Regulatory Body for AYUSH Practitioners and Educational Institutes



Regulatory Body for AYUSH Practitioners and Educational Institutes

Health being a state subject, the practice of AYUSH doctors is regulated by the respective State Governments. However, Government of India has set up two regulatory bodies, namely, Central Council of Indian Medicine (CCIM) under Indian Medicine Central Council (IMCC) Act 1970 for regulation of educational institutions and practitioners in respect of Ayurveda, Unani and Sidha systems of medicines and Central Council of Homoeopathy (CCH) under Homoeopathy Central Council Act, 1973 for regulation of educational institutions and practitioners in respect of Homoeopathy system of medicines. At present Yoga & Naturopathy, being drugless systems, are not regulated.



The state-wise details of institutions providing education of AYUSH in the country is given below:-



State/UT-wise recognized Ayurveda, Unani, Siddha and Homeopathy Colleges in the Country for the Academic Year, 2014-15


Sl. No.
Sate/UT
No. of Ayurveda Colleges
No. of Unani Colleges
No. of Siddha Colleges
No. of Homoeopathy Colleges
Total ASU Colleges
1.                   
Andhra Pradesh
02
01
00
06
9
2.                   
Arunachal Pradesh
00
00
00
01
1
3.                   
Assam
01
00
00
03
4
4.                   
Bihar
08
04
00
15
27
5.                   
Chandigarh
01
00
00
01
2
6.                   
Chhattisgarh
04
01
00
03
8
7.                   
Delhi
02
02
00
02
6
8.                   
Goa
01
00
00
01
2
9.                   
Gujarat
13
00
00
17
30
10.               
Haryana
08
00
00
01
9
11.               
Himachal Pradesh
02
00
00
01
3
12.               
Jammu & Kashmir
01
02
00
00
3
13.               
Jharkhand
01
00
00
04
5
14.               
Karnataka
59
05
00
11
75
15.               
Kerala
17
00
01
05
23
16.               
Madhya Pradesh
18
04
00
19
41
17.               
Maharashtra
68
06
00
49
123
18.               
Orissa
06
00
00
06
12
19.               
Pondicherry
01
00
00
00
1
20.               
Punjab
13
00
00
04
17
21.               
Rajasthan
11
02
00
08
21
22.               
Tamil Nadu
05
01
08
10
24
23.               
Telangana
05
02
00
00
7
24.               
Uttar Pradesh
24
13
00
10
47
25.               
Uttarakhand
06
00
00
02
8
26.               
West Bengal
04
01
00
12
17
Total :
281
44
09
191
525


The Minister of State (IC), Ministry of AYUSH, Shri Shripad Yesso Naik stated this in a written reply in the Rajya Sabha here today.



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Effective Implementation of Healthcare Delivery Schemes

In March 2012, the Cabinet, inter-alia, approved continuation of National Rural Health Mission (NRHM) for a period of five years, from 01.04.2012 to 31.03.2017 (i.e. co-terminus with the 12th Five Year Plan). Currently, NRHM is a Sub- Mission of National Health Mission (NHM) with National Urban Health Mission (NUHM) being the other Sub-Mission.

Government of India had adopted a strategy of co-location of AYUSH facilities at Primary Health Centres (PHCs), Community Health Centres (CHCs) and District Hospitals (DHs), thus enabling choice for different systems of medicine from a single platform.

As of now, 15726 AYUSH facilities are co-located at various healthcare facilities including PHCs, CHCs and Districts Hospitals. 21361 AYUSH doctors and 6289 AYUSH paramedics are engaged under NRHM. Necessary support for training, drugs & equipment, IEC etc. is provided under the NRHM and National Ayush Mission.

ASHA is the first port of call in the community especially for marginalized sections of the population, with a focus on women and children. The majority of states have in place an active training and support system for the ASHA to ensure continuing training, on site field mentoring, and performance monitoring.

More than 8.96 lakh ASHAs are in place across the country and serve as facilitators, mobilizers and providers of community level care.

The Government of India is committed to reduce the high Out of Pocket (OOP) expenditure inter-alia by providing free drugs in public health facilities. Government of India introduced an incentive to the extent of 5 % of the state’s Resource Envelope under NHM for those states that implement free essential drugs scheme for all patients accessing public health facilities. Further, substantial funding for free drugs is being provided to states that implement the National Health Mission - Free Drug Service Initiative.

Mobile Medical Units (MMUs) are used to provide primary healthcare services in hard to reach areas. To increase visibility, awareness and accountability, all MMUs supported under the NHM have been repositioned as “National Mobile Medical Unit” with universal design.

The MoS, Ministry of Health and Family Welfare, Shri Shripad Yesso Naik stated this in a written reply in the Rajya Sabha here today.

*****

Treatment Facility for Children with AIDS

The National AIDS Control Organization(NACO) conducts HIV Sentinel Surveillance and HIV estimations once in two years to estimate the burden of HIV infection in the country. Based on the HIV estimations and projections in 2012, estimated number of children infected with HIV in the country in 2011 is 1,45,445 and estimated number of women infected with HIV in the country is 8,15,975. The State and UT-wise details are given below:-



Estimated no. of children living with HIV in 2011


State
Estimated no. of children living with HIV in 2011
A & N Islands
14
Andhra Pradesh
27,499
Arunachal Pradesh
30
Assam
475
Bihar
9,791
Chandigarh
60
Chhattisgarh
2,523
Daman & Diu
8
Delhi
876
Dadra & Nagar Haveli
10
Goa
335
Gujarat
8,598
Himachal Pradesh
342
Haryana
940
Jharkhand
1,931
Jammu & Kashmir
163
Karnataka
14,195
Kerala
1,408
Meghalaya
63
Maharashtra
28,982
Manipur
1,552
Madhya Pradesh
3,789
Mizoram
251
Nagaland
547
Odisha
4,815
Puducherry
70
Punjab
1,254
Rajasthan
5,711
Sikkim
19
Tamil Nadu
6,504
Tripura
200
Uttarakhand
365
Uttar Pradesh
12,365
West Bengal
9,761
INDIA
1,45,446


 (Source: State HIV Epidemic Fact Sheets, July 2014)

All children who are registered in Antiretroviral Treatment Centres are evaluated as per the technical guidelines based on CD4 count and clinical status. Based on the eligibility criteria, if found eligible, children are given free Antiretroviral Treatment. Currently there are 44,812 children receiving treatment from 456 ART centres.

No incidents of maltreatment of children infected from HIV/AIDS are reported from hospitals. However, one incident of maltreatment of children infected with HIV/AIDS was reported from a school in Goa.

There were 13 HIV-infected children, all orphans living in a children’s home, were expelled from a school in Rivona village in South Goa following the protests by parents of other students.



However, the same was successfully resolved with the intervention of Goa State AIDS Control Society and Department of Education, Govt. of Goa.

In order to prevent any incidents of maltreatment of such children in hospitals and schools, following steps are being taken-

1.      Sensitization of  teachers/ principals on issues  related to  HIV/AIDS

2.      Training  of  medical and  paramedical  staff  to address and  resolve cases of Stigma and  discrimination against  children affected by AIDS

3.      Mass media campaigns for  reducing stigma and  discrimination   against persons  living with  HIV including  women    and children

4.      Addressing these issues through  policy and programme guidelines under National AIDS Control Programme (NACP )

5.      Technical Resource Group has been set up for providing necessary guidance and assistance to National AIDS Control Programme for developing national framework to address HIV related stigma and discrimination.

6.      State Grievance Redressal Committees have been set up at state level to protect the interests/ rights of HIV/AIDS infected people including children.

7.      The Human Immunodeficiency Virus and Acquired Immune Deficiency Syndrome (Prevention and Control) Bill, 2014 has been introduced in the RajyaSabha and is under review.



The MoS, Ministry of Health and Family Welfare, ShriShripadYessoNaikstated this in a written reply in the RajyaSabha here today.



                                                       *****


Central Assistance for Urban Health Projects

Proposals for release of funds under the National Urban Health Mission (NUHM) have been received from different State Governments and keeping in view the available resources, funds have been approved for different States.  Details of funds sought and approved, are tabulated below. Earlier, during 2013-14, a total amount of Rs.662.227 crore had been released to 29 States/UTs out of which, Rs.6.7275 crore had been released to Jharkhand.

Information on NUHM for Financial Year 2014 – 15


Rupees in lakhs

S. No.
State/ UT
Amount proposed in Programme Implementation Plan (PIP)
Amount approved in Record of Proceedings (RoP)
1
A & N Islands
84.42
47.09
2
Andhra Pradesh
12100.78
5754.75
3
Arunachal Pradesh
571.51
94.22
4
Assam
4956.95
1452.08
5
Bihar
3162.96
1693.34
6
Chandigarh
446.53
218.75
7
Chhattisgarh
7283.76
2974.83
8
D&N Haveli
120.43
47.23
9
Daman & Diu
0.00
0.00
10
Delhi
10003.66
8423.70
11
Goa
247.20
147.40
12
Gujarat
12187.63
7730.25
13
Haryana
6723.06
6075.81
14
Himachal Pradesh
681.99
89.05
15
Jammu & Kashmir
1282.79
841.94
16
Jharkhand
4664.74
1650.01
17
Karnataka
9544.58
6468.25
18
Kerala
3930.52
3654.00
19
Lakshadweep
0.00
0.00
20
Madhya Pradesh
6543.39
3798.53
21
Maharashtra
53758.95
28641.82
22
Manipur
1297.00
210.66
23
Meghalaya
15872.00
621.37
24
Mizoram
820.58
409.54
25
Nagaland
1016.05
252.86
26
Odisha
5662.09
2705.24
27
Pudducherry
435.26
220.62
28
Punjab
11295.14
6709.89
29
Rajasthan
10954.93
3254.12
30
Sikkim
220.87
100.10
31
Tamil Nadu
20225.95
9517.74
32
Telangana
10954.40
6081.10
33
Tripura
323.52
183.58
34
Uttar Pradesh
29962.72
15438.51
35
Uttarakhand
1394.39
970.39
36
West Bengal
7022.45
6484.37
Total
255753.20
132963.14


The MoS, Ministry of Health and Family Welfare, Shri Shripad Yesso Naik stated this in a written reply in the Rajya Sabha here today.



                                                       *****



36460 passengers screened for Ebola; 700 passengers being tracked by IDSP

Total of 36460 passengers have been screened so far for Ebola. Of these, 36379 were in low risk, eight in medium risk and 73 in high risk category. As on 4 December 2014, 700 passengers are being tracked by Integrated Disease Surveillance Programme (IDSP). Most of them are in Maharashtra, Kerala, Tamil Nadu, Gujarat, West Bengal and Delhi. 3189 passengers have exited the surveillance after follow up for a month. The IDSP is tracking such passengers who do not report any symptom at the time of arrival but are categorised as having risk of acquiring the disease because of the contact with a suspect case during their stay in an affected country. Passengers from the affected country arriving at 18 international airports and nine major ports are being screened. Crew members of flights arriving at Delhi, Mumbai, Hyderabad, Bangalore, Kochi and Trivandrum (covering 11 airlines) have been sensitized on the measures to be taken by the airline crew and on the standard operating procedures for passenger screening at airports, by the Airport Health Organisation.

The National Centre for Disease Control (NCDC), Delhi and National Institute of Virology (NIV), Pune are testing clinical samples for Ebola Virus Disease. Over 100 samples have been tested at these two laboratories using RT PCR test. Ten additional laboratories have been identified by Indian Council of Medical Research (ICMR) for testing Ebola Virus Disease, and are ready to test samples. Moreover,about 9500 Personal Protective Equipment (PPE)kits have been provided to the states by the Medical Store Organization. Additional 10000 PPE kits are being procured.

The central Ministry of Health and Family Welfare has conducted separate trainings for Master Trainers and the State Rapid Response Teams (RRT) of all states for public health preparedness and response to Ebola Virus disease. Master Trainers from 25 states and Rapid Response Teams of all the states/UTs have been trained through four Regional Training Workshops. Mock drills have been conducted with Master Trainers of 25 states.

Following documents have been posted on the website of Ministry of Health-Factsheet on Ebola Virus Disease;Clinical case management; Contact tracing and contact management; Laboratory sample collection, storage and transportation; Infection control practices, and FAQs.

******

Steps taken to Stop Brain Drain of Doctors Working under the Central Government Sectors

As per immigration laws of United States of America, for all J-1 Visa holders, 2 years of home residency in India is mandatory. The NORI Certificate is one of the requirements for seeking waiver from the above mentioned 2 years of mandatory home residency, while applying for H1B visa, i.e., work visa. Eleven NORI certificates were issued in the year 2011.

Subsequently, it was decided that no NORI certificate will be issued till finalization of the revised guidelines. The Ministry of Health & Family Welfare issued revised guidelines in March, 2013 which stipulate that NORI Certificates will not be issued under any circumstance. Accordingly, no NORI Certificate has been issued by the Ministry of Health & Family Welfare in the years 2012, 2013 and in the current year up to November, 2014. However, in relaxation of these guidelines, it has recently been decided to issue NORI Certificates to applicants who are above the age of 65 years.

As per the extant guidelines, Indian doctors applying for Statement of Need Certificate or Exceptional Need Certificate to pursue higher medical studies abroad are required to execute a Bond of Rupees Five lakh with two sureties, in addition to the requirement to furnish a written undertaking that upon completion of their training abroad, they will return to India and enter the practice of medicine in India in the specialty of their training.

Further, in order to stop brain drain of doctors working under the Central Government sector, the following steps have been taken:

i. Pay and allowances of doctors have been enhanced considerably after implementation of the 6th Central Pay Commission (CPC);

ii. The age of superannuation of faculty of medical institutions has been enhanced to 65 years;

iii. Assured promotion scheme for faculty of Central Government institutions has been revised to make it more beneficial; and

iv. Various allowances available to faculty like Non-Practicing allowance, Conveyance allowance, Learning Resource allowance, etc, have been enhanced considerably.

The MoS, Ministry of Health and Family Welfare, Shri Shripad Yesso Naik stated this in a written reply in the Rajya Sabha here today.

*****


Expansion of Ayurvedic System of Medicines

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

The co-location of AYUSH facilities at Primary Health Centres (PHCs), Community Health Centres (CHCs) & District Hospitals (DHs) and up gradation of exclusive AYUSH Hospitals, including Yoga & Naturopathy facilities are included in the AYUSH Services component of NAM. The State/UT Governments are required to forward their State Annual Action Plan (SAAP) for seeking grant-in-aid for this purpose.

Under flexible components of National AYUSH Mission, a provision has also been kept for AYUSH Wellness Centres, including Yoga & Naturopathy Centres.

Besides, the Government has established 5 Central Research Councils, including one each for Ayurveda and Yoga & Naturopathy, which have a network of institutions for carrying out research and some of these also extend healthcare services. The Central Council for Research in Ayurvedic Sciences has 30 peripheral institutes, 24 of which extend healthcare services. The Central Council for Research in Yoga & Naturopathy is presently having one Research Institute and two more such institutes are under development.

The Minister of State (IC), Ministry of AYUSH, Shri Shripad Yesso Naik stated this in a written reply in the Rajya Sabha here today.
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