Minutes of the meeting of Secretary (AYUSH) with State Health Secretaries held
on 25.4.2012 at 10.30 a.m. in the Committee Room, IRCS Building,
New Delhi-110001
A meeting of State Health Secretaries was convened under the Chairmanship of
Secretary (AYUSH) on 25.04.2012 at 10.30 a.m. in the Committee Room, 2nd Floor,
IRCS Building, New Delhi.
The list of participants is annexed.
1. At the outset, Secretary (AYUSH) welcomed the State Health Secretaries/their
representatives to the meeting and highlighted the objectives of organizing the
meeting. All the participants gave brief introduction. Secretary (AYUSH) while
welcoming the participants stated that one of the objectives of the meeting is to
repeat the urgency of liquidating the outstanding UCs under the scheme. These
have been reiterated from time to time in the previous 3 meetings taken by him.
2. Secretary (AYUSH) referred to the report of the Parliamentary Standing Committee
while discussing on demands for grants of the Department of AYUSH, which has
appreciated the efforts made by the Department for liquidating the outstanding UCs
with the States but emphasized the importance of timely settlement of UCs and
implementation of the projects by the States to avoid budget cuts of the Department
of AYUSH in coming years.
3. Secretary stated that he had also apprised the Committee that as compared to zero
percent share of Centrally Sponsored Scheme in the 8th Plan of AYUSH, the share
of Centrally Sponsored Scheme had gone up to 41% in the 11th plan, thus
substantially increasing the dependence of the Department’s expenditure
performance on the submission of UC’s by the States. Secretary also informed that
the Parliamentary Committee had been apprised that, if the States again failed to
submit UC’s in time, then the Department of AYUSH would in view of the heavy
dependence on UC’s, again have to surrender a substantial part of its budget in the
current financial year 2012-13. Secretary therefore stressed that states must submit
UC’s by August, 2012, because if releases have not occurred by September, 2012,
then the Ministry of Finance would again impose a budget cut for the current
financial year as had happened in the previous financial year. Secretary (AYUSH)
informed the State representative that for speeding up the liquidation of outstanding
UCs, the Department has allocated States to certain officers of the Department and
they will be coordinating and visiting the states for liquidation of outstanding UCs for
their States at least on quarterly basis and as and when required by the Department
of AYUSH. States were asked to extend necessary cooperation in organizing
meeting with concerned officials of the States.
4. He emphasized the need to take mainstreaming of AYUSH forward and actively
involve the curative, promotive and preventive strengths of AYUSH systems. In this
context, he mentioned the new initiatives being taken by AYUSH Department in
collaboration with Department of Health & Family Welfare, & with other agencies. He
3
informed the participants that Additional Secretary and Mission Director, NRHM who
is present today in this meeting will brief the states on Mainstreaming of AYUSH
implementation. Secondly, the Department of AYUSH and DGHS were evolving a
programme for joint action on Non-communicable diseases (NCDs), for which the
participants would be briefed in this meeting by Dr. Manoj Nesari, Joint Adviser
(Ayu.), Department of AYUSH. Thirdly, Secretary General, Indian Red Cross Society
would join later to brief the participants about exploring the ways for co-coordinating
with them for using the preventive and promotive strength of Indian System of
Medicine for prevention of non-communicable diseases through AYUSH
intervention.
5. Secretary also mentioned that the Department has proposed to set up certain all
India level institutes for 12th Plan and would be looking for suitable locations for the
new institutes after the 12th Plan proposals are approved. Secretary also informed
the participants that the Union Health Minister had approved the AYUSH
Department’s proposal to have a separate flexipool on the lines of the NRHM
Flexipool. Necessary action would now be taken to seek Government approval for
the AYUSH flexipool. For preparation of the Departmental base paper, he requested
the States to urgently send the details of State Government standalone AYUSH
hospitals and dispensaries in the prescribed format.
6. Additional secretary and M.D (NRHM), Smt. Anuradha Gupta thereafter highlighted
the strategies for mainstreaming of AYUSH under NRHM programme of Deptt. of
Health and Family Welfare. The states were advised to consider the following
aspects while formulating their programmes under PIP mode.
(i) At the District hospital level, both Homeopathy and Ayurveda systems should be
encouraged with MD Doctors. PanchakarmaUnit should also be considered.
(ii) At CHCs and PHCs any one system viz., Homeopathy/Ayurveda/ Unani/Siddha
could be considered depending on local preference.
(iii) At CHC/PHC level, Post-Graduate Degree may not be insisted upon.
(iv) Drugs for AYUSH facilities collocated at CHC/PHC/Hospitals could be
provided out of mission flexi pool funds in case of scarcity of resources with
the Department of AYUSH.
(v) District Ayurveda Officer should be a member of District Health Society in order
to participate in decision making with regard to indent, procurement and issue
of AYUSH drugs.
(vi) Infrastructure at facilities proposed to be collocated would be provided by
Department of AYUSH.
(vii) Those PHC/CHC/Sub-Divisional hospitals which have been identified as
delivery points under NRHM should be given priority for collocation of AYUSH
as these are functional facilities with substantial footfalls.
(viii) State-wise list of such delivery points will be provided by Dr. Himanshu
Bhushan, Deputy Commissioner (Maternal Health) Ministry of Health and
4
Family Welfare, Government of India. His contact nos. are 2306 2930,
9868071145.
(ix) OPD in AYUSH clinics will be monitored alongwith IPD/OPD for the facility as
a whole.
(x) AYUSH medical officers should increasingly be involved in the implementation of
national health programmes and for the purpose of supportive supervision
and monitoring in the field. They should be encouraged to oversee VHND and
outreach activities and in addition programmes such as school health, weekly
supplementation of iron and folic acid for adolescents, distribution of
contraceptives through ASHA, menstrual hygiene scheme for rural adolescent
girls etc.
(xi) AYUSH medical officer should also be member of the RKS of the facility and
actively participate in decision making.
(xii) AYUSH pharmacist should be provided only if OPD crosses a certain bench
mark.
(xiii) Remuneration to AYUSH doctors engaged on contract at collocated facilities
should be fixed on the basis of supply and demand position and the prevailing
market compensation.
7. She emphasized that the AYUSH doctors should participate in national health
programmes and they should have genuine patient load at the AYUSH facility. She also
mentioned that for birth related matters NRHM has identified certain facilities as
delivery points and these delivery points should be taken up for co-location on priority
basis. She also mentioned that AYUSH doctors should be part of the Rogi Kalyan
Samitis.
8. The representative from Uttarakhand mentioned that State Programme
Management Unit also should consist of technical persons from AYUSH systems of
medicine. Uttarakhand and Karnataka state sought the approval of the additional PIP’s
on mainstreaming of AYUSH to be sent to Department of health.
The representative from Bihar mentioned about the capacity building of AYUSH doctors
as an important strategy. However, they could not undertake the same due to lack of
technical guidelines. He suggested that AYUSH to develop training manual for doctors
on issues like: NCD and similarly training for allopathic doctors on AYUSH strengths.
9. Joint Secretary (VSG), Department of AYUSH asked the states to submit the
PIPs without further delay so that department may know the requirement of the states
during the financial year 2012-13. He also mentioned that the major issue affecting the
releases to States is on account of pending UCs from the State Governments and slow
progress in project implementation. He clarified that the GFR provisions with regard to
release of grants-in-aid and submission of UCs has to be followed.
5
10. The Secretary of Punjab state mentioned that the pending UCs is due to delays
in completion of capital works. There should be a mechanism similar to NRHM for
accounting the unspent balance remaining with the states.
11. State Government of Tripura brought to the notice that under NRHM scheme, the
State Govt. had submitted provisional UCs and they have got funds. They said that for
2010-11 they have floated tender for audit and will be able to submit audited UC only in
the month of July. PIP will also be delayed by September-Oct. The State Govt. wanted
to submit provisional UC like in NRHM scheme for release of funds. On this JS (VSG)
wanted the States to quote an precedent where the State Government has got release
of funds after submission of provisional UC so that this can be taken up with
IFD/Ministry of Finance.
12. AS &FA urged the representatives of the States to submit the audited statement
for the funds released upto 2010-11.The guidelines followed by NRHM shall be followed
by the Department of AYUSH also. Secretary (AYUSH) mentioned that the State
Government should release the funds to the implementing units, within 2-3 months of
release of funds by the Central Government.
13. Secretary (AYUSH) informed that under National Programme for control of
cancer, diabetes, CVD and stroke (NPCDCS), DGHS had rolled out public health
programme in identified 30 districts of 21 states in the country. DGHS has desired to
incorporate AYUSH doctors in preventive and promotive interventions in dealing with
these non-communicable diseases. The role of AYUSH doctors will be to focus on drugless
intervention with aim for prevention of the non-communicable diseases. The states
were requested to furnish their opinion in this regard. Dr. Nesari, Joint Adviser (Ay.),
Deptt. of AYUSH thereafter briefed the participants about the proposed guidelines for
AYUSH involvement in non-communicable diseases. AYUSH plays a major role in the
prevention of the diseases. Diet control is one of the strategy in NCD. Participation of
local health government in these programmes is important. There is a need to make
IEC booklet to publish in local understandable language with main focus on children. 30
districts have been identified as of now and later on this will be extended to 100
identified districts. There should be participation of AYUSH teaching hospitals in NCD
programme as they have readily available infrastructure in co-ordination with DGHS.
14. Dr. Agarwal, Secretary General, IRCS, said that the core function of Red Cross is
community health besides blood donation and disaster management. They have set up
25 hospitals in different States. He requested the States to send proposals on AYUSH
participation in prevention of NCD through IRCS network. He suggested that there is a
great potential in utilization of large number of volunteers to spread awareness about
the strength of Indian System of Medicine. He proposed that let at the head quarter
level Indian Red Cross and Department of AYUSH may sit down together to discuss the
6
proposed cooperation so that Red Cross Volunteers can be utilized in prevention of
non-communicable diseases by way of AYUSH systems of medicine. This may be
followed by the joint sensitization meetings by State AYUSH Departments and State
Red Cross units for their officials. Secretary (AYUSH) welcomed the suggestion and
directed Departmental officials to take it further.
15. The representative of Govt. of Sikkim shared their experience of controlling NCD
through AYUSH intervention. He stated that they have identified a particular village,
where 80% of the disease is non-communicable. They have undertaken a basic health
checkup and found that obesity is the major cause of various non-communicable
diseases. They have fully involved AYUSH in their preventive programmes and found
very encouraging results. They are updating the profile of the patients on annual basis.
In this process Red Cross Society of Sikkim is also involved. 72% of disease of
hypertension in a particular village has been considerably brought down through the
AYUSH intervention.
17. Shri Sreekantiaah, D.G, AYUSH, Karnataka, stated that Yoga is being promoted
in large scale in the state of Karnataka.They have trained more than 2000 yoga
teachers. They are also training students and the response is remarkable as observed
in the improved academic performance of the students. The representative of Tamil
Nadu mentioned that the yoga camps have been held in IT Offices.
18. Dr. Kohli, Director (Ay.), Maharashtra, stated that NGOs have been actively
participating in promotion of Yoga. He stated that joint programme and co-ordinated
activities of AYUSH and Red Cross will enhance the effectiveness of the programme.
19. The Principal Secretary, Punjab requested the Deptt. of AYUSH to bring out the
literature on AYUSH role in prevention of NCD for guidance of the State through IEC.
She suggested that IEC material be uploaded on the Department’s website, Secretary
(AYUSH) welcomed the suggestion and asked Joint Adviser (Ay.), Deptt. of AYUSH to
take necessary action in regard to preparation of the AYUSH literature.
20. In Bihar, as mentioned by the representative, Allopath doctors of NRHM are
trained on AYUSH system. Module has been given by National Institute of Yoga. They
have trained at least 300 doctors for a week on Yoga. In the state of Chhattisgarh,
Pamphlets have been printed on preventive and curative measures about diseases.
School students have participated in yoga. They are involving Red Cross also in these
activities.
21. The representative of Jharkhand stated that they are taking steps in spreading
awareness and propagation of yoga. In Andhra Pradesh, Pranayama centres have been
opened. Housewives have joined these centers to avoid lifestyle diseases.
7
22. The Rajasthan representative mentioned that the State has constituted Board on
Yoga and Naturopathy. JS (VSG) stated that there are schemes on Public Health
initiatives but the Centre is not getting any proposal from any State Govt. Red Cross
and State Health Directorate were requested to take initiatives and submit proposals
under Public Health initiatives.
23. Secretary (AYUSH) mentioned that there should be close monitoring of the
implementation of AYUSH programmes by the States. JS (VSG) suggested that there
should be monthly monitoring of the programme, project etc. and stressed on full
utilization of funds, Mission Director should monitor at the headquarter level.
24. The representative of Tripura mentioned about Tele Homoeopathy project
assisted by Department of AYUSH. The State wanted to take over the project but
wanted Government of India to bear the recurring cost. The representative said that the
State is running Tele medicine project and wanted to merge it with Tele homoeopathy.
JS(VSG) advised them to bring up the proposal through PIP and also requested the
State govt. to give the UC of AYUSH projects.
The meeting concluded with following observations:-
1. The States should review and examine their pending Utilization Certificates and
expedite the liquidation of the same after identifying the bottlenecks so that eligible
grant in aid may be released from the Department of AYUSH. In case there are
specific problems faced by certain States, these may be identified and proposal for
fresh releases may be sent to Department of AYUSH with sufficient justification for
consideration by IFD to find way forward during 2012-13. (Action: States by
August,2012)
2. The AYUSH PIP for 2012-13 should be immediately submitted to Department of
AYUSH for undertaking mainstreaming of AYUSH activities in this financial year.
States to specifically identify programme to be taken up as under SC/ TSP
components since there are specific provisions in the budget allocation for incurring
of expenditure under these components. (Action: States by 31st May, 2012)
3. The details of State Government standalone AYUSH hospitals and dispensaries in
the prescribed format should be sent to the Department within a fortnight for knowing
the baseline for evolving an AYUSH flexipool scheme. The information from all
States would be compiled and the facilities categorized to form basis of
Department’s proposal for creating an AYUSH Flexipool. (Action: States by 31st
May, 2012)
8
4. The AYUSH professional and facilities to be geared up for assisting national health
programmes under NPCDCS. (Action: by States)
5. Training and IEC material on preventive & promotive role of AYUSH system in
controlling NCD would be prepared by Department of AYUSH for sharing with State.
Similarly, the training module for allopathic doctors on strengths on AYUSH system
will also be prepared by the Department. (Action: Dr. Manoj Nesari, Joint Adv. (Ayu.
by July, 2012)
6. The state may explore the feasibility of coordinating with Indian Red Cross society in
dealing the non communicable diseases through AYUSH system. (Action: States
by July, 2012)
7. A meeting of Department of AYUSH and IRCS may be convened to discuss the
proposed cooperation with Indian Red Cross Society so that Red Cross Volunteers
can be utilized in prevention of non-communicable diseases by way of AYUSH
systems of medicine. This may be followed by the joint sensitization meetings by
State AYUSH Departments and State Red Cross units. (Action: J.S.(VSG) by June,
2012)
8. Secretary (AYUSH) called upon the State Government representative to pay urgent
attention to enforce Minimum Standard of Education in AYUSH Educational
Institution by taking proactive action to remove the deficiencies so that these
institution confirm to CCIM/ CCH norms. (Action: by States)
The meeting ended with the vote of thanks to the chair.
9
Annexure
List of Officials attended the Health Secretaries Meeting under the Chairpersonship of
Secretary-AYUSH held on 25.4.2012
Sl. No. Name & Designation Address
1. Shri Anil Kumar,
Secretary (AYUSH)
Department of AYUSH,
Ministry of Health and Family Welfare, Nirman
Bhawan, New Delhi
2. Shri. R. K Jain,
AS & FA
Ministry of Health and Family Welfare, Nirman
Bhawan, New Delhi
3. Smt. Anuradha Gupta,
Additional Secretary & Mission
Director(NRHM)
Ministry of Health and Family Welfare, Nirman
Bhawan, New Delhi
4. Vikram Singh Gaur,
Joint Secretary
Department of AYUSH, New Delhi
5. Dr. S.K. Sharma,
Advisor-Ayurveda
Department of AYUSH, New Delhi
6. Smt. Ali Rizvi,
Secretary (AYUSH)
Government of Himachal Pradesh
7. Dr. S.P. Aggarwal,
Secretary General
Indian Red Cross Society, IRCS building, New
Delhi
8. Smt. G.D. Aruna,
Commissioner -AYUSH
APGLI building, Hyderabad, Andhra Pradesh
9. Shri Bhupinder S. Bhalla,
Commissioner & Secretary
Health
Secretariat, Port Blair, Andaman & Nicobar,
10. Shri D.P. Wahlang,
Commissioner & Secretary,
Health & F.W.
Govt. of Meghalaya, Room no. 315-Addl. Sectt.
Shillong – 793001
11. Dr. Jayadev Saransi,
Special Secretary (H&FW) &
Mission Director
Government of Delhi, Room no-A-905,9th Level
A-Wing Delhi Secretariat, IP Estate, New Delhi
12. Vini Mahajan,
Principal Secretary –Health &
FW
Government of Punjab
13. Shri K. Vidyasagar,
Principal Secretary (Health)
Government of Jharkhand
14. Shri Pratap Singh,
Commissioner (Health)
Government of Chhattisgarh
15. Shri Padmalochan Beher,
Joint Secretary, Health
Government of Odisha
16. Shri Sukumar Ganai,
Additional Secretary
Government of West Bengal
17. Shri S.K. Sharma,
Commissioner- AYUSH,
Department of AYUSH, Punjab
18. Shri Samarjit Bhowmik
Mission Director-NRHM
Government of Tripura
19. Shri R.A. Khandelwal,
Commissioner (AYUSH)
Directorate of Indian System of Medicine &
Homoeopathy, Bhopal , Madhya Pradesh
20. Dr. Veer Bhaskar, Joint
Secretary
Indian Red Cross Society, IRCS building, New
Delhi
10
21. Shri Manish Choudhary,
Director
Indian Red Cross Society, IRCS building, New
Delhi
22. Shri G.N. Sreekantiah,
Director-AYUSH
Department of AYUSH, , Karnataka
23. Dr. Abdul Kabir Dar,
Director (AYUSH)
Jammu & Kashmir,
24. Dr. G.S. Badesha,
Director -AYUSH
O/o nursing hostel, near mantralaya, Raipur
Chhattisgarh
25. Shri Mohan Lal,
Director, ISM&H
Karol Bagh, New Delhi
26. Dr. N. Balaji,
Director, ISM&H
Govt. Pharmacy complex, Puducherry
27. Shri Dhiren Kumar Pattnaik,
Director AYUSH
Directorate of ISM&H, ,Bhubaneshwar Odisha
28. Dr. V. Prasad,
Director, Homoeopathy
Uttar Pradesh, Lucknow
29. Dr. K.R. Kohli,
Director (AYUSH)
Directorate of Ayurveda, Mumbai ,
Maharashtra
30. Smt. Anita Jacob,
Director (ISM)
Arogyabhavan, M.G. Road,
Thiruvananthapuram
Kerala
31. Smt. K. Jamuna,
Director (Homoeopathy)
Department of Homeopathy, Kerala
32. Dr. Guneshwar Sharma,
State AYUSH officer,
Medical Directorate, Manipur
33. Dr. Am. Abdul Kadher, M.D.
Joint Director
Department of Indian Medicine & Hom. Chennai,
Tamil nadu
34. Shri Syed Nasir Ahmed,
Asst. Director
Department of Indian Medicine & Hom. Chennai,
Tamil nadu
35. Dr. B.C. Jain,
Dy. Director, (AYUSH)
Directorate of Indian System of Medicine &
Homoeopathy, Bhopal , M.P.
36. Dr. Anil Nandode,
Asst. Director (AYUSH)
Arogya Bhawan, Mumbai, Maharashtra
37. Dr. T. A. Lari,
State Programme Officer
(AYUSH)
State Health society, Bihar Shekhpura, Patna
38. Dr. Rajiv Kapila, Senior Ayu.
Physician
Department of AYUSH, Chandigarh,
39. Shri Gulshan Ahuja, Director
General, AYUSH
AYUSH Bhawan, Sector – 3, Panchakula,
Haryana
40. Dr. Pooja Bhardwaj,
Director General (AYUSH)
Directorate of Ayurveda & Unani, Uttarakhand
41. Dr. B.S. Kanwasi,
Director, (Hom.)
Directorate of Homoeopathy, Uttarakhand
42. Smt. Nasreen Fatima Kazmi,
Deputy Director (Hom.)
Directorate of Homoeopathy, Uttarakhand
43. Dr. Surender Verma, Department of ISM&H,Delhi
44. Shri R.K. Manchanda,
Deputy Director-Homoeopathy
GNCTD Delhi
45. Dr. Nutan Mundeja, SPO DSHM Delhi
46. Dr. Rakesh Pandit, OSD
Ayurved,
Directorate of Ayurveda, H.P., Shimla
11
47. Shri Anil Kumar Sharma Directorate of Ayurveda & Unani, Uttarakhand
48. Dr. P.M Pradhan
Additional Director
Health Care Service & FW Deptt., Government
of Sikkim, Gangtok – 737101 Sikkim
49. Shri B. S. Pawar,
Manager-Marketing
IMPCL, Uttarakhand
50. Shri V.K. Saxena,
General Manager
IMPCL, Uttarakhand
51. Shri Ajit Prakash,
Joint Secretary, Medical
Education
U.P. Govt.,Lucknow
52. Dr. V. Prasad,
Director, (Hom.)
U.P. Lucknow
53. Shri Shailendra Shrimali,
Dy. Secretary
Govt. of Rajasthan
54. Shri Amrit Dave,
Chief Accounts Officer
Directorate of Ayurveda, Rajasthan
55. Dr. S. D. Sharma,
Additional Director (AYUSH)
Jaipur, Rajasthan
56. Shri Ashok Kumar Pareek,
AAO
Ayurved Deptt, Rajasthan
57. Shri N. B. Bhiwani Directorate of Ayurved, Ajmer Rajasthan
58. Dr. Indrayani Page,
AYUSH Consultant
NRHM, Maharashtra
59. Dr. S. Goswami,
Medical Officer.
SHD, Noida
60. Dr. Manoj Nesari,
Joint Adviser (Ayu.)
Department of AYUSH
61. Dr. Syed Asad Pasha,
Deputy Adviser (Unani)
Department of AYUSH
62. Shri P.Vijay Kumar,
Deputy Secretary
Department of AYUSH
63. Smt. Sunita Sharma,
Under Secretary
Department of AYUSH
64. Dr. A. Raghu,
Asst. Adv. (Ayu.)
Department of AYUSH
65. Shri N. S. Rawat,
Programme Manager
Department of AYUSH
12
Secretary (AYUSH) on 25.04.2012 at 10.30 a.m. in the Committee Room, 2nd Floor,
IRCS Building, New Delhi.
The list of participants is annexed.
1. At the outset, Secretary (AYUSH) welcomed the State Health Secretaries/their
representatives to the meeting and highlighted the objectives of organizing the
meeting. All the participants gave brief introduction. Secretary (AYUSH) while
welcoming the participants stated that one of the objectives of the meeting is to
repeat the urgency of liquidating the outstanding UCs under the scheme. These
have been reiterated from time to time in the previous 3 meetings taken by him.
2. Secretary (AYUSH) referred to the report of the Parliamentary Standing Committee
while discussing on demands for grants of the Department of AYUSH, which has
appreciated the efforts made by the Department for liquidating the outstanding UCs
with the States but emphasized the importance of timely settlement of UCs and
implementation of the projects by the States to avoid budget cuts of the Department
of AYUSH in coming years.
3. Secretary stated that he had also apprised the Committee that as compared to zero
percent share of Centrally Sponsored Scheme in the 8th Plan of AYUSH, the share
of Centrally Sponsored Scheme had gone up to 41% in the 11th plan, thus
substantially increasing the dependence of the Department’s expenditure
performance on the submission of UC’s by the States. Secretary also informed that
the Parliamentary Committee had been apprised that, if the States again failed to
submit UC’s in time, then the Department of AYUSH would in view of the heavy
dependence on UC’s, again have to surrender a substantial part of its budget in the
current financial year 2012-13. Secretary therefore stressed that states must submit
UC’s by August, 2012, because if releases have not occurred by September, 2012,
then the Ministry of Finance would again impose a budget cut for the current
financial year as had happened in the previous financial year. Secretary (AYUSH)
informed the State representative that for speeding up the liquidation of outstanding
UCs, the Department has allocated States to certain officers of the Department and
they will be coordinating and visiting the states for liquidation of outstanding UCs for
their States at least on quarterly basis and as and when required by the Department
of AYUSH. States were asked to extend necessary cooperation in organizing
meeting with concerned officials of the States.
4. He emphasized the need to take mainstreaming of AYUSH forward and actively
involve the curative, promotive and preventive strengths of AYUSH systems. In this
context, he mentioned the new initiatives being taken by AYUSH Department in
collaboration with Department of Health & Family Welfare, & with other agencies. He
3
informed the participants that Additional Secretary and Mission Director, NRHM who
is present today in this meeting will brief the states on Mainstreaming of AYUSH
implementation. Secondly, the Department of AYUSH and DGHS were evolving a
programme for joint action on Non-communicable diseases (NCDs), for which the
participants would be briefed in this meeting by Dr. Manoj Nesari, Joint Adviser
(Ayu.), Department of AYUSH. Thirdly, Secretary General, Indian Red Cross Society
would join later to brief the participants about exploring the ways for co-coordinating
with them for using the preventive and promotive strength of Indian System of
Medicine for prevention of non-communicable diseases through AYUSH
intervention.
5. Secretary also mentioned that the Department has proposed to set up certain all
India level institutes for 12th Plan and would be looking for suitable locations for the
new institutes after the 12th Plan proposals are approved. Secretary also informed
the participants that the Union Health Minister had approved the AYUSH
Department’s proposal to have a separate flexipool on the lines of the NRHM
Flexipool. Necessary action would now be taken to seek Government approval for
the AYUSH flexipool. For preparation of the Departmental base paper, he requested
the States to urgently send the details of State Government standalone AYUSH
hospitals and dispensaries in the prescribed format.
6. Additional secretary and M.D (NRHM), Smt. Anuradha Gupta thereafter highlighted
the strategies for mainstreaming of AYUSH under NRHM programme of Deptt. of
Health and Family Welfare. The states were advised to consider the following
aspects while formulating their programmes under PIP mode.
(i) At the District hospital level, both Homeopathy and Ayurveda systems should be
encouraged with MD Doctors. PanchakarmaUnit should also be considered.
(ii) At CHCs and PHCs any one system viz., Homeopathy/Ayurveda/ Unani/Siddha
could be considered depending on local preference.
(iii) At CHC/PHC level, Post-Graduate Degree may not be insisted upon.
(iv) Drugs for AYUSH facilities collocated at CHC/PHC/Hospitals could be
provided out of mission flexi pool funds in case of scarcity of resources with
the Department of AYUSH.
(v) District Ayurveda Officer should be a member of District Health Society in order
to participate in decision making with regard to indent, procurement and issue
of AYUSH drugs.
(vi) Infrastructure at facilities proposed to be collocated would be provided by
Department of AYUSH.
(vii) Those PHC/CHC/Sub-Divisional hospitals which have been identified as
delivery points under NRHM should be given priority for collocation of AYUSH
as these are functional facilities with substantial footfalls.
(viii) State-wise list of such delivery points will be provided by Dr. Himanshu
Bhushan, Deputy Commissioner (Maternal Health) Ministry of Health and
4
Family Welfare, Government of India. His contact nos. are 2306 2930,
9868071145.
(ix) OPD in AYUSH clinics will be monitored alongwith IPD/OPD for the facility as
a whole.
(x) AYUSH medical officers should increasingly be involved in the implementation of
national health programmes and for the purpose of supportive supervision
and monitoring in the field. They should be encouraged to oversee VHND and
outreach activities and in addition programmes such as school health, weekly
supplementation of iron and folic acid for adolescents, distribution of
contraceptives through ASHA, menstrual hygiene scheme for rural adolescent
girls etc.
(xi) AYUSH medical officer should also be member of the RKS of the facility and
actively participate in decision making.
(xii) AYUSH pharmacist should be provided only if OPD crosses a certain bench
mark.
(xiii) Remuneration to AYUSH doctors engaged on contract at collocated facilities
should be fixed on the basis of supply and demand position and the prevailing
market compensation.
7. She emphasized that the AYUSH doctors should participate in national health
programmes and they should have genuine patient load at the AYUSH facility. She also
mentioned that for birth related matters NRHM has identified certain facilities as
delivery points and these delivery points should be taken up for co-location on priority
basis. She also mentioned that AYUSH doctors should be part of the Rogi Kalyan
Samitis.
8. The representative from Uttarakhand mentioned that State Programme
Management Unit also should consist of technical persons from AYUSH systems of
medicine. Uttarakhand and Karnataka state sought the approval of the additional PIP’s
on mainstreaming of AYUSH to be sent to Department of health.
The representative from Bihar mentioned about the capacity building of AYUSH doctors
as an important strategy. However, they could not undertake the same due to lack of
technical guidelines. He suggested that AYUSH to develop training manual for doctors
on issues like: NCD and similarly training for allopathic doctors on AYUSH strengths.
9. Joint Secretary (VSG), Department of AYUSH asked the states to submit the
PIPs without further delay so that department may know the requirement of the states
during the financial year 2012-13. He also mentioned that the major issue affecting the
releases to States is on account of pending UCs from the State Governments and slow
progress in project implementation. He clarified that the GFR provisions with regard to
release of grants-in-aid and submission of UCs has to be followed.
5
10. The Secretary of Punjab state mentioned that the pending UCs is due to delays
in completion of capital works. There should be a mechanism similar to NRHM for
accounting the unspent balance remaining with the states.
11. State Government of Tripura brought to the notice that under NRHM scheme, the
State Govt. had submitted provisional UCs and they have got funds. They said that for
2010-11 they have floated tender for audit and will be able to submit audited UC only in
the month of July. PIP will also be delayed by September-Oct. The State Govt. wanted
to submit provisional UC like in NRHM scheme for release of funds. On this JS (VSG)
wanted the States to quote an precedent where the State Government has got release
of funds after submission of provisional UC so that this can be taken up with
IFD/Ministry of Finance.
12. AS &FA urged the representatives of the States to submit the audited statement
for the funds released upto 2010-11.The guidelines followed by NRHM shall be followed
by the Department of AYUSH also. Secretary (AYUSH) mentioned that the State
Government should release the funds to the implementing units, within 2-3 months of
release of funds by the Central Government.
13. Secretary (AYUSH) informed that under National Programme for control of
cancer, diabetes, CVD and stroke (NPCDCS), DGHS had rolled out public health
programme in identified 30 districts of 21 states in the country. DGHS has desired to
incorporate AYUSH doctors in preventive and promotive interventions in dealing with
these non-communicable diseases. The role of AYUSH doctors will be to focus on drugless
intervention with aim for prevention of the non-communicable diseases. The states
were requested to furnish their opinion in this regard. Dr. Nesari, Joint Adviser (Ay.),
Deptt. of AYUSH thereafter briefed the participants about the proposed guidelines for
AYUSH involvement in non-communicable diseases. AYUSH plays a major role in the
prevention of the diseases. Diet control is one of the strategy in NCD. Participation of
local health government in these programmes is important. There is a need to make
IEC booklet to publish in local understandable language with main focus on children. 30
districts have been identified as of now and later on this will be extended to 100
identified districts. There should be participation of AYUSH teaching hospitals in NCD
programme as they have readily available infrastructure in co-ordination with DGHS.
14. Dr. Agarwal, Secretary General, IRCS, said that the core function of Red Cross is
community health besides blood donation and disaster management. They have set up
25 hospitals in different States. He requested the States to send proposals on AYUSH
participation in prevention of NCD through IRCS network. He suggested that there is a
great potential in utilization of large number of volunteers to spread awareness about
the strength of Indian System of Medicine. He proposed that let at the head quarter
level Indian Red Cross and Department of AYUSH may sit down together to discuss the
6
proposed cooperation so that Red Cross Volunteers can be utilized in prevention of
non-communicable diseases by way of AYUSH systems of medicine. This may be
followed by the joint sensitization meetings by State AYUSH Departments and State
Red Cross units for their officials. Secretary (AYUSH) welcomed the suggestion and
directed Departmental officials to take it further.
15. The representative of Govt. of Sikkim shared their experience of controlling NCD
through AYUSH intervention. He stated that they have identified a particular village,
where 80% of the disease is non-communicable. They have undertaken a basic health
checkup and found that obesity is the major cause of various non-communicable
diseases. They have fully involved AYUSH in their preventive programmes and found
very encouraging results. They are updating the profile of the patients on annual basis.
In this process Red Cross Society of Sikkim is also involved. 72% of disease of
hypertension in a particular village has been considerably brought down through the
AYUSH intervention.
17. Shri Sreekantiaah, D.G, AYUSH, Karnataka, stated that Yoga is being promoted
in large scale in the state of Karnataka.They have trained more than 2000 yoga
teachers. They are also training students and the response is remarkable as observed
in the improved academic performance of the students. The representative of Tamil
Nadu mentioned that the yoga camps have been held in IT Offices.
18. Dr. Kohli, Director (Ay.), Maharashtra, stated that NGOs have been actively
participating in promotion of Yoga. He stated that joint programme and co-ordinated
activities of AYUSH and Red Cross will enhance the effectiveness of the programme.
19. The Principal Secretary, Punjab requested the Deptt. of AYUSH to bring out the
literature on AYUSH role in prevention of NCD for guidance of the State through IEC.
She suggested that IEC material be uploaded on the Department’s website, Secretary
(AYUSH) welcomed the suggestion and asked Joint Adviser (Ay.), Deptt. of AYUSH to
take necessary action in regard to preparation of the AYUSH literature.
20. In Bihar, as mentioned by the representative, Allopath doctors of NRHM are
trained on AYUSH system. Module has been given by National Institute of Yoga. They
have trained at least 300 doctors for a week on Yoga. In the state of Chhattisgarh,
Pamphlets have been printed on preventive and curative measures about diseases.
School students have participated in yoga. They are involving Red Cross also in these
activities.
21. The representative of Jharkhand stated that they are taking steps in spreading
awareness and propagation of yoga. In Andhra Pradesh, Pranayama centres have been
opened. Housewives have joined these centers to avoid lifestyle diseases.
7
22. The Rajasthan representative mentioned that the State has constituted Board on
Yoga and Naturopathy. JS (VSG) stated that there are schemes on Public Health
initiatives but the Centre is not getting any proposal from any State Govt. Red Cross
and State Health Directorate were requested to take initiatives and submit proposals
under Public Health initiatives.
23. Secretary (AYUSH) mentioned that there should be close monitoring of the
implementation of AYUSH programmes by the States. JS (VSG) suggested that there
should be monthly monitoring of the programme, project etc. and stressed on full
utilization of funds, Mission Director should monitor at the headquarter level.
24. The representative of Tripura mentioned about Tele Homoeopathy project
assisted by Department of AYUSH. The State wanted to take over the project but
wanted Government of India to bear the recurring cost. The representative said that the
State is running Tele medicine project and wanted to merge it with Tele homoeopathy.
JS(VSG) advised them to bring up the proposal through PIP and also requested the
State govt. to give the UC of AYUSH projects.
The meeting concluded with following observations:-
1. The States should review and examine their pending Utilization Certificates and
expedite the liquidation of the same after identifying the bottlenecks so that eligible
grant in aid may be released from the Department of AYUSH. In case there are
specific problems faced by certain States, these may be identified and proposal for
fresh releases may be sent to Department of AYUSH with sufficient justification for
consideration by IFD to find way forward during 2012-13. (Action: States by
August,2012)
2. The AYUSH PIP for 2012-13 should be immediately submitted to Department of
AYUSH for undertaking mainstreaming of AYUSH activities in this financial year.
States to specifically identify programme to be taken up as under SC/ TSP
components since there are specific provisions in the budget allocation for incurring
of expenditure under these components. (Action: States by 31st May, 2012)
3. The details of State Government standalone AYUSH hospitals and dispensaries in
the prescribed format should be sent to the Department within a fortnight for knowing
the baseline for evolving an AYUSH flexipool scheme. The information from all
States would be compiled and the facilities categorized to form basis of
Department’s proposal for creating an AYUSH Flexipool. (Action: States by 31st
May, 2012)
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4. The AYUSH professional and facilities to be geared up for assisting national health
programmes under NPCDCS. (Action: by States)
5. Training and IEC material on preventive & promotive role of AYUSH system in
controlling NCD would be prepared by Department of AYUSH for sharing with State.
Similarly, the training module for allopathic doctors on strengths on AYUSH system
will also be prepared by the Department. (Action: Dr. Manoj Nesari, Joint Adv. (Ayu.
by July, 2012)
6. The state may explore the feasibility of coordinating with Indian Red Cross society in
dealing the non communicable diseases through AYUSH system. (Action: States
by July, 2012)
7. A meeting of Department of AYUSH and IRCS may be convened to discuss the
proposed cooperation with Indian Red Cross Society so that Red Cross Volunteers
can be utilized in prevention of non-communicable diseases by way of AYUSH
systems of medicine. This may be followed by the joint sensitization meetings by
State AYUSH Departments and State Red Cross units. (Action: J.S.(VSG) by June,
2012)
8. Secretary (AYUSH) called upon the State Government representative to pay urgent
attention to enforce Minimum Standard of Education in AYUSH Educational
Institution by taking proactive action to remove the deficiencies so that these
institution confirm to CCIM/ CCH norms. (Action: by States)
The meeting ended with the vote of thanks to the chair.
9
Annexure
List of Officials attended the Health Secretaries Meeting under the Chairpersonship of
Secretary-AYUSH held on 25.4.2012
Sl. No. Name & Designation Address
1. Shri Anil Kumar,
Secretary (AYUSH)
Department of AYUSH,
Ministry of Health and Family Welfare, Nirman
Bhawan, New Delhi
2. Shri. R. K Jain,
AS & FA
Ministry of Health and Family Welfare, Nirman
Bhawan, New Delhi
3. Smt. Anuradha Gupta,
Additional Secretary & Mission
Director(NRHM)
Ministry of Health and Family Welfare, Nirman
Bhawan, New Delhi
4. Vikram Singh Gaur,
Joint Secretary
Department of AYUSH, New Delhi
5. Dr. S.K. Sharma,
Advisor-Ayurveda
Department of AYUSH, New Delhi
6. Smt. Ali Rizvi,
Secretary (AYUSH)
Government of Himachal Pradesh
7. Dr. S.P. Aggarwal,
Secretary General
Indian Red Cross Society, IRCS building, New
Delhi
8. Smt. G.D. Aruna,
Commissioner -AYUSH
APGLI building, Hyderabad, Andhra Pradesh
9. Shri Bhupinder S. Bhalla,
Commissioner & Secretary
Health
Secretariat, Port Blair, Andaman & Nicobar,
10. Shri D.P. Wahlang,
Commissioner & Secretary,
Health & F.W.
Govt. of Meghalaya, Room no. 315-Addl. Sectt.
Shillong – 793001
11. Dr. Jayadev Saransi,
Special Secretary (H&FW) &
Mission Director
Government of Delhi, Room no-A-905,9th Level
A-Wing Delhi Secretariat, IP Estate, New Delhi
12. Vini Mahajan,
Principal Secretary –Health &
FW
Government of Punjab
13. Shri K. Vidyasagar,
Principal Secretary (Health)
Government of Jharkhand
14. Shri Pratap Singh,
Commissioner (Health)
Government of Chhattisgarh
15. Shri Padmalochan Beher,
Joint Secretary, Health
Government of Odisha
16. Shri Sukumar Ganai,
Additional Secretary
Government of West Bengal
17. Shri S.K. Sharma,
Commissioner- AYUSH,
Department of AYUSH, Punjab
18. Shri Samarjit Bhowmik
Mission Director-NRHM
Government of Tripura
19. Shri R.A. Khandelwal,
Commissioner (AYUSH)
Directorate of Indian System of Medicine &
Homoeopathy, Bhopal , Madhya Pradesh
20. Dr. Veer Bhaskar, Joint
Secretary
Indian Red Cross Society, IRCS building, New
Delhi
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21. Shri Manish Choudhary,
Director
Indian Red Cross Society, IRCS building, New
Delhi
22. Shri G.N. Sreekantiah,
Director-AYUSH
Department of AYUSH, , Karnataka
23. Dr. Abdul Kabir Dar,
Director (AYUSH)
Jammu & Kashmir,
24. Dr. G.S. Badesha,
Director -AYUSH
O/o nursing hostel, near mantralaya, Raipur
Chhattisgarh
25. Shri Mohan Lal,
Director, ISM&H
Karol Bagh, New Delhi
26. Dr. N. Balaji,
Director, ISM&H
Govt. Pharmacy complex, Puducherry
27. Shri Dhiren Kumar Pattnaik,
Director AYUSH
Directorate of ISM&H, ,Bhubaneshwar Odisha
28. Dr. V. Prasad,
Director, Homoeopathy
Uttar Pradesh, Lucknow
29. Dr. K.R. Kohli,
Director (AYUSH)
Directorate of Ayurveda, Mumbai ,
Maharashtra
30. Smt. Anita Jacob,
Director (ISM)
Arogyabhavan, M.G. Road,
Thiruvananthapuram
Kerala
31. Smt. K. Jamuna,
Director (Homoeopathy)
Department of Homeopathy, Kerala
32. Dr. Guneshwar Sharma,
State AYUSH officer,
Medical Directorate, Manipur
33. Dr. Am. Abdul Kadher, M.D.
Joint Director
Department of Indian Medicine & Hom. Chennai,
Tamil nadu
34. Shri Syed Nasir Ahmed,
Asst. Director
Department of Indian Medicine & Hom. Chennai,
Tamil nadu
35. Dr. B.C. Jain,
Dy. Director, (AYUSH)
Directorate of Indian System of Medicine &
Homoeopathy, Bhopal , M.P.
36. Dr. Anil Nandode,
Asst. Director (AYUSH)
Arogya Bhawan, Mumbai, Maharashtra
37. Dr. T. A. Lari,
State Programme Officer
(AYUSH)
State Health society, Bihar Shekhpura, Patna
38. Dr. Rajiv Kapila, Senior Ayu.
Physician
Department of AYUSH, Chandigarh,
39. Shri Gulshan Ahuja, Director
General, AYUSH
AYUSH Bhawan, Sector – 3, Panchakula,
Haryana
40. Dr. Pooja Bhardwaj,
Director General (AYUSH)
Directorate of Ayurveda & Unani, Uttarakhand
41. Dr. B.S. Kanwasi,
Director, (Hom.)
Directorate of Homoeopathy, Uttarakhand
42. Smt. Nasreen Fatima Kazmi,
Deputy Director (Hom.)
Directorate of Homoeopathy, Uttarakhand
43. Dr. Surender Verma, Department of ISM&H,Delhi
44. Shri R.K. Manchanda,
Deputy Director-Homoeopathy
GNCTD Delhi
45. Dr. Nutan Mundeja, SPO DSHM Delhi
46. Dr. Rakesh Pandit, OSD
Ayurved,
Directorate of Ayurveda, H.P., Shimla
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47. Shri Anil Kumar Sharma Directorate of Ayurveda & Unani, Uttarakhand
48. Dr. P.M Pradhan
Additional Director
Health Care Service & FW Deptt., Government
of Sikkim, Gangtok – 737101 Sikkim
49. Shri B. S. Pawar,
Manager-Marketing
IMPCL, Uttarakhand
50. Shri V.K. Saxena,
General Manager
IMPCL, Uttarakhand
51. Shri Ajit Prakash,
Joint Secretary, Medical
Education
U.P. Govt.,Lucknow
52. Dr. V. Prasad,
Director, (Hom.)
U.P. Lucknow
53. Shri Shailendra Shrimali,
Dy. Secretary
Govt. of Rajasthan
54. Shri Amrit Dave,
Chief Accounts Officer
Directorate of Ayurveda, Rajasthan
55. Dr. S. D. Sharma,
Additional Director (AYUSH)
Jaipur, Rajasthan
56. Shri Ashok Kumar Pareek,
AAO
Ayurved Deptt, Rajasthan
57. Shri N. B. Bhiwani Directorate of Ayurved, Ajmer Rajasthan
58. Dr. Indrayani Page,
AYUSH Consultant
NRHM, Maharashtra
59. Dr. S. Goswami,
Medical Officer.
SHD, Noida
60. Dr. Manoj Nesari,
Joint Adviser (Ayu.)
Department of AYUSH
61. Dr. Syed Asad Pasha,
Deputy Adviser (Unani)
Department of AYUSH
62. Shri P.Vijay Kumar,
Deputy Secretary
Department of AYUSH
63. Smt. Sunita Sharma,
Under Secretary
Department of AYUSH
64. Dr. A. Raghu,
Asst. Adv. (Ayu.)
Department of AYUSH
65. Shri N. S. Rawat,
Programme Manager
Department of AYUSH
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