educatio n, and communication (IEC)in AYUSH:

Under Central Sector Scheme of Information Education and Communication (IEC), Government of India extends financial assistance to St Governments and other reputed Government/ Non - Governmental Organizations/ universities for conducting Seminars/ Workshops/ symposium to promote AYUSH.  In  addition,  Government  of  India  carries  out  mass  media  campaigns through electronic and print media and AROGYA Fairs for creat ing awareness amongst  the  people.  The  funds  are  released  to  the  implementing  agencies organizing the IEC activities.

## 2. Central Sector Scheme of Centres of Excellence (COE):

The  main  aim  of  the  scheme  is  to  support  creative  and  innovati proposals  for  upgrading  both  functions  and  facilities  of  reputed  AYU institutions  to  levels  of  excellence.  Both  the  Government  as  well  as  p organizations are eligible under this schem e. Maximum Rs.10.00 crore is provided to  the  grantee  organization  for  the  period  of  three  years  for  implementi scheme.

## 3. Development of AYUSH Clusters Scheme:

The  main  aim  of  the  scheme  is  to  fill  in  the  critical  gaps  in  the especially relat d to standardization, quality assurance and control, producti marketing, infrastructure and capacity building through a cluster based app preferably  for  classical  ASU  and  Homoeopathic  drugs.  The  assistance restricted to 60% of the Project Co st subject to a maximum of Rs.15.00 crore as Government grant.

## 4. Central Sector Scheme of Promotion of AYUSH interventions in Public Health Initiatives (PHI):

Government of India is implementing Central Sector Grant - in - aid Scheme for Promotion of AYUSH Intervention in Public Health Intiatives. The main ai of the scheme is to promote AYUSH intervention for community health care and to  encourage  utilization  of  AYUSH  practitioners  in  different  public  h programmes. Both the Government as well as Non - G overnment organizations are eligible under this scheme. Maximum Rs.1.50 crore is provided to the gr organization for the period of three years for implementing the scheme.

## 5. Central Sector Scheme of Continuing Medical Education (CME):

Under Central Sector  Scheme  of  Continuing  Medical  Education  (CME), AYUSH Personnel are given need - based training for upgradation of their skill Financial assistance is provided directly to institutions/ organizations by  the  Screening  Committee.  Funds  for  a  p rogramme  will  be  released  to  the institute on approval of the proposal as per the following pattern:

(i)  Financial  assistance  of  Rs.  7.50  lakhs  per  programme  for  6 - days  CME  for AYUSH Teachers/Doctors/Scientist.

(ii) Financial assistance of Rs. 5.00 lakhs per programme for 6 - days  CME  for Paramedics/ Health workers/ Instructors/ Therapists.

(iii) Financial assistance of Rs. 7.50 lakhs per programme for 6 - days Training of Trainers programme (ToT) in AYUSH.

(iv) 3 - days/5 - days training in Management/IT to AY USH administrators/heads of departments/institutions.  Funds  are  released  in  accordance  with  the  Scre Committee's recommendations.

(v) Web - based (on - line) educational  programmes. Funds are released  in accordance with the Screening Committee's recommend ations.

(vi)  Making  available  the  lectures  of  CMEs  in  CDs/DVDs  in  AYUSH  sector. Funds are released in accordance with the Screening Committee's recommendations.

(vii) Support to organizations having domain knowledge. Funds are release accordance with t he Screening Committee's recommendations.

(viii)  Two  days  national  level  Workshops/  Conferences  for  CME.  Funds  ar released in accordance with the Screening Committee's recommendations.

(ix) Financial assistance of Rs. 1.00 lakhs per programme for conducti ng 2 - day subject - /specialty CME for 50 private practitioners.

## 6. Central Sector Scheme of Extra Mural Research (EMR):

Extra  Mural  Research  (EMR)  is  designed  to  encourage  Research  & Development in priority areas based on disease burden in alignment to Na tional Health  Programme.  It  provides  grant - in - aid  to  for  the  projects  upto  Rs.  70.00 lakhs for maximum 3 years.

## 7. Central  Sector  Scheme  of  Conservation,  Development  and  Sustainable Management of Medicinal Plants

Central  Sector  Scheme  for  'Conservation, Development and Sustainable Management  of  Medicinal  Plants'  aimed  at  providing  support  for  Survey, Inventorization,  in - situ  conservation,  ex - situ  conservation  /  herbal  gardens, linkage  with  JFMCs,  Research  and  Development  etc.    The  Scheme  is  being implemented since 2008 and continued during the 12th Plan.  Under this Sche the  project  based  financial  assistance  is  provided  for  aforesaid  activ medicinal plants as per the scheme guidelines.

## 8.    Promotion  and  popularization  of  AYUSH  systems  of  Medi cine  at International level.

As a part of global promotion and propagation of the AYUSH systems o medicine including Unani, the Ministry of AYUSH has been signing Country t Country MoUs on cooperation in the field of Traditional Medicine; Setting AYUS H  Academic  Chairs  in  Foreign  Universities/Institutes  and  Setting AYUSH Information Cells in the premises of the Indian Missions/ICCR Cultura Centre  for  dissemination  of  authentic  information  about  AYUSH  systems  o medicine.   As of now, The Ministry of AYUSH has signed Country to Country MoUs  for  cooperation  in  field  of  Traditional  Medicine  with  nine  count namely  Nepal,  Bangladesh,  Hungary,  Trinidad  &  Tobago,  Malaysia,  China, Mauritius,  Mongolia  and  Turkmenistan.  Academic  Chairs  have  been  set  up  i three countries namely Hungary and Trinidad & Tobago (Ayurveda Chair) and

South Africa (Unani Chair). Besides, 14 AYUSH Information Cells have been established  in  13  Countries  (two  in  Indonesia).  In  addition  to  the  abov Ministry of AYUSH has been org anizing/ participating in International exhibitions/  conferences/  workshops/  seminars/  road  shows/  trade  fairs,  e have wider reach for international propagation of AYUSH.  Incentives are being  provided  (a)  to  AYUSH  drug  manufacturers,  entreprene urs,  AYUSH institutions,  etc.  for  participating  in  International  exhibitions/  co workshops/  seminars/  road  shows/  trade  fairs,  etc.  for  generating  awar amongst the participating public about the Indian Medicine and; (b) to AY drug manufac turers for registration of AYUSH products with regulatory agenci of different countries to enhance export of the products.

State wise Unani Hospitals and Dispensaries  as on 1 -4- 2014

| S. No.   | State / UT        |   No. of Hospitals |   No. of Dispensaries |
|----------|-------------------|--------------------|-----------------------|
| 1        | Andhra Pradesh    |                  3 |                    73 |
| 2        | Arunachal Pradesh |                  0 |                     0 |
| 3        | Assam             |                  0 |                     1 |
| 4        | Bihar             |                  1 |                   449 |
| 5        | Chhattisgarh      |                  1 |                    26 |
| 6        | Delhi             |                  1 |                    17 |
| 7        | Goa               |                  0 |                     0 |
| 8        | Gujarat           |                  0 |                     0 |
| 9        | Haryana           |                  1 |                    19 |
| 10       | Himachal Pradesh  |                  0 |                     3 |
| 11       | Jammu & Kashmir   |                  1 |                   177 |
| 12       | Jharkhand         |                  0 |                    54 |
| 13       | Karnataka         |                 19 |                    50 |
| 14       | Kerala            |                  0 |                    12 |
| 15       | Madhya Pradesh    |                  0 |                    64 |
| 16       | Maharashtra       |                  6 |                    25 |
| 17       | Manipur           |                  2 |                    15 |
| 18       | Meghalaya         |                  0 |                     0 |
| 19       | Mizoram           |                  0 |                     0 |
| 20       | Nagaland          |                  0 |                     0 |
| 21       | Odisha            |                  0 |                     9 |
| 22       | Punjab            |                  0 |                    34 |
| 23       | Rajasthan         |                  5 |                   110 |
| 24       | Sikkim            |                  0 |                     0 |
| 25       | Tamil Nadu        |                  1 |                    63 |
| 26       | Tripura           |                  0 |                     0 |
| 27       | Uttar Pradesh     |                204 |                    49 |
| 28       | Uttarakhand       |                  2 |                     3 |
| 29       | West Bengal       |                  1 |                     3 |
| 30       | A&N Island        |                  1 |                     0 |
| 31       | Chandigarh        |                  0 |                     1 |
| 32       | D&N Haveli        |                  0 |                     0 |
| 33       | Daman & Diu       |                  0 |                     0 |
| 34       | Lakshadweep       |                  0 |                     0 |
| 35       | Puducherry        |                  0 |                     0 |
| 36       | Telangana**       |                  3 |                   196 |
|          | TOTAL             |                252 |                  1453 |

Source: State Governments & concerned agencies.

## State/UT- wise list of Research Institutes/ Centre/ Units maintaining

## OPD/IPD under Central Council for Research in Unani Medicine (CCRUM)

|   S. No. | State           | Name and address of Research Institutes/ Centre/ Units                                                                               | Facility Available         |
|----------|-----------------|--------------------------------------------------------------------------------------------------------------------------------------|----------------------------|
|        1 | Andhra Pradesh  | Central Research Institute of Unani Opp. E.S.I., Hospital, A. G. Colony Road, Erragadda, Hyderabad- 500 838, Andhra Pradesh          | Medicine OPD & IPD         |
|        1 | Andhra Pradesh  | Clinical Research Unit, C/o Dr. Abdul Haq Medical College, 40/23, Park Road, Kurnool - 518001                                        | Unani OPD                  |
|        2 | Assam           | Regional Research Centre (RRC) S.M. Dev Civil Hospital, Silchar - 788001 (Cachar), Assam                                             | OPD                        |
|        2 |                 | Extension Centre of Regional Research Masjid Road, Karimganj - 788710                                                                | Centre, OPD                |
|        3 | Bihar           | Regional Research Institute of Unani Medicine, Manas Path, Opp. Guru Gobind Singh Hospital, Guzri, Patna City, Patna - 800008 Bihar  | OPD                        |
|        4 | Delhi           | Regional Research Institute of Unani D - 11/1 Abul Fazal Enclave, Jamia Nagar, New Delhi- 110025                                     | Medicine, Okhla, OPD & IPD |
|        4 | Delhi           | Unani Speciality Centre ( Extension Centre RRIUM), Deen Dayal Hospital, Ghantaghar, Harinagar, New Delhi-110064                      | of OPD                     |
|        4 | Delhi           | Unani Medical Centre, Dr. Ram Manohar Lohia Hospital, Room No. 304, New Delhi - 110001                                               | OPD                        |
|        5 | Jammu & Kashmir | Regional Research Institute of Unani University of Kashmir, Hazrat Bal, Srinagar - 190006                                            | Medicine, OPD & IPD        |
|        6 | Karnataka       | Clinical Research Unit (Unani ), National Institute of Unani Medicine, Kotigapalaya, Magdi Main Road, Bangalore - 560091 (Karnataka) | OPD                        |
|        7 | Kerala          | Clinical Research Unit, Kurupatil Nina Near Panchayat Office P.O. Edathala (N) - 683 564. Alweye - Kerela.                           | Memorial OPD               |
|        8 | Madhya Pradesh  | Clinical Research Unit (Unani), Department Pharmacology, Gandhi Medical College, Bhopal - 450331, Madhaya Pradesh                    | of OPD                     |

|    |               | Clinical Research Unit, S.H. Unani Tibbia College, Ganpati Naka, Burhanpur - 450331, Madhaya Pradesh                                                             | OPD                 |
|----|---------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------|---------------------|
|  9 | Maharashtra   | Regional Research Institute of Unani J.J. Hospital Compound, Behind Eye Bank, Byculla, Mumbai -400008, Maharashtra                                               | Medicine, OPD       |
| 10 | Odisha        | Regional Research Institute of Unani Mathasahi, Bhadrak - 756100, Odisha                                                                                         | Medicine, OPD & IPD |
| 11 | Tamil Nadu    | Regional Research Institute of Unani Medicine, 1, West Meda Church Street Royapuram, Chennai - 600 013.Tamil Nadu                                                | OPD & IPD           |
| 12 | Uttar Pradesh | Central Research Institute of Unani Medicine, C - 39, Maakaila Bhavan, Sec - C, Sitapur Road Yojana, Lala Latpat Rai Ward, Lucknow - 226 021, Uttar Pradesh      | OPD & IPD           |
| 12 | Uttar Pradesh | Regional Research Institute of Unani Post Box No. - 70, A.K. Tibbiya College & Hospital, Aligarh Muslim University, (New Block), Aligarh - 202001, Uttar Pradesh | Medicine, OPD       |
| 12 | Uttar Pradesh | Clinical Research Unit, 368, Kothi Attanas, Meerut- 250002, Uttar Pradesh                                                                                        | OPD                 |
| 12 | Uttar Pradesh | Regional Research Centre, B - 501/4, G.T.B. Nagar, (Opp. Dulhan Palace), Allahabad - 211 016 (U.P.) Uttar Pradesh                                                | OPD                 |
| 13 | West Bengal   | Regional Research Institute of Unani Medicine, 79, Chitranjan Avenue, Kolkata - 700 073. West Bengal                                                             | OPD                 |

## National Institute:

National Institute of Unani Medicine, Bangalore was established in 1984 wit objective of developing it as centre for propagation of Unani Medicine. Institute consists of 180 bedded hospital. Hospital provides OPD and IPD services.