Lok Sabha Question No. 1194 (UNSTARRED), answered on 2026-02-06
Subject: Integration of AYUSH Systems in Primary Healthcare
Ministry: AYUSH
Asked by: Shri G Lakshminarayana

## GOVERNMENT OF INDIA MINISTRY OF AYUSH

## LOK SABHA UNSTARRED QUESTION NO. 1194 TO BE ANSWERED ON 06.02.2026

## Integration of AYUSH Systems in Primary Healthcare

1194. Shri G Lakshminarayana:

Will the Minister of AYUSH be pleased to state:

(a)  whether  AYUSH  systems  have  been  systematically  integrated  into  primary  healthcare facilities  under  the  National  AYUSH Mission and allied programmes and if so, the details thereof;

(b)  the  details  of  AYUSH  services  co-located  with  Primary  Health  Centres  (PHCs), Community  Health  Centres  (CHCs)  and  Health  and  Wellness  Centres  (HWCs),  including infrastructure created, patient footfall, therapies provided and availability of trained practitioners, State/UT-wise;

(c) whether any clinical validation studies, outcome-based assessments, or cost-effectiveness evaluations have been conducted to assess such integration and if so, the details and findings thereof;

(d)  the  key  challenges  faced  in  standardising  AYUSH  treatment  protocols  alongside allopathic  care  including  regulatory,  manpower,  training  capacity  and  funding  constraints; and

(e)  the  steps  taken/proposed  to  be  taken  by  the  Government  to  strengthen  evidence-based integration of AYUSH System and to scale up AYUSH services across 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 to integrate Ayush systems with the primary  healthcare  facilities  through  the  co-location  of  Ayush  facilities  at  Primary  Health Centres  (PHCs),  Community  Health  Centres  (CHCs),  and  District  Hospitals  (DHs).  This approach  enables  patients  to  choose  from  different  systems  of  medicine  under  a  singlewindow  service  delivery  mechanism.  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.

Mainstreaming  of  Ayush  has  been  taken  up  in  13,094  Ayush  facilities,  co-located under NHM (6206 PHCs, 3133 CHCs, 472 DHs, 3037 health facilities above Sub- Center (SC) but below block level and 246 health facilities other than CHC at or above block level but below district level), as an initiative towards strengthening evidence-based integration of Ayush System and to scale up Ayush services across the country (as per NHM-MIS as on 30.06.2025). In addition to this Ayush doctors are also deployed for various allied programs like  Rashtriya  Bal  Swasthya  Karyakram  (RBSK),  National  Programme  for  Prevention  and Control of Cancer, Diabetes, Cardiovascular Diseases and Stroke (NPCDCS) etc. and their services are being used as per the felt need. Further, State/UT-wise details of approved and functional Ayushman Arogya Mandir (Ayush) supported under National Ayush Mission are enclosed as Annexure . Further, public health being State subject, the data of patient footfall, therapies provided and availability of trained practitioners are being maintained by respective State/UT Governments.

(c) No such study has been conducted.

(d) Regarding Ayush treatment protocols, Ayush vertical under Directorate General of Health Services  (DGHS)  in  collaboration  with  the  Central  Health  Education  Bureau  (CHEB) conducted  the  Modular  Training  Programme  for  Master  Trainers  from  States  and  UTs  in October  2025  to  support  nationwide  implementation  after  release  of  Standard  treatment Guidelines  (STGs)  on  Metabolic  Disorders.  The  States/UTs  have  been  advised  to  conduct the capacity building in a cascading manner.

(e) In addition to the co-located strategy of Ayush unit at Public Health Facilities, Ministry of Ayush is adopting a rational approach along with multiple initiatives, for the promotion and institutional  expansion  of  each  Ayush  system  of  medicine  according  to  its  respective strengths,  with  a  view  to  facilitating  their  integration  with  modern  medicine.  Some  of  the major initiatives are as follows:

1. The Ayush  Vertical under Directorate General of Health Services  (DGHS), established  by  the  Ministry  of  Ayush  and  Ministry  of  Health  and  Family  Welfare (MoHFW), serves as a dedicated institutional mechanism for planning, monitoring, and  supervising  Ayush-specific  public  health  programs.  This  vertical  provides technical  support  to  both  Ministries  in  developing  strategies  for  public  health, healthcare, Ayush education, and training.
2. Ministry of Ayush and MoHFW  have  jointly established Integrated Ayush Departments in Central Government Hospitals to promote integrative healthcare. As part of this initiative, the Department of Integrative Medicine has been set up and is operational at Vardhman Mahavir Medical College & Safdarjung Hospital and Lady Hardinge Medical College, New Delhi.
3. National  Commission  for  Indian  System  of  Medicine  (NCISM)  has  developed  the Ayush  Module  -  Internship  Electives  for  MBBS  in  Ayurveda,  Unani  and  Siddha system  of  medicine.  As  per  regulation  10  (7)  of  National  Commission  for  Indian System  of  Medicine  (Minimum  Standards  of  Undergraduate  Ayurveda  Education)

Regulations-2022,  the  proportion  of  modern  advances  in  Syllabus  for  Ayurveda teaching  content  shall  be  up  to  40  percent.  Homoeopathy  Education  Board  under National Commission for Homeopathy (NCH) has taken various new initiatives like early  clinical  exposure,  introduction  of  electives,  faculty  development  program, foundation  program,  finishing  program  at  the  end  of  internship,  inclusion  of  new subjects like pharmacology and psychology to sensitize the students about different systems of medicine.

4. Research councils and National Institutes under the Ministry of Ayush, have taken integrated  research  initiatives  for  integration  of  Ayush  with  contemporary  medical system.

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Annexure State/UT-wise details of approved and functional Ayushman Arogya Mandir (Ayush) supported under National Ayush Mission:

| Sl. No.   | Name of States/UTs               |   ApprovedAAM (Ayush) |   Functional AAM(Ayush) |
|-----------|----------------------------------|-----------------------|-------------------------|
| 1         | Andaman &Nicobar Island          |                     6 |                       6 |
| 2         | Andhra Pradesh                   |                   126 |                     126 |
| 3         | Arunachal Pradesh                |                    89 |                      89 |
| 4         | Assam                            |                   500 |                     500 |
| 5         | Bihar                            |                   294 |                     294 |
| 6         | Chandigarh                       |                    12 |                      12 |
| 7         | Chhattisgarh                     |                   400 |                     400 |
| 8         | Delhi                            |                     0 |                       0 |
| 9         | Dadra Nagar Haveli and Daman Diu |                     1 |                       1 |
| 10        | Goa                              |                   100 |                     100 |
| 11        | Gujarat                          |                   365 |                     365 |
| 12        | Haryana                          |                   538 |                     538 |
| 13        | Himachal Pradesh                 |                   761 |                     761 |
| 14        | Jammu &Kashmir                   |                   523 |                     523 |
| 15        | Jharkhand                        |                   745 |                     745 |
| 16        | Karnataka                        |                   376 |                     376 |
| 17        | Kerala                           |                   700 |                     700 |
| 18        | Ladakh                           |                     0 |                       0 |
| 19        | Lakshadweep                      |                     7 |                       7 |
| 20        | Madhya Pradesh                   |                   800 |                     800 |
| 21        | Maharashtra                      |                   390 |                     390 |
| 22        | Manipur                          |                    15 |                      15 |
| 23        | Meghalaya                        |                    24 |                      24 |
| 24        | Mizoram                          |                    41 |                      41 |
| 25        | Nagaland                         |                    49 |                      49 |
| 26        | Odisha                           |                   422 |                     422 |
| 27        | Puducherry                       |                     4 |                       4 |
| 28        | Punjab                           |                   158 |                     158 |
| 29        | Rajasthan                        |                  2019 |                    2019 |
| 30        | Sikkim                           |                    18 |                      18 |
| 31        | Tamil Nadu                       |                   650 |                     650 |
| 32        | Telangana                        |                   421 |                     421 |
| 33        | Tripura                          |                    72 |                      72 |
| 34        | Uttar Pradesh                    |                  1034 |                    1034 |
| 35        | Uttarakhand                      |                   300 |                     300 |
| 36        | West Bengal                      |                   540 |                     540 |
|           | TOTAL                            |                 12500 |                   12500 |