2030574400-Modify Css of Development of Ayush Hospital and Dispensaries

8/13/2019 2030574400-Modify Css of Development of Ayush Hospital and Dispensaries

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Mainstreaming of AYUSH

underNational Rural Health Mission

(NRHM)

ModifiedCentrally Sponsored Scheme for

Development of AYUSH Hospitals and

Dispensaries

(Updated as on 13.05.2011)

Operational Guidelines

Department of AYUSH

Ministry of Health & Family Welfare

Govt of India


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1. Objective

The main objective of this scheme is to facilitate in and through the

Government Sector mainstreaming of AYUSH through co-location of

AYUSH facilities at Primary Health Centres (PHCs), Community HealthCentres (CHCs) and District Hospitals (DHs) and upgradation of AYUSH

hospitals and dispensaries, provide management support at the central and

state levels, setting up Rogi Kalyan Samitis, Health Management

Information System and specilaized AYUSH facilities in Government

tertiary AYUSH hospitals with Public Private Partnership Mode take up

PPP Projects in tertiary level hospitals.

2. Components

Financial assistance will be provided to the States/ UT Governments

for (I) Co-location of AYUSH facilities at PHCs, CHCs and District

Hospitals (II) Upgradation of existing Government AYUSH Hospitals (III)

Upgradation of existing Government/Panchayat/ Government aided

AYUSH Dispensaries and (IV) Supporting facilities such as Programme

Management Units at State level, Health Management Information System

and Rogi Kalyan Samities, for AYUSH Hospitals subject to terms and

conditions as indicated.

I- Co-location of AYUSH facilities at PHCs, CHCs and DHs:

I. A. Establishment of AYUSH OPD Clinics in the Primary Health

Centres (PHCs)

One Time grant

Up to Rs 15.00 lakhs for undertaking addition/ alteration of existing

premises; furniture, fixtures, equipments, etc. subject to the condition that

expenditure on addition/ alteration of existing premises will not exceed 75

per cent of the total amount.

Recurring Grant

Rs 0.30 lakhs per annum as lump Sum Contingency fund.

Rs 3.00 lakhs per annum for procurement of drugs, Medicines, Diet and

other consumables.


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I. B. Establishment of AYUSH IPDs in Community Health Centres

(CHCs)

One Time grant

Up to Rs. 25.00 lakhs for undertaking addition/ alteration of existingpremises; furniture, fixtures, equipments, etc. subject to the condition that


per cent of the total sanctioned amount.

Recurring Grant

Rs. 0.50 lakh per annum as lump Sum Contingency fund.

Rs. 5.00 lakhs per annum for procurement of drugs, Medicines, Diet and

other consumables.

I. C. Setting up of AYUSH Wings in District Hospitals

One Time grant

Up to Rs. 30.00 lakhs for undertaking addition/ alteration of existing



per cent of the total amount.Recurring Grant

Rs. 0.70 lakhs- per annum as lump Sum Contingency fund.

Rs. 2.50 lakhs per annum for procurement of drugs, Medicines, Diet and

other consumables.

II. Supply of Essential Drugs to Government AYUSH Hospitals and

Dispensaries

Rs 0.50 lakhs per annum for essential drugs (Ayurveda/ Siddha/ Unani)

Rs 0.25 lakhs per annum for essential drugs (Homoeopathy)


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III. Upgradation of Government AYUSH hospitals (other than

PHCs/ CHCs/ DHs) at the District/sub-District levels

Financial assistance will be provided for upgradation and improvement of

existing AYUSH hospitals under the State Government/Zila Parishads atthe District/Sub District levels.

One Time Grant

Up to Rs 50.00 lakhs for undertaking construction, renovation of existing



per cent of the total amount.

Recurring Grant (per annum)

Rs. 0.70 Lakhs per annum as lump sum contingency fund

Rs. 4.50 Lakhs per annum for procurement of drugs, medicines, diet and

other consumables.

Rs 8.16 lakhs per annum for engagement of personnel as indicated below

i) AYUSH Specialists- 2 (two)ii)AYUSH Pharmacists- 2 (two)iii)Para Medical Staff- Masseurs- 2 (two), Kshar Sutra Attendant-

1(one), Stri Roga Attendant- 1(one).

Subject to the conditions that the additional requirement of personnel shall

be assessed and projected keeping in view the personnel already in position

and the said engagements will be on contractual basis only for the Plan

Period.

IV. Upgradation of Government/Panchayat/Government aided AYUSH

Dispensaries

One Time grant

Up to Rs 10.00 lakhs for undertaking construction, renovation of existing


expenditure on addition/ alteration of existing premises will not exceed 75 per

cent of the total amount.

Recurring Grant (per annum)

Rs. 0.10 Lakhs per annum as lump sum contingency fund


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V. Setting Up of Specialized AYUSH Facilities in Government

Tertiary Care AYUSH Hospitals In The Public- Private Partnership

(PPP) Mode.

One Time grantUp to Rs 85.00 lakhs- for undertaking construction, renovation of existing


expenditure on addition/ alteration of existing premises will not exceed to

75 per cent of the total amount.

Recurring Grant for meeting operational expenses

1styear = Up to Rs. 10.00 lakhs

2ndyear = Up to Rs. 8.00 lakhs

3rdyear = Up to Rs. 6.00 lakhs

4thyear = Up to Rs. 4.00 lakhs

Details on setting up of the AYUSH facilities on PPP mode are given in

Annexure- II.

VI. Supporting Facilities

i. Setting-up of Programme Management Units (PMUs):In order to strengthen the AYUSH infrastructure both at the Central

and State levels, financial assistance for setting up of the Programme

Management Units (PMUs) will be provided. The PMU will consist of

management professionals be set up on NRHM pattern. This will be subject

to the condition that a commitment is given by the State Governments for

taking over the entire expenditure on the PMU by the end of the 11thPlan.

The composition of Programme Management Units both at Central and

State level will be as follows:

(a) Programme Manager- 1 (one)

(b) Finance manager 1 (one)

(c) Accounts manager 1 (one)

(d) Data officer/Assistant 1 (one)

In addition, one time grant upto Rs.2.00 Lakhs for furniture, fixtures,

computers, equipments related to information technology (IT) etc. and


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recurring grant of Rs.0.10 Lakhs per annum as lumpsum contingency fund

may be sought for this purpose.

ii. Setting-up of Health Management Information System

(HMIS):Select States will be taken up on pilot basis for setting-up of Health

Management Systems exclusively for AYUSH hospitals and dispensaries

through outsourcing on NRHM pattern.

iii. Constitution of Rogi Kalyan Samitis:

Rogi Kalyan Samitis (Hospital Management Committees) for AYUSH

Hospitals will be set up on the pattern approved for allopathic hospitals

under NRHM so as to provide flexibility and autonomy to the AYUSH

Hospitals at the district/ sub-district levels. No separate funding will be

provided for this purpose.

However assistance for the same will be met from the contingency to be

provided under the Scheme for Upgradation of AYUSH hospitals with a

ceiling of Rs. 0.70 lakh per year per unit.

Details on constitution and operation of PMU, HMIS and Rogi KalyanSamiti are given inAnnexure- III

3. General pattern of assistance

Pattern of assistance under the various components of the Scheme

shall be as indicated below:

(i) Funding of different components will be done on a gap filling basis,based on the State Programme Implementation Plans (PIPs). The

financial assistance for the components will be limited to the actual

requirement, subject to the ceiling prescribed.

(ii) 85% of the admissible assistance will be provided as grants-inaid bythe Central Government and balance 15 % shall have to be met by

the State/ UTs concerned, except for the North-eastern States, where

the Central share will be 90 % and balance 10% to be met by the

States.


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(iii) Assistance for setting up Hospital Management Information Systemfor AYUSH shall be met by the Central and State/UTs Governments

on 50:50 basis.

iv) Assistance for setting up Programme Management Units for AYUSHshall be met by the Central and State/ UTs Governments on 85:15 basis,

including NE States.

4. General Terms & Conditions

i) Under the scheme, financial assistance will be provided to the State/UT government for the specified components for promotion of

AYUSH health care facilities.

ii) Proposal seeking assistance under the scheme shall have to besubmitted in duplicate in the prescribed format enclosed asAnnexure- Ialong with requisite information details.

iii) Admissible financial assistance under the scheme will be released tothe State Health Society.

iv) Financial assistance under the scheme will be normally released intwo instalments for establishment provided that the Screening

committee may release the total amount in one instalment.

v) The grantee organization shall take necessary action to utilize theamount within the financial year provided that in the event of failure

to utilize part or full of the amount during the year, details thereof

shall be reported to the department for placing before the Screening

Committee for decision.

vi) The grantee organization shall have to submit six monthly reportsindicating physical progress of the work, attendance of the patients/

visitors in the AYUSH unit, receptivity & acceptability of the

facilities of health care rendered from the unit for specific diseases aswell as financial position of expenditure along with relevant

documents.

vii) The grantee organization shall have to take action for provision ofrequired manpower (as indicated in Annexure-IV) and space (as

indicated in Annexure-V) by availing support provided under the

NRHM flexipool and under this scheme.

viii) The grantee organization shall have to use the fund sanctioned underthis scheme to procure quality medicine from public sector/ co-


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operative managed by central/ State Governments as per details

indicated inAnnexure-VI.

5. General

5.1 Processing and sanction of proposals:

A screening committee, constituted with following members, will

consider the proposals under the Scheme for sanction of admissible

assistance.

i) Secretary (AYUSH) Chairperson

ii) Joint Secretary (AYUSH) Member

iii) Joint Secretary & F.A. or his nominee Member

iv) Adviser (Ayurveda) Member

v) Adviser (Unani) Member

vi) Adviser (Homoeopathy) Member

vii) Director (CCRYN) Member

viii) Concerned Director/ Dy. Secretary Member Secretary

Other person may be co-opted as deemed necessary with the approval of

Chairperson.

5.2 Evaluation of the Scheme

A mid-term review of the scheme is proposed to be done through an

independent agency after two years of implementation of the scheme.

5.3. Modification of the Scheme

The Empowered Programme Committee (EPC) and Mission Steering

Group (MSG) chaired by the Secretary, Health and Family Welfare and the

Minister of Health and Family Welfare, respectively, set up under NRHM

will consider and approve changes, as deemed necessary, in this scheme.

There could be possible some changes required from time to time in

the scheme due to operational classification in the scheme.


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Annexure- I

APPLICATION FORM

Centrally Sponsored Scheme for Development of AYUSH

Hospitals and Dispensaries and Mainstreaming of AYUSHunder National Rural Health Mission

Part-I

1. Name of State / UT

2. Name, designation & address of the contact person

including Tele. No., Fax No. and E-mail address:

3. Unique identification number (UID) of the Health Society, to whichfund sanctioned under scheme will be debited:

4. Gist of proposal:

i) Co-location under NRHM

S.

No.

Centre One time

assistance

Recurring assistance Total

Amount

No. of

Units

Amount New

Units

Old

Units

Cumulative

Amount

1 2 3 4 5 6 7 8PHC

CHC

DH

Total

NB

(a)PHC - details to be given in format at: 1(a)(b)CHC - details to be given in format at: 1(b)(c)DH - details to be given in format at: 1(c)

ii)Drugs/ Medicines for Hospital/ Dispensaries: Total Amount

- Details to be given in format at:

For Hospitals/ Dispensaries: 1 (d)

iii)Upgrading the existing AYUSH Hospitals/ AYUSH Dispensaries

Total Amount

- Details to be given in format at: 2 (a)/ 2(b)

iv)Provision of AYUSH facilities under PPP mode Total Amount

- Details to be given in format at 3


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v) Supporting facilities(for PMU /HMIS)

Sr. No. Unit Amount

PMU

HMIS

RKS

Total

- Details to be given in format at: 4

5. Grand total of proposal:

6. Reference of Programme Implementation Plan for the year indicating

the assistance availed sought in this proposal.

7. Whether grant-in-aid of similar nature has been received from any

other source, if so, the details thereof:

8. Quantum of monetary contribution if any, form the State towards the

proposed project:

9. Name of the authority responsible for submitting the utilization

funds related documents and progress report:

10.Any other relevant information:

Signature with seal of the Head of Department


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Part- II

Recommendation of the State government

Subject: Assistance for..

1. The proposal for sanction of financial assistance has been scrutinized bythe Office of the

2. The State Government recommends a grant of Rs . (Rupees ) for the purpose of

collocation under NRHM/ Essential medicines/ upgradation of Hospital/

Upgradation of Dispensary/ AYUSH facilities under PPP mode/ for

supporting facilities. This is considered essential for development and

efficient working of the facility. (streak out which is not applicable)

3. The grant is applied for purpose which is in accordance with the normsprescribed by the Department of AYUSH, Ministry of Health & Family

Welfare, New Delhi.

4. It is also certified that:(i) The State Government have examined the audited statement of

accounts for the last 3 years and are satisfied that the grant-in-aid

asked for by them is justified by their financial position and that all

previous grants received by them from various sources have beenutilized for the purposes for which the grants were sanctioned.

(ii) There is nothing against the facility or its office bearers/ staff whichshould disqualify them from receiving the financial assistance from

the Government of India. It is also certified that the institution or

and of its office bearers is not involved in any corrupt practices and

court proceedings.

(iii) The information provided by the facility for its application for grantis true and complete in all respect.

(iv) The facility has furnished utilization certificates and relateddocuments in respect of the previous grant if any received.

(v) Provision has been kept in the state budget for meeting matching

contribution (15% in case of State/ 10% in case of North-Eastern

States) for meeting the State share as required under the scheme

(15% for PMU & Upgradation of Dispensaries in case of NE

States).

Date... .

Signature with seal of the Secretary to the Government


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Format- 1 (a)

For assistance to Primary Health Centre (PHC)S. No. Location Collocation of

AYUSH

System

Average

Daily OPD

attendance

Facilities available Support required

Block

Sub

Division

District

Year Stream

(Ayur. /Hom. /

Unani /

Siddha)

Staff Infrastructure/

Equipment /Furniture

Infrastructure Equipment /

Furniture

Medicine /

drug

M.O. Supporting

Staff

Physical financial Physical Financial

1 2 3 4 5 6 7 8 9 10 11 12 13

Format- 1 (b)

For assistance to Community Health Centre (CHC)S.

No.

Location

Sub

Division

District

Collocation of

AYUSH

System

Average

OPD

attendance

No. of

IPD beds

IPD

(average

Bed

occupancy)


Year Stream

(Ayur. /

Hom. /

Unani /

Siddha)


Equipment /

Furniture


Furniture

Medicine

/ drug

M.O. Supporting

Staff


1 2 3 4 5 6 7 8 9 10 11 12 13 14 15


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Format- 1 (c)

Format- 1 (d-1)

For essential drugs to AYUSH hospitalS. No. Location

District

Average Daily

OPD

No of

Beds

IPD (average

bed

occupancy)

Existing facilities Required facilities

Staff Medicinesavailable

Medicine / drug

M.O. Supporting

Staff

List of

drugs

Amount

1 2 3 4 5 6 7 8 9 10

For assistance to District Hospital (DH)

.

No.

Location

District

Collocation of

AYUSH System

if already made

Average

OPD

attendance

No of

beds

IPD

(average

bed

occupancy)


Year Stream

(Ayur. /Hom. /

Unani /

Siddha)

Staff Infrastructure

/ Equipment /Furniture


Furniture

Medicine

/ drug

M.O. Supporting

Staff


1 2 3 4 5 6 7 8 9 10 11 12 13 14 15


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Format- 1 (d-2)

Format 2(b) for essential drugs to AYUSH dispensary

S.No. Location

Block

Sub Division

District

Average

Daily OPD

Available Facilities Support required

Staff Medicine Medicine / drug

M.O. Supporting Staff List of Drugs Amount

1 2 3 4 5 6 7 8


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Format- 2(a)

Upgradation of AYUSH Hospitals other than PHCs/ CHCs/ DHs at the District/ Sub district level

S.

No.

Location

District Yearof

estab

lishment

SystemofMedicine

(Stream)

AverageOPD

atte

ndance

No. of

IPD

beds

IPD

(Bed

occupancy)during

previousyear


Staff Infra -

structure


Equipment /

Furniture

Medicine /

drug/

contingencyM.O. Supporting

Staff

M.O. Supporting

Staff

Physical Financial

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15

1. The full justification for which the grant is required (Please give detailed break-up):

2. Give the specific details for their requirement with estimates of Capital Works; upkeep and maintenance of

above facilities.

3.Whether the applicant has received any Assistance for the above purpose from the Central/State Govt/other

Govt. Agency in the past? If so, the details thereof (year wise).

4.Annual expenditure of the institute during the last three years (year-wise) statements in this connection dulyapproved by the audit authority in case of Govt. Hospital.

Signature of the Hospital Incharge

(Name in Block Letters)

Phone:

Date:


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Format- 2(b)

Upgradation of AYUSH Dispensaries

1. The full justification for which the grant is required (Please give detailed break-up):

2. Whether the applicant has received any Assistance for the above purpose from the Central/State Govt/other Govt. agency in the

past? If so, the details thereof (year-wise).

Signature of the Hospital Incharge

(Name in Block Letters)

Phone:

Date:

S.

No.

Name,

Location&

DistrictStatuso

f

Building(R

ent

ed/own)

Systemo

f

Medicin

e

AverageO

PD

attendance

Facilities available Infrastructural Support required

Contingency Total

Staff Infra -

structure

M.O. Supporting

Staff

Building

construction,

alteration/renovation

Equipment/

furniture

1 2 3 4 5 6 7 8 9 10 11 12


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Format- 3

Proposal for setting up tertiary AYUSH Health Care Facility

under Public Private Partnership (PPP) mode.

1. Tertiary health care facility to be developed:2. Location of Institution in which the facility will be developed:

Block-

Sub Division-

District-

State-

3. Available Infrastructure (specialty wise):3.1 Indoor facility available3.2 No. of Beds3.3 Average bed occupancy3.4 Outdoor patients facility3.5 Average daily (OPD) attendance

4. Available Technical manpower:4.1 Medical officer4.2 Para medical4.3 Supporting staff

5. Additional physical infrastructure required to be developedSl. No. Component Physical Financial

5.1 Building

5.2 Equipment

5.3 Other requirement

5.4 Total

6. Benefits expected to accrue:6.1 Patients to be covered (per annum)6.2 Building up capacity of the local technical personnel

Head of the Department/ Institution


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Format- 4

Proposal for creating supporting facilities in the State/ Central

1. Facility to be established: PMU

2. Location of the unit

3. Infrastructure support required for unit:Sl.

No.

Component Physical Financial

3.1 Manpower(Recurring)

3.2 Contingency (Recurring)

3.3 Equipment(Computer & its

accessories)

3.4 Furniture etc.

3.5 Total financial implication

4. State share for the unit..

5. Assistance being sought from the central Govt..

Signature with seal of the Head of Department/ Hospital


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Annexure- II

Setting up of Specialized AYUSH facilities in Government

Tertiary Care AYUSH Hospitals in the Public- Private

Partnership (PPP) Mode

1. AYUSH stream of health care have proven efficacy in treatment ofseveral diseases on the tertiary health care sector. Such facilities

have developed in the private sector in some parts of the country.

People from other regions have been going to such places for availing

the health care facilities at considerable cost and travel related

inconvenience. It is deemed necessary to replicate such arrangements

in partnership with private sector for providing the facilities at otherplaces. For this purpose support will be extended for developing

required facilities by the State/ UT government in partnership with

private health providers of repute. This will ensure provision of

quality tertiary health care facilities in an affordable manner.

2. Under the arrangement, required infrastructure (space, equipments)will be provided by the State Government by upgrading (renovation,

alteration) available facilities in tertiary health care for which central

assistance will be provided under this scheme. However no funding

will be provided for new construction. The private promoter will be

required to run the centre with its own personnel and provide health

care services. Apart from providing health care services, it will also

assist the in capacity building of the government servants in this

regard.

3. The financial assistance will be provided to the State/ UTs to set upspecialized AYUSH facilities in teaching Hospitals, preferably those

attached to Government Allopathic/ AYUSH colleges. This is expected

to assist the teaching faculty/ students and get the benefit of practicalexperience in this field.

4. ModalitiesState Governments/ UTs shall have to identify the tertiary AYUSH/

Allopathic tertiary hospital as well as the location within the facility

where such facility will be provided. Details, along with requirement

of funds for upgrading the facility may be sent to the Department of

AYUSH in the prescribed format enclosed as Format- 3.


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Proposals received from the State/ UT Governments will be

considered by the Screening Committee and admissible amount

would be sanctioned.

Suitable private service provider of repute and experience of

providing such services in the AYUSH systems (Ayurveda, Yoga &

Naturopathy Unani, Siddha and Homoeopathy, etc.) for a period not

less than 5 years will be selected by the State Govt. in a transparent

manner. A Memorandum of Understanding (MoU), incorporating,

salient features (as given below), to be executed with the selected

private provider shall be sent by the State/ UT government to the

Department of AYUSH and same shall be executed with the private

service provider after clearance by the Department of AYUSH.

Issues to be incorporated in the MOU

A. Liability of the private promoters

i. Details of services to be provided.ii. Deployment of manpower

iii. Complying with relevant statutory provisionsiv. Details on operation of the unit, fee if any to be charged for the

services and concessions to be given to people below poverty

line/ SC/ ST.

v. Facilitating training to faculty & students in the college, wheresuch facilities have been provided.

vi. Provision of security in form of bank guarantee, as deemednecessary.

B. Liability of the State Government

i. Provision of infrastructure facilities etc. for running the facility

ii. Provision of other facilities (to be specified)

C. General

i. The contract may be made initially for a period of five years,with provision for termination with 3 months notice from

either side.

ii. The private provider will be required to restore the fixed assetsprovided by the State Government intact.


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iii. Income and Expenditure statements, Balance Sheet andAudited accounts of the unit shall be certified and sent by the

State Government for sanction of financial assistance towards

recurring cost as admissible under the scheme.

iv. A statement indicating the number of patients treated in theunit shall be submitted by the service provider to the State/ UT

Government and copy of which will be sent to the Department

of AYUSH.

v. An independent committee as deemed fit by the HealthDepartment of the State govt. may look into any dispute

between the private provider & Government. Its decision will

be final.


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Annexure- III

Supporting facilities (PMU, HIMS, Rogi Kalyan Samitis) for

AYUSH

Programme Management Unit for AYUSH:

1. The financial assistance is to be provided for setting-up of ProgrammeManagement Units (PMUs) both at the Central Government and State

Government level, in order to strengthen the AYUSH infrastructure on

similar lines as under NRHM to provide technical assistance for

undertaking mainstreaming of AYUSH.

2. Programme Management Units consisting of management, Financeand account professionals set up on NRHM pattern. This will be

subject to the condition that a commitment is given by the StateGovernments for taking over the entire expenditure on the PMUs by

the end of the 11thPlan.

3. Expenditure on setting up Programme Management Units for AYUSH

shall be met by the Central and State/ UTs Governments on 85:15

basis.

4. The PMU staff will be of recruited from the open market on contractual

basis for a fixed tenure. This PMU will provide the technical support tothe Mainstreaming of AYUSH in the State through its pool of skilled

professionals like MBA, CA, Accounts Specialist. This technical pool

would be accessed by Mission Director/ AYUSH Director and official

involved in implementation of Mainstreaming of AYUSH & support

related to logistics, financial management, MIS, tracking of funds for

AYUSH etc.

5. All appointments would be temporary and would be made for the

contract / deputation period as may be determined by the State

Government.

Eligibility criteria

1. Programme Manager- MBA/ Master Degree in Personnel

Management/ Management in HR from a reputed AICTE

recognized institute with minimum 3 years working experience.

2. Finance Manager- MBA in Finance from AICTE recognized

institutewith Minimum 3 years experience in a government or any

other reputed organization in finance management of major

programme/ project.


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3.Accounts Manager- MBA Finance/ M.Com/ ICWA(Inter)/ CA

(Inter) from recognized institutewith Minimum 3 years experience

in a government or any other reputed organization in account

management.Experience in health sector desirable.

4. Data Officer/Assistant- Graduate with Diploma in Computer

application or BCA, Knowledge of MS office package, Tally/

Pagemaker etc., Hindi/ English Typing with 2 years experience.

5. In addition to this, preference will be given to persons who have

experience of working in health sector, NRHM in particular.

Terms of Reference

1. To assist in mapping of AYUSH facilities for grant in aid anddeveloping AYUSH plans based on realistic estimation.

2. To assist in designing road map for achieving Mainstreaming ofAYUSH and coordinate between State Health Society and AYUSH

Directorate.

3. To provide specific programme support related to logistics, financialmanagement, tracking of funds for AYUSH up to the lower level.

4. To collect the data from field level and create & maintain Stateresource database for the AYUSH sector including manpower,

buildings, equipments and other support infrastructure.

5. To assist in developing the database of trained AYUSH manpower.6. To liaise and brief officers on successes, problems and issues on

implementation of Mainstreaming of AYUSH.

7. To submit technical reports (including when necessary brief actionpoints) on status of Mainstreaming.

8. To assist in preparing different training modules and trainingmaterial curriculum and guidelines etc in consultation with the

State and Central govt officials.

9. To help Director/ Nodal Officer for AYUSH to organize TOTs,Expert Committee meetings and other meetings and workshops as

required from time to time under NRHM.

10.To assist in monitoring of service delivery of AYUSH at health carefacility.

Health Management Information System (HMIS) for AYUSH:

The financial assistance is to be provided for setting-up of HealthManagement Information System (HMIS) at the State Government level,


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Select States will be taken up on pilot basis for setting-up of Health

Management Systems exclusively for AYUSH hospitals and

dispensariesthrough outsourcing on NRHM pattern.

Health Management Information System (HMIS) consisting of MIS

professionals be set up on NRHM pattern. This will be subject to thecondition that a commitment is given by the State Governments for taking

over the entire expenditure on the HMIS by the end of the 11thPlan.

Expenditure on setting up HMIS for AYUSH shall be met by the

Central and State/UTs Governments on 50:50 basis.

Eligibility criteria:

1.HMIS Manager- MSc Statistics, MSc IT/ MCA from recognized institute

with Minimum 3 years experience in a government or any other reputed

organization in information management of any project. Experience within

the HMIS domain is desirable.

2.Data Entry Operator- Graduate with Diploma in Computer application

or BCA, Knowledge of MS office package, PageMaker etc., Hindi/ English

Typing with 2 years experience.

3. In addition to this, preference will be given to persons who have

experience of working in health sector, NRHM in particular.

Terms of Reference:

1. To collect the data from all departments of Hospital in terms ofOPD & IPD data would be managed separately.

2. Data from the field level and create & maintain State resourcedatabase for the AYUSH sector.

3. The information by varied sources such as National Family HealthSurvey (NFHS), District Level Household Survey (DLHS), Census,

SRS, and performance statistics on Mainstreaming AYUSH/AYUSH to be curled out to make database.

4. The Health Statistics Information Portal facilitates the flow ofphysical and financial performance from the field level to the State

HQ and will provide periodic reports on the status of the AYUSH

sector.

5. To meet the HMIS (AYUSH) requirements through closecoordination with PMU (AYUSH & NRHM), National/ State Health

& Family Welfare institute and National/ State Health System

Resource Centre to get and provide data regarding AYUSH sector.


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Annexure- IV

Staffing Patternfor provision of quality AYUSH health care facilities

I- At Primary Health Centre (PHC) level:

Postgraduate/ Graduate AYUSH doctor- 1 (one)

Pharmacist for AYUSH- 1 (one)

Multipurpose worker- 1 (one)

II- At Community Health Centre (CHC) level:

(a) For Out Patient Department

Specialist Postgraduate doctor- 1 (one)

Graduate General Duty doctor- 1 (one)

Pharmacist-1 (one)

(b) Specialized therapy of AYUSH (for indoor facility)-

Specialist Postgraduate doctor- 1 (one)

Paramedical Staff/ Therapists- 2 (Two)

Multi purpose worker- 1

For each specialization.

III- At District Hospital level:

(a) As IPHS guidelines from 31 to 300 bedded hospitals-i) Specialist Postgraduate doctor- 1 (one)

ii) Graduate General Duty doctor- 1 (Two)iii) Pharmacist- 1 (one)(b) From 301 to 500 bedded hospital

i) AYUSH Specialists- 2 (Two)ii) General duty doctors- 2 (Two)

iii) Pharmacists- 2 (Two)(c) Specialized therapy of AYUSH system (for indoor facility)-

i) Specialist Postgraduate doctor- 1ii) Paramedical Staff/ Therapists- 2

iii) Multipurpose worker- 1 is required for each specialty.Note: - Expenditure as the above (i, ii, iii) shall have to met out of

NRHM flexipool. The scale of remuneration may be decided by the

State/ UT government.


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IV- Upgradation of AYUSH Hospitals(other than PHCs/ CHCs/

DHs)

(a) AYUSH Specialists (two) @ Rs. 20,000/- per month per specialist.

(b) AYSUH Pharmacists (two) @ Rs. 6,000/- per month per pharmacist.

(c) Para Medical Staff (four) @ Rs. 4,000/- per month per person.

(Masseurs- 2, Ksharsutra Attendant- 1, Stri Roga Attendant- 1)

V- Programme Management Unit

(a) Programme Manager @ Rs .25,000/- to Rs. 40,000/- per month

(b) Finance Manager @ Rs. 20,000/- to Rs. 30,000/- per month

(c) Accounts Manager @ Rs. 18,000/- to Rs. 25,000/- per month

(d) Data Officer/ Assistant @ Rs. 15,000/- to Rs. 20,000/- per month

VI- HMIS Unit

(a) HMIS Manager @ Rs. 20,000/- to Rs. 30,000/- per month

(b) Data Entry Operator @ Rs. 10,000/- to Rs. 15,000/- per month

Note: -Expenditure as the above (IV, V, VI) shall be met out fund placedby the Department of AYUSH under this scheme. Scale of remuneration

shall be decided by the State/ UT government based on experience and

qualifications etc. subject to the total ceiling indicated above.

VII- General

i) Necessary action for posting of required manpower (medical officerand supporting staff) as per the Indian Public Health Standards

in the PHC /CHC /District Hospital as indicated above shall be

projected for financial support out of the NRHM flexi-pool in thePIP (NRHM) of the State for the year. Alternatively the State

Government shall provide required manpower out of its own

resources.

ii) The contractual staff wherever engaged will have no claimwhatsoever for regularization etc. The concerned State Govt./

Administrative departments/ Institutions/ hospitals will own all

liabilities and consequences should such a claim is made.


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Annexure- V

Minimum space for provision of quality AYUSH health care facilities

I- At Primary Health Centre (PHC) level:

One doctor Room- 3.2 X 3.2 X2 Mtrs and one Pharmacy cum store for

AYUSH- 6.4 X 3.2 Mtrs.II- At Community Health Centre (CHC) level:

(a)Doctor Room- 3.2 X 3.2 X2 Mtrs for 2 AYUSH Doctors, one

Pharmacy cum store for AYUSH- 6.4 X 3.2 Mtrs.

(b)In addition to the above, space required for specialized therapy

follows:

Panchkarma/ Thokkanam Therapy Centrei) 4 therapy rooms (each of 200 Sq. ft. area x 4) 800 Sq. ft.

ii) 10 beds in pre-existing wards or space for accommodating 5 maleand 5 female patients- 500 Sq. ft

iii) Kitchen- 200 Sq. ft.iv) Office cum record room- 200 Sq. ft.

Total: 1700 Sq. ft

Kshar sutra Therapy Centrei) Operation theatre 200 Sq. ft

ii) Sterilization room (existing one can be used) 200 Sq. ft.iii) Recovery room 200 Sq. ft.iv) 10 beds in pre-existing wards or space for accommodating 5 male

and 5 female patients 500 Sq. ft.

v) Office cum record room 200 Sq. ft.Total: 1300 Sq. ft.

Regimental Therapy of Unani (Ilaj Bil Tadbeer)Centre

i) Therapy section (4 rooms each of 200 Sq ft. area) 800 Sq. ft.ii) 10 beds in pre-existing wards or space for accommodating 5 male

and 5 female patients- 500 Sq. ft.

i) Office cum record room 200 Sq. ft.Total: 1500 Sq. ft.


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Yoga & Naturopathy Therapy Centrei) Yoga hall 1200 Sq.ft.

ii) Therapy section 600 Sq. ft.iii) Office cum record room 200 Sq. ft.iv) Kitchen- 200 Sq. ft.

Total: 2200 sq. ft.

III- At District Hospital level:

i) 6 therapy rooms (each of 200 Sq. ft. area x 6) 1200 Sq. ft.ii) 2 OPD rooms 200 Sq. ft.

iii) 10 beds in pre-existing wards or space for accommodating 5 maleand 5 female patients- 500 Sq. ft.

iv) Kitchen (existing kitchen may be can be utilized) 200 Sq. ft.v) Office cum record room 200 Sq. ft.

Total: 2300 Sq. ft


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Annexure- VI

Supply of drugs and medicine for provision of quality AYUSH

health care facilities.

i) Essential drugs and medicine required for implementation of the

Scheme will have to be procured from M/s Indian Medicine

Pharmaceutical Corporation Limited (a Central Public Sector

Undertaking) or from Public Sector undertakings, pharmacies

under State Governments and Co-operatives, keeping in view the

need for ensuring quality of AYUSH drugs and medicines.

ii) 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 desiredobjectives subject to a ceiling of five percent of the total amount

sanctioned for the purpose.

iii) List of the essential Ayurvedic, Unani, Siddha and Homoeopathic

drugs to be supplied, as notified by the Department of AYUSH may

be followed while procuring essential drugs.

Documents

2030574400-Modify Css of Development of Ayush Hospital and Dispensaries