Ayush-Keralam

1. AYUSH Keralam
Dr. R. Rejikumar BHMS, MD(Hom)
Consultant (AYUSH Integration),
State Health System Resource Centre
Kerala

2. AYUSH

3. SWOT Analysis - AYUSH

4. Strengths
•Safety
•Efficacy
•Cost factor
•Indigenous
•Traditional
•Complementary
•Global demands

5. Weaknesses
•Statistical Data
•Research
•Budget allocation
•Quality of drug.
•Dispensing
•Trained manpower
•Diagnostic tools.
•Emergency
management

6. Opportunities
•Specific areas
–Rheumatic affections
–Anorectal disorders
–Mother & Child health
–Skin & Respiratory
allergic diseases
–Psychosomatic illness
–Infectious diseases
–Lifestyle diseases

7. Threats
•Quacks /
inadequately qualified
persons.
•Lack of knowledge
updating.

8. Strategy

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: [email protected] 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. Unani
•The word "Unani"
(meaning "Ionian")
reflects the strong Greek
influence to this tradition
of medicine, but the
origins of the traditional
Oriental medicine known
as "Unani-Tibb" begin
with the famous
physician, Avicenna (also
known by the name
Hakim Abu Ali Abdullah
Husayn Ibn Sina)

11. Unani
 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.
 The human body is considered
to be made up of the following
seven components are:
iv.Elements (Arkan)
v.Temperament (Mizaj)
vi.Humors (Akhlat)
vii.Organs (Aaza)
viii.Spirits (Arwah)
ix.Faculties (Quwa)
x.Functions (Afaal)

12. Siddha
•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.
•Derangement of Uyir thathu leads to diseases of body
and mind.
•Causes of diseases as per Siddha system are
–Unavu (food)
–Seyal (doings)
–Kaalam (climate and environment)
–Kanmam (by birth)

13. Homoeopathy
●
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.
●
Law of Simplex- a single medicine is used for a patient at a time.
●
Law of Minimum- minimum dose, sufficient to initiate the healing
process, is prescribed. Such dose produces no toxic effect in the
body.
●
Doctrine of Drug Proving- curative power of a drug substance is
known by administering it to healthy human beings.
●
Theory of Vital Force- Homoeopathy believes in a regulating force
(Vital force) in human body.
●
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.

14. AYUSH - India
•CCIM
•CCH
•CCRAS
•CCRUM
•CCRH
•NIA
•NIH
•MDNIY

15. AYUSH - Kerala
•2 Separate Directorates
–DISM & DH for ISM & Homeopathy
respectively
•1300 ( 53 %) AYUSH institutions

16. ISM Factsheet
Ayurveda
747 dispensaries (including 11 Sidha)
117 hospitals.

17. •Unani
•1 Dispensary - Uduma, Kasargode
•Siddha
•14
•1 independent hospital Vallakadavu, Tvm
•2 IP wings attached to GAH, Neyyattinkara & DAH, Thodupuzha
•6 dispensaries
•Naturopathy
•1 Independent Hospital at Varkala, Tvm & 1 wing at GAH, Ottappalam.

18. DH Factsheet
•526 Dispensaries
•30 Hospitals

20. Mainstreaming of AYUSHMainstreaming of AYUSH
•Integration of Infrastructure, Manpower & Integration of Infrastructure, Manpower &
Medicines of Ayurveda, Yoga & Medicines of Ayurveda, Yoga &
Naturopathy, Unani, Siddha and Naturopathy, Unani, Siddha and
Homoeopathy (AYUSH) Systems to Homoeopathy (AYUSH) Systems to
strengthen the Public Health Care delivery strengthen the Public Health Care delivery
and strengthen the AYUSH systems at and strengthen the AYUSH systems at
grass root level by establishing a linkage grass root level by establishing a linkage
with Modern Medicine i.e, Allopathy in a with Modern Medicine i.e, Allopathy in a
collaborative way.collaborative way.

21. Under NRHM
•Total 437 Temporay AYUSH
Dispensaries each with a Medical
Officer
–276 Homoeo Medical officers
–150 Ayurveda Medical Officers
–11 Unani Medical Officers

22. Temporary dispensaries
–Human Resources and Drugs are given
through NRHM while basic infrastructure and
other logistics is provided by the concerned
Panchayats.
–Drugs for Homoeo is procured through
HOMCO, which is a company under the State
Government manufacturing Homoeo drugs
–Drugs for Ayurveda is procured from
Oushadhi which is a Govt. company.

23. Year
Opening
Balance
Fund received
Total fund
with the
Society
Expenditure
reported
%
2005-06 2.48 34.45 36.93 3.9011
2006-0733.0380.60 113.6317.6416
2007-0895.99120.00215.99116.9954
2008-0999.00
232.47+
53.25*
384.72281.6573
2009-10 (as
on 31.01.10 at (HO)
and as on
31.12.09
from Dist)
103.0
7
151.42+29.
25*
283.74225.7380
Total 701.44 645.9192
* State Share (TRP and Flagship Programme)
FINANCIAL SUMMARY (Rs.in Crores)

24. Contd.
Sl NoSl No
ActivityActivity
2009-102009-10 2010-11
1Unspent balance under
NRHM
60.11 0
2GOI resource Envelope
for NRHM including
25% higher allocation for
the purpose of PIP
approval
293.98 352.19
3State share 44.10 52.83
Total 398.18 405.02
EXPECTED BUDGET

25. Sl
No
Activity
Approve
d 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
availabi
lity
%
on
PI
P
Proposed
for the
year
2010-11
1
RCH-II 88.7518.2862.8481.1260.447568125.95
2
Additionali
ties under
NRHM
209.9519.9884.20104.18136.3413165255.00
3
Immunizati
on
10.650.324.384.70 2.23 47216.94
5 NDCP 17.495.499.1014.79 9.68 655529.61
4State share
(Exp other
than
NRHM)
- 12.5629.2541.8126.7264- -
Total326.8551.14189.77246.60235.419572417.50
Summary 2009-10 with proposed budget for
2010-2011 (Rs. In crores)

26. Finance for AYUSH
2055.541556.84Total
1085.34789.12Incentives
0543.74Addl. Contract staff
970.20223.98Mainstreaming of AYUSH
Mission Flexible Pool
Budget
10-11
Exp. 09-10Activity

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. Manpower
Remuneration :
Rs 7,05,74,400
Medicines @
25,000 per
Dispensary :
Rs 69,00,000
Total Amount :
Rs 7,74,74,400

29. •Manpower Remuneration : Rs. 27,98,400/-
•Medicines @ 50,000 per Dispensary : Rs. 5,50,000/-
•Total Amount : Rs. 32,98,400/-

30. •Further, as a part of monitoring the program, the
process of
•providing one vehicle on hire basis to all District
units of Homoeo and
•Ayurveda is proposed to be continued.
•Ayurveda : 14 x 20000 x 12 = Rs.33.60 lakhs
•Homoeo : 14 x 20000 x 12 = Rs.33.60 lakhs
•Total budget for 2010-11 is Rs.14,94.43 lakhs.

31. No of Institutions identified for up
gradation purpose in the first phase
Ayurveda Homoeopathy
oThiruvananthapuram 2 2
oKollam 2 2
oPathanamthitta 2 0
oAlappuzha 2 1
oKottayam 2 2
oIdukki 2 2
oErnakulam 3 1
oThrissur 4 0
oPalakkad 2 0
oMalappuram 1 1
oKozhikode 2 1
oWayanad 1 1
oKannur 3 1
oKasargode 2 1
Total 30 15

32. Draft Action Plan
•Mainstreaming of AYUSH in Kerala
•Revitalizing Local Health Traditions

33. Infrastructure
•A. Construction / Renovation
•I. Construction works of Dispensaries /
Hospitals should be undertaken in
•those LSGIs with meager funds.
•B. Additional facilities
•I. Laboratary facilities, ECG, X-ray & USG
units should be started

34. Human Resource Planning
•A. Recruitment
•i. Posting of Medical Officers in temporary dispensaries.
•ii. New recruitment should be done in uncovered
Panchayaths.
•iii. Paramedical Staff & Attenders to be posted in all
dispensaries
•B. Transfer
•i. Requests, status & orders should be completely online.
•ii. As far as possible, staff should be posted in the
districts of their choice.

35. Human Resource Management
•A. Remuneration
•I. Remuneration of Medical Officers should be
enhanced.
•II. Post Graduate Degree allowance should be
given to Medical Officers with PG qualification.
•III. Special Allowance should be given to Medical
Officers working in difficult Rural areas &
inaccessible rural areas
•IV. Parity of remuneration should be maintained
among doctors of all systems working under
NRHM.

36. B. Training
•I. Induction training to MOs on NRHM,
National flagship programs,Administration,
Accounts & Stock management.
•II. In-service training to MOs in
Computers, Open-source office
automation & soft skills.

37. Research
•A. Clinical
•I. Prospective studies should be funded &
monitored
•B. Retrospective analysis
•I. Epidemic Prophylactic efficacy studies
should be done.

38. PMU
•PMSU should be separately set up for
AYUSH systems

39. State Health System Resource Centre
Objectives
•· To provide technical assistance and capacity building measures to
•Dist. health Institutions
•· Providing Support to State Health system to develop strategy
•planning in health initiations, innovation and change management
•· Quality improvement in health care through managerial
•interventions
•· To derive a viable Human Resource Planning (HRP) for all health
•institutions
•· To under take reform activities in Health institutions
•· To act as Health Data Warehouse

40. Vision
•· Evaluation of current strategies of district level
health plans initiated by NRHM
•· Gap analysis in Health Service Delivery –
current status
•· HMIS –its status (effectiveness study)
•· HRP for all institutions for the year 2010-11
•· Evaluation of quality improvement systems
implemented in district level institutions

41. •Programmes for integrating AYUSH activities to
improve Health Service Delivery to the public
•· Evaluation of ASHA activities for women and
child care in Kerala
•· Evaluation study on utility of infrastructure
development done under NRHM in Kerala
•· Submission of report to the Government from
the studies under taken as above.

42. SHSRC Kerala
Technical Staff
•Executive Director 1
•Consultant (Public Health Planning) 1
•Consultant (Non Communicable D/s) 1
•Consultant (Nursing) 1
•Training Co-ordinator 1
•Consultant (AYUSH Integration) 1
•ASHA Consultants (Trg) 2
•ASHA Consultant (DMD) 1

43. ASHA Framework
ASHA was sanctioned to the State only in 2007.
31000 out of 32000 were selected and deployed.
Training being undertaken
•Operationalisation of ASHA Resource Centre
under SHSRC
•Implementation of NCD program through
ASHA
•Training on ASHA on fast track and
Operationalisation of ASHA Mentoring Group
•Impact Assessment of ASHA

44. Timeline - HomoeopathyTimeline - Homoeopathy
•10.11.2008: Sanction for 41 Homoeo Dispensaries
[G.O (Rt) 3710/2008/H&FWD]
•26.02.2009: Modified conditions
[G.O (Rt) 528/2009/H&FWD]
•28.02.2009: Sanction for 101 Homoeo Dispensaries
[G.O (Rt) 545/2009/H&FWD]
•01.10.2009: Sanction for 136 Homoeo Dispensaries
[G.O (Rt) 2825/2009/H&FWD]
Mar 30, 2010
Dr. R. Rejikumar MD(Hom),
Consultant (AYUSH Integration) 44

45. Timeline - AyurvedaTimeline - Ayurveda
•13.11.2008: Sanction for 48 Ayurveda Dispensaries
[G.O (Rt) 3766/2008/H&FWD]
•26.02.2009: Modified conditions
[G.O (Rt) 527/2009/H&FWD]
•28.02.2009: Sanction for 52 Ayurveda Dispensaries
[G.O (Rt) 547/2009/H&FWD]
Mar 30, 2010
Dr. R. Rejikumar MD(Hom),
Consultant (AYUSH Integration) 45

46. http://www.arogyakeralam.gov.in

47. Mar 30, 2010
Dr. R. Rejikumar MD(Hom),
Consultant (AYUSH Integration) 47
Dr. R. Rejikumar
9497007171 (Mob)
0471-4062271 (Off)
0471-4062270 (Fax)
[email protected]