Three day Residential Training Programme on HEALTH CARE IN INDIA-STRATEGIC PERSPECTIVES AP HRDI,BAPATLA 22.08.2016-24.08.2016
Kerala Ayush Health Policy and AYUSH Doctors at PHCs Dr.Sheela Karalam.B, MD District Medical Officer ISM,Thrissur, Kerala Former Spl.Officer R&D Oushadhi,Thrissur Kerala
AYUSH • • • • •
Ayurveda Yoga Unani Siddha Homoeopathy
Mile stones - AYUSH Health Policy • WHO-Alma Ata Declaration 1978 • “Health for all” • Importance on the role of traditional complementary and alternative systems of Medicines • WHO Direction and Co-ordination of health authorities • GOI separate department in 1995
Cond…… • Department of Indian systems of Medicine& Homoeopathy(ISM&H) 1995 • Department of AYUSH 2003 • Ministry of AYUSH 2014 • National Policy on ISM &H adopted in 2002 • National Rural Health Mission NRHM • National Ayush Mission (NAM) • In Kerala Dept,of Ayush was launched under GOK on 5th August 2015
Policy recognition Principles of healthcare for AYUSH systems and mainstreaming…. – Nurturing the individual systems of medicines through development of infrastructural facilities – Setting up of teaching institutions – Improving quality control of drugs – Capacity building of institutions & professionals – Research and public health skills of practical utility – Initiating community-based AYUSH interventions for preventive, curative & promotive healthcare.
Popular TCA medicine Practices • • • • • • • • • • • •
Ayurveda Homoeopathy Naturopathy Yoga Siddha Unani Acupuncture Babylonian Medicine Chiropractic Osteopathy Tai Chi Traditional Thai Medicine.
In India • Unmatched knowledge of Preventive and Curative health care • Preferred destination for medical tourism with significant cost advantage • Skilled medical professionals • World-class hospitals coupled with globally differentiated offerings such as Ayurveda and Yoga.
Kerala • Kerala is one of most forward state in terms of its socio demographic profile and physical quality of life index. • One of the developed state of the nation. • Kerala possesses a sophisticated arsenal of interventions, technologies and knowledge required for providing health care to its people. • Good Health Indicators
Among the AYUSH • Ayurveda, Yoga & Siddha originated in India, • Naturopathy, Unani & Homoeopathy emerged in the course of time. • AYUSH systems are popular in large number of states • Widely accepted as a holistic, comprehensive, cost effective, biofriendly and safe system of medicine.
Ayurveda • Ayurveda means science of life. • Ayurveda is one such traditional medical system which has been integrated into the daily life of Kerala to yield unparalleled health benefits to the population due to its social and cultural practices
Yoga and Naturopathy • Drugless, non-invasive, rational and evidence based health programme and system of medicine. • It forms a complete health care system which emphasize on both healing and prevention through education, self-responsibilities, natural remedies and therapies to support and stimulate the immune system, self-healing processes and maintenance of health.
Unani • Form of traditional medicine widely practiced in South Asia. • It is one of the eminent branches of alternative medical science in India. • Unani is based on the Hippocratic theory of Humours and on the six factors that are responsible for prevention of disease and maintenance of health - atmospheric air, food, water, physical movements and repose, mental activities and repose and evacuation and retention.
Siddha • Traditional Dravidian system of medicine having a comprehensive approach on the body, mind and the soul. • Siddha products or medicines are manufactured from herbal plants, processed metals and minerals and animal products and by-products.
Homoeopathy • • • • •
German origin- Dr. Samuel Hanniman Like cures like (samam samaena santhi) Similia,Similipus,Curanter Single remedy –single dose Ailments are treated by minimum/minute doses of natural substances.
Ayush Facilities-Hospitals • • • • •
Ayurveda -150 Homoeopathy-34 Yoga &Naturopathy-2 Siddha-1 Unani-Nil
Ayush Facilities-Dispensaries • Ayurveda -1027 • Homoeopathy-1068 • Yoga &Naturopathy-Nil • Siddha-34 • Unani-1 Including NHM dispensaries
Strength • Separate Department for AYUSH • Separate Directorate for ISM, Medical Education in Ayurveda and Homoeopathy · • Separate Principal & Controlling Officer of Homoeopathy · • Formation of National AYUSH Mission in Kerala · • Presence of NHM / Govt Dispensaries for Ayurveda & Homoeopathy in most of the panchayats · • Presence of Public Sector Manufacturing Unit - Oushadhi for Ayurveda and HOMCO for Homoeopathy • Presence of Govt Ayurveda & Homoeopathic Medical Colleges ·
Strength • Presence of Traditional Knowledge Innovation Kerala (TKIK) under Directorate of Ayurveda, aimed at the Intellectual Property Rights (IPR) protection of Ayurvedic · • Presence of Deputy Drugs Controller for Ayurveda, Siddha & Unani Department · • Separate Kerala University of Health Sciences · • Implementation of the Kerala Accreditation Standards for Health Care (KASH) for AYUSH systems ·
Strength • Support from prestigious research institutions such as CSIR, RGCB, RCC, SCTIMST, JNTBGRI, CCRAS, SRRI, CCRS, CRIU,CCRUM,CRIH,CCRH. • Large presence of Ayurveda Hospitals (ranking 3rd in India) and Homoeopathy hospitals (ranking 2nd in India). · • Presence of very rare medicinal plants · • Presence of Kerala State Medicinal Plant Boards (SMPB) · • Presence of qualified personnel
Weakness • Insufficient funds &Budgetary Allocation · • Inadequacy in staff pattern · • Lack of Insurance facility / medical re-imbursement facilities • No Separate Drugs Control Department for ASU&H Drugs · • Lack of research work publication and journals and inadequate data collection/publication / documentation in clinical practice · • Inadequate modern diagnostic equipments ·
Weakness • Lack of emergency management system · • Limited proficiency at IT Level · • Lack of statistical wing/ Disease Surveillance mechanism / participation in public health outreach activities · • Marginalization of AYUSH in National Health Programmes · • Limited standardization facility for AYUSH drugs/formulations · • Non-implementation of Medical Practitioners Act (Bill) for AYUSH practitioners in Kerala
Opportunities • Prevention and management of CDs and NCDs • Revenue and employment generation through cultivation and propagation of medicinal plants · • Establishment of more AYUSH Holistic Centre · • Involvement of AYUSH in pain and palliative care • AYUSH Task Force for epidemic control ·
Opportunities • Co-Location with modern Medicine in Pvt /Govt. Institutions · • Formulation of patent /proprietary and value added products · • Documentation of folk medicines and single drug remedies · • Protection of intellectual property related to AYUSH system • Popularization of AYUSH system through IT ·
Opportunities • Facilitation of AYUSH services in quasi government / co-operative establishments · • Skilled manpower export · • Research Potential · • Emergence of Kerala as popular tourism destination state in AYUSH medical tourism as well as wellness tourism · • Safeguarding local health traditions and streamlining scientific practices
Threats • Quackery practices · • Emergence of unethical & illegal advertisements · • Unethical practices in drug manufacturing and patient care · • Depletion of raw materials due to land deforestation
Vision To brand our state as GLOBAL CAPITAL of AYUSH systems for health care delivery, academic excellence, research and quality drug industry by the year 2025.
Objectives • To position Kerala as preferred AYUSH destination state in global map · • To establish AYUSH systems of medicine as preferred choice of treatment in primary health care · • To become 100% Ayurveda State and 100% Homoeopathic State by providing Ayurvedic & Homoeopathic treatment facility in all LSGIs and increase the penetration of other systems of AYUSH across the state • To upgrade the existing infrastructure and develop new infrastructure including hospitals and dispensaries · • To have an exclusive state research centre in all aspects for AYUSH ·
Objectives • To jointly partner with the national and international tourism establishments to become the most preferred destination for AYUSH medical tourism and wellness Tourism · • To promote Kerala systems of Ayurveda including panchakarma · • To increase the production, sale and acceptance of AYUSH medicines and enhance the employment generation in AYUSH sector · • To establish Kerala as the model state for best quality AYUSH education in India ·
Objectives • To provide effective control and treatment of CDs &NCDs in the state by integrating AYUSH infrastructure facilities and therapeutic methods, creating more public health initiatives for AYUSH and harnessing the potential contribution of AYUSH to the health care · • To support setting up of clusters through convergence of cultivation, warehousing, value addition and marketing and development of infrastructure for entrepreneurs · • To create single window clearance for private investments in AYUSH sector ·
Objectives • To improve population health status through concerted policy action in all AYUSH sectors and expand preventive, promotive, curative, palliative and rehabilitative services provided by the public health sector by enabling universal access to AYUSH drugs and services • To ensure improved access and affordability of secondary and tertiary AYUSH care services through a combination of public hospitals and strategic partnership with the private health sector · • To study the social determinants of health and impact them through AYUSH principles · • To institute a public sector drug manufacturing unit for Siddha and Unani with the aim of providing high quality medicaments to the public health initiatives in the state. · • To promote organic farming for chemical free food and herbs for the wellbeing of the people
Strategic frame work &Thrust areas • Medical Pluralism Appropriate integration of traditional systems of medicine into the main health care delivery system and programmes for the benefit of public as envisaged by WHO Strategy and National Policy. The state government would strive to provide the public with right of choice of treatment through its efforts in co-location of AYUSH infrastructure and manpower in public health facilities. It would also implement equal status and parity among doctors of different systems in the state.
Strategic frame work &Thrust areas • Holistic Approach • Establishment of AYUSH holistic treatment centers throughout the state to ensure maximum utilization of the uniqueness of each of the treatment system by healthy cross-referral systems. • AYUSH would focus on preventive, curative, promotive, rehabilitative and palliative areas. • The potentials of AYUSH would also be explored into other areas like veterinary sciences and agriculture.
Strategic frame work &Thrust areas • Services • Hospitals / Specialty Hospitals / Dispensaries / Primary Health Centres (PHCs) • Health Care Programmes • Public Health Care • Tribal Health Care • Wellness Care • Palliative Care • CDs • NCDs • Cancer Care • Mental Health
Strategic frame work &Thrust areas • • • • • • • • • • •
Services Maternity Care Child Care Special Child Care Adolescent Care Geriatric Care Sports care Life style Management De-Addiction Infertility Other Health Care Programmes
Strategic frame work &Thrust areas • • • •
Education Medical Education School education Paramedical education
Strategic frame work &Thrust areas • • • • • • •
Research Academic Research Clinical Research Drug Research Extra Mural Research Publication Documentation Capacity building
Strategic frame work &Thrust areas • • • •
Drugs Raw Materials /Medicinal Plants Drug Manufacturing Quality assurance and control
Strategic frame work &Thrust areas • • • • • • •
Medical Wellness and Tourism IEC Information System(E-AYUSH) Financial allocations/Incentives/Subsidies Governance Institutional Mechanism Regulatory Frame work
Validity The policy would aim to finalize by 2016 and hence would be effective for 10 years from 2016.
Thank You All