Lok Sabha Question No. 280 (STARRED), answered on 2015-08-07
Subject: Traditional System of Medicine
Ministry: AYURVEDA,YOGA & NATUROPATHY,UNANI,SIDDHA AND HOMEOPATHY (AYUSH)
Asked by: ANBUMANI RAMADOSS, ARJUN RAM  MEGHWAL

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

## LOK SABHA STARRED QUESTION NO.280 TO BE ANSWERED ON THE 07 TH AUGUST, 2015 TRADITIONAL SYSTEM O F MEDICINE

## *280. DR. ANBUMANI RAMADOSS: SHRI ARJUN MEGHWAL:

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

- (a) the action plan drawn by the Government to bring traditional medicines i mainstream by incorporating its know ledge into modern healthcare system;
- (b) whether the Government has formulated any strategy to ensure that tradi medicines  meet  the  modern  safety  and  efficacy  standards,  and  if  so,  the  d thereof;
- (c) whether the Government is aware of the t hreat posed by the increasing use of traditional medicines to biodiversity on account of over harvesting of med plants  or  increased  use  of  body  parts  from  endangered  animals  in  tradit medicines; and
- (d) if so, the details thereof along with th e corrective measures being taken by the Government in this regard?

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

## STATEMENT REFERRED TO IN REPLY TO LOK SABHA STARRED QUESTION NO. 280* FOR 07 TH AUGUST , 2015

- (a) ( i )  Public  Health  is  State  subject.  However,  under  the  National  Ru Health Mission, (NRHM), support is provided to States/UTs for strengthening  their  healthcare  systems  including  for  mainstreaming AYUSH  based  on  the  requirements  posed  by  the  States/UTs in  their Programme Implementation Plans (PIPs).

( ii)  Support  to  States/UTs  under  NHM  is  provided  for  engagement  of AYUSH doctors/paramedics on contractual basis in co - located public health facilities.

( iii) AYUSH doctors are also being utilized under Ra shtriya Bal Swashtya Karyakram (RBSK).

( iv) Support to  States/UTs  under  NHM  is  also  provided  for  AYUSH medicines, providing training to AYUSH doctors for functioning as Skil Birth Attendant (SBA) and provide services for implantation of Intra Ut Contraceptive  Device  (IUCD)  &  Postpartum  Intrauterine Contraceptive Device (PPIUCD) and also for Information Education and Communications/Behaviour Change Communication (IEC/BCC) activities.

( v) A State/UT wise statement regarding AYUSH doctors and AYUSH Para - medics  engaged  on  contractual  basis  under  NHM  including under  RBSK  across  the  country  as  per  Management  Information  System (MIS) report as on 31.12.2014 is enclosed at Annexure -I.

( vi) A s per NHM MIS reports (provided by States/UTs), AYUSH facilities are co - located at -

- 512 District Hospitals,
- 2734 CHCs,
- 565  facilities  (other  than  CHC  at  or  above  blocks  level  but  be district level),
- 9050 PHCs, and
- 5267 other health facilities above su b centers but below block level

( vii)  Further, the support for AYUSH infrastructure, equipment / furn and medicines are provided by Ministry of AYUSH under National AYUSH Mission (NAM) as shared responsibilities.

- (b) As  per  the  provisions  of  the  Drugs  & Cosmetics  Rules,  1945 pertaining to Ayurvedic, Siddha and Unani medicines (ASU), it is mandato for the licensed manufacturers to observe the standards of drugs prescri the  pharmacopoeia.  The  Pharmacopoeia  of  ASU&H  drugs  published  so  far,

prescribes the standards based on botanical, chemical and ASU parameters fo identity, purity and strength of the drugs. The Pharmacopoeia also pres the  permissible  limits  of  heavy  metals,  aflatoxins,  pesticide  residu microbial load. For issue of licence for manufacturing of various categories of these medicines, the conditions relating to safety study and the experi evidence  of  effectiveness  are  specified  in  the  Rule  158 - B  of  the  Drugs  & Cosmetics Rules, 1945. Licensing of ASU medicines requires co mpliance of Good Manufacturing Practices (GMP) as specified in the schedule 'T' of the Drugs & Cosmetics Rules.

( c) & (d) The Government is aware of the threat to certain medicinal pla used in  traditional medicines on account of a gap between the ava ilability and demand and the resultant stress on biodiversity. Atis (Acconit heterophyllum), Kutki (Picrorhiza kurrooa), Chirayita (Swertia chir Jatamansi (Nardostachys grandiflora), Mamiri (Coptis teeta), Daruhaldi (Berberis aristata), are some suc h species. Gap in demand and availability of such  species  is  on  account  of  a  number  of  factors  which  include  hab degradation.

The  Traditional  Indian  Systems  of  Medicine  primarily  depend  on  pla raw material. However, use of some animal part material derived from anim like  Musk  Deer,  Peacock,  etc.  has  been  mentioned  in  the  classical  tex traditional  medicines.  In  accordanc e  with  provision  of  Wild  Life  Protection Act  1972  use  of  such  species  is  no  more  encouraged  under  the  traditi system of medicines on account of which use of such animal raw material preparation  of  medicines  for  recognized  Indian  Systems  of  Medicine or Homoeopathy is now not a pronounced  factor for threat of  existence to animal species.

National Medicinal Plants Board (NMPB), Ministry of AYUSH under the Central Sector Scheme on "Conservation, Development and Sustainabl Management  of  Medic inal  Plants'  is  supporting  a  number  of  projects  on conservation of prioritized / threatened medicinal plants by in - situ conservation  through  setting  up  of  Medicinal  Plants  Conservation    Ar (MPCAs)     across   the country   (Annexure - I)   and   by ex- situ conservation through herbal gardens.  NMPB is also promoting medicinal plants cultiva so  as  to  meet  the  twin  objectives  of  meeting  the  increased  demand medicinal plants and conservation of threatened species in their habitat.

## Annexure - I

## State Wise Number of AYUSH doctors/ paramedics appointed under NRHM

| S. No   | Name of State     | AYUSH Doctors under NHM/NRHM     | AYUSH Doctors under NHM/NRHM   | AYUSH Paramedics/Pharmacists   |
|---------|-------------------|----------------------------------|--------------------------------|--------------------------------|
| S. No   | Name of State     | For collocated Health Facilities | Under RBSK                     | AYUSH Paramedics/Pharmacists   |
| 1       | A & N Islands     | 20                               | 4                              | 13                             |
| 2       | Andhra Pradesh    | 128                              | 0                              | 981                            |
| 3       | Arunachal Pradesh | 32                               | 17                             | 0                              |
| 4       | Assam             | 302                              | 302                            | 0                              |
| 5       | Bihar             | 1384                             | 0                              | 0                              |
| 6       | Chandigarh        | 10                               | 12                             | 11                             |
| 7       | Chhattisgarh      | 67                               | 435                            | 394                            |
| 8       | D &NHaveli        | 6                                | 0                              | 0                              |
| 9       | Daman             | 0                                | 5                              | 6                              |
| 10      | Delhi             | 0                                | 0                              | 0                              |
| 11      | Goa               | 0                                | 29                             | 23                             |
| 12      | Gujarat           | 707                              | 552                            | 0                              |
| 13      | Haryana           | 2                                | 400                            | 191                            |
| 14      | Himachal Pradesh  | 134                              | 0                              | 0                              |
| 15      | Jammu &Kashmir    | 453                              | 429                            | 365                            |
| 16      | Jharkhand         | 33                               | 184                            | 6                              |
| 17      | Karnataka         | 598                              | 649                            | 115                            |
| 18      | Kerala            | 750                              | 0                              | 30                             |
| 19      | Lakshadweep       | 12                               | 0                              | 1                              |
| 20      | Madhya Pradesh    | 506                              | 1103                           | 678                            |
| 21      | Maharashtra       | 595                              | 2114                           | 88                             |

| 22   | Manipur       |    95 |    72 |   59 |
|------|---------------|-------|-------|------|
| 23   | Meghalaya     |     0 |    93 |   20 |
| 24   | Mizoram       |    10 |     8 |    0 |
| 25   | Nagaland      |    40 |    22 |    0 |
| 26   | Orissa        |  1309 |  1147 |    1 |
| 27   | Puducherry    |    39 |     0 |   63 |
| 28   | Punjab        |   272 |   308 |  281 |
| 29   | Rajasthan     |   686 |   250 |  401 |
| 30   | Sikkim        |    13 |     0 |    6 |
| 31   | Tamil Nadu    |   475 |     0 |  475 |
| 32   | Telangana     |   216 |     0 |  592 |
| 33   | Tripura       |   133 |    21 |   33 |
| 34   | Uttar Pradesh |  1817 |  1563 |  721 |
| 35   | Uttarakhand   |    75 |   296 |  105 |
| 36   | West Bengal   |     0 |   564 |  615 |
|      | Total         | 10919 | 10579 | 6274 |

Source: NHM MIS as on 31.12.2014