By Team Ayurved Sutra July 1, 2020

Ayush has to establish 2700 Health and Wellness centers under Ayushman bharat this year

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Ayurvedsutra Vol 07 issue 02 15 - Ayush has to establish 2700 Health and Wellness centers under Ayushman bharat this year

Ayush has to establish 2700 Health and Wellness centers under Ayushman bharat this year . As per the decision taken on 30.01.2019 by the Government of India, 10% (12,500) of
the total Health and Wellness centres (HWCs) targeted under Ayushman Bharat Scheme would be developed by Ministry of AYUSH in a phased manner from year 2019-20 to
2023-24.The proposal was approved by the Union Cabinet on 20.03.2020. The table shows the target for 2020-21 is 2700.

Let’s go through the whole scheme. Every Ayush-fan and sincere citizen should take a follow up of the progress and monitor ground reality accordingly. As for as Ayush report is believed total 12,500 AYUSH HWCs have to be upgraded in phased manner by year 2023-24. The Mission Directorate has so far approved 1037 AYUSH HWCs in 14 Sates/UTs which will be able to roll out additional services in due course. Further, the States/UTs have been requested for more proposals.

1. What is AYUSH Health& Wellness Centre (HWC)?
AYUSH Health & Wellness Centres are being established by Ministry of AYUSH under
Ayushman Bharat scheme, through State/UT Governments within Centrally Sponsored
Scheme of National AYUSH Mission (NAM) on the analogy of National Health Mission
(NHM). The AYUSH Health & Wellness Centres are created by upgrading existing AYUSH
dispensaries and Sub Health Centres.

2. How many AYUSH HWCs are to be established in the country?
As per the decision taken on 30.01.2019 by the Government of India, 10% (12,500) of
the total Health and Wellness centres (HWCs) targeted under Ayushman Bharat Scheme
would be developed by Ministry of AYUSH in a phased manner from year 2019-20 to
2023-24.The proposal was approved by the Union Cabinet on 20.03.2020.

3. Where the AYUSH HWCs would be established?
AYUSH HWCs are being established mostly in rural areas. The AYUSH dispensaries will
be prioritized for up-gradation as HWCs. However, in some UTs and North- eastern
States, where the number of AYUSH dispensaries is negligible or if the Department of
Health desires to convert Sub-Health Centres, the same would be considered by the
Ministry of AYUSH for up-gradation as AYUSH HWCs. Such Health Sub-health centres for
upgradation would be jointly identified by the State department of AYUSH & Health.

4. What are the objectives to be achieved by establishing AYUSH HWCs
under Ayushman Bharat?
The Health and Wellness Centres under Ayushman Bharat Scheme are envisaged to
deliver expanded range of Comprehensive Primary Healthcare Services to people within
their areas, with main focus on prevention of diseases and promotion of good health and
wellness. Yoga is an important activity at all HWCs. The idea behind establishing 12500
AYUSH HWCs is to demonstrate the effectiveness of AYUSH based wellness model in
strengthening Comprehensive Primary Health care with primary focus on preventive
and promotive interventions by empowering masses for “self care” to reduce disease
burden, Out of pocket expenditure, and to provide informed choices to patients/needy
people to choose the desired intervention.

5. What is the difference between HWCs established by AYUSH and
Health department?
Both the Health & Wellness Centres are established under Ayushman Bharat program of
Government of India. However, HWCs established under Ministry of Health & Family
Welfare provide National Health Program services and AYUSH HWCs established under
Ministry of AYUSH will provide primarily AYUSH Health services that focus on
preventive and promotive interventions like wholesome Diet, Yoga and lifestyle
modifications. It also provides treatment for common ailments using AYUSH medicines
and lifestyle advises. Cultivation of commonly available medicinal plants and their use
will be promoted through AYUSH HWCs to strengthen the concept of traditional homebased remedies for common ailments.

6. How the services will be delivered through AYUSH HWC?
The service delivery including preventive, promotive, curative, rehabilitative health care
would be at three levels i.e. (i) Family/Household and community levels through
outreach OPDs, Health Mela, Village Panchayat, Village & Home Visits, School &
Anganwadi visits (ii) Health and Wellness Centres (iii) Referral Facilities/Sites. Delivery
of services closer to the community and close monitoring would enable increased
coverage and help in addressing issues of marginalization and exclusion of specific
population groups. Each AYUSH HWC will be headed by an AYUSH practitioner, assisted
by a team including Yoga instructor.
7. What AYUSH services would be available at AYUSH HWCs?
AYUSH Wellness Package
1. Prakriti Assessment, Preventive & promotive measures for selfcare ( Yoga, diet, lifestyle,behavioral code)
2. Management of common ailments under 12 service delivery framework (prevention and management of selected conditions)
3. Medicinal plants for selfcare cultivation & home remedies (herbal gardens, kitchen gardens, IEC on medicinal use)

8. What are the different AYUSH systems whose services will be made
available at HWCs?
The services of all AYUSH system such as Ayurveda, Yoga & Naturopathy, Unani, Siddha,
Sowa-rigpa and Homoeopathy would be made available in different areas based on their
use and acceptability. The States/ UTs have the free hand to propose the services as per
the feasibility and acceptability of particular AYUSH system in their region. However,
Yoga would be integral part of all the HWCs to be developed under Ayushman Bharat.

9. Whether AYUSH medicines would be made available at HWC?
The essential medicines including poly herbal formulations and Single plant powders
will be made available at AYUSH HWC. The Ministry of AYUSH has provided an indicative
list, however the States/UTs may decide the medicines as per the popularity and
requirement at local level. A registered AYUSH practitioner shall be the team leader in
AYUSH HWC who would be authorized to prescribe and dispense the AYUSH medicines.

10.The laboratory and radiological services will be available at AYUSH
HWC?
Basic laboratory tests like hemoglobin, rapid Malaria, rapid Dengue and blood sugar
level would be conducted at HWC level. If further investigations are required, then the
blood samples may be collected and sent to the nearest facility where services are
available. For radiological and other higher investigations, patients need to be referred
to nearest Primary health Centre (PHC), Community Health Centres (CHC), District
Hospital (DH) or linked facilities as per referral protocol.

11.Whether National Health Mission services will be provided in
AYUSH HWC?
In case of upgraded Sub-health Centres, AYUSH services will be in addition to already
ongoing National Health Programmes and other activities under the National Health
Mission (NHM) as per the decision taken by the Department of Health of the States/UTs.
However, at upgraded AYUSH dispensaries, only AYUSH services will be initially made
available and gradually the NHM components may be incorporated as per the feasibility
and cooperation extended by the Department of Health of the particular State/ UT. Till
the provision for such components are made available at upgraded AYUSH dispensaries,
the patients will be referred to nearby SHC/PHC for various programmes such as
immunization, ante-natal care under NHM.

12.What is the referral mechanism for AYUSH HWC?
The needy patients would be appropriately referred to PHC called First Referral Unit
(FRU), AYUSH dispensaries, Co-located facilities at CHC/DH/ AYUSH integrated
hospitals, teaching hospitals, national level institutions, etc. as per pre-devised referral
criteria. Needy patients will also be referred to Allopathic centres and vice versa
depending upon the decision of CHO. The continuum of care will be ensured through
referral to higher centers and reverse referral to HWCs. Whenever patients come home
after getting treatment from higher healthcare facilities, ensuring their day to day
management including compliance to advice and follow-ups shall be the responsibility
of HWCs team.

13.What kind of staff would be available at AYUSH HWC?
The HWCs would be equipped and staffed by an appropriately trained Primary Health
Care team, comprising of Multi-Purpose Workers, ASHAs at the norm of about one per
1000/ Auxiliary Nurse Midwife (ANM) and led by a Community Health Officer (CHO).
Some AYUSH dispensaries may have pharmacist, nursing staff or technicians, in addition
to housekeeping staff. A qualified/certified Yoga instructor would be deployed at all
HWCs on part time basis to provide continuous and customized Yoga training to the
community at HWC and/or various other identified public places. The CHO would be a
qualified AYUSH physician, deployed on the basis of services of the particular system
made available at HWC like Ayurveda, Unani, Siddha, Homoeopathy, Sowa-rigpa. The
CHO will take clinical decision and provide mentorship to the team. He would be
empowered to prescribe AYUSH medicines and dispense Allopathic medicines as per the
prescription of Medical Officer of linked PHC.

14. How much population would be covered under each AYUSH HWC?
As per the Health Department protocols, there is approximately 5,000 population in
plain area and 3,000 population in hilly area covered under each Sub Health Centre. The
similar norm will be followed for AYUSH HWC.

15.What will be the mechanism for coordination between Health
Department and AYUSH department at National, State and District
level?
To successfully plan and run the integrated services with different National Programmes
under NHM, the close cooperation between Department of Health & AYUSH in the
States/UTs will be ensured. A bilateral agreement would be signed for sharing the
experience, existing facility, manpower, support the activities including integrated
training, healthcare services, supply of essential medicines/ vaccines/ chemicals/
reagents/ equipment, and to run different vertical health programmes of National Health
Mission including Digitization/Telemedicine/IT Platforms. Depending on the selected
facility such as SHC & AYUSH dispensary the deployment and duties of manpower such
as ANM, MPW, AYUSH physician etc. would be assigned as per the requirement for
implementation of both NHM and AYUSH services. The issues such as line of command,
mechanism of fund flow etc. would also be addressed in the agreement.

16.What kind of networking would be developed with local
administration and institutions for successful implementation of
AYUSH HWC activities?
Apart from close coordination with Department of Health, linkages with AYUSH
standalone hospitals, collocated facilities, educational institutions, National level
organizations, schools, social groups, private bodies, community groups, Panchayati raj
Institutions would be developed. The AYUSH team would solicit the cooperation and
participation of NGOs, Gram Panchayats and Self-Help groups.

17.What is Inter-sectoral Convergence and how to achieve it?
Health is affected by various social and environmental determinants and actions to
address these issues often do not fall in the purview of health systems alone and
therefore requires intersectoral convergence and people’s participation. As envisioned
in the National Health Policy 2017, States should plan for a coordinated action on
priority areas such as Swachh Bharat Abhiyan, addressing tobacco, alcohol and
substance abuse, action against gender violence, reduced stress and improved safety in
the work place, reducing indoor and outdoor air pollution, community yoga and village
sport activities.

18.What would be the role of common people in AYUSH HWC and its
interventions?
The active participation of public or community in planning and execution of AYUSH
interventions is required. It is a community centered program so people have to take
ownership and avail the services offered under HWC. Community level collectives such
as Village Health Sanitation and Nutrition Committee (VHSNCs), Mahila Arogya Samiti
(MAS), Self-Help Groups (SHGs) would be involved.

19.What is the role of IT Platforms at AYUSH HWCs?
HWC team would be equipped with laptop/tablets/smart phones to serve a range of
functions such as population enumeration and empanelment, data capturing, record
keeping, delivery of services, enable quality follow up, facilitate referral/continuity of
care, create an updated individual, family & population health profile, and generate
reports required for monitoring at higher levels. At all levels, teleconsultation would be
used to improve referral advice, seek clarifications and undertake virtual training
including case management support by specialists.

20. How the IT applications shall work at HWC level? How they are used
for capturing/collecting and transmitting data to higher levels?
Every data generated at AYUSH HWCs by peripheral health workers and CHO including
individual health card and family health folder would be stored in the electronic format. There
will be two types of IT applications viz. web-based HWC portal and NCD-CPHC application.
These IT applications would be used as mentioned below:
NCD-CPHC-IT application:
 The ANMs and ASHAs will fill the Community Based Assessment Checklist (CBAC
form) at household level in Android phone or tablet provided to them by Department of
Health for screening for NCDs.
 The data filled up by the ANMs and ASHAs can be verified by the ASHA facilitators.
Data entered by ASHA/ANM gets restored in the cloud space which will be available for
the CHO and Medical Officers at PHC, who can also check the authenticity of data and
make necessary modifications. The CHO and Medical Officers at PHC will be equipped
with the computers.
 Specific Number of persons who underwent screening, diagnosed for diabetes,
hypertension and selected types of cancer (oral, breast & cervical) etc. shall be part of
NCD-CPHC IT application.
 There will be a provision in IT application to review the data and generate report at
District/State/National level.
Web-based HWC portal:
 Captured data by ANMs and ASHAs can be reviewed by CHO/MO through web-based
portal.
 The CHO will fill up the information such as functionality of HWC like branding,
medicine availability, training etc. in web-based portal.
 The Web-based HWC portal will help at State and National level managers for
assessment of implementation of the programme on real time basis.

21. Channel of Proposal Submission
The HWC is part of Centrally Sponsored Scheme “NAM” and these proposals under HWC
by each State/UT shall be incorporated in State Annual Action Plan “SAAP” of NAM. The
plan shall be finalised by State AYUSH Society and State Government, before its
submission to Ministry of AYUSH.

22. How the annual proposals shall be prepared and submitted by
States/UTs to the Ministry of AYUSH?
The State/UTs have to do the detail mapping of existing infrastructure, manpower and
services etc. of all the health facilities which they want to upgrade AYUSH HWCs, as per
the format provided by the Ministry of AYUSH. The proposal of AYUSH HWCs should be
as per the operational guidelines and cost norms approved by the Union Cabinet on 20.
03.2020 and issued to all the States/UTs by the Ministry of AYUSH through e-mail on
28.03.2020. While preparing the proposals for each individual HWC, CHO shall ensure
that activities prepared and their financial implications are as per actual requirement
based on physical compliance and mapping details. The cost norms for each activity are
overarching and indicative, whereas the sanctioned amount shall be as per actual
ground requirement.

23. How monitoring and evaluation would be done?
The outcome would be measured through independent periodic assessment of key
indicators such as infrastructure development, HR availability, provision of quality
services, access to service, health outcomes. Supportive supervision and record checking
at periodic intervals would be carried out manually and through IT based solutions.
These components viz. functionality assessment, management of common ailments,
medicine plants for self care would be implemented on ground.

24. How the manpower shall be engaged in the HWCs and what would
be the mechanism for payment of their wages and assessment of
their performance?
The contractual manpower shall be engaged by the States/ UTs as per the codal
formalities and devised recruitment rules. The HWC staff, deployed on contractual basis
will have 60 % fixed remuneration and 40% as Performance Linked Payment (PLP). So
as to become eligible for fixed remuneration the staff needs to perform their duties. For
the regular staff the PLP will be applicable in addition to the salary as specified in the
guidelines issued to the States/ UTs. Performance linked incentives given to HWC team/
CHO, ASHAs, ANM/MPW or any other equivalent staff identified by States/ UTs at
AYUSH Dispensary will be on the assessment of 10 indicators. Performance linked
payment that is to be disbursed for each indicator will correspond the level of
achievement. The indicators will be measured against three levels of performance viz.
30% to 50%, 51% to 70% and 71% to 100%. No incentives would be paid if
performance is below 30% of expected target.
However, at upgraded Sub Health Centre, the guidelines of Department of Health would
be used for assessment of performance which are almost similar.

25. How the State/UTs shall initiate various activities from first year
onwards to make the AYUSH HWCs operational?
Each State/UT shall identify the AYUSH dispensary/Health-Sub-centres according to
annual target of that year. The data mapping collected as per format, after spot visit the
data provides details of activities required to be taken up at infrastructure and
manpower level. The physical and financial requirement for each Dispensary / SubHealth Centre shall be compiled in the consolidated annual plan.
The States/UTs shall have to work on the following activities from first year onwards
after the approval of the funds from Ministry of AYUSH:
 On approval of the plan, its implementation shall be taken up.
 Infrastructure activities like alteration/addition in building, addition of new room etc.
drinking water/ electricity/internet telecom facility, laboratory, IT hardware,
development of herbal garden, branding of building etc.
 Engagement of Manpower likes Yoga Instructors, CHO etc. wherever required to be
taken up followed by their training as per guidelines/modules.
 Arrangement for medicines
 Screening of catchment population
 Organizing IEC/Extension Camps
 Initiation of Yoga Sessions
 Preparation of Annual Plan by identifying each proposed dispensary/Health Sub-Health
Centre and mapping exercise to shortlist the activities to the be taken up along with
financial implication as per cost norms.
 Ensure transfer of funds immediately from State treasury to State AYUSH Society and
release to District AYUSH Society/implementing agencies on receipt of budgetary grants
from the Ministry.
 Identifying partners such as education institutions, Trusts & NGOs and execute MoU
 Networking with Department of Health for cooperation in mutually agreed areas and
enter into a formal agreement
 Liaising with Stake holders at State/District/Village level
 Complete the infrastructure upgradation, branding, establishment of procurement of
equipment, medicines
 Recruit the contractual staff and deploy the existing/new staff at designated AYUSH
HWCs
 Training and capacity building of HWC team
 Collection of baseline data on health outcomes from already available sources such as
HMIS, AHMIS or through cross sectional survey
 Initiation of the activities by HWC staff such as population enumeration, empanelment,
Prakriti analysis, NCD screening, Yoga, community awareness campaigns, medicinal
plants for kitchen garden, IEC etc. as per guidelines
 Monitoring and reporting of the activities periodically.

26.What will be the main activities under infrastructure improvement
in the buildings of existing Health facilities selected for upgradation
as HWCs?
The infrastructure improvement in the buildings of existing Health facilities is provision
of space for outpatient care, dispensing medicines, diagnostic services, display of IEC
material including audio visual aids, wellness activities, including Yoga & physical
exercises. It includes provision for boundary-wall, drinking water, electricity, internet,
branding etc. A herbal garden with prescribed species of plants to be developed inside
the HWC campus/other suitable place depending upon availability of land. AT HWCs,
some potted plants may be displayed.

27.What shall be the activities to be initiated by HWC team at HWC
level and at community level in the catchment area of the HWC?
Following are the broad activities of HWC team at HWC level and community level:
HWC Level Community Level
 Prakriti assessment
 NCD screening
 Yoga classes
 IEC
 Clinical services
 Providing AYUSH medicines
 Dispensing allopath medicines as necessary
 Higher care through referral
 Establish and maintain Herbal Garden
 Monitoring and regular reporting to higher level
 Population enumeration and empanelment
 CBAC Survey (NCD Screening)
 Routine IEC
 Community awareness campaigns
 Medicinal plant distribution
 Coordination with community platforms such as the VHSNC/MAS/SHGs
 Collection of the data
 Ensure Prakriti analysis of every individual above 18 years of age
 Follow up of cases under advice/treatment

28.What are the members of HWC team and how their division of the
work shall be made?
HWC Team-CHO, ANM/Multi-Purpose Workers or equivalent Staff decided by the
State/UT, Yoga instructor and ASHAs as per the population of the HWC-service area.CHO
is a team leader of each HWC team and his work is to provide guidance to each of the
member. The CHO will work most of the time at HWC level or outreach OPDs providing
AYUSH services to beneficiaries, whereas ASHA and ANM supposed to work in the
community by visiting the houses under their catchment area. Yoga instructor will be
working both at HWC and community level. The detailed work responsibilities of each of
the AYUSH HWC team members are described in the Operational Guidelines issued by the
Ministry of AYUSH.

29. How the operationalization of HWC shall proceed in a graded
manner from first year onwards?
The operationalization of AYUSH HWCs shall proceed as per following phases and funds
will be released subject to fulfillment of terms and conditions mentioned in guidelines as
under:
Phase I: Year 2019-20 * Dispensaries :1390, Sub Centres : 348 Total: 1738
Year 2020-21 * Dispensaries :2200, Sub Centres 500 ,Total: 2700
Phase II:Phase II will be sanctioned after 100% of the HWCs sanctioned in 2019-20 and 50% of HWCs sanctioned in 2020-21 are made operational.
Year 2021-22 * Dispensaries :2500, Sub Centres 600 ,Total: 3100
Phase III:Phase III will be sanctioned after 100% of the HWCs sanctioned in 2020-21 and 50% of HWCs sanctioned in 2021-22 are made operational.
Year 2022-23 * Dispensaries :3000, Sub Centres 700 ,Total: 3700
Phase IV:Phase IV will be sanctioned after 100% of the HWCs sanctioned in 2021-22 and 50% of HWCs sanctioned in 2022-23 are made operational.
Year 2023-24 * Dispensaries :910, Sub Centres 352 ,Total: 1262

These are National targets. It was said that the States/UT wise target shall be decided in the beginning of each financial year.

30.What is the institutional framework available for implementation of
this scheme at Central Level?
The institutional framework of NAM has provision for bringing together representatives
from inter-linked sectors such as Health, Agriculture and Horticulture Departments
during discussion on Annual Plans for convergence of actions, to avoid the overlapping
of different schemes and to save the public resources.
The Ayushman Bharat Cell at Ministry of AYUSH has been established under NAM for
implementation and monitoring of AYUSH HWCs. At central level, there are National
Institutes and AYUSH Research Councils under the administrative control of Ministry of
AYUSH. The Ministry also seeks the help of Ministry of Health & Family Welfare, its
subordinate bodies and private partners. Further there are Committees at National level
as mentioned below:

Mission Directorate:

1. Secretary (AYUSH) Chairperson
2. AS & FA or his nominee Member
3. AS&MD, NHM, Department of Health Member
4. Mission Director, Horticulture Member
5. J.S. dealing with ASU & H drugs/Institutions Member
6. Advisers of Ayurveda, Homoeopathy, Unani, Siddha Member
7. Adviser of Ayushman Bharat cell Member
8. Joint Secretary (Ministry of AYUSH) Member Secretary

Any other expert may be co-opted as deemed necessary with the approval of
Chairperson. This committee shall be responsible for approving State Annual Action Plan
(SAAP) based on recommendation of the appraisal committee.

Appraisal Committee:

1 Joint Secretary (AYUSH) Chairperson
2 JS dealing with ASU &H drugs/Institutions Member
3 CEO/Dy. CEO, NMPB Member
4 Mission Director, Horticulture or his representative Member
5 Representative from NHM, Dept. of Health Member
6 Representative of IFD Member
7 Additional Drug Controller General of ASU & H Drugs / Sr. Technical officer dealing DCC Member
8 Advisers/Joint Advisers/Dy. Advisers of Ayurveda, Homoeopathy,
Unani, Siddha, and Medicinal Plants Member
9 Director/Dy. Secretary i/c of NAM Member Secretary

Any other expert may be co-opted as deemed necessary with the approval of
Chairperson. This committee shall be responsible for appraising the State Annual Action
Plan (SAAP) and submit to the governing body for approval.

31. What are State Level AYUSH Society and District AYUSH Society and
their role?

State AYUSH Society:
The National AYUSH Mission at State level will be governed and executed by a State
AYUSH Mission Society, constituted with following members:
Composition of Governing Body:

1 Chief Secretary Chairperson
2 Principal Secretary/Secretary I/c of AYUSH/ (Health & F.W.) Member Secretary
3 Principal Secretary/Secretary (AYUSH Medical Education) Member
4 Principal Secretary (Finance) Member
5 Principal Secretary (Planning) Member
6 Principal Secretary Forests & Horticulture dealing with Medicinal Plants Member
7 Mission Director, NHM Member
8 Commissioner(AYUSH)/Director General (AYUSH)/Director,Ayurveda, Unani, Homoeopathy, Siddha Member
9 Nodal Officer, State Medicinal Plants Board Member
10 State ASU &H Drug Licensing Authority Member

Any other expert may be co-opted as deemed necessary with the approval of Chairperson.

Composition of State AYUSH Society:
Sl. No. Designation Status
1 Principal Secretary/Secretary I/c of AYUSH/ (Health & F.W.) Chairperson
2 Principal Secretary/Secretary (AYUSH Medical Education) Vice-Chairperson
3 Commissioner (AYUSH) /Director General (AYUSH)/DirectorAyurveda, Unani, Homoeopathy, Siddha, Member Secretary
4 Mission Director, NHM Member
5 Representative of State Finance/Planning Department Member
6 Representatives of Forest & Horticulture Department Member
7 Nodal Officer, State Medicinal Plants Board Member
8 ASU &H State Licensing Authority Member
9 Senior Technical officers dealing with Ayurveda, Homoeopathy, Unani, Siddha, Yoga and Naturopathy and Medicinal Plants Member
10 State AYUSH Programme Manager Member

Any other expert may be co-opted as deemed necessary with the approval of
Chairperson.

District AYUSH Society:
A District level AYUSH Society shall be established to monitor/supervise the activities with
following governance structure:
Governing Body
Chair District Collector (DC)/District Magistrate (DM)/Chief Executive Officer (CEO) Zilla Parishad
Co-Chair Dy. District Collector (DDC)cum CEO, Zilla Parishad/Addl. D.C.
Chief Executive Officer :District AYUSH Officer (DAO)
Members Project Officer (DRDA), District Programme Managers for AYUSH/ Health,Water and Sanitation, ICDS, education, social welfare, Panchayati Raj, District Forest officer/ Representative of SMPB, Sub-Divisional Officer, representatives of AYUSH/ Medical Association/NGO/ AYUSH educational institutions/ and Development Partners

Executive Committee
Chair DDC cum CEO Zilla Parishad/Addl. D.C./Addl. Collector
Chief Executive Officer and Convener District AYUSH officer
Members Superintendent-District Hospital, District Programme Manager AYUSH/ Health, ICDS, Water and Sanitation, Education, Forest dept, Panchayati Raj and other Representative of SMPB, In-charge of AYUSH Research Centre of MoAYUSH working in the District.

32.What is the current status of establishment of AYUSH HWC?
Total 12,500 AYUSH HWCs have to be upgraded in phased manner by year 2023-24. The
Mission Directorate has so far approved 1037 AYUSH HWCs in 14 Sates/UTs which will
be able to roll out additional services in due course. Further, the States/UTs have been
requested for more proposals.

33. How much is the unit cost for upgradation of AYUSH Dispensary and Sub Health
Centre ?
The Unit cost for upgradation of AYUSH Dispensary is Rs. 16.22 lakh and Rs. 15.744 lakh
for upgradation of the sub health centre.