Ministry of AYUSH By Dr KSSethi Advisor Homoeopathy Ministry of AYUSH Government of INDIA Email kssethi57nicin Independent Ministry for AYUSH systems was constituted by Government of India on 9 ID: 908544
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INTERVENTION OF HOMOEOPATHY IN PUBLIC HEALTH
Ministry of AYUSH
By
:
Dr.
K.S.Sethi
Advisor (Homoeopathy)
Ministry of AYUSH
Government of INDIA
E-mail:
ks.sethi57@nic.in
Slide2Independent Ministry for AYUSH systems was constituted by Government of India on 9
th November 2014
Government gives official patronage and accords recognition to AYUSH systems as national systems of medicine.
To encourage these systems, the physicians of these systems are imparted equal status
MINISTRY OF AYUSH
Slide3Health is a shared responsibility in India
MEDICAL PLURALISM
A
Y
U
S
H
AYUSH
Health care in India
Slide4Cafeteria approach – works well for India!
HOMOEOPATHY,
AYURVEDA
,
ALLOPATHY
, UNANI, YOGA
,
NATUROPATHY, SOWA
RIGPA, SIDDHA…
Slide5Support through National AYUSH Mission
Slide6Components of the AYUSH Services under National AYUSH Mission (NAM)
I Co-location of AYUSH facilities at PHCs, CHCs and District HospitalsII. Rs 1.00 lakhs
per annum for essential drugs (Homoeopathy)
III.
Upgradation of exclusive/standalone Govt. AYUSH hospitals (other than PHCs/CHCs/
Dhs)IV Setting up of upto
50 bedded integrated AYUSH Hospitals
V. Supporting facilities such as Programme Management Units at Central and State level
VI. Supply of essential drugs to AYUSH Hospitals and Dispensaries
VII. Public Health Outreach activity
VIII. Mobility support at State and District level
IX. Behaviour change communication (BCC)/Information Education and Communication (IEC)
X. School Health Programme
Slide7HOMOEOPATHY INFRASTRUCTUREIdentified all available data sources to estimate the spread of government homeopathic wellness centres,
the patient footfall, their morbidity profiles, average expenditure and number of homeopathic practitioners in India.
The data sources included:
National Health Profile 2017,
AYUSH in India 2017 and
Annual Reports of Ministry of AYUSH and Ministry of Health & Family Welfare (2015-16 & 2016-17)
National Health Policy 2017
Secondly,
the secondary data of health wellness centres being run by Government of India
under Central Government Health Scheme (CGHS) was sourced on official request to the concerned officials.
Slide81947 1957 1967 1977 1987 1997 2007 2017
AYUSH
(n=544
)
Overall
(n=1,006
)
195
Growth graph of
homeopathic colleges
461
544
195
Undergraduate Colleges by System
Rigorous inspections by Ministry of AYUSH for
improving standards of Homeopathy colleges (as per MSR)
Slide9Undergraduate Student Intake by System
AYUSH
(n=32,256
)
Overall
(n=94,941
)
42% students applying for AYUSH take admissions in Homoeopathy colleges
Slide10Registered Practitioners by System
AYUSH
(n=773,668
)
Overall
(n=1778,949
)
284,471
428,884
Mandatory registration with the state body and the central body (CCH)
Around 80% doctors work as independent physicians in private sector
773,842
1,005,106
Slide11Central Government-run Wellness Centres
under AYUSH by System
Homeopathic Wellness
Centres
By Central Govt. Dept.
Wellness
Centres
by System
National Institutes.
CCRH
CGHS
Labour
Ministry
Railway Ministry
Slide12Total number of Government (Central/State) Wellness
Centres by System
Break Up of AYUSH Wellness
Centres
in India (as on1.4.2016)
(n=26,375
)
Overall
(n=184,421
)
Almost 1 Homeopathy unit for every 19 Allopathy units
85.5%
14.5%
Slide13Growth in Wellness
Centres
(2007-17)
18.8% Growth in homoeopathic wellness
centres
7.4% Growth in homeopathic wellness
centres
Slide14Budget Allocated by SystemIn Indian National Rupee (INR)
Overall
(n=INR 17998.1 million
)
AYUSH BUDGET FIVE YEAR PLAN (FYP)
Slide15Allopathy vs Homoeopathy wellness centresALLOPATHY
HOMOEOPATHY
A wellness centre would typically spend under three heads:
Human resources
Infrastructure and Cost of medicinesFirst two expenses borne as a common expense across all units by the wellness centre
The third one, the cost of medicines is the major criterion for assessing the functioning cost of each clinic
Slide16Cost per visitThe overall cost-effectiveness (considering the annual expenses of each pharmacy) of homeopathy units over allopathic units has been reflected to a ratio of 1:8 in our case study.Similar budget structure exists in the other units, but due to limited information available on this in public domain, the same could not be corroborated for other wellness centres.
This ratio is even wider than a previous finding on cost-effectiveness of Homeopathy clinics in Delhi (India); 1:5. Manchanda
R.K,
Verma
S.K, Chhatre L.V., Kaur H.. Homeopathy in Urban Primary Healthcare Units of the Delhi Government: An Assessment; Medical Pluralism and Homeopathy in India and Germany (1810-2010): A comparison of practices’; 91-104, 2013
Allopathic unit: INR 250-300*
*May reach to INR 1000 or more, based on the illness.
Homeopathic unit: INR 100 (1
£ approx.)
Slide17The government is trying to improve health outreach byUpgrading 1 doctor PHC to 2 doctors PHC by posting AYUSH practitioners (and not other conventional doctor)
Ministry of Health & Family Welfare, Govt. of India, National Health Policy 2017; http://cdsco.nic.in/writereaddata/National-Health-Policy.pdf
Strengthening Public Heath
Centres
(PHCs)
Slide18What is Public Health??The science and art of preventing disease, prolonging life and
promoting human health ThroughOrganized efforts
Informed choices
By
Society, organizations, public and private, communities and individuals.
Slide19Public Health Intervention
Common types of interventions includes:screening programs,
vaccination, (As in Homoeopathy: Genus
epidemicus
)food and water supplementation and
health promotion. Common issues that are the subject of public health interventions include obesity, drug, tobacco, alcohol use, and the spread of infectious diseases
Slide20What are the issues?Prevention for epidemic diseases like Dengue, Chickungunya, h1n1 flu symptomsMother and Child Health
Illness due to seasons/change of seasonNon Communicable Diseases (NCD) like Diabetes, Hypertension, Cancer, Cardiovascular diseases, etc.
Slide21Burden of Disease: National vs at Homoeopathy dispensaries
Burden of Disease*
(India: 1316 m.)
Morbidity Profile
(CGHS Homeopathic centres (India): n=15.8 m.
)
* As per
survey by Institute for Health Metrics & Evaluation, India (2016-17)
Slide22Prevention for epidemic diseases What is being done
Slide23Public Health AdvisoryFor prevention of dengue
Council has published health advisory for prevention of dengue on 19.7.2017 in Hindustan Times (English) and Navbharat times (Hindi).For prevention of dengue and chikungunya
Council has published the health advisory for prevention of dengue and chikungunya on 16.8.2017 in Times of India (English) and Dainik Jagran (Hindi).
Slide24Public Health Advisory- published on 16.8.17
Slide25Genus epidemicusA
Homoeo-prophylactic remedy developed after observing the general symptoms of a particular epidemic outbreak. It has been found useful in the past (since the time of Hahnemann) till date.Infact Homoeopathy got its foothold in India due to its efficient use in Cholera outbreak.
Central Council for Research in Homoeopathy (CCRH) has conducted several preventive studies.
Worth mentioning in this regard are:
Belladonna 200C in Japanese encephalitis (during 1991 in UP)Eupatorium perfoliatum 200C Chikungunya (Kerala) and Bryonia alba 30C for Chikungunya (Kerala in 2014)
Slide26Non Communicable Diseases (NCDs)What is being done
Slide27Persons screened for NCDs (as per screening criteria)
93,462
Patients treated for NCDs
45273
Yoga classes conducted
11, 129
Persons who attended yoga classes
178395
National
Programme
for Prevention and Control of Cancer, Diabetes, Cardiovascular Diseases & Stroke (NPCDCS)
Slide28Healthy Mother and Happy Child
What is being done
Slide29HOMOEOPATHY FOR HEALTHY CHILDPilot public health program in research mode initiated in Feb’2015 with following objectives:
To sensitize target audience
including health workers, patients and care givers about benefits of homeopathy for common diseases of children.
To promote health
through homeopathy for identified conditions.
To reduce morbidity and promote faster recovery
due to conditions such as
diarrhoea
, respiratory infections, dental conditions, skin conditions, developmental delays, etc. in children.
To reduce morbidity due to conditions such as
behavioral problems, substance abuse etc. in adolescents.
A total of 69450 children in age group of 6 months to 3
years
have been
benefitted.
Slide30Overall Indian Scenario Promotive – as there are many private and public practitioners who are bringing good name to HomeopathyProgressive – as many scientists are now contributing to building body of evidence
Supportive – since national and state governments are successfully institutionalising and strategizing in favour of Homeopathy, with recent development of dedicated Ministry of AYUSHPositive – as there is a vast number of patients who follow it
Spreading
– as we are seeing educational advances in courses and their sources
Slide31Procurement of medicines under NAMMedicines will have to be procured from Essential Drugs List (EDL) for Ayurveda,
Unani, Siddha and Homoeopathy published by Department of AYUSH, Government of India. At least 50% of the Grant-in aid: for procuring medicines from GMP compliant Central Public Sector Undertaking or from Public Sector undertakings, pharmacies under State Governments and Cooperatives.Remaining 50% of Grant-in aid: may be used for procuring medicines as
per EDL
from other GMP compliant units having valid
manufacturing licenses. Essential non drug items like dressing items for first aid etc. may be provided out of the amount sanctioned for medicine/ essential drugs under different components required for achieving the desired objectives subject to a ceiling of five percent of the total amount sanctioned for the purpose.
Slide32Conclusion
Homeopathy is playing an immense role in shaping the health scenario of India under the patronage of the Government. Homeopathy services, wherever available, are being used fully and thus contributing efficiently in sharing the patient load at primary health level.
Slide33Conclusion ...conted
It is imperative that the huge brigade of skilled resources of Homeopathic practitioners are engaged in public healthcare wellness centres and national programmes, which would help us to achieve
the Universal Health Coverage in India.
Use of Homeopathy, especially in those morbidity areas which are being reported to Homeopathy clinics, should be promoted further through dedicated health programmes and public health advisories.
Slide34Remarks by Vice President of India Homoeopathy is easy to administer and has no side effects, after- effects, or defects.
Homoeopathy should be every Home’s Pathy!!
Slide35“
Homeopathy cures a greater percentage of cases than any other method of treatment. Homeopathy is the latest and refined method of treating patients economically and non-violently.
.”
~ Mahatma Gandhi
Slide36Thank you!
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