Section 6 Integration of Ayush in the Health Care System Under ...

AYUSH IN INDIA 2008 

Secti 

n6 

Integration Of Ayush In The Health Care 

System Under National Rural 

Health Mission (NRHM)

Integration Of Ayush In The Health Care System Under (NRHM) 

SECTION 6 

SECTION 6 : INTEGRATION OF AYUSH IN THE HEALTH CARE 

SYSTEM UNDER NATIONAL RURAL HEALTH MISSION (NRHM) 

A 

fter the launch of NRHM, an initiative has been taken by the department of Health 

and Family Welfare and Dept of AYUSH for strengthening of health care facilities at 

all levels by integrating AYUSH systems in national health care delivery systems 

under NRHM. 

Physical and functional integration of AYUSH systems in NRHM is most 

important strategy of Mainstreaming under NRHM. Integration is facilitated by 

appointing or collocating AYUSH doctors & supporting staff and creating 

infrastructure according to local needs. AYUSH doctors who are being appointed 

are used to facilitate management of programmes, monitoring and effective 

implementation of various interventions under NRHM. 

As on March, 2008, there were 642 districts, 6348 blocks and 638588 villages 

incorporating 570 District Hospitals (DHs), 4276 Community Health Centres 

(CHCs) and 23458 Primary Health Centres (PHCs) in India. The projected rural 

population of India for December, 2008 has been estimated as 8283.2 lakhs. On an 

average, 14.5 lakhs, 1.9 lakhs and 0.4 lakhs rural population had been served per 

District hospital, Community Health Centre, Primary Health Centre respectively. 

Co-location Rate of Rural Health Infrastructure withAYUSH facilities in India: 

AYUSH facilities had been colocated 

with 182 District Hospitals, 

States/UTs as on 31.12.2008 

Co-location Rate (%) of AYUSH facilities in District Hospitals in 

1009 Community Health Centres 

and 4161 Primary Health Centres in 

the country in 2008. About 31.9% 

District hospitals had been colocated 

with AYUSH facilities till 

2008. All the District hospitals 

existing in the states and union 

t e r r i t o r i e s o f J h a r k h a n d , 

Maharashtra, Rajasthan, Tamilnadu, 

Tripura and Andaman & Nicobar 

Islands had been co-located with 

AYUSH facilities, whereas, the 

states having more than 50% of the 

District hospitals co-located with AYUSH facilities were Arunachal Pradesh, 

Chhattisgarh, Karnataka, Sikkim, Puducherry, Daman & Diu and Lakshadweep. 

States having less than 50% District hospitals co-located with AYUSH facilities was 

Uttarakhand only, whereas, there had been no co-location ofAYUSH facilities in the 

Districts hospitals of the remaining 20 states and union territories. 

A &N Islands, 100% 

Jharkhand, 100.0% 

Maharashtra, 100.0% 

Mizoram, 100% 

Rajasthan, 100% 

Tamil Nadu, 100% 

Tripura, 100% 

Chhattisgarh, 93.8% 

Arunachal Pradesh, 86% 

Puducherry, 80% 

Karnataka, 79.2% 

Daman & Diu, 50.0% 

Lakshadweep, 50.0% 

Sikkim, 50.0% 

Uttarakhand, 44.4% 

Nearly 23.6% Community 

Health Centres had been colocated 

with AYUSH facilities till 

2008. All the CHCs existing in the 

states and union territories of 

Mizoram, Nagaland, Orissa, 

Tripura, Andaman & Nicobar 

Islands, Chandigarh, Dadra & 

Nagar Haveli, Daman & Diu and 

Puducherry had been co-located 

A & N Is lands, 100% 

Chandigarh, 100% 

Co-location Rate (%) of AYUSH facilities in Community Health 

Centres in States/UTs as on 31.12.2008 

D & N Haveli, 100% 

Daman & Diu, 100% 

M izoram , 100.0% 

Nagaland, 100.0% 

Oris sa, 100.0% 

Puducherry, 100% 

Tr ipura, 100.0% 

M anipur, 87.5% 


Lakshadweep, 66.7% 

Tamil Nadu, 64% 

West Bengal, 51.0% 

A runachal Pradesh, 34.1% 

Uttarakhand, 30.9% 

M aharashtr a, 25.8% 

Andhra Prades h, 23.4% 

Rajas than, 20.9% 

K arnataka, 18.0% 

151 

AYUSH IN INDIA 2008

SECTION 6 


withAYUSH facilities, whereas, the states having more than 50% of the CHCs co-located withAYUSH facilities were 

Chhattisgarh, Manipur, Tamilnadu, West Bengal and Lakshadweep. The states having more than 25% but less than 

50% of the CHCs co-located with AYUSH facilities were Arunachal Pradesh, Maharashtra and Uttarakhand. The 

states having less than 25% CHCs co-located with AYUSH facilities were Rajasthan, Andhra Pradesh and 

Karnataka. No co-location of AYUSH facilities had been observed in CHCs in the remaining 15 states and union 

territories. 

About 17.7% Primary Health Centres had been colocated 

with AYUSH facilities till 2008. The states/ union 

territories having more than 50% of the PHCs co-located with 

AYUSH facilities were Orissa, Jammu & Kashmir, Manipur, 

Tripura, Goa, Gujarat, Daman & Diu and Puducherry. States 

having more than 25% but less than 50% of the PHCs colocated 

with AYUSH facilities were Chhattisgarh, West 

Bengal, Maharashtra and Tamilnadu. The states and union 

territories having less than 25% of the Primary Health 

Centres co-located with AYUSH facilities were Dadra & 

Nagar Haveli, Andhra Pradesh, Rajasthan and Uttarakhand. 

No co-location with AYUSH facilities had been observed in 

the PHCs in the remaining 18 states and union territories. 

Co-location Rate (%) of AYUSH facilities in Primary Health Centres in 

States/UTs as on 31.12.2008 

Oriss a90.9% 

Jamm u & Kashm ir 84.5% 

Manipur 83.3% 

Daman& Diu 67% 

Puducherry 61.5% 

Tripura 56.6% 

Goa 52.6% 

Gujarat 51.6% 

Chhattis garh 49.0% 

Wes t Bengal 39.8% 

Maharashtra 27.0% 

TamilNadu 26.3% 

D & N Haveli 16.7% 

Andhra Pradesh 16.1% 

Ar unac hal Pradesh 12.9% 

Rajas than 11.8% 

Uttarakhand 4.2% 

Rural Population served by the Rural Health Infrastructure 

co-located withAYUSH facilities: 

About 45.5 lakh of rural population were being served by each District hospital co-located with AYUSH facilities 

in the country as on 31.12.2008. About 26.7 lakh population per DH co-located with AYUSH facilities were served in 

the state of Maharashtra, whereas, 19.9 lakh and 15.1 lakh rural population were served per DH co-located with 

AYUSH facilities of the state of Karnataka and 

Rajasthan respectively. States where more than 5 

lakhs but less than 15 lakhs rural population were 

served per DH co-located with AYUSH facilities 

were the state of Tamil Nadu, Chhattisgarh, 

Jharkhand and Uttarakhand. The states and union 

territories with less than 5 lakh rural populations 

getting their health care services per DH colocated 

with AYUSH facilities were Arunachal 

Pradesh, Mizoram, Sikkim, Andaman & Nicobar 

Islands, Daman & Diu, Lakshadweep and 

Puducherry. 

About 8.2 lakh of rural population were being 

served per Community Health Centre co-located 

with AYUSH facilities in 2008. About 15.3 lakh 

population per CHC co-located with AYUSH 

facilities were being served in the state of Andhra 

Pradesh, whereas, 6.8 lakh, 6.5 lakh and 5.9 lakh 

rural population were being served per CHC colocated 

with AYUSH facilities in the states of 

Rajasthan, Karnataka and Maharashtra 

respectively. The states and union territories with 

less than 1.5 lakh rural of population per CHC colocated 

with AYUSH facilities were Arunachal 

Pradesh, Manipur, Mizoram, Nagaland, Andaman 

& Nicobar Islands, Chandigarh, Dadra & Nagar 

Haveli, Daman & Diu, Lakshadweep and 

Puducherry. 

Uttarakhand 

Jharkhand 

Chhattisgarh 

Tamil Nadu 

Rajasthan 

Karnataka 

Maharashtra 

Rural population served per District Hospital co-located with 

AYUSH facilities of Major States 

8.8 

9.8 

12.6 

13.6 

15.1 

Rural Population in Lakh 

19.9 

Rural population served per Community Health Centre co-located 

with AYUSH facilities of Major States 

Orissa 

Chhattisgarh 

Tamil Nadu 

West Bengal 

Uttarakhand 

Maharashtra 

Karnataka 

Rajasthan 

1.5 

2.1 

2.8 

3.6 

4.2 

5.9 

6.5 

6.8 

26.7 

Andhra Pradesh 

15.3 


AYUSH IN INDIA 2008 152


SECTION 6 

On an average, 2.0 lakh of rural population 

were being served per Primary Health Centre 

co-located with AYUSH facilities in the country in 

2008. About 7.1 lakh population per PHC colocated 

with AYUSH facilities were served in the 

states of Uttarakhand. About 2.8 lakh, 2.4 lakh 

and 2.0 lakh population per PHC co-located with 

AYUSH facilities were served in the states of 

Rajasthan, Andhra Pradesh and Dadra & Nagar 

Haveli respectively.. The states and union 

territories with less than 0.5 lakh of rural 

population per PHC co-located with AYUSH 

facilities were Jammu & Kashmir, Manipur, 

Orissa and Puducherry. 

Rural population served per Primary Health Centre co-located with 

AYUSH facilities of Major States (Excluding Haryana) 

Jammu & Kashmir 

Orissa 

Chhattisgarh 

Gujarat 

Tamil Nadu 

Maharashtra 

West Bengal 

Andhra Pradesh 

Rajasthan 

Uttarakhand 

0.3 

0.3 

0.5 

0.6 

1.1 

1.3 

1.7 

2.4 

2.8 


7.1 

ContractualAppointment ofAYUSH Doctors and Paramedical Staff in India: 

As on 31.12.2008, contractual 

appointment of 4891 AYUSH Doctors 

and 934 AYUSH Paramedical staff has 

been recorded. Maximum (1153) of 

Rajasthan, 12.3% 

AYUSH Doctors were appointed in the 

Karnataka, 13.7% 

State of Orissa, whereas 669, 601 and 

554 contractual appointments of 

AYUSH Doctors had been observed in 

the states of Karnataka, Rajasthan and 

Gujarat respectively. States having 

less than 25 contractual appointments 

of AYUSH Doctors were Meghalaya, 

M i z o r a m , N a g a l a n d , S i k k i m , 

Orissa, 23.6% 

Uttarakhand, Chandigarh, Dadra & 

Other, 6.7% 

Nagar Haveli, Daman & Diu and 

Punjab, 2.0% 

Puducherry. There was no contractual 

AYUSH doctor in the states of Andhra 

Pradesh, Bihar, Delhi, Goa, Haryana, 

Himachal Pradesh, Madhya Pradesh, 

Tamil Nadu, West Bengal, Andaman & 

Nicobar Islands and Lakshadweep. 

State-wise Percent Distribution of Ayush Doctors appointed on 

Contractual Basis in PHCs in 2008 

Gujarat, 11.3% 

Jharkhand, 3.3% 

Maharashtra, 2.6% 

State-wise Percent Distribution of Ayush Paramedical Staff 

appointed on Contractual Basis in PHCs in 2008 

Uttar 

Pradesh, 

8.8% 

Jammu 

& 

Kashmir, 

6.5% 

Assam, 4.7% 


Likewise, 629 contractual 

appointments of AYUSH Paramedical 

Staff was recorded in the state of 

Rajasthan, whereas 236, 34, 25, 6 and 

4 AYUSH Paramedical Staff was 

appointed on contractual basis in the 

states of Jammu & Kashmir, 

Maharashtra, Manipur, Sikkim and 

Chandigarh respectively. In rest of the 

states, there were no AYUSH 

Paramedical staffs appointed on 

contractual basis as on 31.12.2008. 

Rajasthan, 67.3% 

Chandigarh, 0.4% 

Manipur, 2.7% Maharashtra, 3.6% 

Sikkim, 0.6% 

Jammu & Kashmir, 

25.3% 

***** 

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AYUSH IN INDIA 2008

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Section 6 Integration of Ayush in the Health Care System Under ...

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