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International Journal of Trend in Scientific Research and Development (IJTSRD)
Volume 7 Issue 2, March-April 2023 Available Online: www.ijtsrd.com e-ISSN: 2456 – 6470
@ IJTSRD | Unique Paper ID – IJTSRD56205 | Volume – 7 | Issue – 2 | March-April 2023 Page 1085
Ayurveda, Health, and Wellness Tourism in India
Dr. Bargale Sushant Sukumar1
, Dr. Aiswarya Balagopal2
1
Assistant Professor, 2
Post Graduate Scholar,
1,2
Department of Swasthavritta and Yoga, SDM College of Ayurveda and Hospital, Hassan, Karnataka, India
ABSTRACT
The patterns of production and consumption of health care services
have changed over the past few decades as a result of the global
increase in the flow of patients and healthcare professionals, as well
as in medical technology, capital funding, and regulatory frameworks
across national borders. A new significant component of the
expanding health care industry has involved the health tourism. The
practise of moving patients across borders for medical care and other
health-related reasons which is commonlyknown as medical tourism.
It consists mostly of travel and tourism combined with biological
therapies. It is an effort to draw visitors by consciously highlighting
its medical services and amenities in addition to its standard tourist
attractions. India has a competitive advantage in the sector of health
tourism due to the strong international reputation of its traditional
medical system, particularly Ayurveda and Yoga, as well as the
variety of tourist destinations the country offers. The primary issues
and opportunities facing India's Ayurveda and Yoga sectors that aid
in the promotion of their medical services both domestically and
internationally are the topic of this article.
KEYWORDS: Ayurveda, Health tourism, India, Yoga
How to cite this paper: Dr. Bargale
Sushant Sukumar | Dr. Aiswarya
Balagopal "Ayurveda, Health, and
Wellness Tourism in India" Published in
International Journal
of Trend in
Scientific Research
and Development
(ijtsrd), ISSN: 2456-
6470, Volume-7 |
Issue-2, April 2023,
pp.1085-1089, URL:
www.ijtsrd.com/papers/ijtsrd56205.pdf
Copyright © 2023 by author (s) and
International Journal of Trend in
Scientific Research and Development
Journal. This is an
Open Access article
distributed under the
terms of the Creative Commons
Attribution License (CC BY 4.0)
(http://creativecommons.org/licenses/by/4.0)
INTRODUCTION
Wellness tourism, which is expected to be the
primary economic driver of the sector, is one of the
fastest-growing divisions of the tourism business.
People start travelling to take advantage of a wide
range of options that bring satisfaction and a healthy
lifestyle with the advent of globalisation and the
consumerism culture. People are more conscious of
the value of health today. Tourist destinations are
typically visited for leisure and entertainment. The
motivation for visiting a tourist site might vary
depending on the type of traveller and their interests.
In order to satisfy the needs of visitors with a
diversity of interests, tourist destinations provide a
variety of tourism-related merchandise. The
competing tourism industry established the niche
travel sector known as "health tourism" in order to
attract tourists who are primarily travelling for
medical treatment. The deliberate promotion of a
destination's health care services and amenities in
addition to its normal tourist attractions is known as
health tourism.1
The new type of tourism is now focusing on peace,
sustainability, and spirituality on a global scale,
creating a multimillion-dollar industry. In 2015, the
Ministry of Tourism, Government of India, developed
special rules for the promotion of wellness tourism in
India after considering the potential of this business.
Yoga, Ayurveda, Unani, and other alternative
religious and spiritual items are only a few of the
many goods available in India that foreign tourists are
interested in experiencing. The Ministry of AYUSH
was founded by the Indian government in 2014 with
the goal of advancing study and research in the fields
of Ayurveda, Yoga and Naturopathy, Unani, Siddha,
and Homoeopathy. India was placed 12th among the
world's top 20 wellness tourism markets in 2017.2
Objectives
To critically review health tourism, its benefits and
opportunities of India's Ayurveda and Yoga
industries, that help them to promote their medical
services domestically and abroad.
Materials and methods
All available literature related to health tourism in
India & its possible marketing strategies with the help
of Ayurveda & Yoga.
Medical tourism- Consumers who cross foreign
borders in search of medical care are said to be
IJTSRD56205
International Journal of Trend in Scientific Research and Development @ www.ijtsrd.com eISSN: 2456-6470
@ IJTSRD | Unique Paper ID – IJTSRD56205 | Volume – 7 | Issue – 2 | March-April 2023 Page 1086
engaging in medical tourism. The complete spectrum
of medical treatments may be provided as part of this
treatment, although the most frequent ones are dental
work, cosmetic surgery, elective surgery, and fertility
treatment.3
Health tourism, on the other hand, is
described as "the organised travel beyond one's own
area for the maintenance, promotion, or restoration of
an individual's wellbeing in mind & body".4
India as Health Tourism destination- Health
tourism combines the phrases "tourist" and "health
care," and it entails the use of both types of
resources.5
India is one of the most well-liked tourist
destinations in the world due to its abundance in
biodiversity and historic landmarks. Destinations for
tourism are created to highlight their health care
resources by offering a variety of health and fitness
services and combining leisure, pleasure, and
relaxation with wellness and healthcare. This calls for
a comprehensive service package that includes mental
activity and education along with physical exercise,
beauty care, healthy nutrition and diet, relaxation, and
yoga.6
Ayurveda and wellness tourism - Ayurveda is a
thorough medical system that goes beyond treating
symptoms to focusing on the underlying causes of
ailments. Dosha, Dhatu, Malakriya (appropriate
elimination of urine, bowel, and sweat) and Prasanna
Atma, Indriya, and Mana (pleasant soul, sense organs,
and mind) are said to be in equilibrium in order to be
considered healthy.7
Health, or Swastha, is the state
of Tridosha and Sapta dhatu functioning normally.
Ayurveda's main goal is to treat disease in healthy
people and prevent it in those who are already ill.8
Ayurveda's advantages, which offer effective
treatments for a variety of ailments, including chronic
ones, are growing more and more well-known on a
global scale. It encourages bodily rejuvenation,
reduces stress, and treats ailments brought on by a
sedentary lifestyle. The fact that Ayurveda offers
healing without having any noticeable side effects is
one of its key advantages.
The word "health tourism" combines healthcare and
tourism. A health tourism location focuses on both its
tourist attractions that encourage body and mind
relaxation as well as its medical facilities that support
wellness and healing. A growing trend in travel is
health tourism, which offers a variety of medical
treatments as well as leisure, entertainment, and
relaxation in addition to wellness and healthcare.
Tourist promotion that is competitive in order to draw
travellers who are going primarily for easy access to
healthcare facilities, governments have created the
specialised tourism industry known as "health
tourism." Individuals travel for medical reasons based
on their preferences and a variety of additional
criteria, such as cost-effectiveness and the closeness
of medical facilities.
An ancient medical method from the Indian
subcontinent is called ayurveda. Both therapeutic and
preventive healthcare are offered by ayurveda.
Preventive modalities like lifestyle modification
(those who follow Dinacharya (daily regimen),
Rutucharya (seasonal regimen) and Nishacharya
(night regimen) will not be afflicted by diseases),9
Yogasana,10
Pranayama (breathing techniques),
Dhyana(meditation), preventive Panchakarma,
Pathya-apathya (wholesome and unwholesome
diet),11
etc. which not only prevent from the
unexpressed disease but also promote the health and
make body immune to disease. Ayurveda's diverse
impacts contribute to sustaining both health and
tranquilly.
Ayurveda has a number of features that set it apart
from other medical philosophies:
1.
Rather than focusing on particular illnesses, it
emphasises establishing and maintaining
equilibrium of the Dosha and Dhatu within us.12
2. Despite the fact that two persons may have the
same exterior symptoms, their constitutions are
different and necessitate quite different
treatments. It recognises the distinctive
constitutional variations of every individual and
accordingly prescribes various regimens for
various types of people.13
3. Rather than treating the body only, Ayurveda
aims to restore wholeness and harmony to all
people and repair and preserve equilibrium
between the fragmentation and disorder of the
mind-body complex.
Yoga- Yoga improves cardiovascular health, slows
breathing, boosts physical fitness, lowers blood
pressure, encourages relaxation, eases stress, and
calms anxiety. Moreover, it enhances range of
motion, focus, sleep, and digestion. It also helps with
posture, coordination, and flexibility. Moreover, it
can be used as an adjunctive treatment for a variety of
illnesses, including cancer, diabetes, arthritis, asthma,
migraine, etc., and it can even be used to treat
addictions like smoking.14
India has established itself as the world's epicentre of
"Ayurveda." Several rejuvenation centres and
Ayurvedic resorts have popped up all throughout the
country, attracting many foreign tourists.
Popular resorts that are promoting "Ayurveda"
tourism include:
Somatheeram Ayurveda Resort, Kerala – This is
regarded as the first ayurvedic resort in the world;
International Journal of Trend in Scientific Research and Development @ www.ijtsrd.com eISSN: 2456-6470
@ IJTSRD | Unique Paper ID – IJTSRD56205 | Volume – 7 | Issue – 2 | March-April 2023 Page 1087
it was founded in 1985. This resort is situated on
15 acres and is 9 kilometres south of Trivandrum.
Panchakarma and Rasayana (rejuvenating
therapies) Ayurvedic packages are just two of the
many Ayurvedic treatments available at the
resort. Also, they have built a Green Leaf
Certified Ayurvedic hospital that is independent
and provides a range of therapies. They also have
an Ayurveda academy, a herbal garden, and a
manufacturing facility for medicines. They
provide a variety of lodging choices, such as basic
rooms, garden cottages, special cottages, Kerala
houses standard and deluxe.
Ananda in the Himalayas, Uttarakhand – One of
the top luxury ayurveda resorts in India is located
close to Rishikesh in the serene Himalayan
foothills, 260 kilometres north of New Delhi. The
resort offers Ayurveda, Yoga, and Vedanta as
traditional Indian wellness modalities. Ayurvedic
rejuvenation, yoga, stress management, and
Ananda's distinctive detox programme are among
the wellness packages it offers.
Devaaya, The Ayurveda and Nature Cure Centre,
Goa – It is a five-star Ayurveda & Yoga Resort
10 kilometres from Panaji that provides authentic
Ayurvedic and Naturopathic remedies. The centre
was built using the principles of "Vaastu Shastra,"
a science that enhances the harmony of the entire
rejuvenation process. The resort offers a
residential holistic programme including yoga,
meditation, and Ayurveda therapies. Their whole
Panchakarma plan, which normally lasts 15 to 30
days, includes a wellness programme for detox
and renewal.
Other popular Ayurvedic Resorts include:
Carnoustie Ayurveda &
Wellness Resort, Kerala
Kalari Kovilakom,
Kerala
Soukya, Bangalore
Vana Malsi Estate,
Uttarakhand
Kairali Ayurvedic
Health Village, Kerala
Leela, Udaipur
The Terraces, Kanatal
Shin Shiva Ayurvedic
Resort, Kovalam
Kerala in India has established a strong brand identity
when it comes to offering professional Ayurvedic
services to both domestic and international travellers.
With the recent opening of Vaidyagrama, a healing
hamlet, Coimbatore in the Indian state of Tamil Nadu
is attempting to become the next top travel
destination. Thekkupalayam's Kalpavruksha
Ayurveda Village is another famous new attraction.15
There are mainly four modes of services in health
tourism
1. Cross-Border Supply- Services are delivered
across international borders with the use of
information technology, and neither the service
recipients nor the service providers are required to
do so, as is the case with telemedicine. Ayurvedic
services can be provided in a variety of ways by
educating individuals in various countries about
its practises, methods, and treatments.
2. Consumption Abroad- People might relocate to a
location with access to healthcare for a variety of
reasons. Travelers could go abroad for leisure,
business, education, or medical care. A number of
factors, such as accessibility to care, availability
of alternative therapies, shorter wait times, higher
quality, shorter costs, and natural advantages, can
affect where people choose to travel. Several
people visit south-east Asian countries in search
of ayurvedic medications and medical procedures.
For the yoga and Panchakarma therapies, people
travel particularly.
3. Commercial Presence- The service supplier
moves to the country where the customers are
located. An organisation with foreign ownership
and control could provide the service through a
local affiliate or subsidiary. With the help of this
technique, we may build infrastructure in our own
nation and institutions that provide Ayurvedic
medical care in the target nations.
4. Presence of Natural Person- The service is
performed by a person who relocates or visits
different nations. They may be workers for a
particular company, medical experts, nurses,
paramedics, midwives, technicians, consultants,
trainers, staff members for health management, or
other knowledgeable and seasoned personnel.
Competent Ayurveda doctors and therapists may
travel to foreign countries to offer ayurvedic
medical facilities. The original nation can make
considerable money this way.16
Benefits of Health Tourism in India:
The parties involved in health tourism benefit greatly
from it. The benefits of health tourism can be roughly
categorised into two categories:
Health travellers’ profit from the following:
1. Individualized attention.
2. Possible financial savings because medical care
abroad is far more affordable than in the patient's
native country.
3. Less time spent waiting. The patients won't have
to wait in a line and will start receiving treatment
as soon as they arrive.
4. Possibility to encounter another culture.
5. Using alternative therapies to rejuvenate the
mind, body, and soul.
International Journal of Trend in Scientific Research and Development @ www.ijtsrd.com eISSN: 2456-6470
@ IJTSRD | Unique Paper ID – IJTSRD56205 | Volume – 7 | Issue – 2 | March-April 2023 Page 1088
6. Possibility to unwind and take in the natural
beauty while recovering.
7. Possibilities to take part in programmes that
reduce stress.
8. Accessibility to alternative therapies like
Ayurveda, yoga, etc.
Advantages that health tourism sites receive:
1. A rise in employment prospects as the hotel,
tourism, and aviation sectors all see growth.
2. Foreign exchange generator avenue.
3. Expands job chances in the health care industry.
4. A rise in the demand for complementary
therapies.
5. Medical travel fosters stronger political ties.
6. Growth in insurance industry.
Factors influencing the growth of medical tourism
include a variety of elements that have contributed to
the industry's popularity and globalisation. These
elements include:
1. High cost of healthcare: The cost of healthcare
may be less expensive in the destination country
than in his.
2. Short wait times: Travel arrangements can be
made to ensure rapid medical attention.
3. Use the cutting-edge tools and technologies that
the health tourism location offers.
4. The accessibility and low cost of international
travel.
5. The development of technology and healthcare
standards in many nations, accessibility to highly
qualified medical professionals, and high
standards of care.
6. Benefiting from favourable currency rates and
foreign travel.
7. Medical services that are lawful in the destination
country but may not be legal in other countries
can be accessed through circumvention tourism.
8. Make use of the regional medical system.17
India's potential for medical tourism- Due to its
capacity to offer high-qualitytreatments at reasonable
prices, India is quickly becoming a global leader in
the medical tourism sector.18
By combining elements
of both modern and ancient medical systems, the
Indian health care system offers a distinctive range of
services. Making plans for Indian health tourism:
Indian health service providers may utilise the
following marketing techniques to increase their
focus on health tourism.19
1. Products/Goods: Yoga and Ayurveda can play a
major role in the growth of the Indian health
tourism industry. Yoga and Panchakarma therapy
can be used to create health care modalities in
well-known tourist destinations. There are several
tourist destinations in India that might be
exploited to promote the Ayurvedic alternative
medical system.
2. Price/Cost: India has a price advantage over its
rivals due to the high quality of its medical care
and services, which are provided at extremely
affordable rates.
3. Promotion: The growing health tourism industry
should place a strong emphasis on advertising in
travel publications and participation in travel
fairs, travel marts, trade shows, exhibitions,
conferences, and seminars.
4. Government's role: The Indian government must
intervene as a regulator to establish health care
systems that are linked to tourist attractions. In
order to improve health tourism, it should also
promote private investment in healthcare
infrastructure and policymaking.
5. Holistic medical and diagnostic centres within
corporate hospitals: Large tertiary hospitals
should offer yoga and meditation classes in
addition to Ayurveda, naturopathy, and other
modalities on-site. This will enhance both
systems and support the Indian traditional medical
system.
Limitations- India faces the following difficulties in
developing a professional medical tourism sector and
becoming a popular tourist destination:
1. A lack of infrastructure, including systems for
connectivity, coordination, water supply, and
power.
2. Due to insufficient hygiene knowledge,
inadequate hospitality services, and a lack of
industry norms, the majority of Indian hospitals
are having trouble gaining the trust of foreign
patients.
3. Absence of official recognition
4. Insufficient insurance protection, etc.20
Discussion- As civilization and science advance, a
particular subset of tourism known as medical
tourism is growing rapidly. The country's revenue is
being increased by medical tourism and foreign
exchange earnings. Additionally, it aids in enhancing
the infrastructure for general health and quality
services. Doctors and other healthcare professionals
are receiving increased pay from hospitals, which is
made feasible by the money generated by medical
tourism. This is beneficial in that it keeps talent from
leaving and provides the available workforce with the
right opportunities. Health treatment is necessary for
all patients, regardless of their nation of origin.
Making distinctions based on nationality when
providing healthcare is not humane. Yet if the needs
of the people are disregarded, it would not be fair or
right. Hospitals will also need to comply with social
responsibility requirements. India is growing in
International Journal of Trend in Scientific Research and Development @ www.ijtsrd.com eISSN: 2456-6470
@ IJTSRD | Unique Paper ID – IJTSRD56205 | Volume – 7 | Issue – 2 | March-April 2023 Page 1089
popularity as a destination for medical tourists, but
there are a number of issues that these travellers have
with regard to standards, infrastructure, and ethical
and legal issues. Several issues need to be resolved,
including accreditation, price transparency, easy visa
rules, and coordination between hospitals, tour
companies, and the relevant state government.
Conclusion- India could take advantage of its
fortunate position to take advantage of the worldwide
potential in the field of health tourism. The
development of health tourism depends heavily on the
involvement of the government. For effective patient
care, the tourism, health, information, and
communication departments must collaborate. By
emphasising its holistic treatments and developing
and advertising the image of India as a provider of
high standard, quality treatments at a reasonable price
and making them accessible to potential clients, India
may succeed in the health tourism business.
References
[1] Goodrich, G. & Goodrich J (1987), Healthcare
tourism- an exploration study, Tourism
Management, September pp.217-222
[2] Arora N. Ayurveda, Health and Wellness
Tourism. Manha P, editor. Pathshala, MHRD,
Govt of India. 15:2.
[3] Balaban, V. and Marano C. (2010) Medical
tourism research: a systematic review.
International journal of infectious diseases. 14,
e135-e135
[4] Carrera, PM & Bridges J.F.P (2006)
Globalization and healthcare: understanding
health and medical tourism, Expert review of
Pharmaco economics and outcomes research,
6(4), pp 447-454
[5] health tourism: an overview,
shodhganga.infibnet.ac.in
[6] Indrani Borah & Dipak Kr. Goswami: Health
Tourism & Its Prospects In India Through
Ayurveda & Yoga. International Ayurvedic
Medical Journal {online} 2018 {cited
September, 2018}
[7] Vaidya Jadavji Trikamji edited, Sushrutha
Samhitha with Nibandha Sangraha commentary
by Dalhana.7th
.Varanasi: Chaukhambha
Orientalia; 2002.p 75.
[8] Vaidya Jadavji Trikamji edited, Agnivesha,
Charaka Samhitha revised by Charaka and
Dridhabala, with the Ayurveda-Dipika
Commentary. Edition reprint 2013. Varanasi:
Chaukhambha prakashan:2013.p 187
[9] Bhavamishra. Bhavaprakasha by Madhava kara
Edited by Sri Brahmasankara Mishra and Sri
Rupalalaji Vaisya: vol 1, 11th edition,
Varanasi: Chaukhamba Sanskrit Bhavan; P-
108.
[10] Vaidya Jadavji Trikamji edited, Agnivesha,
Charaka Samhitha revised by Charaka and
Dridhabala, with the Ayurveda-Dipika
Commentary. Edition reprint 2013. Varanasi:
Chaukhambha prakashan:2013.p 300
[11] Vaidya Jadavji Trikamji edited, Agnivesha,
Charaka Samhitha revised by Charaka and
Dridhabala, with the Ayurveda-Dipika
Commentary. Edition reprint 2013. Varanasi:
Chaukhambha prakashan:2013.p 133
[12] Vaidya Jadavji Trikamji edited, Agnivesha,
Charaka Samhitha revised by Charaka and
Dridhabala, with the Ayurveda-Dipika
Commentary. Edition reprint 2013. Varanasi:
Chaukhambha prakashan:2013.p 376
[13] Vaidya Jadavji Trikamji edited, Agnivesha,
Charaka Samhitha revised by Charaka and
Dridhabala, with the Ayurveda-Dipika
Commentary. Edition reprint 2013. Varanasi:
Chaukhambha prakashan:2013.p 277
[14] Prasad C.B.V.K. Medical tourism.
dspace.iimk.ac.in/bit stream/2259/483/1/255-
260
[15] Arora N. Ayurveda, Health and Wellness
Tourism. Manha P, editor. Pathshala, MHRD,
Govt of India. 15:2.
[16] https://en.m.org/wiki/Medical tourism (Cited
2020 July 9)
[17] Indrani Borah & Dipak Kr. Goswami: Health
Tourism & Its Prospects In India Through
Ayurveda & Yoga. International Ayurvedic
Medical Journal {online} 2018 {cited
September, 2018}
[18] health tourism: an overview,
shodhganga.infibnet.ac.in
[19] Indrani Borah & Dipak Kr. Goswami: Health
Tourism & Its Prospects In India Through
Ayurveda & Yoga. International Ayurvedic
Medical Journal {online} 2018 {cited
September, 2018}
[20] S.K. Dawn, S. Pal, Medical tourism in India:
issues, opportunities and designing strategies for
growth and development, international journal
of multidisciplinary research, vol 1, issue 3

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Ayurveda, Health, and Wellness Tourism in India

  • 1. International Journal of Trend in Scientific Research and Development (IJTSRD) Volume 7 Issue 2, March-April 2023 Available Online: www.ijtsrd.com e-ISSN: 2456 – 6470 @ IJTSRD | Unique Paper ID – IJTSRD56205 | Volume – 7 | Issue – 2 | March-April 2023 Page 1085 Ayurveda, Health, and Wellness Tourism in India Dr. Bargale Sushant Sukumar1 , Dr. Aiswarya Balagopal2 1 Assistant Professor, 2 Post Graduate Scholar, 1,2 Department of Swasthavritta and Yoga, SDM College of Ayurveda and Hospital, Hassan, Karnataka, India ABSTRACT The patterns of production and consumption of health care services have changed over the past few decades as a result of the global increase in the flow of patients and healthcare professionals, as well as in medical technology, capital funding, and regulatory frameworks across national borders. A new significant component of the expanding health care industry has involved the health tourism. The practise of moving patients across borders for medical care and other health-related reasons which is commonlyknown as medical tourism. It consists mostly of travel and tourism combined with biological therapies. It is an effort to draw visitors by consciously highlighting its medical services and amenities in addition to its standard tourist attractions. India has a competitive advantage in the sector of health tourism due to the strong international reputation of its traditional medical system, particularly Ayurveda and Yoga, as well as the variety of tourist destinations the country offers. The primary issues and opportunities facing India's Ayurveda and Yoga sectors that aid in the promotion of their medical services both domestically and internationally are the topic of this article. KEYWORDS: Ayurveda, Health tourism, India, Yoga How to cite this paper: Dr. Bargale Sushant Sukumar | Dr. Aiswarya Balagopal "Ayurveda, Health, and Wellness Tourism in India" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456- 6470, Volume-7 | Issue-2, April 2023, pp.1085-1089, URL: www.ijtsrd.com/papers/ijtsrd56205.pdf Copyright © 2023 by author (s) and International Journal of Trend in Scientific Research and Development Journal. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (CC BY 4.0) (http://creativecommons.org/licenses/by/4.0) INTRODUCTION Wellness tourism, which is expected to be the primary economic driver of the sector, is one of the fastest-growing divisions of the tourism business. People start travelling to take advantage of a wide range of options that bring satisfaction and a healthy lifestyle with the advent of globalisation and the consumerism culture. People are more conscious of the value of health today. Tourist destinations are typically visited for leisure and entertainment. The motivation for visiting a tourist site might vary depending on the type of traveller and their interests. In order to satisfy the needs of visitors with a diversity of interests, tourist destinations provide a variety of tourism-related merchandise. The competing tourism industry established the niche travel sector known as "health tourism" in order to attract tourists who are primarily travelling for medical treatment. The deliberate promotion of a destination's health care services and amenities in addition to its normal tourist attractions is known as health tourism.1 The new type of tourism is now focusing on peace, sustainability, and spirituality on a global scale, creating a multimillion-dollar industry. In 2015, the Ministry of Tourism, Government of India, developed special rules for the promotion of wellness tourism in India after considering the potential of this business. Yoga, Ayurveda, Unani, and other alternative religious and spiritual items are only a few of the many goods available in India that foreign tourists are interested in experiencing. The Ministry of AYUSH was founded by the Indian government in 2014 with the goal of advancing study and research in the fields of Ayurveda, Yoga and Naturopathy, Unani, Siddha, and Homoeopathy. India was placed 12th among the world's top 20 wellness tourism markets in 2017.2 Objectives To critically review health tourism, its benefits and opportunities of India's Ayurveda and Yoga industries, that help them to promote their medical services domestically and abroad. Materials and methods All available literature related to health tourism in India & its possible marketing strategies with the help of Ayurveda & Yoga. Medical tourism- Consumers who cross foreign borders in search of medical care are said to be IJTSRD56205
  • 2. International Journal of Trend in Scientific Research and Development @ www.ijtsrd.com eISSN: 2456-6470 @ IJTSRD | Unique Paper ID – IJTSRD56205 | Volume – 7 | Issue – 2 | March-April 2023 Page 1086 engaging in medical tourism. The complete spectrum of medical treatments may be provided as part of this treatment, although the most frequent ones are dental work, cosmetic surgery, elective surgery, and fertility treatment.3 Health tourism, on the other hand, is described as "the organised travel beyond one's own area for the maintenance, promotion, or restoration of an individual's wellbeing in mind & body".4 India as Health Tourism destination- Health tourism combines the phrases "tourist" and "health care," and it entails the use of both types of resources.5 India is one of the most well-liked tourist destinations in the world due to its abundance in biodiversity and historic landmarks. Destinations for tourism are created to highlight their health care resources by offering a variety of health and fitness services and combining leisure, pleasure, and relaxation with wellness and healthcare. This calls for a comprehensive service package that includes mental activity and education along with physical exercise, beauty care, healthy nutrition and diet, relaxation, and yoga.6 Ayurveda and wellness tourism - Ayurveda is a thorough medical system that goes beyond treating symptoms to focusing on the underlying causes of ailments. Dosha, Dhatu, Malakriya (appropriate elimination of urine, bowel, and sweat) and Prasanna Atma, Indriya, and Mana (pleasant soul, sense organs, and mind) are said to be in equilibrium in order to be considered healthy.7 Health, or Swastha, is the state of Tridosha and Sapta dhatu functioning normally. Ayurveda's main goal is to treat disease in healthy people and prevent it in those who are already ill.8 Ayurveda's advantages, which offer effective treatments for a variety of ailments, including chronic ones, are growing more and more well-known on a global scale. It encourages bodily rejuvenation, reduces stress, and treats ailments brought on by a sedentary lifestyle. The fact that Ayurveda offers healing without having any noticeable side effects is one of its key advantages. The word "health tourism" combines healthcare and tourism. A health tourism location focuses on both its tourist attractions that encourage body and mind relaxation as well as its medical facilities that support wellness and healing. A growing trend in travel is health tourism, which offers a variety of medical treatments as well as leisure, entertainment, and relaxation in addition to wellness and healthcare. Tourist promotion that is competitive in order to draw travellers who are going primarily for easy access to healthcare facilities, governments have created the specialised tourism industry known as "health tourism." Individuals travel for medical reasons based on their preferences and a variety of additional criteria, such as cost-effectiveness and the closeness of medical facilities. An ancient medical method from the Indian subcontinent is called ayurveda. Both therapeutic and preventive healthcare are offered by ayurveda. Preventive modalities like lifestyle modification (those who follow Dinacharya (daily regimen), Rutucharya (seasonal regimen) and Nishacharya (night regimen) will not be afflicted by diseases),9 Yogasana,10 Pranayama (breathing techniques), Dhyana(meditation), preventive Panchakarma, Pathya-apathya (wholesome and unwholesome diet),11 etc. which not only prevent from the unexpressed disease but also promote the health and make body immune to disease. Ayurveda's diverse impacts contribute to sustaining both health and tranquilly. Ayurveda has a number of features that set it apart from other medical philosophies: 1. Rather than focusing on particular illnesses, it emphasises establishing and maintaining equilibrium of the Dosha and Dhatu within us.12 2. Despite the fact that two persons may have the same exterior symptoms, their constitutions are different and necessitate quite different treatments. It recognises the distinctive constitutional variations of every individual and accordingly prescribes various regimens for various types of people.13 3. Rather than treating the body only, Ayurveda aims to restore wholeness and harmony to all people and repair and preserve equilibrium between the fragmentation and disorder of the mind-body complex. Yoga- Yoga improves cardiovascular health, slows breathing, boosts physical fitness, lowers blood pressure, encourages relaxation, eases stress, and calms anxiety. Moreover, it enhances range of motion, focus, sleep, and digestion. It also helps with posture, coordination, and flexibility. Moreover, it can be used as an adjunctive treatment for a variety of illnesses, including cancer, diabetes, arthritis, asthma, migraine, etc., and it can even be used to treat addictions like smoking.14 India has established itself as the world's epicentre of "Ayurveda." Several rejuvenation centres and Ayurvedic resorts have popped up all throughout the country, attracting many foreign tourists. Popular resorts that are promoting "Ayurveda" tourism include: Somatheeram Ayurveda Resort, Kerala – This is regarded as the first ayurvedic resort in the world;
  • 3. International Journal of Trend in Scientific Research and Development @ www.ijtsrd.com eISSN: 2456-6470 @ IJTSRD | Unique Paper ID – IJTSRD56205 | Volume – 7 | Issue – 2 | March-April 2023 Page 1087 it was founded in 1985. This resort is situated on 15 acres and is 9 kilometres south of Trivandrum. Panchakarma and Rasayana (rejuvenating therapies) Ayurvedic packages are just two of the many Ayurvedic treatments available at the resort. Also, they have built a Green Leaf Certified Ayurvedic hospital that is independent and provides a range of therapies. They also have an Ayurveda academy, a herbal garden, and a manufacturing facility for medicines. They provide a variety of lodging choices, such as basic rooms, garden cottages, special cottages, Kerala houses standard and deluxe. Ananda in the Himalayas, Uttarakhand – One of the top luxury ayurveda resorts in India is located close to Rishikesh in the serene Himalayan foothills, 260 kilometres north of New Delhi. The resort offers Ayurveda, Yoga, and Vedanta as traditional Indian wellness modalities. Ayurvedic rejuvenation, yoga, stress management, and Ananda's distinctive detox programme are among the wellness packages it offers. Devaaya, The Ayurveda and Nature Cure Centre, Goa – It is a five-star Ayurveda & Yoga Resort 10 kilometres from Panaji that provides authentic Ayurvedic and Naturopathic remedies. The centre was built using the principles of "Vaastu Shastra," a science that enhances the harmony of the entire rejuvenation process. The resort offers a residential holistic programme including yoga, meditation, and Ayurveda therapies. Their whole Panchakarma plan, which normally lasts 15 to 30 days, includes a wellness programme for detox and renewal. Other popular Ayurvedic Resorts include: Carnoustie Ayurveda & Wellness Resort, Kerala Kalari Kovilakom, Kerala Soukya, Bangalore Vana Malsi Estate, Uttarakhand Kairali Ayurvedic Health Village, Kerala Leela, Udaipur The Terraces, Kanatal Shin Shiva Ayurvedic Resort, Kovalam Kerala in India has established a strong brand identity when it comes to offering professional Ayurvedic services to both domestic and international travellers. With the recent opening of Vaidyagrama, a healing hamlet, Coimbatore in the Indian state of Tamil Nadu is attempting to become the next top travel destination. Thekkupalayam's Kalpavruksha Ayurveda Village is another famous new attraction.15 There are mainly four modes of services in health tourism 1. Cross-Border Supply- Services are delivered across international borders with the use of information technology, and neither the service recipients nor the service providers are required to do so, as is the case with telemedicine. Ayurvedic services can be provided in a variety of ways by educating individuals in various countries about its practises, methods, and treatments. 2. Consumption Abroad- People might relocate to a location with access to healthcare for a variety of reasons. Travelers could go abroad for leisure, business, education, or medical care. A number of factors, such as accessibility to care, availability of alternative therapies, shorter wait times, higher quality, shorter costs, and natural advantages, can affect where people choose to travel. Several people visit south-east Asian countries in search of ayurvedic medications and medical procedures. For the yoga and Panchakarma therapies, people travel particularly. 3. Commercial Presence- The service supplier moves to the country where the customers are located. An organisation with foreign ownership and control could provide the service through a local affiliate or subsidiary. With the help of this technique, we may build infrastructure in our own nation and institutions that provide Ayurvedic medical care in the target nations. 4. Presence of Natural Person- The service is performed by a person who relocates or visits different nations. They may be workers for a particular company, medical experts, nurses, paramedics, midwives, technicians, consultants, trainers, staff members for health management, or other knowledgeable and seasoned personnel. Competent Ayurveda doctors and therapists may travel to foreign countries to offer ayurvedic medical facilities. The original nation can make considerable money this way.16 Benefits of Health Tourism in India: The parties involved in health tourism benefit greatly from it. The benefits of health tourism can be roughly categorised into two categories: Health travellers’ profit from the following: 1. Individualized attention. 2. Possible financial savings because medical care abroad is far more affordable than in the patient's native country. 3. Less time spent waiting. The patients won't have to wait in a line and will start receiving treatment as soon as they arrive. 4. Possibility to encounter another culture. 5. Using alternative therapies to rejuvenate the mind, body, and soul.
  • 4. International Journal of Trend in Scientific Research and Development @ www.ijtsrd.com eISSN: 2456-6470 @ IJTSRD | Unique Paper ID – IJTSRD56205 | Volume – 7 | Issue – 2 | March-April 2023 Page 1088 6. Possibility to unwind and take in the natural beauty while recovering. 7. Possibilities to take part in programmes that reduce stress. 8. Accessibility to alternative therapies like Ayurveda, yoga, etc. Advantages that health tourism sites receive: 1. A rise in employment prospects as the hotel, tourism, and aviation sectors all see growth. 2. Foreign exchange generator avenue. 3. Expands job chances in the health care industry. 4. A rise in the demand for complementary therapies. 5. Medical travel fosters stronger political ties. 6. Growth in insurance industry. Factors influencing the growth of medical tourism include a variety of elements that have contributed to the industry's popularity and globalisation. These elements include: 1. High cost of healthcare: The cost of healthcare may be less expensive in the destination country than in his. 2. Short wait times: Travel arrangements can be made to ensure rapid medical attention. 3. Use the cutting-edge tools and technologies that the health tourism location offers. 4. The accessibility and low cost of international travel. 5. The development of technology and healthcare standards in many nations, accessibility to highly qualified medical professionals, and high standards of care. 6. Benefiting from favourable currency rates and foreign travel. 7. Medical services that are lawful in the destination country but may not be legal in other countries can be accessed through circumvention tourism. 8. Make use of the regional medical system.17 India's potential for medical tourism- Due to its capacity to offer high-qualitytreatments at reasonable prices, India is quickly becoming a global leader in the medical tourism sector.18 By combining elements of both modern and ancient medical systems, the Indian health care system offers a distinctive range of services. Making plans for Indian health tourism: Indian health service providers may utilise the following marketing techniques to increase their focus on health tourism.19 1. Products/Goods: Yoga and Ayurveda can play a major role in the growth of the Indian health tourism industry. Yoga and Panchakarma therapy can be used to create health care modalities in well-known tourist destinations. There are several tourist destinations in India that might be exploited to promote the Ayurvedic alternative medical system. 2. Price/Cost: India has a price advantage over its rivals due to the high quality of its medical care and services, which are provided at extremely affordable rates. 3. Promotion: The growing health tourism industry should place a strong emphasis on advertising in travel publications and participation in travel fairs, travel marts, trade shows, exhibitions, conferences, and seminars. 4. Government's role: The Indian government must intervene as a regulator to establish health care systems that are linked to tourist attractions. In order to improve health tourism, it should also promote private investment in healthcare infrastructure and policymaking. 5. Holistic medical and diagnostic centres within corporate hospitals: Large tertiary hospitals should offer yoga and meditation classes in addition to Ayurveda, naturopathy, and other modalities on-site. This will enhance both systems and support the Indian traditional medical system. Limitations- India faces the following difficulties in developing a professional medical tourism sector and becoming a popular tourist destination: 1. A lack of infrastructure, including systems for connectivity, coordination, water supply, and power. 2. Due to insufficient hygiene knowledge, inadequate hospitality services, and a lack of industry norms, the majority of Indian hospitals are having trouble gaining the trust of foreign patients. 3. Absence of official recognition 4. Insufficient insurance protection, etc.20 Discussion- As civilization and science advance, a particular subset of tourism known as medical tourism is growing rapidly. The country's revenue is being increased by medical tourism and foreign exchange earnings. Additionally, it aids in enhancing the infrastructure for general health and quality services. Doctors and other healthcare professionals are receiving increased pay from hospitals, which is made feasible by the money generated by medical tourism. This is beneficial in that it keeps talent from leaving and provides the available workforce with the right opportunities. Health treatment is necessary for all patients, regardless of their nation of origin. Making distinctions based on nationality when providing healthcare is not humane. Yet if the needs of the people are disregarded, it would not be fair or right. Hospitals will also need to comply with social responsibility requirements. India is growing in
  • 5. International Journal of Trend in Scientific Research and Development @ www.ijtsrd.com eISSN: 2456-6470 @ IJTSRD | Unique Paper ID – IJTSRD56205 | Volume – 7 | Issue – 2 | March-April 2023 Page 1089 popularity as a destination for medical tourists, but there are a number of issues that these travellers have with regard to standards, infrastructure, and ethical and legal issues. Several issues need to be resolved, including accreditation, price transparency, easy visa rules, and coordination between hospitals, tour companies, and the relevant state government. Conclusion- India could take advantage of its fortunate position to take advantage of the worldwide potential in the field of health tourism. The development of health tourism depends heavily on the involvement of the government. For effective patient care, the tourism, health, information, and communication departments must collaborate. By emphasising its holistic treatments and developing and advertising the image of India as a provider of high standard, quality treatments at a reasonable price and making them accessible to potential clients, India may succeed in the health tourism business. References [1] Goodrich, G. & Goodrich J (1987), Healthcare tourism- an exploration study, Tourism Management, September pp.217-222 [2] Arora N. Ayurveda, Health and Wellness Tourism. Manha P, editor. Pathshala, MHRD, Govt of India. 15:2. [3] Balaban, V. and Marano C. (2010) Medical tourism research: a systematic review. International journal of infectious diseases. 14, e135-e135 [4] Carrera, PM & Bridges J.F.P (2006) Globalization and healthcare: understanding health and medical tourism, Expert review of Pharmaco economics and outcomes research, 6(4), pp 447-454 [5] health tourism: an overview, shodhganga.infibnet.ac.in [6] Indrani Borah & Dipak Kr. Goswami: Health Tourism & Its Prospects In India Through Ayurveda & Yoga. International Ayurvedic Medical Journal {online} 2018 {cited September, 2018} [7] Vaidya Jadavji Trikamji edited, Sushrutha Samhitha with Nibandha Sangraha commentary by Dalhana.7th .Varanasi: Chaukhambha Orientalia; 2002.p 75. [8] Vaidya Jadavji Trikamji edited, Agnivesha, Charaka Samhitha revised by Charaka and Dridhabala, with the Ayurveda-Dipika Commentary. Edition reprint 2013. Varanasi: Chaukhambha prakashan:2013.p 187 [9] Bhavamishra. Bhavaprakasha by Madhava kara Edited by Sri Brahmasankara Mishra and Sri Rupalalaji Vaisya: vol 1, 11th edition, Varanasi: Chaukhamba Sanskrit Bhavan; P- 108. [10] Vaidya Jadavji Trikamji edited, Agnivesha, Charaka Samhitha revised by Charaka and Dridhabala, with the Ayurveda-Dipika Commentary. Edition reprint 2013. Varanasi: Chaukhambha prakashan:2013.p 300 [11] Vaidya Jadavji Trikamji edited, Agnivesha, Charaka Samhitha revised by Charaka and Dridhabala, with the Ayurveda-Dipika Commentary. Edition reprint 2013. Varanasi: Chaukhambha prakashan:2013.p 133 [12] Vaidya Jadavji Trikamji edited, Agnivesha, Charaka Samhitha revised by Charaka and Dridhabala, with the Ayurveda-Dipika Commentary. Edition reprint 2013. Varanasi: Chaukhambha prakashan:2013.p 376 [13] Vaidya Jadavji Trikamji edited, Agnivesha, Charaka Samhitha revised by Charaka and Dridhabala, with the Ayurveda-Dipika Commentary. Edition reprint 2013. Varanasi: Chaukhambha prakashan:2013.p 277 [14] Prasad C.B.V.K. Medical tourism. dspace.iimk.ac.in/bit stream/2259/483/1/255- 260 [15] Arora N. Ayurveda, Health and Wellness Tourism. Manha P, editor. Pathshala, MHRD, Govt of India. 15:2. [16] https://en.m.org/wiki/Medical tourism (Cited 2020 July 9) [17] Indrani Borah & Dipak Kr. Goswami: Health Tourism & Its Prospects In India Through Ayurveda & Yoga. International Ayurvedic Medical Journal {online} 2018 {cited September, 2018} [18] health tourism: an overview, shodhganga.infibnet.ac.in [19] Indrani Borah & Dipak Kr. Goswami: Health Tourism & Its Prospects In India Through Ayurveda & Yoga. International Ayurvedic Medical Journal {online} 2018 {cited September, 2018} [20] S.K. Dawn, S. Pal, Medical tourism in India: issues, opportunities and designing strategies for growth and development, international journal of multidisciplinary research, vol 1, issue 3