The Umbrella term AYUSH is the acronym for Ayurveda, Yoga & Naturopathy, Unani, Siddha and Homoeopathy. At present in a global resurgence of demand for natural medicine has given a significant fillip to the development of Indian medicine. This system is moving ahead with use of latest technological & scientific developments. AYUSH system of medicine have age-old acceptance among various communities in India and played an important role in prevention and mitigation of disease. Among the 5 (Five) systems of AYUSH, Ayurveda, Homoeopathy and Yoga are equally practiced throughout Tripura both at Govt. and non Govt. levels. Remaining others might have not developed much in this State. In addition some folk medicines are practiced by local tribes in rural areas which could not be well documented.
Department of Indian Systems of Medicine and Homoeopathy (ISM&H) was created in March,1995 and re-named as Department of Ayurveda, Yoga & Naturopathy, Unani, Siddha and Homoeopathy (AYUSH) in November, 2003 with a view to providing focused attention to development of Education & Research in Ayurveda, Yoga & Naturopathy, Unani, Siddha and Homoeopathy systems.
The broad objectives are:
1. To recreate interest and faith in Indian system of Medicine & Homoeopathy.
2. Restructure the delivery mechanism of AYUSH system to make them responsive to the people needs.
3. All AYUSH institution to be strengthened with necessary infrastructure like building, equipment, manpower etc.
4. To promote the Ayush system with full emphasis on quality.
5. Integrate and mainstream AYUSH in health care delivery system including the national programmes.
6. Co-locate AYUSH facilities with those of Modern Medicine hospital for providing choice of treatment to the patient.
7. Disseminate the tried and tested concepts and practices of the Indian system of medicine and Homoeopathy.
8. Provide appropriate training and orientation in respect of the RCH programme for the institutionally qualified AYUSH medial practitioner (already educated in midwifery, obstetrics and gynecology over 5- 1/2 year ), and utilize their services to fill in gap in manpower at appropriate level of health infrastructure, and at sub centre and primary health centres, as necessary.
9. Utilize the AYUSH institutions, dispensaries and hospitals for health and population related programmes.
10. Encourage and facilitate the setting up of speciality centres and AYUSH clinics at PHC, CHC& District Hospital level eg. Panchakarma, Kasharsutra etc.
11. Facilitate and maintain quality standard in delivery of AYUSH services.
12. Promote systematically participatory documentation of Local Health Traditions (LHT) related to one more of the following aspects in order to enhance health securities of rural communities.
a) Home remedies and use of local medical plants.
b) Food and Nutrition.
d) Bone setting.
e) Other specialized local health practices as ethno medicines/ veterinary practices.
13. Rapid assessment on selected health practices, prioritized by local communities, based on literature review.
The main Strategies are:
1. Under NRHM where AYUSH doctors are co- located in the PHC/CHC/DHs essential drugs are supplied from financial assistance provided to state Government from the department of AYUSH, Ministry of Health & Family Welfare, and Government of India.
2. At the CHC level two rooms shall be provided separately for AYUSH practitioner and pharmacist under the Indian Public Health Standards (IPHS) model.
3. At the same time, single doctor PHCs shall be upgraded to two Doctor PHCs by inducting AYUSH practitioner at that level.
4. AYUSH Doctors to be involved in IEC, health promotion, supervisory activities and all national health care programmes, especially in the priority areas like MCH etc.
5. Training of AYUSH Doctors in Primary Health Care and National Disease Control Programmes.
6. Drug kit provided to ASHA will contain one AYUSH preparation in the form of iron supplement. Other drugs, which are used in the treatment of common diseases, control of communicable diseases as well as drug promoting maternal and child health as well as improving quality of life could be included subsequently.
7. The already existing AYUSH infrastructure should be mobilized. AYUSH dispensaries that are not functioning well may be merged with the PHC or CHC.
8. Joint monitoring visits to health centers to be undertaken by both AYUSH and Health Care Officials at the District level’s and state level.
Following activities are being covered:
1. 2(two) days Continued Medical Education training programme on AYUSH (2 days for each batch) has been organized from 8th to 13th March, 2016 at Pragna Bhavan where participants are Medical Officer-AYUSH under National Health Mission, Health & Family Welfare Department & 50 bedded integrated AYUSH Hospital & from 14th to 17th March 2016 where participants are Pharmacist-AYUSH under National Health Mission, Health & Family Welfare Department & 50 bedded integrated AYUSH Hospital and on 19th March 2016 at T.B. Association Hall where participants are ANMs & MPWs.
Ayurveda in TripuraAt present, there are 45 (forty five) nos. Ayurvedic Medical Officers & 11 (Eleven) nos. Pharmacists (Ayurveda) are working in different PHCs, CHCs, SDHs, DHs under State Health & Family Welfare Society, NHM, Tripura. And, 49 (forty nine) nos. Medical Officers (Ayurveda) & 34 (thirty four) nos. Pharmacists (Ayurveda) are working in different Health Institutions (including stand-alone dispensaries) under Heath & Family Welfare Department, Tripura. There is one State Ayurvedic Hospital having facility of OPD & IPD services, situated at paradise chowmuhani, Agartala. This hospital is now functioning with 10 beds IPD.
Homoeopathy in Tripura:At present, there are 68 (sixty eight) nos. Homoeo Medical Officers & 11 (eleven) nos. Pharmacists (Homoeo) are working in different PHCs, CHCs, SDHs, DHs under State Health & Family Welfare Society, NHM, Tripura. And, 45 (forty five) nos. Medical Officers (Homoeo), 19(nineteen) nos. Honorary Homoeo Physician & 59 (fifty nine) nos. Pharmacists (Homoeo) are working in different Health Institutions (including stand-alone dispensaries) under Heath & Family Welfare Department, Tripura. There is one N.S. State Homoeopathic Hospital having facility of OPD & IPD services, situated at Renters colony, jogendranagar, Agartala. This hospital is now functioning with 15 beds IPD.
Panchakarma Unit:Presently, panchakarma units are functioning at State Ayurvedic Hospital, Agartala, RGM Hospital, Kailashahar, Gomati District Hospital, Udaipur under Health & Family Welfare Department and one panchakarma unit is functioning under Forest Department, Hatipara, Gandhigram, West Tripura.
Integrated AYUSH Hospital:One 15 (fifteen) bedded Integrated AYUSH Hospital is function at RGM Hospital, Kailashahar, Unakoti Tripura.
Present Scenario of AYUSH System in Tripura: