Kumar Shobhit, Singh Rajeshwari, Kampani Shweta, Gopal K Madan
Ministry of Ayush, Health and Family Welfare Division, NITI Aayog, New Delhi, India.
Central Council for Research in Ayurvedic Sciences, Ministry of Ayush, New Delhi, India.
J Family Med Prim Care. 2025 May;14(5):1597-1603. doi: 10.4103/jfmpc.jfmpc_1234_24. Epub 2025 May 31.
The Ayush sector has seen multidimensional growth in the last 10 years, especially since its inception as the Ministry of Ayush in 2014 from the earlier Department of Ayush. This expansion is evident across various facets of the sector, notably reflected in the allocation within the union budget, the surge in exports of herbal medicines, the proliferation of educational institutions, the establishment of integrated Ayush hospitals, and the integration into the broader public healthcare system. The National Health Policy 2017 (NHP-2017) is the cornerstone guiding document for all health-related matters, including Ayush systems. It advocates for transitioning from a standalone to a comprehensive three-dimensional mainstreaming of Ayush services, emphasising the intricate integration of Ayush into the public healthcare system and adopting Ayush-based promotive and preventive strategies for fostering healthy lifestyles. Significant strides have been undertaken in recent years to realise the mandates outlined in NHP-2017. Noteworthy initiatives include the approval of 12,500 Ayushman Arogya Mandirs - Ayush (erstwhile Health and Wellness Centres), the establishment of co-located Ayush facilities across three tiers of public healthcare, the provision for Ayush academic departments in all new and forthcoming AIIMS establishments, and, more recently, the publication of guidelines related to Indian Public Health Standards for Ayush. However, several challenges persist, such as the skewed distribution of Ayush facilities, the non-inclusion of Ayush packages from the Pradhan Mantri Jan Arogya Yojana (PM-JAY), and logistical issues about the supply chain of medicines in co-located facilities. Addressing these challenges is imperative for achieving a seamless integration of Ayush systems into the mainstream public healthcare framework and fulfilling the policy mandate designated to Ayush. Such integration holds promise for contributing to realising universal health coverage, national health objectives, and the overarching goal of health for all. This paper delves into the policy imperatives for Ayush within the public health domain as stipulated by NHP-2017, examining its progress, identifying challenges, and proposing potential solutions.
在过去十年中，阿育吠陀领域实现了多维度增长，尤其是自2014年从早期的阿育吠陀部发展成为阿育吠陀部以来。这种扩张在该领域的各个方面都很明显，特别是在联邦预算分配、草药出口激增、教育机构激增、综合阿育吠陀医院的建立以及融入更广泛的公共医疗体系等方面。《2017年国家卫生政策》（NHP - 2017）是所有与卫生相关事务（包括阿育吠陀体系）的基石性指导文件。它倡导将阿育吠陀服务从独立状态转变为全面的三维主流化，强调阿育吠陀与公共医疗体系的复杂整合，并采用基于阿育吠陀的促进和预防策略来培养健康的生活方式。近年来，为实现NHP - 2017中概述的任务已经取得了重大进展。值得注意的举措包括批准了12500个阿育吠陀健康神庙（以前的健康与 wellness 中心），在公共医疗的三个层面建立了共址的阿育吠陀设施，在所有新建和即将新建的全印医学科学研究所设立阿育吠陀学术部门，以及最近发布了与阿育吠陀的印度公共卫生标准相关的指南。然而，仍存在一些挑战，例如阿育吠陀设施分布不均、普拉丹·曼特里·贾恩·阿罗吉亚·乔纳（PM - JAY）未纳入阿育吠陀套餐以及共址设施中药品供应链的后勤问题。应对这些挑战对于实现阿育吠陀体系无缝融入主流公共医疗框架并履行赋予阿育吠陀的政策任务至关重要。这种整合有望为实现全民健康覆盖、国家卫生目标以及全民健康的总体目标做出贡献。本文深入探讨了NHP - 2017规定的公共卫生领域内阿育吠陀的政策要求，审视其进展，识别挑战，并提出潜在解决方案。
