Integration of Ayush in Health Care System under National Rural Health Mission

After the launch of NRHM, the Ministry of Health and Family Welfare has taken several steps for strengthening health care facilities by integrating AYUSH systems in national health care delivery systems. The integration is facilitated by appointing or co-locating AYUSH doctors & supporting staff and creating infrastructure according to local needs.

There were 640 districts, 6431 blocks and 638588 villages incorporating 605 District Hospitals (DHs), 4535 Community Health Centres (CHCs) and 23673 Primary Health Centres (PHCs) till March 2011. Out of these, AYUSH facilities had been co-located with 416 District Hospitals, 2942 Community Health Centres and 9559 Primary Health Centres during 2011. About 68.76% District hospitals had been co-located with AYUSH facilities till 2011. All the District hospitals existing in the states and union territories of Goa, Haryana, Jharkhand, Maharashtra, Mizoram, Sikkim, Tamil Nadu, Tripura, Lakshadweep and Puducherry had been co-located with AYUSH facilities, whereas, the states having more than 50% of the District hospitals co-located with AYUSH facilities were Chhattisgarh, Punjab, Madhya Pradesh, and Uttarakhand., There had been no co-location of AYUSH facilities in the Districts hospitals of the remaining 12 states and union territories.

Nearly 65% Community Health Centre’s had been co-located with AYUSH facilities till 2011. All the CHCs existing in the states and union territories of Andhra Pradesh, Goa, Nagaland, Orissa, Manipur, Tamil Nadu, Uttar Pradesh, Uttarakhand, Andaman & Nicobar Islands, Chandigarh, Dadra & Nagar Haveli, Daman & Diu, Lakshadweep and Puducherry had been co-located with AYUSH facilities., whereas, the states having more than 50% of the CHCs co-located with AYUSH facilities were Chhattisgarh, Haryana, Jharkhand, Maharashtra, Meghalaya, Punjab, Tripura and West Bengal. The states having more than 25% but less than 50% of the CHCs co-located with AYUSH facilities were Arunachal Pradesh, Gujarat and Rajasthan. The states having less than 25% CHCs co-located with AYUSH facilities were Madhya Pradesh only. No co-location of AYUSH facilities had been observed in CHCs in the remaining 8 states and union territories.

About 40.4% Primary Health Centre’s had been co-located with AYUSH facilities till 2011. All the PHC existing in the Union Territory of D&N Haveli, Daman & Diu and Puducherry, Jammu and Kashmir, A& N Islands, and Lakshadweep have been co-located. The States/ Union Territories having more than 50% of the PHCs co-located with AYUSH facilities were Goa, Andhra Pradesh, Gujarat, Manipur, Orissa, Rajasthan, Tamilnadu and Tripura, States having more than 25% but less than 50% of the PHCs co-located with AYUSH facilities, were Karnataka, Meghalaya West Bengal, Chhattisgarh, Maharashtra, Uttar Pradesh and Punjab. The states and union territories having less than 25% of the Primary Health Centres co-located with AYUSH facilities were Arunachal Pradesh, Haryana, Himachal Pradesh, Madhya Pradesh and Uttarakhand.