शुक्रवार, 30 दिसंबर 2011
गुरुवार, 29 दिसंबर 2011
Mainstreaming AYUSH under NRHM
Rationale:---
The Indian systems of medicine have age old acceptance in
the communities in India and in most places they form the first line
of treatment in case of common ailments. Of these, Ayurveda is the
most ancient medical system with an impressive record of safety
and efficacy. Other components such as Yoga, Naturopathy are
being practised by the young and old alike, to promote good health.
Now days, practice of Yoga has become a part of every day life. It
has aroused a world wide awakening among the people, which
plays an important role in prevention and mitigation of diseases.
Practice of Yoga prevents Psychosomatic disorders and improves
an individual’s resistance and ability to endure stressful situation.
Ayurveda, Yoga, Unani, Siddha and Homoeopathy (AYUSH) are
rationally recognised systems of medicine and have been integrated
into the national health delivery system. India enjoys the distinction
of having the largest network of traditional health care, which are
fully functional with a network of registered practitioners, research
institutions and licensed pharmacies.
The NRHM seeks to revitalize local health traditions and
mainstream AYUSH (including manpower and drugs), to strengthen
the Public Health System at all levels. It is decided that AYUSH
medications shall be included in the drug kit of ASHA, The additional
supply of generic drugs for common ailments at SC/PHC/CHC
levels under the Mission shall also include AYUSH formulations. At
the CHC level two rooms shall be provided for AYUSH practitioner
and pharmacist under the Indian Public Health Standards (IPHS)
model. At the same time, single Doctor PHCs shall be upgraded to
two Doctor PHCs by inducting AYUSH practitioner at that level.
There are 5 Ayurvedic Hospitals,619 Ayurvedic Dispensaries,
4 Homoeopathic Hospitals, 560 Homoeopathic Dispensaries and 9
Unani Dispensaries.
A total of 266 Ayurvedic and Homeopathic doctors and 200
paramedics has been approved by GOI to be placed in the block
PHC/CHC. An additional 48 Ayurvedic and homeopathic doctors is
proposed in this current budget to be placed in the rest 48
PHC/CHCs in the blocks. This will make available one
Ayurvedic/Homeopathic doctor in each of the 314 block health
institution of the State. AYUSH drugs shall also be provided to each
of the 314 block institutions.
Strategies:---
¨ ¨ Integrate and mainstream ISM &H in health care delivery
system including National Programmes.
¨ ¨ Encourage and facilitate in setting up of specialty centres and
ISM clinics.
¨ ¨ Facilitate and Strengthen Quality Control Laboratory.
¨ ¨ Strengthening the Drug Standardization and Research
Activities on AYUSH.
¨ ¨ Develop Advocacy for AYUSH.
¨ ¨ Establish Sectoral linkages for AYUSH activities
Broad
Objectives:---
Mainstreaming of AYUSH in the health care service delivery system
to strengthen the existing public health system.
Activities: ¨ ¨ Improving the availability of AYUSH treatment faculties
and integrating it with the existing Health Care Service
Delivery System.
¨ ¨ Integration of AYUSH services in 314 CHC / Block PHC with
appointment of contractual AYUSH Doctors.
¨ ¨ Appointment of 200 paramedics where AYUSH Doctors shall
be posted.
¨ ¨ Appointment of a Data assistant to support the ISM&H
Directorate.
¨ ¨ Strengthening of AYUSH Dispensaries with provision of
storage equipments.
¨ ¨ Making provision for AYUSH Drugs at all levels.
¨ ¨ Establishment of specialized therapy centers in District Head
Quarter Hospitals & 3 Medical Colleges.
¨ ¨ AYUSH doctors to be involved in all National Health Care
programmes, especially in the priority areas like
IMR,MMR,JSY, Control of Malaria, Filaria, and other
communicable diseases etc.
¨ ¨ Training of AYUSH doctors in Primary Health Care and NDCP.
¨ ¨ All AYUSH institutions will be strengthened with necessary
infrastructure like building, equipment, manpower etc.
¨ ¨ One Yoga Therapy Centre will be opened in district
Headquarters Hospitals to provide Yogic therapy for specific
diseases and also as a synergistic therapy to all other systems
of treatment.
¨ ¨ Block level School Health Programmes to be conducted twice
in a year in two groups consisting of 100 students in each
group to improve the physical and mental health of the school
children.
Integration of AYUSH with ASHA.
¨ ¨ Training module for ASHA and ANMs have to be updated to
incorporate information of AYUSH.
¨ ¨ Training & capacity building to be undertaken by the Director,
SIHFW, Bhubaneswar and necessary training material for the
purpose to be modified and provided accordingly.
¨ ¨ Drug kit that will be provided to ASHA will contain one
AYUSH preparation in the form of iron supplement. But other
drugs which are used in the treatment of common diseases,
control of communicable diseases as well as drugs promoting
the maternal and child health as well as improving quality of
life could be included subsequently.
Drug Management:
¨ ¨ Priority will be given to manufacture drugs in Govt. Sector
Pharmacies as per their capacity. In case of any surplus
funds, drugs will be procured from the market observing all
financial formalities of the Govt.
¨ ¨ Provision of Rs. 25,000/- to supply drugs per AYUSH
dispensary has been projected as per NRHM norm.
¨ ¨ Provisions of medicines for District AYUSH wings and
Specialty Therapy Centres proposed to be operated in the
State.
Special Initiatives For Mainstreaming And Strengthening Of
Ayush.
¨ ¨ Strengthening the Quality Control Laboratory:
¨ ¨ The quantum of Ayurvedic and Homoeopathic medicines used
/ procured in both public and private health sectors is huge.
There has been wide ranging concern about spurious,
counterfeit and sub standard drugs. In order to prevent the
spread of sub standard drugs and to ensure that the drugs
manufactured or sold or distributed throughout the state are of
standard quality, drug regulation and enforcement unit has to
be established in the state.
¨ ¨ The drug regulatory mechanism to be strengthened at the
state level to improve the quality of drugs used in AYUSH
and ensure proper standardization. The existing State Drug
Testing and Research Laboratory (ISM) at Bhubaneswar
shall also be modernised and strengthened for the purpose.
¨ ¨ Strengthening the Drug Standardisation and Research
Activities on AYUSH:
Standardisation and research is an important activity in the
process of development of a drug used for preventive and
curative purpose. The major drawback in the development of
AYUSH is lack of research and development activity on the
drugs used for the System. It is estimated that there are
10,000/- plant species are found all over the world having
medicinal properties. The following activities will be
undertaken to strengthen the drug standardisation and
research activities on AYUSH:
¨ ¨ It has been proposed to evaluate the chemical,
pharmacological and clinical efficacy of the plant drugs.
¨ ¨ The phytochemical entities responsible for the therapeutic
activity of the plant drugs used in AYUSH system will be
evaluated through intensive R & D activity.
¨ ¨ The pharmacologically viable drugs will be screened clinically
under WHO guideline to establish the therapeutic activity.
¨ ¨ Clinical trial on different diseases like Psoriasis, Liver
disorders, Diabetics, Asthma will be conducted to establish
the effect of various drugs used for such diseases.
¨ ¨ It has also been proposed to conduct literary research like
translation of manuscripts and its publications.
¨ ¨ Re-vitalisation of the local health traditions and the
knowledge of traditional drugs used by experienced local
health traditioners will be gathered and documented.
Development of Herbariums and crude drug museums:
¨ ¨ Herbarium will be developed in collaboration with the Forest
Dept. in 15 selected Districts of the State.
¨ ¨ The existing Herbal gardens under the D.I.M. & H (O) will be
strengthened with necessary infrastructure.
¨ ¨ One State Herbarium at DTL, Bhubaneswar shall be
developed. This shall enable greater research and study on
development and innovation in AYUSH Drugs.
¨ ¨ Plant extraction centres 10 selected areas will be developed
for extraction and preservation of the plants for medicinal use.
Strengthening of the State and District Management System of
AYUSH:
¨ ¨ It is proposed to create necessary Managerial post in the
State and District level for effective supervision and
implementation of different activities.
¨ ¨ Necessary vehicles with supporting manpower has also been
proposed to strengthen the supervisory
¨ ¨ Joint monitoring visits to health centres to be undertaken by
both AYUSH and Health Care Officials at the District
level’s/State level.
"AYUSH medicos done role of main doctors"
Friday, February 12, 2010
Expressindia news "AYUSH medicos done role of main doctors"
Expressindia » Story
Vadodara/Savli Two years ago, the National Rural Health Mission (NRHM) had devised a plan by which Ayurveda, Yoga, Unani, Siddha and Homoeopathy (AYUSH) doctors were to work as helpers to MBBS doctors at Primary Health Centres (PHCs) in villages.
But
because of the shortage of MBBS doctors in rural areas, AYUSH doctors
are forced to function as main doctors at these centres. As per the
recent data, over 428 ayurvedic doctors and 228 homeopathic doctors are
recruited against 647 MBBS doctors at the state’s 1,080 PHCs under the
NRHM’s AYUSH project.
At
76 PHCs in Vadodara district, over 43 AYUSH doctors are recruited
against 51 MBBS doctors. The inability to post MBBS doctors at rural
centres has made the AYUSH doctors take charge
of the entire unit. As per the NRHM guidelines, AYUSH doctors were
recruited for supervising the national healthcare programmes in villages
and give preventive medicines.
They
were to dispense medicines to control communicable diseases and vector
and water borne diseases, supervise tuberculosis cases and work for
decreasing maternal mortality and infant mortality rates. Instead, now
AYUSH doctors are required to handle not only routine treatment but also
complicated and emergency cases at the PHCs.
While
the PHC at Pandu village in Savli does not have any MBBS doctor for
past two years, over 525 deliveries were carried out at the PHC by an
AYUSH doctor.
“The
nearest health care unit having an MBBS doctor is the Community Health
Centre (CHC) at Savli village which is very far from here. With the
pregnant women coming at the last moment, immediate deliveries are to be conducted,” said Jyotsna Jadav, an AYUSH worker in Savli taluka.
She
said though critical cases are sent to the CHC, in emergency
complicated cases have also been handled here as well,” said Jadav.
“A
large number of accidents take place on this stretch of road at Desar
and the victims have to be invariably taken to Savli CHC as no MBBS
doctor is available anywhere else. Many a times, victims dieon the
route,” said Bharat Chauhan a resident of Desar village.
Although
AYUSH doctors are not allowed to take medico-legal cases, besides
giving ayurvedic and homeopathic medicines to patients, these doctors
often have to take up other modes of medication in emergencies.
“I
am hardly able to carry out the field work that I am required to do.
There are at least 30 to 40 patients at the centre daily. Even though I
keep myself restricted to ayurvedic medicines, in emergencies I am
forced to carry out duties of an MBBS doctor,” said an ayurvedic (AYUSH)
doctor at a village in Savli taluka.
Vadodara
Chief District Health Officer, Dr Bhagwat Itare, said, “MBBS doctors do
not want to take up rural postings and hence their posts at PHCs remain
vacant. There are many PHCs without MBBS doctors but AYUSH doctors are
helpful in taking up preventive measures and handle emergency cases.”
Center. Govt. Notification of Use Modern Medicine By AYUSH Doctor
Sunday, March 7, 2010
Center. Govt. Notification of Use Modern Medicine By AYUSH Doctor
Notification from CCIM for use modren medicine by Ayush Doctor in 2004
शनिवार, 3 दिसंबर 2011
Ideal Diet
Ayurveda helps you plan an ideal Diet.
Pre BreakFast 2 Glasses of warm water, followed by one fruit.
Breakfast 2 Wholegrain tomato- cucumber, green chutney toast / a bowl of oats made with water and skimmed milk sweetened with 3 spoons of raisins / oats or upma made with vegetables.
Mid Breakfast and Lunch 3 Glass of water, if hungry a piece of fresh fruit/ 20 pistas / 7 almonds.
Lunch
1 big bowl( 250 ml cup) vegetables salad, 1 big bowl cooked vegetable, 2 small oil free chapatti/ 1 small bowl cooked brown rice/ 1 small bowl whole wheat pasta( protein option) 1 small bowl of sprouts/ 1 small katori of either Dal, chole, or Rajma/ 1 small katori of vegetable sambhar/ 60 gm light tofu/ 1 bowl low fat Dahi. You can opt 2-3 eggs white/ 100 gms grilled chicken Breast/ 100 gm fish.
Mid lunch and Dinner ( Snacks)
One or Two Pieces of fresh fruit/ 4 pieces of any dry fruit like dates, prunes, apricots/ a fistful of raisins/ 12 almonds/ 30 pistas/ 1 bowl of boiled corns/ 1 to 2 handful roasted Murmura mixed with cucumber, tomatoes, onion, coriander and Bhel chutney.
Have at least 5 glass of water between lunch and dinner.
Dinner
1 big bowl of salad , a big bowl of vegetables or clear vegetable soup. No oil, butter, milk or cream, Grain or protein you can choose from lunch.
Do’s and Dont’s
- No more then 3 spoons oil for whole day.
- Add 1 table spoon of flax seed every day
- You can mix it in Salads too
- Drink at least 2.5 to 3 liters of Plain water daily, depending upon your daily routine and exercise.
- No fruit juices , eat the fruits.
- Satisfy your sweet urge with fruits and dry fruits. You can also have a bowl of Dahi with raisins .
- Exercise daily for 40 minutes.
- Eat when you are hungry and stop when you are full.
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