Ayush-Keralam

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Ayush-Keralam

  1. 1. AYUSH Keralam Dr. R. Rejikumar BHMS, MD(Hom) Consultant (AYUSH Integration), State Health System Resource Centre Kerala
  2. 2. AYUSH AYURVEDA YOGA & NATUROPATHY UNANI SIDHHA HOMOEOPATHY
  3. 3. SWOT Analysis - AYUSH
  4. 4. Strengths <ul><li>Safety </li></ul><ul><li>Efficacy </li></ul><ul><li>Cost factor </li></ul><ul><li>Indigenous </li></ul><ul><li>Traditional </li></ul><ul><li>Complementary </li></ul><ul><li>Global demands </li></ul>
  5. 5. Weaknesses <ul><li>Statistical Data </li></ul><ul><li>Research </li></ul><ul><li>Budget allocation </li></ul><ul><li>Quality of drug. </li></ul><ul><li>Dispensing </li></ul><ul><li>Trained manpower </li></ul><ul><li>Diagnostic tools. </li></ul><ul><li>Emergency management </li></ul>
  6. 6. Opportunities <ul><li>Specific areas </li></ul><ul><ul><li>Rheumatic affections </li></ul></ul><ul><ul><li>Anorectal disorders </li></ul></ul><ul><ul><li>Mother & Child health </li></ul></ul><ul><ul><li>Skin & Respiratory allergic diseases </li></ul></ul><ul><ul><li>Psychosomatic illness </li></ul></ul><ul><ul><li>Infectious diseases </li></ul></ul><ul><ul><li>Lifestyle diseases </li></ul></ul>
  7. 7. Threats <ul><li>Quacks / inadequately qualified persons. </li></ul><ul><li>Lack of knowledge updating. </li></ul>
  8. 8. Strategy
  9. 9. Yoga MORARJI DESAI NATIONAL INSTITUTE OF YOGA (An autonomous organization under Deptt. of AYUSH, Ministry of Health & F. W., Govt. of India ) 68, Ashok Road, Near Gole Dak Khana, New Delhi – 110 001 Ph : 011 - 23730417, 23730418, 23718301, 23721472. Fax – 23711657 E-Mail: mdniy@yahoo.co.in Website : www.yogamdniy.nic.in Yoga essentially is a way of life, an integrated means of synchronizing mind, spirit, and body. This system and its implementation originated in India, thousands of years ago and are now practiced universally regardless of creed or religion
  10. 10. Unani <ul><li>The word &quot;Unani&quot; (meaning &quot;Ionian&quot;) reflects the strong Greek influence to this tradition of medicine, but the origins of the traditional Oriental medicine known as &quot;Unani-Tibb&quot; begin with the famous physician, Avicenna (also known by the name Hakim Abu Ali Abdullah Husayn Ibn Sina) </li></ul>
  11. 11. Unani <ul><li>The basic theory of Unani system is based upon the well- known four- humour theory of Hippocrates. This presupposes the presence, in the body, of four humours viz., blood, phlegm, yellow bile and black bile. </li></ul><ul><li>The human body is considered to be made up of the following seven components are: </li></ul><ul><li>Elements (Arkan) </li></ul><ul><li>Temperament (Mizaj) </li></ul><ul><li>Humors (Akhlat) </li></ul><ul><li>Organs (Aaza) </li></ul><ul><li>Spirits (Arwah) </li></ul><ul><li>Faculties (Quwa) </li></ul><ul><li>Functions (Afaal) </li></ul>
  12. 12. Siddha <ul><li>Siddha system is built with special focus on food habits consisting with six tastes. The six tastes which are very much concerned with the Uyir thathu ie. Vaatham, Pitham and Kabam. </li></ul><ul><li>Derangement of Uyir thathu leads to diseases of body and mind. </li></ul><ul><li>Causes of diseases as per Siddha system are </li></ul><ul><ul><li>Unavu (food) </li></ul></ul><ul><ul><li>Seyal (doings) </li></ul></ul><ul><ul><li>Kaalam (climate and environment) </li></ul></ul><ul><ul><li>Kanmam (by birth) </li></ul></ul>
  13. 13. Homoeopathy <ul><ul><ul><ul><ul><li>Law of Similia - a sick person can be cured by a substance that has the ability to produce similar symptoms, as those of his disease. </li></ul></ul></ul></ul></ul><ul><ul><li>Law of Simplex - a single medicine is used for a patient at a time. </li></ul></ul><ul><ul><li>Law of Minimum - minimum dose, sufficient to initiate the healing process, is prescribed. Such dose produces no toxic effect in the body. </li></ul></ul><ul><ul><li>Doctrine of Drug Proving - curative power of a drug substance is known by administering it to healthy human beings. </li></ul></ul><ul><ul><li>Theory of Vital Force - Homoeopathy believes in a regulating force (Vital force) in human body. </li></ul></ul><ul><ul><li>Doctrine of Drug-dynamisation - Homoeopathy medicines are prepared in a special way known as Drug dynamisation or Potentisation, where drug substance is diluted and succussed so as to reduce the material dose while retaining its medicinal properties. </li></ul></ul>
  14. 14. AYUSH - India <ul><li>CCIM </li></ul><ul><li>CCH </li></ul><ul><li>CCRAS </li></ul><ul><li>CCRUM </li></ul><ul><li>CCRH </li></ul><ul><li>NIA </li></ul><ul><li>NIH </li></ul><ul><li>MDNIY </li></ul>
  15. 15. AYUSH - Kerala <ul><li>2 Separate Directorates </li></ul><ul><ul><li>DISM & DH for ISM & Homeopathy respectively </li></ul></ul><ul><li>1300 ( 53 %) AYUSH institutions </li></ul>
  16. 16. ISM Factsheet Ayurveda 747 dispensaries (including 11 Sidha) 117 hospitals.
  17. 17. <ul><li>Unani </li></ul><ul><li>1 Dispensary - Uduma, Kasargode </li></ul><ul><li>Siddha </li></ul><ul><li>14 </li></ul><ul><li>1 independent hospital Vallakadavu, Tvm </li></ul><ul><li>2 IP wings attached to GAH, Neyyattinkara & DAH, Thodupuzha </li></ul><ul><li>6 dispensaries </li></ul><ul><li>Naturopathy </li></ul><ul><li>1 Independent Hospital at Varkala, Tvm & 1 wing at GAH, Ottappalam. </li></ul>
  18. 18. DH Factsheet <ul><li>526 Dispensaries </li></ul><ul><li>30 Hospitals     </li></ul>
  19. 19. NRHM AYUSH &
  20. 20. Mainstreaming of AYUSH <ul><li>Integration of Infrastructure, Manpower & Medicines of Ayurveda, Yoga & Naturopathy, Unani, Siddha and Homoeopathy (AYUSH) Systems to strengthen the Public Health Care delivery and strengthen the AYUSH systems at grass root level by establishing a linkage with Modern Medicine i.e, Allopathy in a collaborative way. </li></ul>
  21. 21. Under NRHM <ul><li>Total 437 Temporay AYUSH Dispensaries each with a Medical Officer </li></ul><ul><ul><li>276 Homoeo Medical officers </li></ul></ul><ul><ul><li>150 Ayurveda Medical Officers </li></ul></ul><ul><ul><li>11 Unani Medical Officers </li></ul></ul>
  22. 22. Temporary dispensaries <ul><ul><li>Human Resources and Drugs are given through NRHM while basic infrastructure and other logistics is provided by the concerned Panchayats. </li></ul></ul><ul><ul><li>Drugs for Homoeo is procured through HOMCO , which is a company under the State Government manufacturing Homoeo drugs </li></ul></ul><ul><ul><li>Drugs for Ayurveda is procured from Oushadhi which is a Govt. company. </li></ul></ul>
  23. 23. * State Share (TRP and Flagship Programme) FINANCIAL SUMMARY (Rs.in Crores) Year Opening Balance Fund received Total fund with the Society Expenditure reported % 2005-06 2.48 34.45 36.93 3.90 11 2006-07 33.03 80.60 113.63 17.64 16 2007-08 95.99 120.00 215.99 116.99 54 2008-09 99.00 232.47+ 53.25* 384.72 281.65 73 2009-10 ( as on 31.01.10 at (HO) and as on 31.12.09 from Dist ) 103.07 151.42+29.25* 283.74 225.73 80 Total 701.44 645.91 92
  24. 24. Contd. EXPECTED BUDGET Sl No Activity 2009-10 2010-11 1 Unspent balance under NRHM 60.11 0 2 GOI resource Envelope for NRHM including 25% higher allocation for the purpose of PIP approval 293.98 352.19 3 State share 44.10 52.83 Total 398.18 405.02
  25. 25. Summary 2009-10 with proposed budget for 2010-2011 (Rs. In crores) Sl No Activity Approved PIP 2009-10 Unspent as on 01.04.09 Fund released Total fund available Total Exp as on 31.01.10 at (HO) and as on 31.12.09 from Dist % against availability % on PIP Proposed for the year 2010-11 1 RCH-II 88.75 18.28 62.84 81.12 60.44 75 68 125.95 2 Additionalities under NRHM 209.95 19.98 84.20 104.18 136.34 131 65 255.00 3 Immunization 10.65 0.32 4.38 4.70 2.23 47 21 6.94 5 NDCP 17.49 5.49 9.10 14.79 9.68 65 55 29.61 4 State share (Exp other than NRHM) - 12.56 29.25 41.81 26.72 64 - - Total 326.85 51.14 189.77 246.60 235.41 95 72 417.50
  26. 26. Finance for AYUSH 2055.54 1556.84 Total 1085.34 789.12 Incentives 0 543.74 Addl. Contract staff 970.20 223.98 Mainstreaming of AYUSH Mission Flexible Pool Budget 10-11 Exp. 09-10 Activity
  27. 27. PIP 2010 - 2011 Manpower Remuneration Rs 6,12,00,000/- Medicines @ 50,000 per Dispensary : Rs 7,50,000/- Total Amount : Rs 6,19,50,000/-
  28. 28. <ul><li>Manpower </li></ul><ul><li>Remuneration : </li></ul><ul><li>Rs 7,05,74,400 </li></ul><ul><li>Medicines @ 25,000 per Dispensary : </li></ul><ul><li>Rs 69,00,000 </li></ul><ul><li>Total Amount : </li></ul><ul><li>Rs 7,74,74,400 </li></ul>
  29. 29. <ul><li>Manpower Remuneration : Rs. 27,98,400/- </li></ul><ul><li>Medicines @ 50,000 per Dispensary : Rs. 5,50,000/- </li></ul><ul><li>Total Amount : Rs. 32,98,400/- </li></ul>
  30. 30. <ul><li>Further, as a part of monitoring the program, the process of </li></ul><ul><li>providing one vehicle on hire basis to all District units of Homoeo and </li></ul><ul><li>Ayurveda is proposed to be continued. </li></ul><ul><li>Ayurveda : 14 x 20000 x 12 = Rs.33.60 lakhs </li></ul><ul><li>Homoeo : 14 x 20000 x 12 = Rs.33.60 lakhs </li></ul><ul><li>Total budget for 2010-11 is Rs.14,94.43 lakhs. </li></ul>
  31. 31. No of Institutions identified for up gradation purpose in the first phase <ul><li> Ayurveda Homoeopathy </li></ul><ul><ul><li>Thiruvananthapuram 2 2 </li></ul></ul><ul><ul><li>Kollam 2 2 </li></ul></ul><ul><ul><li>Pathanamthitta 2 0 </li></ul></ul><ul><ul><li>Alappuzha 2 1 </li></ul></ul><ul><ul><li>Kottayam 2 2 </li></ul></ul><ul><ul><li>Idukki 2 2 </li></ul></ul><ul><ul><li>Ernakulam 3 1 </li></ul></ul><ul><ul><li>Thrissur 4 0 </li></ul></ul><ul><ul><li>Palakkad 2 0 </li></ul></ul><ul><ul><li>Malappuram 1 1 </li></ul></ul><ul><ul><li>Kozhikode 2 1 </li></ul></ul><ul><ul><li>Wayanad 1 1 </li></ul></ul><ul><ul><li>Kannur 3 1 </li></ul></ul><ul><ul><li>Kasargode 2 1 </li></ul></ul><ul><ul><li>Total 30 15 </li></ul></ul>
  32. 32. Draft Action Plan <ul><li>Mainstreaming of AYUSH in Kerala </li></ul><ul><li>Revitalizing Local Health Traditions </li></ul>
  33. 33. Infrastructure <ul><li>A. Construction / Renovation </li></ul><ul><li>I. Construction works of Dispensaries / Hospitals should be undertaken in </li></ul><ul><li>those LSGIs with meager funds. </li></ul><ul><li>B. Additional facilities </li></ul><ul><li>I. Laboratary facilities, ECG, X-ray & USG units should be started </li></ul>
  34. 34. Human Resource Planning <ul><li>A. Recruitment </li></ul><ul><li>i. Posting of Medical Officers in temporary dispensaries. </li></ul><ul><li>ii. New recruitment should be done in uncovered Panchayaths. </li></ul><ul><li>iii. Paramedical Staff & Attenders to be posted in all dispensaries </li></ul><ul><li>B. Transfer </li></ul><ul><li>i. Requests, status & orders should be completely online. </li></ul><ul><li>ii. As far as possible, staff should be posted in the districts of their choice. </li></ul>
  35. 35. Human Resource Management <ul><li>A. Remuneration </li></ul><ul><li>I. Remuneration of Medical Officers should be enhanced. </li></ul><ul><li>II. Post Graduate Degree allowance should be given to Medical Officers with PG qualification. </li></ul><ul><li>III. Special Allowance should be given to Medical Officers working in difficult Rural areas & inaccessible rural areas </li></ul><ul><li>IV. Parity of remuneration should be maintained among doctors of all systems working under NRHM. </li></ul>
  36. 36. B. Training <ul><li>I. Induction training to MOs on NRHM, National flagship programs,Administration, Accounts & Stock management. </li></ul><ul><li>II. In-service training to MOs in Computers, Open-source office automation & soft skills. </li></ul>
  37. 37. Research <ul><li>A. Clinical </li></ul><ul><li>I. Prospective studies should be funded & monitored </li></ul><ul><li>B. Retrospective analysis </li></ul><ul><li>I. Epidemic Prophylactic efficacy studies should be done. </li></ul>
  38. 38. PMU <ul><li>PMSU should be separately set up for AYUSH systems </li></ul>
  39. 39. State Health System Resource Centre Objectives <ul><li>· To provide technical assistance and capacity building measures to </li></ul><ul><li>Dist. health Institutions </li></ul><ul><li>· Providing Support to State Health system to develop strategy </li></ul><ul><li>planning in health initiations, innovation and change management </li></ul><ul><li>· Quality improvement in health care through managerial </li></ul><ul><li>interventions </li></ul><ul><li>· To derive a viable Human Resource Planning (HRP) for all health </li></ul><ul><li>institutions </li></ul><ul><li>· To under take reform activities in Health institutions </li></ul><ul><li>· To act as Health Data Warehouse </li></ul>
  40. 40. Vision <ul><li>· Evaluation of current strategies of district level health plans initiated by NRHM </li></ul><ul><li>· Gap analysis in Health Service Delivery – current status </li></ul><ul><li>· HMIS –its status (effectiveness study) </li></ul><ul><li>· HRP for all institutions for the year 2010-11 </li></ul><ul><li>· Evaluation of quality improvement systems implemented in district level institutions </li></ul>
  41. 41. <ul><li>Programmes for integrating AYUSH activities to improve Health Service Delivery to the public </li></ul><ul><li>· Evaluation of ASHA activities for women and child care in Kerala </li></ul><ul><li>· Evaluation study on utility of infrastructure development done under NRHM in Kerala </li></ul><ul><li>· Submission of report to the Government from the studies under taken as above. </li></ul>
  42. 42. SHSRC Kerala Technical Staff <ul><li>Executive Director 1 </li></ul><ul><li>Consultant (Public Health Planning) 1 </li></ul><ul><li>Consultant (Non Communicable D/s) 1 </li></ul><ul><li>Consultant (Nursing) 1 </li></ul><ul><li>Training Co-ordinator 1 </li></ul><ul><li>Consultant (AYUSH Integration) 1 </li></ul><ul><li>ASHA Consultants (Trg) 2 </li></ul><ul><li>ASHA Consultant (DMD) 1 </li></ul>
  43. 43. ASHA Framework <ul><li>ASHA was sanctioned to the State only in 2007. </li></ul><ul><li>31000 out of 32000 were selected and deployed. </li></ul><ul><li>Training being undertaken </li></ul><ul><ul><li>Operationalisation of ASHA Resource Centre under SHSRC </li></ul></ul><ul><ul><li>Implementation of NCD program through ASHA </li></ul></ul><ul><ul><li>Training on ASHA on fast track and Operationalisation of ASHA Mentoring Group </li></ul></ul><ul><ul><li>Impact Assessment of ASHA </li></ul></ul>
  44. 44. Timeline - Homoeopathy <ul><li>10.11.2008 : Sanction for 41 Homoeo Dispensaries </li></ul><ul><li>[G.O (Rt) 3710/2008/H&FWD] </li></ul><ul><li>26.02.2009 : Modified conditions </li></ul><ul><li>[G.O (Rt) 528/2009/H&FWD] </li></ul><ul><li>28.02.2009 : Sanction for 101 Homoeo Dispensaries </li></ul><ul><li>[G.O (Rt) 545/2009/H&FWD] </li></ul><ul><li>01.10.2009 : Sanction for 136 Homoeo Dispensaries </li></ul><ul><li>[G.O (Rt) 2825/2009/H&FWD] </li></ul>Mar 30, 2010 Dr. R. Rejikumar MD(Hom), Consultant (AYUSH Integration)
  45. 45. Timeline - Ayurveda <ul><li>13.11.2008 : Sanction for 48 Ayurveda Dispensaries </li></ul><ul><li>[G.O (Rt) 3766/2008/H&FWD] </li></ul><ul><li>26.02.2009 : Modified conditions </li></ul><ul><li>[G.O (Rt) 527/2009/H&FWD] </li></ul><ul><li>28.02.2009 : Sanction for 52 Ayurveda Dispensaries </li></ul><ul><li>[G.O (Rt) 547/2009/H&FWD] </li></ul>Mar 30, 2010 Dr. R. Rejikumar MD(Hom), Consultant (AYUSH Integration)
  46. 46. http://www.arogyakeralam.gov.in
  47. 47. <ul><li>Dr. R. Rejikumar </li></ul><ul><li>9497007171 (Mob) </li></ul><ul><li>0471-4062271 (Off) </li></ul><ul><li>0471-4062270 (Fax) </li></ul><ul><li>[email_address] </li></ul>Mar 30, 2010 Dr. R. Rejikumar MD(Hom), Consultant (AYUSH Integration) Thank you

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