INDIAN PUBLIC HEALTH STANDARDS – ON AYUSH

INDIAN PUBLIC HEALTH STANDARDS – ON AYUSH

Ayush plays a major role in Health care delivery system in India as medical officers of different components of Ayush are posted at villages, sub-district and district level. These people are very much popular in their respective field. NRHM notices the strength of this work force and decided to mainstreaming of Ayush for delivering the health care system.

NRHM envisages bringing up the CHC services to the level of Indian Public Health Standards to provide a yardstick to measure the services being provided there.
As mainstreaming of ayush is being done at every level - CHC, PHC and District hospitals level so NRHM set some standards for Ayush also on the same guidelines as for allopathic hospitals.

The Indian Public Health Standards [ IPHS ] outlines the following guidelines regarding the AYUSH systems and Local Health Traditions at various levels of the Primary Health Care.The Standards set for each level are as follows:

Sub centre (SC)

Minimum Requirement for Delivery of the Services at SC :

Curative Services:
• Provide treatment as per AYUSH as per the local need- ares specific treatment by Ayurveda, unani or homeopathy.
• ANMs and MPW(M) be trained in AYUSH.

Promotion of Medicinal Herbs
• Locally available medicinal herbs/plants should be grown around the sub -centre

Primary Health Centre ( PHC )

Minimum Requirement for Delivery of the Services at PHC :

Curative Services:
• AYUSH services as per local preference.
• One Medical Officer [ AYUSH ],as per the AYUSH system prevalent in the area.
• Training of pharmacist on AYUSH component with standard modules.
• Training of AYUSH doctor in imparting health services related to
National Health and Family Welfare programme.
• The AYUSH doctor at PHC shall attend patients for system-specific
AYUSH based preventive, promotive and curative health care and take up
public health education activities including awareness generation about
the uses of medicinal plants and local health practices.
• The signboard of the PHC should mention AYUSH facilities.

• Sufficient space with the storage cabins for AYUSH drugs be provided.
• Infrastructure for AYUSH doctor: Based on the specialty being practiced,
appropriate arrangements should be made for the provision of a doctor’s
room and a dispensing room cum drug storage.

• For drug dispensing, the present pharmacist may be trained or Rogi Kalyan Samiti (RKS) may provide an AYUSH pharmacist.

• Drugs required for the AYUSH doctor should be available in addition to all
other facilities. The list of suggested drugs including AYUSH drugs is
given in the annexure.

• Wherever possible, the MO will conduct field investigations to delineate local health problems for planning changes in the strategy of the effective delivery of Health and Family welfare services. He/she will coordinate and facilitate the functioning of AYUSH doctor in the PHC.

Promotion of Medicinal Herbs
• Locally available medicinal herbs/plants should be grown around the PHC

Community Health Centre ( CHC )

Minimum Requirement for Delivery of the Services at CHC :

Curative Services:

• One AYUSH specialist[ Post Graduate in AYUSH]
• One AYUSH General Duty Medical Officer[Graduate in AYUSH]
are recommended in the IPHS for CHC.
• AYUSH Drugs will be as per the list in the annexure.
• One Pharmacist – AYUSH
• Pharmacy cum store for AYUSH 6.4X3.2Mtrs
• Space for 2 AYUSH doctors Room 3.2 X 3.2 X2

31-50 Bedded Hospital

Minimum Requirement for Delivery of the Services:

Consultation services :

Two AYUSH Physicians are recommended.
• One AYUSH specialist[ Post Graduate in AYUSH].
• One AYUSH General Duty Medical Officer[Graduate in AYUSH].
Provided there is no AYUSH hospital / dispensary in the district headquarter.
• One AYUSH Pharmacist.

51-100 Bedded Hospital

Minimum Requirement for Delivery of the Services:

Consultation services :

Two AYUSH Physicians are recommended.
• One AYUSH specialist[ Post Graduate in AYUSH].
• One AYUSH General Duty Medical Officer[Graduate in AYUSH].
Provided there is no AYUSH hospital / dispensary in the district headquarter.
• One AYUSH Pharmacist.

101-200 Bedded Hospital

Minimum Requirement for Delivery of the Services:

Consultation services :

Two AYUSH Physicians are recommended.
• One AYUSH specialist[ Post Graduate in AYUSH].
• One AYUSH General Duty Medical Officer[Graduate in AYUSH].
Provided there is no AYUSH hospital / dispensary in the district headquarter.
• One AYUSH Pharmacist.

201-300 Bedded Hospital

Minimum Requirement for Delivery of the Services:

Consultation services :

Two AYUSH Physicians are recommended.
• One AYUSH specialist[ Post Graduate in AYUSH].
• One AYUSH General Duty Medical Officer[Graduate in AYUSH].
Provided there is no AYUSH hospital / dispensary in the district headquarter.
• One AYUSH Pharmacist.

301-500 Bedded Hospital

Minimum Requirement for Delivery of the Services:

Consultation services :

Four AYUSH Physicians are recommended .
• 2 AYUSH specialists [ Post Graduate in AYUSH].
• 2 GDMOs[Graduate in AYUSH].
• Two AYUSH Pharmacist

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