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PARLIAMENT OF INDIA RAJYA SABHA 55 DEPARTMENT-RELATED PARLIAMENTARY STANDING COMMITTEE ON HEALTH AND FAMILY WELFARE FIFTY-FIFTH REPORT ON DEMANDS FOR GRANTS 2012-13 (DEMAND NO. 47) OF THE DEPARTMENT OF AYUSH (MINISTRY OF HEALTH AND FAMILY WELFARE) (PRESENTED TO THE RAJYA SABHA ON 26TH APRIL, 2012) (LAID ON THE TABLE OF LOK SABHA ON 25TH APRIL, 2012) RAJYA SABHA SECRETARIAT NEW DELHI APRIL, 2012/VAISHAKHA, 1934 (SAKA) Website : http://rajyasabha.nic.in E-mail : [email protected] PARLIAMENT OF INDIA RAJYA SABHA DEPARTMENT-RELATED PARLIAMENTARY STANDING COMMITTEE ON HEALTH AND FAMILY WELFARE FIFTY-FIFTH REPORT ON DEMANDS FOR GRANTS 2012-13 (DEMAND NO. 47) OF THE DEPARTMENT OF AYUSH (MINISTRY OF HEALTH AND FAMILY WELFARE) (PRESENTED TO THE RAJYA SABHA ON 26TH APRIL, 2012) (LAID ON THE TABLE OF LOK SABHA ON 25TH APRIL, 2012) RAJYA SABHA SECRETARIAT NEW DELHI APRIL, 2012/VAISHAKHA 3, 1932 (SAKA) CONTENTS PAGES 1. COMPOSITION OF THE COMMITTEE ......................................................................................... (i)-(ii) 2. PREFACE ............................................................................................................................ (iii) 3. REPORT .................................................................................................................................. 1—26 4. OBSERVATIONS/RECOMMENDATIONS — AT A GLANCE ............................................................ 27—37 5. MINUTES ................................................................................................................................ 39—43 COMPOSITION OF THE COMMITTEE (2011-12) RAJYA SABHA 1. Shri Brajesh Pathak — Chairman #2. Shri Janardhan Dwivedi *3. Shrimati Viplove Thakur 4. Dr. Vijaylaxmi Sadho 5. Shri Balbir Punj 6. Dr. Prabhakar Kore 7. Shrimati Vasanthi Stanley @8. Shri Rasheed Masood 9. Shrimati B. Jayashree 10. Shri Derek O’Brien LOK SABHA 11. Shri Ashok Argal 12. Shrimati Harsimrat Kaur Badal 13. Shri Vijay Bahuguna 14. Shrimati Raj Kumari Chauhan 15. Shrimati Bhavana Gawali 16. Dr. Sucharu Ranjan Haldar 17. Dr. Monazir Hassan I8. Dr. Sanjay Jaiswal 19. Shri S. R. Jeyadurai 20. Shri P. Lingam 21. Shri Datta Meghe 22. Dr. Jyoti Mirdha 23. Dr. Chinta Mohan 24. Shri Sidhant Mohapatra 25. Shrimati Jayshreeben Kanubhai Patel 26. Shri M. K Raghavan 27. Shri J. M. Aaron Rashid 28. Dr. Arvind Kumar Sharma 29. Shri Radhe Mohan Singh 30. Shri Ratan Singh 31. Dr. Kirit Premjibhai Solanki # Ceased to be a Member w.e.f. 27th January, 2012 and re-nominated to the Committee on 2nd February, 2012. * Ceased to be a Member w.e.f. 2nd April, 2012. @ Ceased to be a Member w.e.f. 9th March, 2012. (i) (ii) SECRETARIAT Shri P.P.K. Ramacharyulu, Joint Secretary Shri R.B. Gupta, Director Shrimati Arpana Mendiratta, Joint Director Shri Dinesh Singh, Deputy Director PREFACE I, the Chairman of the Department-related Parliamentary Standing Committee on Health and Family Welfare, having been authorized by the Committee to present the Report on its behalf, do hereby present this Fifty-fifth Report of the Committee on the Demand for Grants (Demand No. 47) of the Department of AYUSH, Ministry of Health and Family Welfare for the year 2012-13. 2. The Committee considered the various documents and relevant papers received from the Department of AYUSH, Ministry of Health and Family Welfare and also heard the Secretary and other officials of the Department on the Demand for Grants (2012-13) in its meeting held on 11th April, 2012. 3. The Committee considered the Draft Report and adopted the same in its meeting held on 23rd April, 2012. BRAJESH PATHAK NEW DELHI; Chairman, 23rd April, 2012 Department-related Parliamentary Vaishakha 3, 1934 (Saka) Standing Committee on Health and Family Welfare. (iii) 1 REPORT I. INTRODUCTION 1.1 As per the information furnished by the Ministry of Health and Family Welfare, Department of Ayurveda, Yoga & Naturopathy, Unani, Siddha and Homoeopathy (AYUSH) is mandated to provide focused attention for the development and promotion of AYUSH systems of health care at national and international levels. In the year 2010 another system of medicine being practiced by Tibetians residing in India i.e. Sowa Rigpa was also included under AYUSH. After establishment of a separate Department in 1995, the initial period of Ninth Plan was utilized to identify the gaps, developing strategies to fill up these gaps and do the formative work. It was from the Tenth Plan onwards that normative course of implementing various programmes/initiatives has been taken up and the institutions and initiatives were supported. The Department has also informed that the key achievements in the Eleventh Plan centered around establishment of All India Institute of Ayurveda, the two Institutes for North East, Pharmacopoeia Commission of Indian Medicine, formative work for mainstreaming of AYUSH strategy and needful mid-term corrective measures for improvised implementation of all schemes. The Twelfth Plan will emphasize conceptualization of interventions and innovations that could help realization of AYUSH potential with integrative approaches in health care. 1.2 The Department under its purview has two Regulatory Councils, five Research Councils, seven National Institutes, two North Eastern Institutes, two Pharmacopoeia Laboratories, a National Medicinal Plants Board and a Public Sector Undertaking for manufacture of Ayurveda and Unani medicine. The Department is mandated for formulating and implementing policies and programmes for overall growth and development of AYUSH systems and to pursue the following objectives:– (a) To promote good health and expand the outreach of health care to people, through AYUSH-based preventive, promotive, mitigating and curative interventions. (b) To upgrade standards of AYUSH education by supporting development of teaching institutions, training facilities and teachers, revision of course curricula as per contemporary relevance and by creating Model Institutions and Centers of Excellence. (c) To ensure affordable AYUSH services and drugs of quality. (d) To facilitate availability of equality raw drugs adhering to pharmacopoeia standards. (e) To integrate AYUSH in health care delivery system and national health programmes. (f) To-orient and prioritize research in AYUSH for validation and development of therapies and drugs. (g) Building awareness about the strengths of AYUSH at national and international levels. 1.3 The Central Sector Schemes have eight components, namely (i) System Strengthening, (ii) Educational Institutions, (iii) Research and Development including medicinal plants, (iv) HRD (Training Programme/Fellowship/Exposure visit/upgradation of skill etc.), (v) Cataloging, Digitization and Manuscripts of AYUSH IT Network, (vi) International Cooperation, (vii) Development of AYUSH Industry, and (viii) Funding of NGOs engaged in local health traditions/midwifery practices etc. under AYUSH. 1.4 The Centrally, sponsored Schemes include (i) Promotion of AYUSH (ii) Setting up of specialized AYUSH facilities in Government tertiary care AYUSH Hospitals in Public Private Partnership model and (iii) National Mission on Medicinal Plants. 2 1.5 The Twelfth Plan (2012-17) will apart from continuing the existing schemes, support the development of new institutes in Central Sector, upgradation of Research Councils and National Institutes, National AYUSH health programmes, pharmacovigilance of ASU drugs, Central Drug Control1er and particularly AYUSH Flexi-pool under NRHM for steering mainstreaming of AYUSH- related activities in the States. II. BUDGETARY ALLOCATION (Rs. in crore) Plan 2007-08 2008-09 2009-10 2010-11 2011-12 Total Outlay 488.00 670.39 855.41 952.75 1021.45 3988.00 BE 488.00 534.00 734.00 800.00 900.00 3456.00 (Allocation) RE 390.00 475.00 680.00 888.00 650.00 3083.00 Expenditure 383.36 471.13 678.97 848.90 610.60 2992.96 2.1 The total provision of the fund in the Eleventh Plan for the Department of AYUSH was Rs. 3988.00 crore out of which Rs. 2053.00 crore was allocated for the Central Sector Schemes and Rs. 1935.00 crore for the Centrally-sponsored Schemes. 2.2 As per the information furnished by the Secretary during the course of his deposition before the Committee on the Eleventh April, 2012, out of the total Eleventh Plan Outlay of Rs. 3988.00 crore, Rs. 3456.00 crore was allocated in the Budget Estimates, Rs. 3083.00 crore in the Revised Estimates and the total expenditure was Rs. 2992.96 crore. The shortfall in the Actual Expenditure was to the tune of Rs. 906.04 crore. The Secretary pointed out that the main contributory factor for the shortfall in the utilization of the approved Eleventh Plan Outlay was the non-submission of utilization certificates of funds released to the State Governments under Centrally-sponsored Schemes as norms of Ministry of Finance does not allow release of fund pending submission of UCs. The Secretary also informed that the share of the Centrally-sponsored Schemes had increased over the years and it was 43% of the total Budget Estimates during the Eleventh Plan. The Secretary also submitted that the allocation of Rs. 990.00 crore made in BE 2012-13 reflected an increase of 52.31% over the allocation made in RE 2011-12 and his Department fared better than the other Departments of Ministry of Health and Family Welfare. 2.3 The Committee observes that despite the fact that a Zero Based Budgeting exercise which requires that budget request be evaluated thoroughly, starting from the zero base, was undertaken at the beginning of the Eleventh Plan,