Formulary of Ayurvedic Medicines of CGHS



Formulary of Ayurvedic Medicines of CGHS


The formulary of the Ayurvedic Medicines of Central Government Health Scheme (CGHS) is given below:


CGHS Ayurvedic Formulary







Medicines cannot be listed as per disease entity. One medicine can be prescribed for number of ailments and vice versa.

There is no such restriction in prescription of medicines over and above the Formulary, provided the medicines do not contain any banned constituent and are approved for issue and use in India.

The Health Minister, Shri J P Nadda stated this in a written reply in the Rajya Sabha here today.


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Diagnosing TB Under RNTCP



Under Revised National Tuberculosis Control Programme (RNTCP) the following methods are used to diagnose various forms of Tuberculosis:

1.            Microscopy
2.            Culture (Solid, Liquid)
3.            Molecular tests Line Probe Assay  (LPA), Cartridge Based Nucleic Acid Amplification Test (CBNAAT)
4.            Mantoux Test
5.            X-ray and other imaging techniques
6.            Histopathology


None of the above mentioned tests used under RNTCP are reported to lead to drug resistance.

The Health Minister, Shri J P Nadda stated this in a written reply in the Rajya Sabha here today.


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Strategy for Handling Genetically Transmitted Cancer Disease

Cancer can be diagnosed and treated at various levels in the government health care system. The data for medical infrastructure and the quantum of shortage of specialists for Cancer treatment is not centrally maintained. The number of teletherapy machine in the country is less than the norms of World Health Organisation (WHO) and International Atomic Energy Agency (IAEA).

The Government of India has approved a scheme for enhancing the Tertiary Care Cancer facilities in the country. Under this scheme, the Government of India will assist 20 State Cancer Institutes (SCI) and 50 Tertiary Care Cancer Centres (TCCC) in different parts of the country. Oncology in its various aspects has focus in case of new AIIMS and many upgraded institutions under the Pradhan Mantri Swasthya Suraksha Yojna (PMSSY). Setting up of the National Cancer Institute at Jhajjar (Haryana) and 2nd campus of the Chittranjan National Cancer Institute, Kolkata has been approved.

The Government of India had launched a comprehensive National Programme for Prevention and Control of Cancer, Diabetes, Cardiovascular Disease and Stroke (NPCDCS) in 2010 with focus on 3 types of cancer namely breast, cervical and oral cancer. From 2013-14 onwards, interventions under NPCDCS for prevention, early detection, diagnosis and treatment of cancer, which can be taken up upto district level, have been brought under the umbrella of National Health Mission (NHM).

The treatment in government hospitals is either free or subsidized. In addition to cancer diagnosis and treatment by the state governments health institutes, the central government institutions such as All India Institute of Medical Sciences, Safdurjung Hospital, Dr Ram Manohar Lohia Hospital, PGIMER Chandigarh, JIPMER Puducherry, Chittaranjan National Cancer Institute, Kolkata, etc. provide facilities for diagnosing and treatment of Cancer.

The list of medicines specified in the National List of Essential Medicines (NLEM) which are included in the First Schedule of Drug Pricing Control Order (DPCO), 2013 also contain drugs used for the treatment of cancer. 489 NLEM (drug formulations) medicines for which ceiling prices have been notified under DPCO, 2013, include 47 anti-Cancer medicines. No person is authorized to sell any such formulation to any consumer at a price exceeding the ceiling price fixed by the National Pharmaceutical Pricing Authority (NPPA).

Financial assistance to Below Poverty Line (BPL) patients is available under the Rashtriya Arogya Nidhi (RAN). Besides this, the Health Minister’s Cancer Patient Fund (HMCPF) within the Rashtriya Arogya Nidhi has been set up in 2009 where in 27 erstwhile Regional Cancer Centres (RCCs) are provided with revolving funds to provide immediate financial assistance upto Rs.2.00 lakh to BPL cancer patients.

The Health Minister, Shri J P Nadda stated this in a written reply in the Rajya Sabha here today.

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Disposal and Recycling of Medical Wastes


Public health being a State subject, it is the primary responsibility of the concerned State/UT governments to take appropriate actions for proper management and disposal of bio-medical waste at public health facilities through the State Pollution Control Boards in pursuance of Bio-medical Waste (Management & Handling) Rules, 1998 of Ministry of Environment and Forests, Government of India. The Pollution Control Boards/Committees are empowered to ensure the compliance of provisions of these rules. Further, in so far as major hospitals like AIIMS are concerned; they are managing their Bio-medical wastes in accordance with Biomedical Waste Rules 1998 and Central Pollution Control Board guidelines.

National Guidelines on Hospital Waste Management based on Bio-medical waste (Management and Handling) Rules, 1998 have been developed by Ministry of Health and Family Welfare (MoHFW) and circulated to all State/UT in the year 2002 for implementation.

Further, in addition, a National Policy Framework document and Operational Guidelines for Community Health Centres, Primary Health Centres and Sub-centres have also been developed by MoHFW in 2007, for implementation of Infection Management and Environment Plan (IMEP) under Reproductive and Child Health Programme, to address the issues relating to infection control and waste management. The same are also available in public domain at http://nrhm.gov.in/nhm/nrhm/guidelines/nrhm-guidelines/infection-management-and-environment-plan-imep.html

Under National Health Mission (NHM), financial assistance is provided to State/UTs Governments within their resource envelope for Bio-medical waste management and infection control activities in public health facilities based on their proposals in Programme Implementation Plan (PIP) of NHM. This includes support for Civil Works for Operationalising Infection Management & Environment Plan at health facilities, Human Resource for Biomedical waste management activities such as Incinerator Operators, procurement of equipment such as trolleys, autoclaves, incinerators, colour coded bins, and buckets etc., IMEP training of medical officers, district and state programme managers, health staffs etc., in Biomedical Waste Management Practices, IMEP protocols and activities.

Further, Government of India has recently released ‘Operational Guidelines for National Quality Assurance in Public Health Facilities’ for supporting states’ efforts to improve the quality in District Hospitals, Community Health Centres and Primary Health Centres wherein all State/UTs have been requested to get their facilities certified as per National Quality Assurance Standards (NQAS) which inter alia requires the facilities to conform to Bio-medical waste (Management and Handling) Rules, 1998. A provision of incentives has also been made for the facilities which are able to achieve and retain the certification. The operational guidelines are available in public domain at http: //nhsrcindia.org/index.php?option=comcontent&view=article&id=171&Itemid=647.

Further, in major Central Government Hospitals like AIIMS regular training programme are conducted in Bio-medical waste management for all categories of Health Workers. Information, Education and Communication activities are undertaken regularly to bring awareness about safe and effective bio-medical waste management amongst the hospital staff.

The Health Minister, Shri J P Nadda stated this in a written reply in the Rajya Sabha here today.



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Surrogacy Centres in the Country

The Indian Council of Medical Research (ICMR) is aware that there are around 20,000 small and big assisted reproductive technology (ART) clinics in the country. But all these ART clinics do not provide surrogacy services and hence all ART clinics are not surrogacy centers in the Country. Based on minimum infrastructure facilities, trained manpower and procedure which are being undertaken at the clinics, around 295 ART under National Registry of ART Clinics and Banks in India of ICMR.

At present, it is not mandatory for all ART clinics to register under the Nation Registry. Therefore, there is no legal binding on the ART clinics for registration under the National Registry. However, in the proposed Assisted Reproductive Technology (Regulation) Bill, appropriate provisions are being made for compulsory registration of all the ART clinics and banks in India under the National Registry of the ICMR.

No authentic information is available regarding kids born through surrogacy abandoned by commission parents. All the issues concerning the subject of Assisted Reproductive Technology including surrogacy will be addressed in the Bill titled ‘’Assisted Reproductive Technology (Regulation)’’ Bill.

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


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Affordable Geriatric Healthcare


The proportion of elderly population has been increasing steadily. It has increased from 5.1% in 1991 to 7.4% in 2001 and 8.6% in 2011.

The Government of India had launched ‘National Programme for Health Care of Elderly’ (NPHCE) during the year 2010-11 for providing dedicated health care facilities to senior citizens (above 60 years of age) at primary, secondary and tertiary health care delivery system. The essential components of the Programme are:

-         Setting up Geriatric department in identified Regional Geriatric Centres (RGCs) with OPD care services and 30 beds Geriatric ward for providing indoor services. RGCs will also undertake PG Courses in Geriatric for developing Human Resource.
-         Setting up of Geriatric units at all District Hospitals that will provide OPD care services and 10 bed Geriatric Ward for providing indoor services.
-         Establishment of Rehabilitation unit at all Community Health Centres (CHCs) and Geriatric clinic twice/week.
-         Setting up weekly Geriatric clinic by trained Medical Officer at Primary Health Centres (PHCs).
-         IEC on healthy life style, home care to the bed ridden and supportive devices for the needy elderly persons at sub-centre level.

Details of the funds released to the States/Union Territory during 2011-12 to 2013-14 are given below:-
Statement  Showing Allocation/Released and Expenditure
Sl. No Name of the States Amount Released ( In lakh)

2013-14
Sl. No
Name of the States
GIA Released by GOI
Expenditure  Reported By the State
1
Andhra Pradesh
0.00
1.37
2
Assam
0.00
128.61
3
Bihar
0.00
83.02
4
Chhattisgarh
50.94
61.94
5
Gujarat
0.00
155.37
6
Haryana
0.00
133.73
7
Himachal Pradesh
0.00
19.15
8
Jammu & Kashmir
0.00
126.76
9
Jharkhand
0.00
20.42
10
Karnataka
0.00
155.33
11
Kerala
0.00
49.48
12
Madya Pradesh
0.00
236.71
13
Maharashtra
0.00
179.41
14
Odisha
33.89
346.72
15
Punjab
0.00
171.31
16
Rajasthan
0.00
61.94
17
Sikkim
31.08
96.26
18
Tamil Nadu
0.00
0
19
Uttarakhand
0.00
92.56
20
Uttar Pradesh
0.00
133.72
21
West Bengal
0.00
57.17
22
Daman & Diu
0.00
0
23
Lakshadweep
0.00
0
24
Mizoram
0.00
0

Total
115.91
2310.98

It is envisaged to expand the programme so as to establish two national centres of ageing, 12 additional regional geriatric centres and cover a total of 325 districts by the end of the 12th Plan. Though the programme will cover all the elderly persons above 60 years of age, special focus will be on those above 75 years of age.

The Health Minister, Shri J P Nadda stated this in a written reply in the Rajya Sabha here today.

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Avability of Oseltamivir to Treat Influenza a N1H1


There is sufficient quantity of medicine (Oseltamivir) available to treat Influenza A H1N1 cases. No new medication has been advised apart from the existing one.

The number of cases and deaths reported for Influenza A H1N1, State/UT wise for last two months is given below:-

Influenza A H1N1: laboratory confirmed Cases and Deaths: State/ UT-wise for 2015
(1st January – 26th   February, 2015)



District-wise data for the States most affected by the current outbreak is given below:-

District wise cases and deaths of Influenza A H1N1 from
1st Jan 2015 to 26th Feb 2015.

                                GUJARAT
                 
              MADHYA PRADESH








District wise cases and deaths of Influenza A  H1N1 from
1st Jan 2015 to 26th Feb 2015.



All the deaths may not have occurred only due to Influenza A H1N1 infection but may also be due to co-morbid conditions (Lung disease, liver disease, kidney disease, blood disorders, Diabetes etc.) and because of compromised immunity of the patients.

The Health Minister, Shri J P Nadda stated this in a written reply in the Rajya Sabha here today.


Formulary of Ayurvedic Medicines of CGHS Formulary of Ayurvedic Medicines of CGHS Reviewed by Ajit Kumar on 9:21 PM Rating: 5

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