Parliament Question: Integration of AYUSH in public health facilities

GOVERNMENT OF INDIA MINISTRY OF AYUSH RAJYA SABHA STARRED QUESTION No. 257 TO BE ANSWERED ON 17.03.2026 Integration of AYUSH in public health facilities 257 Smt. Rajani Ashokrao Patil: Will the Minister of Ayush be pleased to state: (a) whether Government has reviewed the extent of integration of AYUSH systems of medicine in public health facilities; (b) the number and proportion of hospitals where AYUSH services are co-located or integrated, State-wise; (c) the nature and adequacy of training and orientation provided to AYUSH practitioners and allopathic staff to ensure safe, evidence-based and coordinated care; (d) whether patient outcomes and cost-effectiveness of such integrated services have been systematically assessed; and (e) whether Government has examined concerns that parallel medical systems may strain already limited public health resources, the steps taken to ensure optimal utilisation without compromising quality of care? ANSWER THE MINISTER OF STATE (IC) OF THE MINISTRY OF AYUSH (SHRI PRATAPRAO JADHAV) (a) to (e) A Statement is laid on the Table of the House. 1The Statement referred in reply to Rajya Sabha Starred Question No. 257 for 17.03.2026 (a) Every year Ministry of Health & Family Welfare (MoHFW) organizes the Common Review Mission (CRM) in various States/UTs across the country. The objective of the CRM is to undertake a rapid assessment of the functional status of various health programmes running under the National Health Mission (NHM) including mainstreaming of Ayush systems in public health facilities. (b) to (c) Government of India has adopted a strategy of Co-location of Ayush facilities at Primary Health Centres (PHCs), Community Health Centres (CHCs) and District Hospitals (DHs), thus enabling choice to the patients for different systems of medicines under single window. The engagement of Ayush Doctors/paramedics and their training is supported by MoHFW under NHM, while the support for Ayush infrastructure, equipment /furniture and medicines is provided by Ministry of Ayush under National Ayush Mission (NAM) as shared responsibilities. Mainstreaming of Ayush has been taken up in 13,249 Ayush facilities co-located under NHM (6,302 PHCs, 3,191 CHCs, 475 DHs, 3281 other health facilities) as an initiative towards strengthening evidence-based integration of Ayush System and to scale up Ayush services across the country for providing health care services to the community. In addition to this Ayush doctors are also deployed for various allied programs like Rashtriya Bal Swasthya Karyakram (RBSK), National Programme for Prevention and Control of Cancer, Diabetes, Cardiovascular Diseases and Stroke (NPCDCS) as well as other Public Health Programmes and their services are being used as per the felt need by providing appropriate training and orientation. Also, a total of 24,183 Ayush doctors, 2,265 Ayush paramedics and 3,404 Ayush Pharmacists have been deployed in the States/UTs with NHM funding support. Details of number of hospitals where Ayush services are co-located, State/UT-wise is furnished at Annexure. Further, to support evidence-based clinical practice and facilitate coordinated care, Standard Treatment Guidelines (STGs) for Ayush systems has been developed by the Ayush Vertical under the Directorate General of Health Services (DGHS), MoHFW for six common musculoskeletal disorders and five common metabolic disorders. Following their publication, national-level Master Trainer programmes have been conducted in collaboration with the Central Health Education Bureau to support capacity building and facilitate cascading training programmes across States and Union Territories. 2(d). No such assessment has been conducted. (e). The National Health Policy (NHP), 2017 provides a strategic framework for mainstreaming Ayush within a pluralistic and integrative health system, emphasizing coordinated service delivery, rational deployment of practitioners, and convergence with national health programmes. Integration is primarily operationalised through co-location and functional linkage models, thereby leveraging existing public health infrastructure without duplicating services. ***** 3Annexure referred in reply to the Rajya Sabha Starred Question No. 257 for 17.03.2026 Annexure Number of hospitals where Ayush services are co-located, State/UT-wise S. State/UTs DH CHC Other than PHC Other health Total No CHC at or facilities above block above SC but level but below below block district level level 1 Bihar 36 0 0 0 1348 1384 2 Chhattisgarh 18 98 0 454 0 570 3 Himachal Pradesh 0 0 0 0 0 0 4 Jammu & Kashmir 13 14 0 373 571 971 5 Jharkhand 21 188 0 97 225 531 6 Madhya Pradesh 36 95 0 275 0 406 7 Odisha 0 351 0 886 0 1237 8 Rajasthan 2 56 4 127 1 190 9 Uttar Pradesh 91 691 0 687 31 1500 10 Uttarakhand 13 53 7 44 0 117 11 Arunachal Pradesh 16 34 0 50 5 105 12 Assam 18 7 4 71 500 600 13 Manipur 7 17 1 85 0 110 14 Meghalaya 11 25 0 54 0 90 15 Mizoram 12 9 1 10 38 70 16 Nagaland 9 20 0 9 0 38 17 Sikkim 4 1 0 4 0 9 18 Tripura 3 21 11 84 0 119 19 Andhra Pradesh 9 105 0 273 0 387 20 Goa 2 6 2 22 1 33 21 Gujarat 0 0 0 868 0 868 22 Haryana 22 102 0 106 5 235 23 Karnataka 20 190 139 163 0 512 24 Kerala 0 0 0 0 0 0 25 Maharashtra 23 238 0 20 0 281 26 Punjab 22 66 18 87 8 201 27 Tamil Nadu 37 388 0 475 0 900 28 Telangana 3 100 0 449 0 552 29 West Bengal 13 295 54 387 95 844 Andaman Nicobar 30 3 4 0 20 0 Islands 27 31 Chandigarh 1 2 2 33 0 38 Dadra & Nagar 32 Haveli and Daman & 2 1 1 14 1 Diu 19 33 Delhi 0 0 0 0 208 208 34 Ladakh 2 7 0 32 0 41 35 Lakshadweep 2 3 0 4 0 9 36 Puducherry 4 4 0 39 0 47 TOTAL 475 3191 244 6302 3037 13249 4