NATIONAL AYUSH MISSION (NAM)

FREQUENTLY ASKED QUESTIONS:

Q.1) What is National AYUSH Mission (NAM)?
Ans. Centrally Sponsored scheme of National AYUSH Mission (NAM) is a flagship
scheme of Ministry of AYUSH approved and notified on 29.09.2014. National AYUSH
Mission (NAM) launched during 12th Plan for implementing through States/UTs. The
basic objective of NAM is to promote AYUSH medical systems through cost effective
AYUSH services, strengthening of educational systems, facilitate the enforcement of
quality control of Ayurveda, Siddha and Unani & Homoeopathy (ASU &H) drugs and
sustainable availability of ASU & H raw-materials. It envisages flexibility of
implementation of the programmes which will lead to substantial participation of the
State Governments/UT.
Q.2) What is basic objective of NAM?
Ans. The basic objective of NAM is to promote AYUSH Medical Systems through cost
effective AYUASH Services, strengthening of educational systems, facilitate the
enforcement of quality control of Ayurveda, Siddha, and Unani & Homeopathy (ASU&H
Drugs)and sustainable availability of ASU & H raw- materials.
Q.3) What is funding pattern under Centrally Sponsored Scheme of National
AYUSH Mission (NAM)?
Ans. The funding pattern between Centre and State would be 60:40 for all States except
for the eight North Eastern states and 3 hilly States (Uttarakhand, Jammu & Kashmir
and Himachal Pradesh) where 90:10 would apply. For all UTs, it would be 100%
funded by Centre under NAM.
Q.4) What is the expected outcome of NAM?
Ans. Better access to AYUSH healthcare services through increased number of
healthcare facilities offering them and better availability of medicines and trained
manpower.
Improved availability of quality AYUSH drugs by increased number of quality
pharmacies and Drug Testing Laboratories coupled with stringent enforcement
mechanism. Increased awareness and acceptance of Yoga and Naturopathy as
promotive and preventive health-care systems. Meet increasing domestic demand for
herbal raw-materials and also to promote export.
Q.5) What is SAAP?
Ans. SAAP(State Annual Action Plans) is a consolidated plan of the respective States/
UTs.
Q.6) What is basic component of SAAP?
Ans. AYUSH Services, Educational Institutions, Quality Control of ASU&H, Medicinal
Plants, Flexipool and Admin Cost.
Q.7) What is Utilization Certificate?
Ans. In respect of non-recurring Grants to an Institution or Organisation, a certificate
of actual utilization of the Grants received for the purpose for which it was sanctioned
in Form GFR 12- A, should be insisted upon in the order sanctioning the Grants-in-
aid. The Utilization Certificate in respect of Grants referred to in Rule230 (10) should
also disclose whether the specified, quantified and qualitative targets that should have
been reached against the amount utilised, were in fact reached, and if not, the reasons
therefor. They should contain an output based performance assessment instead of
input based performance assessment. The Utilization Certificate should be submitted
within twelve months of the closure of the financial year by the Institution or
Organisation concerned. Receipt of such certificate shall be scrutinised by the Ministry
or Department concerned. Where such certificate is not received from the Grantee
within the prescribed time, the Ministry or Department will be at liberty to blacklist
such Institution or Organisation from any future grant, subsidy or other type of
financial support from the Government.
Q.8) What is the scheme for cultivation of medicinal plants?
Ans:- National AYUSH Mission.

Q.9) What is Technical Screening Committee?

Ans:- Technical Screening Committee and nominate Chairman for scrutiny of Action
Plan/project proposals received under different activities under the component.

Q.10) Where do we get registration for subsidy?

Ans:- State implementing agency.

Q.11) Where do we get Quality Planting Material?

Ans:- From SHMs/ SMPBs / Forests of respective states.

Q.12) Where is the market of Medicinal Plants?

Ans:- e-charak

Q.13) What is cluster?

Ans:- Cultivation will be assisted only in case of clusters. Each cultivation cluster will
have minimum 2 hectare of the land. Each cultivation cluster should be drawn
from farmers having lands within a radius of not more than 15 km.

Q.14) What is the criteria of subsidy for cultivation of medicinal plants?

Ans:- The cultivation of medicinal plants is supported by providing subsidy (30%, 50%
and 75%) to farmers through the identified implementing agency ie.
SHM/SMPBs/others in form of State Annual Action Plan (SAAP).

Q.15)What is e-charak?
Ans:- E-charak is a platform of interaction between medicinal plants stakeholders to
buy/sell their produce.
Q.16) What is Bhuvan e-herbs? Ans:-
It is a geo-tagging software.

Q.17) Who are the main user/ stakeholder of medicinal plants?

Ans:- ASU Industry, Scientist working on medicinal plants, farmers, traders, AYUSH
practitioners etc.

Q.18)Where does the farmer get the subsidy?

Ans:- The farmers get the subsidy from the implementing agency through State
AYUSH Society.

Q.19) How many states are participating in the

scheme? Ans:- 29 States are participating in the scheme.

Q.20) How is the scheme administered/ implemented?

Ans:- The fund for the approved State Annual Action Plans released to the concerned
states by Ministry of AYUSH through State Treasury
► State AYUSH Society
► Implementing agency of Medicinal Plants Component.

Q.21)Who is eligible for subsidy?

Ans:- Farmers/ growers/SHGs/ clusters having 2 hectare of land.

Q.22) How many crops are covered under the

scheme? Ans:- 140

Q.23) What are the various risks covered under the

scheme? Ans:- Marketing & Insurance, buy-back
arrangement.

Q.24) Is there any facility for the farmers to get the seed tested /seed
certification before sowing?

Ans:- Yes, SMPB, RCFC

 FAQs related to Quality Control of ASU and H drugs component under National
AYUSH Mission

1. For what purposes grant is given under the NAM component for Quality
Control of ASU and H drugs?

Ans: The grant under this component is provided for:-

a. Establishing or Strengthening of State Govt. Pharmacy.
b. Establishing or Strengthening of State Govt. Drug Testing
Laboratory (DTL) for ASU&H drugs.
c. Strengthening of AYUSH drug control framework including testing of ASU&H
drugs.
d. Documentation, publication and dissemination of quality control material in
the States.
e. Other IEC activities.

2. Which type of pharmacies are eligible for grant in aid under quality control
component of NAM?

Ans: Only State Government pharmacies/State Government Cooperatives/PSUs are

eligible for grant-in-aid.

3. Is any support provided for purchasing raw drugs/medicinal plants for the
State Pharmacy under NAM?

Ans: Raw materials and consumables can be purchased from recurring component of
the NAM grant for State Pharmacies.

4. How can a State not having a State Drug Testing Laboratory avail grant for
testing of drugs?

Ans: Such State can get the ASU and H drug samples tested from any approved or
recognised laboratory and get the amount reimbursed by submitting the expenditure
statement and test reports.

5. From where can the drug samples be collected for testing?

Ans: The drug samples can be lifted from Govt. dispensaries, manufacturing units,
market or drug samples on which complaints have been lodged for testing.

6. Are government ASU&H colleges eligible to avail assistance for in house

Pharmacy or DTL?

Ans: Yes, provided the pharmacy have valid licence from State Licensing Authority and
the DTL is accredited by Ministry of AYUSH. Also, laboratories already working on
ASU&H drug testing etc. will be considered after visiting them.
 7. Can State avail assistance for more than one DTL?

Ans: Yes, for big states like Maharashtra, UP, Rajasthan, Madhya Pradesh, etc. it is
permitted. Also, if other States can provide justification by providing number of sample
tested in a year in the State, they may be considered,

8. Who is authorised to sign on test reports of State Drug Testing Laboratory?

Ans: Only a Government Analyst notified under the Drugs and Cosmetic Act and Rules
can sign the test report. State DTL must appoint/notify Government analyst for the lab.

9. Is there any provision for construction office space/renovation of office of

State Licensing Authority in the quality control component of NAM?

Ans: Under the Strengthening of ASU and H drug control Framework assistance is only
provided for

I. Purchase of vehicle(Two wheeler) for State AYUSH drug inspectors for unit
survey and collection of drug samples
II. Expenditure on computerisation of office of AYUSH drug controller or licensing
authority
III. Expenditure on collection of statutory or service samples
IV. Expenditure on training of technical staff at pharmacopeial laboratory of Indian
medicine/HPL/ NABL as per approved cost norms

10. Is there any support provided under quality control for engaging
regulatory man power in the State ASU&H Licensing Authority or Drug
Controller?

Ans: The proposal for the same can be considered under flexible component.

11. Where can one contact for details regarding quality control component
of NAM

Ans: Such queries may be e-mailed to dcc – ayush @ gov.in

 Frequently Asked Questions (FAQs) about AYUSH Health &
Wellness Centres (HWCs)

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 home- based 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 instructors.

7. 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.

8. 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.

9. 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.

10. 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.

11. 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.

12. 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.

13. 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.

14. 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.

15. 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.

16. 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.

17. 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.

18. 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.

19. 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.

20. 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.

21. 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.

22. 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.

23. 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.

24. 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 / Sub- Health 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.

25. 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.

26. 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 Population enumeration and
NCD screening empanelment
Yoga classes CBAC Survey (NCD Screening)
IEC Routine IEC
Clinical services Community awareness campaigns
Providing AYUSH medicines Medicinal plant distribution
Dispensing allopath medicines as Coordination with community platforms such
necessary as the VHSNC/MAS/SHGs
Higher care through referral Collection of the data
Establish and maintain Herbal Garden Ensure Prakriti analysis of every
Monitoring and regular reporting to higherindividual above 18 years of age
level Follow up of cases under
advice/treatment
27. 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.

28. 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 AYUSH Sub Centres Total Conditions imposed/Remarks
Dispensaries
2019-20 1390 348 1738 Nil
2020-21 2200 500 2700

Phase II:
Year AYUSH Sub Total Conditions imposed/Remarks
Dispensaries Centres
2021-22 2500 600 3100 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.
Phase III:
Year AYUSH Sub Centres Total Conditions imposed/Remarks
Dispensaries
2022-23 3000 700 3700 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.
Phase IV:
Year AYUSH Sub Centres Total Conditions imposed/Remarks
Dispensaries
2023-24 910 352 1262 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.
These are National targets. 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:
Sl. No. Designation Status
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:
Sl. No. Designation Status
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. Member
Technical officer dealing DCC
8 Advisers/Joint Advisers/Dy. Advisers of Ayurveda,Member
Homoeopathy, Unani, Siddha, and Medicinal Plants
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:

Sl. No. Designation Status

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 withMember
Medicinal
Plants
7 Mission Director, NHM Member
8 Commissioner(AYUSH)/Director General Member
(AYUSH)/Director
Ayurveda, Unani, Homoeopathy, Siddha
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)/Director-Member Secretary
Ayurveda, Unani, Homoeopathy, Siddha
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,Member
Homoeopathy, Unani, Siddha, Yoga and Naturopathy and
Medicinal Plants
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:

A. 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 District AYUSH Officer (DAO)
Officer
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
 B. Executive Committee

Chair DDC cum CEO Zilla Parishad/Addl. D.C./Addl. Collector

Chief ExecutiveDistrict AYUSH officer
Officer and
Convener
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.
Sr. Components Rupees in Lakh per annum
No. For upgraded For upgraded Sub
AYUSH Dispensary Health Centre
Non- Recurring Non- Recurring
recurring Cost recurring cost
cost cost
1. Infrastructure cost 5.00 5.00
2. Remuneration to- 4.80 - 4.80
Community
Health Officer (CHO)
3. Yoga Instructor - 0.96 - 0.30
4. Yoga Instructor (Female) - 0.60 - -
5. Team based incentives - 1.00 - 1.00
6. ASHA incentives - 0.60 - 0.60
7. Training of CHO 0.30 - 1.034 -
8. Refresher training of CHO - 0.05 - 0.10
9. Refresher training of MPW - 0.20 - 0.20
ASHA
10. Laboratory services 1.00 0.30 1.00 0.30
11. IT Networking 0.35 0.05 0.35 0.05
12. IEC - 0.25 - 0.25
13. Establishment of Herbal 0.20 0.06 0.20 0.06
Garden
14. AYUSH medicines - To be borne- To be borne
(Maximum up to 2 lakh per from from NAM
HWC) NAM
15. Untied fund - 0.50 - 0.50
Total 6.85 9.37 7.584 8.16