STATE ANNUAL ACTION PLAN of AYUSH UNDER NAM 2020-21 A

STATE ANNUAL ACTION PLAN

AYUSH UNDER NAM

2020-21

A & N State AYUSH Society

A & N ISLANDS

INDEX

Point Chapter / Title Page Nos. Letter of Submission of AYUSH SAAP for the year 2O2O-2O21 (F. -- d No.4-99 / ANSAS/ NAM/ SAAP/ 2020-21/148 dt. 7th April, 2020 Recommendation of the UT Government of Andaman & Nicobar -- Islands in respect of the State Annual Action Plan (SAAP) from e Principal Secretary (Health), A & N Admn. -- Application Form- Annexure-I f-h Proforma -3 (Application form for grant-in-aid for strengthening of -- i-j ASU&H Drug Control Framework -- (Annexure (3-a) to Annexure (3-f) k-p CHAPTER – 1 1 Profile of AYUSH in the Union Territory 1.1 Geographical Scenario of A & N Islands 1.2 Primitive Tribal Groups Of A&N Islands 1.3 Administrative Divisions: 1 to 6 1.4 Demographic Profile: 1.5 Profile of Health Centers and Hospitals in the Health Department: 1.6 Profile of AYUSH under Health Department:

CHAPTER – 2 2 Number of co-located AYUSH facilities before the launch of NHM:

2.1 Co-located & Isolated Institutions: 7 to 10 The manpower (posted at co-located dispensaries and AYUSH 2.2 Hospital before NHM: CHAPTER-3 Progress of implementation of mainstreaming of AYUSH during last 3 years: 3.1 Proposal submitted and approved components under NHM. No. of AYUSH facilities co-located (system wise) in DHs/CHCs/PHCs 3.2 after the launch of NHM and the doctors and para-medical staff posted on contractual basis. 11 to 16 3.3 Availability of AYUSH medicines in the Co-located facilities: Training provided to AYUSH Doctors last two years under National 3.4 AYUSH Mission (Year-wise): 3.5 Number of ASHA’s trained under Mainstreaming of AYUSH: Strategy adopted for Mainstreaming of AYUSH under NHM (National 3.6 Health Mission): CHAPTER – 4 4 Utilization status of earlier grant received under CSS: 17 CHAPTER – 5 5 Proposal for the Year 2019-20 18 to 21 5.1 Up-gradation of AYUSH Hospital other than PHCs/CHCs & DHs

Strengthening & Up-gradation of existing AYUSH Dispensaries & yoga 5.2 units 5.3 Strengthening of State Programme Management Unit (AYUSH) 5.4 Public Outreach Activity 5.5 Behaviour Change Communication (BCC)/ IEC Activities Strengthening of ASU&H Regulatory Mechanism/ ASU & H Drug 5.6 Control 5.7 NAM Flexi-pool (i) Integrative Research Project on NCD at PHC Wimberlygunj (ii) Medical Tourism Project at Chouldari Village (iii) State AYUSH Exhibition 5.8 Proposal for the AYUSH Health & Wellness Centre CHAPTER – 6 Financial Support required from Ministry of AYUSH, Govt. of India for 6.1 SAAP 2020-21 22 to 24 Summary of the budget proposed under national AYUSH mission for 6.2 the FY 2019-20 ANNEXURE Annexure – I 25to 49 Format I (a,b,c). for assistance to PHCs, CHCs, DH. Annexure – II Format III for assistance of 30 beds AYUSH Hospital other than PHCs, 50 to 51 CHCs & DHs. Annexure-III Format V for up-gradation of AYUSH Hospital, Port Blair upto 50 52 to 53 beds. Annexure – IV 54 Format 4 for AYUSH Programme Management Unit (SPMU). Annexure – V 55 Format VI for Public Health Outreach Activities. Annexure – VI 56 Format VII for BCC/IEC. Annexure – VII 57 Mission Flexi-Pool (NAM) Annexure – VIII Proposal for strengthening ASU&H Regulatory Mechanism/ ASU & H 58 Drug Control Framework: Annexure-IX 59 Proposal for the AYUSH Health & Wellness Centre

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CHAPTER – 1

1. Profile of AYUSH in the Union Territory:

1.1. Geographical Scenario of A & N Islands

The Union Territory of Andaman and Nicobar Islands comprising 572 Islands, islets & rocks, is having an area of 8249 Sq. Kms, (urban Area is 16.64 sq. kms and Rural Area 8232.36 sq kms). The Territory consists of two groups of Islands, viz. Andaman group and Nicobar group, separated by the ‘ten degree channel’. The Andaman group stretches over 464 kms in length with maximum breadth of 51 kms and it is much closer to Myanmar (Burma). The Nicobar group of Islands, also known as southern group of Islands stretches over 236 Kms in length. There are three districts as South Andaman District, North & Middle Andaman District and Nicobar District. The Capital city is Port Blair, situated in south Andaman district; and is 1255 kms & 1195 kms away from Kolkata and Chennai respectively. There are 67 Panchayats, and 504 inhabited villages out of which 201 are the revenue villages. Port Blair city is the only Municipality. There are two Zilla Parishads and seven Block samities. The present projected population is nearly 4 lakhs and is distributed in 38 inhabited islands stretching over a length of 700 kms in Bay of Bengal from southern tip of Myanmar (Burma) to Northern tip of Indonesia. The southernmost tip of this territory as well as of India viz. Indira Point is only about 90 nautical miles from the northern tip of Indonesia. People of different parts of India are settled here who have adopted their traditional medical practices and also exchanged knowledge of these practices. Apart from the settler communities like Bengalis, Tamilians, Keralites, Telugus, and Ranchis & Karen Tribes, the aboriginal tribes like Great Andamanese, Nicobaries, Onge, Shompen, Jarwas and Sentineles are also living in the remote areas of the dense forests of the various Islands. Ayurveda, Homoeopathy & Yoga are the most popular and preferred AYUSH systems in these Islands.

1.2. Primitive Tribal Groups of A&N Islands

There are six Primitive Tribal Groups who have been identified in the Andaman & Nicobar Islands. They are,

1) Great Andamanese of Strait Island 2) Onges of Little Andaman 3) Jarawas of South and Middle Andaman 4) Sentinelese of Sentinel Island 5) Shompens of Great Nicobar 6) Nicobaries of Car Nicobar

1.3. Administrative Divisions: Administratively Andaman & Nicobar Islands has a total of 03 districts, 04 Sub-divisions, 07 Tehsils and 09 Community Development Blocks.

Administrative Unit No. District 3 Sub-Division 4 Tehsil 7 C.D.Block 9 Lok Sabha Seat 1 Municipal Council 1 Municipal Ward 24 Panchayat 67 Police Station 15 Panchayat Samiti 07 Zilla Parishad 02 Islands 572 Census Villages 547 Revenue Villages 201 Census Village 547 Inhabited Village 501 Uninhabited Village 46 Inhabited Island 38

Andaman & Nicobar Islands has become one of the most natural disaster- prone zone of India. Tsunami which has caused a tremendous damage and devastation to these Islands and the fear of frequent occurrences of these natural calamities stand as a barrier to economic progress of the Union Territory.

1.4 Demographic Profile:

1.4.1 Population

Description 2011 2001 Approximate Population 3.80 Lakh 3.56 Lakh Actual Population 379,944 356,152 Male 202,330 192,972 Female 177,614 163,180 Population Growth 6.68% 26.94% Percentage of total Population 0.03% 0.03% Sex Ratio 878 846

Child Sex Ratio 966 941 Density/km2 46 43 Area km2 8,249 8,249 Total Child Population (0-6 Age) 39,497 44,781 Male Population (0-6 Age) 20,094 22,885 Female Population (0-6 Age) 19,403 21,896

The population of Andaman & Nicobar Islands which was 3.56 lakhs in 2001 increased to 3.80 lakhs in 2011.

The density of population which was 43 per sq. km. in 2001 has increased to 46 per sq. km. in 2011, which is lower than the All India average of 324 per sq. km. The sex-ratio (i.e. number of females per thousand males) in Andaman & Nicobar Islands has marginally increased from 846 in 2001 to 878 in 2011 and this is much lower than the All India average of 933 in 2001 and 940 in 2011. As per the 2011 Census, the rural population in Andaman & Nicobar Islands is 2, 44,411 and urban population is 1, 35,533.

1.4.2 Literacy

Description 2011 2001 Literacy 86.27 % 81.30 % Male Literacy 90.11 % 86.76 % Female Literacy 81.84 % 74.71 % Total Literate 293,695 253,135 Male Literate 164,219 146,831 Female Literate 129,476 106,304

Literacy rate in Andaman and Nicobar Islands has seen upward trend and is 86.27 percent as per 2011 population census. Of that, male literacy stands at 90.11 percent while female literacy is at 81.84 percent. In 2001, literacy rate in Andaman and Nicobar Islands stood at 81.30 percent of which male and female were 86.76 percent and 74.71 percent literate respectively.

Structure:

No. of Districts 03 No. of C.D. Blocks 09 No. of Tehsils 07 No. of villages(inhabited) 555

No. of Panchayat 69

1.5. Profile of Health Centers and Hospitals in the Health Department:

There are 114 Sub-Centers, 5 Urban Health Centers, 21 PHCs, 4 CHCs, 3 District Hospitals and 1 Tertiary Care Teaching Hospital (i.e. G.B. Pant Hospital-ANIIMS-catering MBBS course) under the Health Department of Andaman & Nicobar Administration.

1.6. Profile of AYUSH under Health Department: AYUSH in A & N Islands is under administrative control of the Directorate of Health Services. The Programme Officer (AYUSH) assists the Director of Health Services in implementing all the AYUSH & all the National Health Programmes / activities. National Homeopathy campaign on “Mother & Child health care” is being implemented in the UT since 2008.

Before the launch of NHM in 2009, there were eight co-located Homoeo Dispensaries {at 2 DHs, 4 CHCs, 1 PHC & 1 UHC), one standalone Urban Ayurveda Dispensary (currently non-functional due to unavailability of Medical Officer & staff) and one standalone 30 Bedded (Multi-disciplinary) AYUSH (Ayurveda, Yoga, Unani, Siddha and Homoeopathy) Hospital in the Union Territory. Homoeopathy, Ayurveda, Panchakarma, Yoga & Physiotherapy Units are functional in the AYUSH Hospital, Port Blair except Unani & Siddha and covering an average daily OPD of around 600. Seven Homoeopathic Medical Officers (plus 02-Vacant) and one Ayurvedic Medical Officer (plus 01-vacant) were working on contract basis under Directorate of Health Services, Andaman & Nicobar Administration; and a regular Medical Officer (Ayurveda) has been appointed through UPSC in 2010.

Since the launch of NHM, 10 new Homoeopathy Dispensaries & 11 new Ayurveda Dispensaries and 2 Yoga Units were co-located in 19 PHC’s, 4 CHC and 2 DHs under the mainstreaming of AYUSH.

Thus at present, as per the norms of the Govt. of India, Ayurveda Dispensaries have been collocated at 02 DHs, 10 PHCs and 01 CHC; Homoeo Dispensaries have been collocated at 02 DHs & 04 CHCs, 10 PHCs & 01 UHC; and yoga units are collocated at 02 DHs by the UT Administration for the benefit of the Islanders (Facility wise list mentioned below):

Facilities available in DHs, CHCs, UHC & PHCs Sl.No Name of the DH/CHC/UHC/PHC Functional Units

District Hospital

1 AYUSH Hospital, Port Blair Ayurveda with Panchakarma Homoeopathy, Yoga & Physiotherapy

2 Dr. R.P. Hospital, Mayabunder Ayurveda with Panchakarma, Homoeopathy & Yoga 3 BJR Hospital, Car Nicobar Ayurveda with Panchakarma, Homoeopathy & Yoga Community Health Centre

4 CHC, Bambooflat Homoeo & Ayurveda 5 CHC, Rangat Homoeo & (Ayurveda Peripheral OPD) 6 CHC, Diglipur Homoeo & (Ayurveda Peripheral OPD) 7 CHC, Nancowrie Homoeo Urban Health Centre 8 UHC, Junglighat Homoeo Primary Health Centre 9 PHC Garacharma Hospital Homoeo 10 PHC, Manglutan Homoeo 11 PHC, Chouldari Homoeo & Ayurveda 12 PHC, Tushnabad Ayurveda 13 PHC, Ferrargunj Homoeo 14 PHC, Wimberlygunj Ayurveda 15 PHC, Neil Island Ayurveda 16 PHC, Havelock Homoeo 17 PHC, Baratang Ayurveda 18 PHC, Kadamtala Homoeo 19 PHC, Billiground Ayurveda 20 PHC, Tugapur Homoeo 21 PHC, Kalighat Ayurveda 22 PHC, Radha Nagar Homoeo 23 PHC, R.K.Pur Homoeo 24 PHC, Hut Bay Ayurveda 25 PHC, Katchal Ayurveda 26 PHC, Teressa Ayurveda 27 PHC, Campbell Bay Homoeo

A 30 bedded multi-disciplinary AYUSH Hospital is functioning at Port Blair which is providing excellent health services through Ayurveda, Panchakarma, Yoga, Homoeopathy & Physiotherapy. In the year 2014, Hospital has been strengthened with appointment of 01 Ayurveda Specialist, 0 GDMO (Ayurveda), 02 Pharmacists, 02 Panchakarma attendant 01 Stri Rog Attendant & 01 Ksharasutra-Surgical Attendant & in the year 2016 appointment of 01 GDMO(Ayurveda), & 01 Yoga Attendant/Hospital Attendant and 01 Homoeo Attendant/Hospital Attendant. The equipment’s have been procured for Panchakarma unit under the UT Budget.

A Programme Management Unit has been established during June, 2013 under CSS for Hospitals & Dispensaries to ensure timely implementation and reporting of AYUSH related schemes in the Union Territory. A Programme Manager has been appointed for the separate PMU of AYUSH in November 2014 to speed up the mainstreaming of AYUSH under Centrally Sponsored Scheme/NAM.

For strengthening the regulatory mechanism in these Islands and for effectively ensure the drugs quality control, process of notification Drug Testing Lab (ASU Drugs) of Tamilnadu state is in final stage. This will help to enforce quality standards of ASU&H drugs and ensure public safety from hazardous effects of spurious drugs. The UT has availed the assistance under Centrally Sponsored Scheme of National AYUSH Mission from the Ministry of AYUSH from SAAP 2014-2015.

CHAPTER – 2

1. Number of co-located AYUSH facilities before the launch of NHM: 2.1. Co-located & Isolated Institutions:

The Profile of AYUSH Facilities Co-located in Referral Hospitals, District Hospitals, Community Health Centers, Primary Health Centers and Urban Health Centers in the UT of A & N Islands before the Launch of NHM is given below: -

Sl Location No. of AYUSH co-location Before NHM No Allopathic Homoeo Dispensaries Ayurveda Dispensary / Hospitals / / Unit Unit Dispensaries

FRU-(G.B. 1 Pant Hospital, 1 Nil Nil Port Blair) 2 30 bedded Standalone AYUSH Hospital other than AYUSH DH / CHC/ PHC having Ayurveda, Panchakarma, Homoeopathy, Hospital, Port Yoga & Physiotherapy Units functional Blair 3 District 2 2 Nil Hospitals 4 CHCs 4 4 Nil 5 PHCs 21 1 Nil 6 UHCs 5 1 Nil 7 Urban -- -- 1, standalone (Govt. Dispensary Gurunanak Ayurveda Dispensary)

2.2. The manpower (Doctors and Supporting staff) posted at co-located dispensaries and AYUSH Hospital before NHM (both contractual and regular): I. South Andaman District: Sl. Facility Isolated / AYUSH No of Posts Remarks No. Co-located Manpower facility Collocated 30 Bedded Ayurveda MO (Ayurveda) 01 1 filled on isolated AYUSH Unit (Regular) regular basis 1 Hospital, Port (daily OPD under A & N Blair. 200) Administration, 3 more required. Pharmacist 02 2 filled on (Ayurveda) (Regular) regular basis under A & N Administration.

Panchakarma 01 (Male) Filled on Asst. Regular regular basis under A & N Administration Panchakarma 01 (Male) Filled on Attendant Regular regular basis under A & N Administration Homoeo MO (Homoeo) 02 02 filled on Unit (Regular) contract basis (daily OPD under A&N 300) Administration. 2 more required. Sr. Pharmacist 01 Filled on (Homoeo) (Regular) regular basis under A & N Administration Pharmacist 02 02 filled on (Homoeo) (Regular) regular basis. Pharmacy 01 Filled on Asst. (Homoeo) (Regular) regular basis under A & N Administration Dresser 01 -do- (Homoeo) (Regular) Yoga Yoga Physician 01 Vacant Unit (Regular)

(daily OPD 50) Unani 01 Unit MO (Unani) (Regular) Vacant Pharmacist 01 (Unani) (Regular) Vacant Siddha MO (Siddha) 01 Unit (Regular) Vacant Pharmacist 01 (Siddha) (Regular) Vacant Nursing Sister 01 Filled on Others (Regular) regular basis under A & N Administration Staff Nurse 08 7 filled on (AYUSH) (Regular) regular basis and 1 post is vacant under A & N Administration. Lab Technician 01 Filled on (Regular) regular basis

under A & N Administration Lab Assistant 01 -do- (Regular) Physiotherapist 02 -do- (Regular)

Ward Attendant 04 04 filled on regular basis under A & N Administration Ayah 04 04 Filled on regular basis under A & N Administration. Safaiwala 01 1 filled on (Regular) regular basis. 5 more required. 2 Govt. Gurunanak Ayurveda Nil Nil Nil Gurudwara Dispensary Ayurveda Dispensary

3 CHC, Bambooflat Homoeo MO (Homoeo) 01 Filled on Dispensary (Temporary) contract basis under A & N Administration Pharmacist 01 Filled on (Homoeo) (Regular) regular basis under A & N Administration 4 UHC Junglighat Homoeo MO (Homoeo) 01 Filled on Dispensary (Regular) contract basis under A & N Administration Pharmacist 01 Filled on (Homoeo) (Regular) regular basis under A & N Administration

II. Middle & North Andaman District:

S.No. Name of the Co-located AYUSH Manpower No of Posts Remarks DH/CHC/PHC facility Collocated 1 DR.R.P Hospital Homoeo MO (Homoeo) 1 Vacant Mayabunder Dispensary (Temporary) (District Pharmacist 1 Vacant Hospital), North (Homoeo) (Regular) Andaman

2 CHC, Rangat Homoeo MO (Homoeo) 1 Filled on contract Dispensary (Temporary) basis under A & N Administration Pharmacist 1 Filled on regular (Homoeo) (Regular) basis under A & N Administration 3 CHC, Diglipur Homoeo MO (Homoeo) 1 Vacant Dispensary (Temporary) Pharmacist 1 Filled on regular (Homoeo) (Regular) basis under A & N Administration

III. Nicobar District:

Sl. Name of the Co-located AYUSH No of Posts Remarks No. DH/CHC/PHC facility Manpower Collocated 1 BJR Hospital, Homoeo MO (Homoeo) 1 Filled on contract Car Nicobar, Dispensary (Regular) basis under A & N (District Administration Hospital) Pharmacist 1 Vacant (Homoeo) (Regular) 2 CHC Nancowrie Homoeo MO (Homoeo) 1 Filled on contract Dispensary (Temporary) basis under A & N Admn. and posted at AYUSH Hospital on diverted capacity due to heavy patient load. Pharmacist 1 Filled on regular basis (Homoeo) (Regular) under A & N Administration 3 PHC, Campbell Homoeo MO (Homoeo) 1 Filled on contract Bay Dispensary (Temporary) basis under A & N Admn. Pharmacist 1 Vacant (Homoeo) (Regular)

CHAPTER – 3

3. Progress of implementation of mainstreaming of AYUSH last year:

3.1. Proposal submitted and approved components under NHM.

I. YEAR 2019-20 (Mission Flexi-pool):-

Sl. Activity proposed Approved components No. 1 GDMO (Homoeo) 10 2 GDMO (Ayurveda) 11 3 Pharmacist (Homoeo) 08 4 Pharmacist (Ayurveda) 01 5 Yoga Instructor 04 6 Panchakarma Attendant 04

3.2. No. of AYUSH facilities co-located (system wise) in DHs/CHCs/PHCs after the launch of NHM and the doctors and para-medical staff posted on contractual basis.

I. South Andaman District:

Sl. Name of the Co-located AYUSH No of Posts Remarks No DH/CHC/PHC facility Manpower Collocated 1 30 Bedded Stand Ayurveda 01 Filled on alone AYUSH Specialist contract basis Hospital, Port Blair under NHM & Panchakarma 03 (02 NAM (AYUSH Attendant female & 01 CSS) Panchakarma male)

Unit Stri Roga 01 female Attendant Kasharasutra 01 Male Attendant Yoga Unit Yoga Instructor 02 Male 02 Female Ayurveda GDMO 04 Dispensary Pharmacist 03 Hospital 01 Attendant/MTS Homoeo Pharmacist 01 Dispensary Hospital 01 Attendant/MTS 2 CHC Bambooflat Homoeo MO (Homoeo) 01 Filled on Dispensary contract under Admin. Pharmacist 01 Filled on contract basis under NHM

Ayurveda GDMO 01 Filled on Dispensary contract basis under NHM Pharmacist Nil Required 3 PHC Garacharma Homoeo MO (Homoeo) 01 Filled on Dispensary contract under Admin. Pharmacist 01 Filled on contract basis under NHM 4 PHC Manglutan Homoeo GDMO 01 Filled on Dispensary contract basis under NHM Pharmacist 01 Filled on contract basis under NHM 5 PHC Tusnabad Ayurveda GDMO 01 Filled on Dispensary contract basis under NHM Pharmacist Nil Required 6 PHC Ferrargunj Homoeo GDMO 1 Filled on Dispensary Pharmacist 1 contract basis 7 PHC Wimberlygunj Ayurveda GDMO 1 under NHM Dispensary Pharmacist 1 8 PHC Havelock Homoeo GDMO 1 Island Dispensary Pharmacist Nil Required 9 PHC Neil Island Ayurveda GDMO 1 Filled on Dispensary contract basis under NHM Pharmacist Nil Required 10 PHC Hut Bay, Ayurveda GDMO 1 Filled on Little Andaman Dispensary contract basis under NHM Pharmacist Nil Required 11 PHC R.K.Pur, Little Homoeo GDMO 1 Filled on Andaman Dispensary contract basis under NHM Pharmacist Nil Required 12 PHC Chouldari Homoeo GDMO 1 Filled on Dispensary Pharmacist 1 contract basis (shifted from under NHM PHC Long Island) Ayurveda GDMO 1 Filled on Dispensary) contract basis (shifted from under NHM PHC Katchal) Pharmacist Nil Required

II. North & Middle Andaman District:

S.No. Name of the Co-located AYUSH Manpower No of Remarks DH/CHC/PHC facility Collocated Posts 1 PHC Baratang, Ayurveda GDMO 1 Filled on contract basis Middle Dispensary under NHM Andaman Pharmacist Nil Required 2 PHC Kadamtala, Homoeo GDMO 1 Filled on contract basis Middle Dispensary under NHM Andaman Pharmacist 1 -do- 3 PHC Long Homoeo GDMO Nil Required Island, Middle Dispensary Pharmacist 1 Filled on contract basis Andaman under NHM 4 PHC Ayurveda GDMO 1 -do- Billiground, Dispensary Pharmacist Nil Required Middle Andaman 5 PHC Tugapur, Homoeo GDMO 1 Filled on contract basis North Andaman Dispensary under NHM Pharmacist Nil Required 6 DR.R.P Hospital Ayurveda GDMO 1 -do- Mayabunder Dispensary (District Pharmacist Nil Required Hospital), North Yoga Unit Yoga Instructor 1 Filled on contract basis Andaman under NHM Homoeo GDMO Nil Required Dispensary Pharmacist 1 Regular 7 PHC Kalighat, Ayurveda GDMO 1 Filled on contract basis Diglipur, North Dispensary (Ayurveda) under NHM Andaman Pharmacist Nil Required 8 PHC Radha Homoeo GDMO (Homoeo) Nil Vacant Nagar, Diglipur, Dispensary Homoeo 1 Filled on contract basis North Andaman Pharmacist under NHM 9 CHC Rangat Homoeo GDMO 1 Posted on contract Dispensary basis under Admin. Pharmacist 1 Regular Ayurveda GDMO Nil Required Dispensary Pharmacist Nil Required Yoga Unit Yoga Instructor 1 Filled on contract basis under NAM 10 CHC Diglipur Homoeo GDMO 1 Filled on contract basis Dispensary under A &N Admin. Pharmacist 1 Regular Ayurveda GDMO Nil Required Dispensary Pharmacist Nil Require

Yoga Unit Yoga Instructor 1 Filled on contract basis under NAM

III. Nicobar District:

Sl. Name of the Co-located AYUSH Manpower No of Remarks No. DH/CHC/PHC facility Collocated Posts 1 BJR Hospital, Car Ayurveda GDMO Nil Required Nicobar, (District Dispensary Hospital) Pharmacist Nil Required Homoeo GDMO 1 Filled on contract Dispensary basis under NHM Pharmacist Nil Required Yoga Unit Yoga Instructor 1 Filled on contract basis under NHM 2 CHC Nancowrie Homoeo GDMO Nil Required Dispensary Pharmacist 1 Regular Yoga Unit Yoga Instructor 1 Filled on contract basis under NAM 3 PHC Teressa Ayurveda GDMO 1 Filled on contract Dispensary basis under NHM Pharmacist Nil Required 4 PHC Katchal Ayurveda GDMO Nil Required Island Dispensary Pharmacist Nil Required 5 PHC Campbell Homoeo GDMO 1 Filled on contract Bay Dispensary basis under NHM Pharmacist Nil Required Yoga Unit Yoga Instructor 1 Filled on contract basis under NAM

3.3. Availability of AYUSH medicines in the Co-located facilities:

During the year 2019-20, as approved by the Ministry, the Essential AYUSH Medicines (Ayurveda & Homeopathy) required in the AYUSH units were purchased through Govt. undertaking firms (i.e Homoco, Goa Antiboitics & Pharmaceuticals Ltd. for Homeopathy medicines and M/s. IMPCL & M/s. Oshadi for Ayurveda medicines) from the available fund under the head of Medicine of National AYUSH Mission and UT health budget.

3.4. Training provided to AYUSH Doctors last two years under National AYUSH Mission (Year-wise):

Sl. Training Programme Year No. of trained No. AYUSH Doctors/ ASHAs/ Anganwadi workers/Paramedical staff 1. Two Days “State level cascading training for 2018 50 trainers” on ‘orientation of ASHAs & ANMs’ in the prevention of Diabetes Mellitus through AYUSH systems of medicine’. 2. One Day Training on ‘Gems and GFRs 2017’ 2018 50 3. Three days training on 'Yoga Therapy for 2018 255 (Anganwadi Lifestyle Disorders' for Anganwadi Workers workers & and paramedical staff. Paramedical staff)

4. Two days training on Yoga for cancer and 2018 38 endocrine disorders for AYUSH Doctors. 5. Two days State level cum workshop on 2018 41 Management of neurological disorders through Ayurveda and Homoeopathy for Ayurveda and Homoeo Doctors . 6. Two days training programme on ‘Re- 2019 37 orientation training on Ayurveda, Yoga, Homoeopathy and Gem & GFRs for AYUSH paramedical staff. 7. Two days training –cum-workshop on “Role 2019 22 of Homoeopathy in skin disorders” for Homoeo doctors. 8. Two days training-cum-workshop on 2019 18 “Management of Rheumatological/ Musculoskeletal disorders through Ayurveda” for Ayurveda doctors. 9. Two Days training Programme on “General 2019 11 Wellness Prevention of Common ailments through AYUSH Systems for ASHAs” 10. Two Days Sensitization training on “ASU&H 2020 69 Drug Regulation” and “Drug & Magic Remedices Act 1954 and QC of AsU&H Drugs”

3.5. Number of ASHA’s trained under Mainstreaming of AYUSH:

No ASHA’s were specially trained under Mainstreaming of AYUSH during the last 2 years. However, they were trained during the Module – I to V Training Programmes under NHM. Also the concerned AYUSH Doctors regularly instruct / train the ASHA’s regarding AYUSH Programmes. During the Financial year 2017-18, with reference to D.O letter no. 7(4)/2017- NHM-1 dt. 06.03.2017 received from MoH&FW and D.O letter no. Z.28015/26/2016- H&D Cell (Part-I) dt. 15.03.2017 received from Ministry of AYUSH. The AYUSH wing of Health department in collaboration of A&N State AYUSH Society was conducted a cascading Training Programme of ASHAs & ANMs on General wellness and Prevention of Common Ailments including Diabetes Mellitus through AYUSH Systems in State, Block, CHCs, and PHCs level in the entire UT and covering all 476 ASHAs and ANMs under the Health Department.

3.6. Strategy adopted for Mainstreaming of AYUSH under NHM (National Health Mission):

In the Union Territory the AYUSH Doctors are not permitted to practice Allopathic system and are encouraged to prescribe only AYUSH medicine practices thus increasing their confidence and experience in the concerned systems.

The Yoga Instructors are conducting regular Yoga demonstrations and classes at various schools, colleges, ITI College, Polytechnic College, Police training Institutes, District Jail, Psychiatry ward of Medical college.

AYUSH doctors and staffs (Ayurveda & Homoeopathy) are conducting free medical camps and IEC activities regularly in remote areas of A&N Islands. Tribal Health Surveys are also regularly conducted in collaboration with the team of CCRAS Port Blair Unit.

CHAPTER – 4

4. Utilization status of earlier grant received under CSS:

The details of grants approved and released by the Ministry are mentioned below:

(Rs. In lakhs) Financial Fund Fund Released Utilization Year Approved by by Ministry & (Rs. In lakhs) Ministry A&N (Rs. In lakhs) Administration 2018-19 371.758 371.758 337.84

2019-20 311.546 235.00 292.13 (approx.) (up to 31/02 2019)

CHAPTER – 5

5. Proposal for the Year 2020-21:

5.1. Up-gradation of AYUSH Hospital other than PHCs/CHCs & DHs:

30 Bedded AYUSH Hospital is the only referral Hospital in the Union Territory of Andaman & Nicobar Islands for AYUSH systems. This Hospital was started in March 2005 and is having Ayurveda, Homoeopathy, Yoga & Physiotherapy Units functional. Though the Unani & Siddha Units are also sanctioned, they are non-functional due to un-availability of technical staff. The average number of patients attending the daily OPD is around 500 and this number is increasing day by day.

5.2. Strengthening & up-gradation of existing AYUSH Dispensaries & yoga units:

Apart from the 30 Bedded standalone AYUSH Hospital; currently there are 30 AYUSH Dispensaries {14 Ayurveda (13 co-located; 1 standalone) & 18 co-located Homoeo (17 co-located; 1 standalone)} & yoga units at 01 AYUSH Hospital, 3 DHs, 3 CHCs, 01 PHCs in the Territory. Most of these co-located AYUSH Dispensaries are situated in the remote or hard area covered by the thick tropical rainforests. Though these Dispensaries are getting good response from the general public, it is difficult to run these dispensaries smoothly due to the lack of adequate manpower and infrastructure. No Ayurveda Pharmacist has been sanctioned for any of the 10 co-located Ayurveda Dispensaries from the Year 2011-12. There is a genuine need to upgrade these Dispensaries with the addition of the adequate infrastructure, so that the people of these remote areas may be properly benefited by the AYUSH systems.

5.3. Strengthening of State Programme Management Unit (AYUSH)

Presently Programme Management Unit is working under AYUSH to speed up the process of mainstreaming of AYUSH and also to send the periodic progress report regarding the same. At present One Programme Manager, One Accountant and one Data Assistant is appointed under Programme Management Unit. Subject to approval of the Ministry, the posts of Accountant & Data Assistant with the present salary may be shifted to 50 bedded AYUSH Hospital from Programme Management Unit. Proposal of the grant for PMU, AYUSH Programme Management Unit is enclosed in the Prescribed Format-4 (a).

5.4. Public Outreach Activity:

Public Outreach Activity will help us to increase the awareness among our Islanders in A & N Islands about AYUSH’s strength in solving community health problems resulting from nutritional deficiencies, epidemics and vector- borne diseases, Maternal and Child Health Care etc. This program will be designed according to our demographic demand for AYUSH services. It will create public awareness about the importance of hygiene, dietary habits, prevention, promotion etc. through AYUSH systems of medicine in the area. Awareness of the community regarding health care will help us to reduce the incidence of communicable or non-communicable diseases. Main Objectives of this program are: i) To establish a Community Based Surveillance System (CBSS) for early Identification of the outbreak. ii) To increase the accessibility of AYUSH treatment of the population residing in the particular geographical region. iii) Conducting medical camps in different parts of the Islands. iv) Providing Peripheral OPD services to our Islanders where the facility of AYUSH services is not available. (As of now we are providing the peripheral OPD at CHC Diglipur, CHC Rangat). Proposal of the grant for Public Outreach Activity is enclosed in the Prescribed Format-VI.

5.5. Behaviour Change Communication (BCC)/ IEC Activities

Early prevention and case detection is the most important strategy of all non-communicable diseases which are generally emerged due to life style deviations and ill-healthy diet. The disease burden of the country is shifting towards communicable diseases to non- communicable diseases. We have to create the awareness about AYUSH systems of medicines which are thrived in the country with well-founded principles of disease prevention, promotion of health and specific intervention considering patient and environmental and dietary factors

We will be using Behavior change communication (BCC) as a strategic tool of communication for promoting positive health outcomes, which are based on proven theories of AYUSH Services. Mass media communication strategy will create the awareness & importance among the community about the AYUSH Services. Proposal of the grant for Behavior Change Communication (BCC)/ IEC Activities is enclosed in the prescribed Format –VII.

5.6. Strengthening of ASU&H Regulatory Mechanism/ ASU&H Drug Control:

The Directorate of Health Services is the State Licensing Authority; under the AYUSH wing we have the responsibility to implement the provisions of Drugs & Cosmetics Act and Rules for the manufacture and sale of ASU medicines under the guidance of DHS. To strengthen the regulatory mechanism in these Islands and for effectively oversee the quality control, action has been initiated to set up a State Drug Controller for ASU&H drugs under the State Annual Plan which is under process and action is awaited. This will help us for the development of dynamic central-states relation of regulatory authorities to enforce quality standards of ASU&H drugs and ensure public safety from hazardous effects of improper drugs. Under SAAP 2014-2015 of NAM the UT is availed the component of ASU & H of the scheme for strengthening their ASU&H drug Regulatory Mechanism. 02 Data Entry Operators (Existing) and 01 MTS (Existing) was not approved under SAAP 2019-20. Subject to approval of the Ministry, the same Manpower with the exiting salary may be shifted to the 50 bedded AYUSH Hospital with their present salary.

The Main objective of these Components for Andaman & Nicobar Islands during this financial year will be strengthening of ASU&H regulatory framework. Proposal of the grant for Strengthening of ASU&H Regulatory Mechanism/ ASU&H Drug Control is enclosed in prescribe Annexure-VIII.

5.7. NAM Mission Flexi-pool:

The UT has proposed some of the existing approved components and new components under NAM Flexipool, the gist are as follows:

Yoga Wellness Centre Existing and New Manpower with fund for 1 Contingency 2 Existing approved District PMU Manpower & Contingency 3 Existing approved AYUSH IEC Coordinators 4 Integrative Research Project on NCD at PHC Wimberlygunj 5 Medical Tourism Project at Chouldari Village 6 State AYUSH Exhibition 7 World Homeopathy Day 8 National Ayurveda Day 9 International Day of Yoga

Proposal of the grant NAM Flexi-pool is enclosed in Annexure-VII i) Integrative Research Project on NCD at PHC Wimberlygunj:

The UT administration has kept a token amount of Rs. 1 Lakh under NAM for taking a research project on integrative approach of AYUSH and modern medicine for NCD diseases at PHC Wimberlygunj. Final project with actual cost of the research will be submitted in supplementary proposal. ii) Medical Tourism Project at Chouldari Village: The UT administration has kept a token amount of Rs. 1 Lakh under NAM for taking a Medical Tourism Project at Chouldari Village. Final project with actual cost of the project will be submitted in supplementary proposal. iii) State AYUSH Exhibition

The UT administration planned to organize a State AYUSH Exhibition for promoting the awareness of AYUSH system in the UT. This exhibition may be merge with the annual exhibition of the UT Administration (ITF- Island Tourism Festival.

5.7. Proposal for the AYUSH Health & Wellness Centre:

The following AYUSH Health & Wellness Centre has been proposed:

Sl. District Unit Name Proposed AYUSH System No. 1. South Andaman SC Carbyn Quarry Ayurveda & Yoga 2. SC Wandoor Ayurveda & Yoga 3. SC New Bimblitan Homoeopathy & Yoga 4. SC Mithakhari Homoeopathy & Yoga 5. SC Guptapara Homoeopathy & Yoga 6. N & M Andaman SC Sitanagar-II, (under Ayurveda & Yoga CHC Diglipur)

Proposal of the grant for AYUSH & Health & Wellness Centre is enclosed in prescribe Annexure-IX.

CHAPTER – 6

6.1 Financial Support required from Ministry of AYUSH for SAAP 2017-18 (excluding the Mission Flexi-pool Budget of NHM) : COMPONENTS WISE SUMMARY (A) DH/CHC/PHC and AYUSH HOSPITAL FINANCIAL OUTLAY NON TRIBAL South Andaman Sl. Recurring Assistance One time Dispensaries Medicine Total No Contingency Manpower Assistance AYUSH 1. 70,000.00 45,72,576.00 - 450,000.00 5,092,576.00 Hospital DH 2. 20,000.00 - 80,000.00 500,000.00 600,000.00 Garacharma CHC 3. 15,000.00 - 160,000.00 500,000.00 675,000.00 Bambooflat PHC 4. 10,000.00 - 160,000.00 300,000.00 470,000.00 Chouldari PHC Shaheed 5. 10,000.00 - 80,000.00 300,000.00 390,000.00 Dweep 6. PHC Hutbay 10,000.00 - 80,000.00 300,000.00 390,000.00 PHC Swaraj 7. 10,000.00 - 80,000.00 300,000.00 390,000.00 Dweep 8. PHC RK Pur 10,000.00 - 80,000.00 300,000.00 390,000.00 PHC 9. 10,000.00 - 80,000.00 300,000.00 390,000.00 Manglutan PHC 10. 10,000.00 - 80,000.00 300,000.00 390,000.00 Tushnabad PHC 11. 10,000.00 - 80,000.00 300,000.00 390,000.00 Ferrargunj PHC 12. 10,000.00 - 80,000.00 300,000.00 390,000.00 Wimberlygunj 45,72,576.0 41,50,000.0 Total 1,95,000.00 10,40,000.00 99,57,576.00 0 0 N&M Andaman Sl. Recurring Assistance One time Dispensaries Medicine Total No Contingency Manpower Assistance DH 13. 20,000.00 - 240,000.00 500,000.00 760,000.00 Mayabunder 14. CHC Rangat 15,000.00 - 160,000.00 500,000.00 675,000.00 15. CHC Diglipur 15,000.00 - 160,000.00 500,000.00 675,000.00 16. PHC Baratang 10,000.00 - 80,000.00 300,000.00 390,000.00 PHC 17. 10,000.00 - 80,000.00 300,000.00 390,000.00 Kadamtala PHC 18. 10,000.00 - 80,000.00 300,000.00 390,000.00 Billiground 19. PHC Tugapur 10,000.00 - 80,000.00 300,000.00 390,000.00 20. PHC Kalighat 10,000.00 - 80,000.00 300,000.00 390,000.00 PHC Radha 21. 10000.00 - 80,000.00 300,000.00 390,000.00 Nagar 33,00,000.0 Total 1,10,000.00 - 10,40,000.00 44,50,000.00 0 TRIBAL Nicobar District

Sl. Recurring Assistance One time Dispensaries Medicine Total No Contingency Manpower Assistance DH Car 22. 20,000.00 - 240,000.00 500,000.00 760,000.00 Nicobar 23. CHC Nancowri - - 80,000.00 500,000.00 580,000.00 24. PHC Katchal - - - 300,000.00 380,000.00 25. PHC Teressa - - - 300,000.00 380,000.00 PHC Campbell 26. 10,000.00 - 80,000.00 300,000.00 390,000.00 Bay 19,00,000.0 Total 30,000.00 - 5,60,000.00 24,90,000.00 0 (B) Upto 50 Beds AYUSH Hospital

Sl. Recurring Assistance One time Dispensaries Medicine Total No Contingency Manpower Assistance Upto 50 beds AYUSH 1 2,00,000.00 32,17,296.00 100,00,000.00 25,00,000.00 1,59,17,296.00 Hospital- Port Blair 32,17,296.0 25,00,000.0 Total 2,00,000.00 100,00,000.00 1,59,17,296.00 0 0 (C) Programme Management Unit 16,13,521.00 (D) Strengthening of ASU&H Regulatory Mechanism/ ASU & H Drug Control 18,04,956.00 Framework (E) BCC/IEC 5,00,000.00 (F) Public Outreach Activities 1,00,000.00 (G) Mission Flexi-pool of National AYUSH Mission 43,68,208.00 (H) AYUSH Health & Wellness Centre 86,52,200.00 Total 4,96,93,757.00

Grand Total of SAAP 2020-21 4,96,93,757.00 (A+B+C+D+E+F+G+H)

Four Crore Ninety Six Lakhs Ninety Three Thousand Seven Hundred Fifty Seven Only

6.2 Summary of the budget proposed under National AYUSH Mission for the FY. 2019-20

Sl. Components Amount (Rs. In No. Lakh) 1. Admin Cost 16.14 2. Flexi Pool 43.68 3. AYUSH Services 332.55 4. AYUSH Education Institutions 00 5. Quality Control of ASU & H Drugs 18.05 6. Medicinal Plants 00 7. AYUSH Health & Wellness Centre 86.52 Total Fund proposed as per resource envelop for the 496.94 year 2020-21

Enclosures: Annexure – I Format I (a,b,c). for assistance to PHCs, CHCs, DH. Annexure – II Format III for assistance & up-gradation of existing AYUSH Hospital other than PHCs, CHCs & DHs. Annexure-III Format V for Setting up of upto 50 bedded AYUSH Hospital Annexure – IV Format-IV for AYUSH Programme Management Unit (SPMU). Annexure – V Format-VI for Public Health Outreach Activities. Annexure – VI Format -VII for BCC/IEC Annexure – VII UT specific flexible requirements under NAM Flexi-pool Annexure – VIII Proposal for strengthening ASU&H Regulatory Mechanism/ ASU & H Drug Control Framework: Annexure – IX Proposal for the AYUSH Health & Wellness Centre

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Format 1(c) Strengthening of Ayurveda, Homoeo Dispensaries & Yoga Unit at Dr. R.P. Hospital, Mayabunder (DH)Annexure – I UT of Andaman & Nicobar Islands DISTRICT: NORTH & MIDDLE ANDAMAN Sl. Location Co-location of Average No. IPD Facilities available Support required No AYUSH System Daily of (Aver OPD IPD age Attendan Bed Bed ce s Occu panc y) Block Year Stream Staff Infrastructur Infrastruct Equipment / Medicine Mayabun (Ayur/H e/ ure Furniture (one time Drug der omoeo/ Equipment/ Grant) Recurrin Unani/ Furniture g Grant Siddha) North & MO Supportin Physi Fin Physical Financial Middle g Staff cal anc (Appr) ial 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 1 DH, 1999 Homoeo 30 Nil NA MO (Ayu) Homoeo Table – 05 Nil Nil 03 - 5,00,000 Mayabun (UT NHM Pharmacis Computer der scheme) t – 01 with all 2,40,000 (regular), accessories 2009 Yoga 30 Yoga Chair – 06 Instructor and 03 Unit Computer (NRHM) – 01 (NRHM) Tables with 2013 Ayurved 20 Exam Table –

a 02 Chairs

(NRHM) Steel Almirah -02

Stool -02 2,40,000 5,00,000 One Time grant for furniture & Equipment- 2,40,000 + Medicines- 5,00,000 + Recurring Contingency- 20,000 = 7,60,000 Grand Total = 7,60,000.00

Format 1(b) Strengthening of Homoeo Dispensary at CHC, Rangat UT of Andaman & Nicobar Islands DISTRICT: North & Middle ANDAMAN Sl. Locati Co-location of Avera No. of IPD Facilities available Support required No. on AYUSH System ge IPD (Average Daily Beds Bed OPD Occupan Atten cy) dance Block Year Stream Staff Infrastruct Infrastructur Equipment / Furniture Medicin Rangat (Ayur/Ho ure/ e (one time Grant) e Drug m/ Equipmen Recurrin Unani/ t/ g Grant Siddha) Furniture North MO Supporti Phy Financ Physical Financial & ng sica ial (Appr) Middle l Andam an 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 Homoeo 60-70 Nil NA MO Pharmaci MO Nil Nil 02-Computer 1,60,000 5,00,000 Dispensar (Homo st Chamber, with all y (UT eo) – (Homoeo) Homeo accessories Scheme) 01, – 01 Pharmacy CHC and 02- 1 1999 Contra cum store, Rangat ct Table, Computer Chair, Tables with Almirah Chairs Rack 1,60,000 5,00,000 One Time grant for furniture & Equipment- 1,60,000 + Medicines- 5,00,000 + Recurring Contingency- 15,000 = 6,75,000/- Grand Total = 6,75,000.00

Format 1(b) Strengthening of Homoeo Dispensary at CHC, Diglipur UT of Andaman & Nicobar Islands DISTRICT: North & Middle ANDAMAN Sl. Location Co-location of Averag No. IPD Facilities available Support required No. AYUSH System e Daily of (Avera OPD IPD ge Attend Beds Bed ance Occup ancy) Block Year Stream Staff Infrastructu Infrastruct Equipment / Furniture Medicin Diglipur (Ayur/Ho re/ ure (one time Grant) e Drug m/ Unani/ Equipment/ Recurri Furniture ng Siddha) Grant North & MO Support Phy Fina Physical Financial Middle ing sica ncia (Appr) Andaman l l 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 1 1999 Homoeo 60-70 Nil NA MO Pharma MO Nil Nil 02-Computer 1,60,000 5,00,000 Dispensary (Homoeo) cist Chamber, with all (UT – 01, (Homoeo Homeo accessories Scheme) contract ) – 01 Pharmacy CHC and 02- with store, Diglipur Table, Chair, Computer Almirah Tables with Rack Chairs

1,60,000 5,00,000 One Time grant for furniture & Equipment- 1,60,000 + Medicines- 5,00,000 + Recurring Contingency- 15,000 = 6,75,000 Grand Total = 6,75,000.00

Format 1(a) Strengthening of Ayurveda Dispensary at PHC, Baratang UT of Andaman & Nicobar Islands DISTRICT: North & Middle ANDAMAN Sl. Location Co-location of Average Facilities available Support required No. AYUSH System Daily OPD Attendanc e Block Year Stream Staff Infrastructure/Equipment/ Infrastructur Equipment / Furniture Medicine Rangat (Ayur/Hom Furniture e (one time Grant) Drug /Unani/Sid Recurring dha) Grant District MO Suppor Physi Finan Physical Financia North & ting cal cial l (Appr) Middle Andaman 1 2 3 4 5 6 7 8 9 10 11 12 13 1 PHC 2009 Ayurveda 25-30 MO Nil Room for MO Nil Nil 01-Computer 80,000 3,00,000 Baratang Dispensary (Ayurveda) Furniture- with all (NRHM) - 01 Table -02 Nos accessories and 01- Revolving Chair (Old) -01no Computer Wooden Stool - 01 no Table with Ornate Chair -02 no Chair Steel Almirha Big-10no BP apparatus- 2 Nos Stethoscope 01 No Computer with Printer -01 Steel Rack -06 Nos Yoga Mat – 15 Nos Dharie -01 No. Pen Drive -01 Whieghing Mechine-01 No 80,000 3,00,000 One Time grant for furniture & Equipment- 80,000 + Medicines- 3,00,000 + Recurring Contingency- 10,000 = 3,90,000 Grand Total = 3,90,000.00

Format 1(a) Strengthening of Homoeo Dispensary at PHC, Kadamtala UT of Andaman & Nicobar Islands DISTRICT: North & Middle ANDAMAN Sl. Locatio Co-location of AYUSH Average No n System Daily . OPD Facilities available Support required Attendan ce Block Yea Stream Staff Infrastructure/Equipm Infrastructur Equipment / Medicine Rangat r (Ayur/Hom/Unani/Si ent/Furniture e Furniture (one time Drug ddha) Grant) Recurring Grant District MO Supporti Physi Fina Physical Financ North & ng cal ncial ial Middle (Appr) Andama n 1 2 3 4 5 6 7 8 9 10 11 12 13 1 PHC 200 Homoeo Dispensary 20 to 25 MO 01- MO Room – 1 Nil Nil 01- 80,000 3,00,000 Kadam- 9 (NRHM) (Homoeo Pharmaci Computer tala )- 01, st with all NRHM Homoeo, Pharmacy Room & Store accessories NRHM – 1 Table -01 no and 01- Wooden Stool – 01 no Computer Ornate Chair – 02 nos Table with Chair Steel Rack – 02 nos 80,000 3,00,000 One Time grant for furniture & Equipments- 80,000 + Medicines- 3,00,000 + Recurring Contingency- 10,000 = 3,90,000 Grand Total = 3,90,000.00

Format 1(a) Strengthening of Ayurveda Dispensary at PHC, Billiground UT of Andaman & Nicobar Islands DISTRICT: North & Middle ANDAMAN Sl. Location Co-location of AYUSH Average Facilities available Support required No. System Daily OPD Attenda nce Block Year Stream Staff Infrastructure/ Infrastructure Equipment / Furniture Medicine Mayabunder (Ayur/Hom/Unani/ Equipment/ (one time Grant) Drug Siddha) Furniture Recurring Grant District MO Suppor Phys Financ Physical Financial North & ting ical ial (Appr) Middle Andaman 1 2 3 4 5 6 7 8 9 10 11 12 13 1 PHC 2009 Ayurveda Dispensary 40-45 MO Pharma Common room Nil Nil 01-Computer 80,000 3,00,000 Billiground (NRHM) Ayurveda cist- Nil for both doctor with all 01, & pharmacy accessories NRHM store and 01- Table 01 nos Computer Wooden Stool Table with -01 Chair Ornate Chair - 03 80,000 3,00,000 One Time grant for furniture & Equipments- 80,000 + Medicines- 3,00,000 + Recurring Contingency- 10,000 = 3,90,000 Grand Total = 3,90,000.00

Format 1(a) Strengthening of Homoeo Dispensary at PHC, Tugapur DISTRICT: North & Middle UT of Andaman & Nicobar Islands ANDAMAN Sl. Location Co-location of Averag Facilities available Support required No AYUSH System e Daily . OPD Attend ance Block Year Stream Staff Infrastructure/ Infrastructure Equipment / Furniture (one Medicine Mayabund (Ayur/Hom/ Equipment/Fur time Grant) Drug er Unani/Siddha niture Recurring ) Grant District MO Supporting Physi Finan Physical Financ North & cal cial ial Middle (Appr) Andaman 1 2 3 4 5 6 7 8 9 10 11 12 13 1 PHC 2009 Homoeo 25-30 MO Pharmacist MO Room- 01 Nil Nil 01-Computer with 80,000 3,00,000 Tugapur Dispensary Homeo Homoeo -01 all accessories and (NRHM) 01 Common room 01-Computer Table

for Pharmacy & with Chair Store -01 Table 02 nos

Chair 02 nos 80,000 3,00,000 One Time grant for furniture & Equipments- 80,000 + Medicines- 3,00,000 + Recurring Contingency- 10,000 = 3,90,000 Grand Total = 3,90,000.00

Format 1(a) Strengthening of Ayurveda Dispensary at PHC, Kalighat UT of Andaman & Nicobar Islands DISTRICT: North & Middle ANDAMAN Sl. Location Co-location of Average Facilities available Support required No. AYUSH System Daily OPD Attendance Block Year Stream Staff Infrastructure/ Infrastructure Equipment / Furniture Medicine Diglipur (Ayur/Hom/ (one time Grant) Drug Unani/Siddh Equipment/ Recurring a) Grant Furniture District MO Supporting Physi Finan Physical Financia North & cal cial l (Appr) Middle Andaman

1 2 3 4 5 6 7 8 9 10 11 12 13 1 PHC 2009 Ayurveda 25-30 MO Common room Nil Nil 01-Computer 80,000 3,00,000 Kalighat Dispensary Ayurveda for MO & with all (NRHM) 01 Nil pharmacy, accessories BP Apparatus, and 01- Stethoscope, Thermometer Computer Table 02 nos Table with Revolving Chair Chair -01 Wooden Stool – 01 Ornate Chair - 04 Steel Rack -02 nos 80,000 3,00,000 One Time grant for furniture & Equipment- 80,000 + Medicines- 3,00,000 + Recurring Contingency- 10,000 = 3,90,000 Grand Total = 3,90,000.00

Format 1(a) Strengthening of Homoeo Dispensary at PHC, Radha Nagar UT of Andaman & Nicobar Islands DISTRICT: North & Middle ANDAMAN Sl. Location Co-location of AYUSH Average Facilities available Support required No. System Daily OPD Attenda nce Block Year Stream Staff Infrastructure/Equ Infrastructur Equipment / Medicine Diglipur (Ayur/Hom/Unani ipment/ Furniture e Furniture (one time Drug /Siddha) Grant) Recurring Grant

District MO Support Physi Finan Physical Financ North & ing cal cial ial Middle (Appr) Andama n 1 2 3 4 5 6 7 8 9 10 11 12 13 1 PHC 200 Homoeo 25-30 MO Pharma BP Apparatus , Nil Nil 01-Computer 80,000 3,00,000 Radha 9 Dispensary Homoe cist Stethoscope, with all Nagar (NRHM) o 01 Homoeo Thermometer accessories – 01 Table -01 and 01- Chair -02 Computer Steel Rack -04 Table with Chair

80,000 3,00,000 One Time grant for furniture & Equipments- 80,000 + Medicines- 3,00,000+ Recurring Contingency- 10000 Grand Total = 3,90,000

Format 1(a) Strengthening of Homoeo Dispensary at PHC Chouldari UT of Andaman & Nicobar Islands DISTRICT: SOUTH ANDAMAN Sl. Location Co-location of Average Facilities available Support required No. AYUSH System Daily OPD Attendance Block Year Stream Staff Infrastructur Infrastructure Equipment / Furniture Medicine Ferrargunj (Ayur/Hom e/Equipmen (one time Grant) Drug /Unani/Sid t/ Recurring dha) Furniture Grant District MO Suppo Phys Finan Physical Financia South rting ical cial l (Appr) Andaman Andaman 1 2 3 4 5 6 7 8 9 10 11 12 13 1 PHC 2012 Homoeo MO Nil __ Nil Nil 02-Computer 1,60,000 Chouldhari (NHM) Homoeo- with all 01 accessories Ayurveda and 02- (NHM) 3,00,000 Computer Table with Chair

1,60,000 3,00,000 One Time grant for furniture & Equipment- 1,60,000 + Medicines- 3,00,000 + Recurring Contingency- 10,000 = 4,70,000 Grand Total = 4,70,000.00

Format 1(a) Strengthening of Ayurveda Dispensary at PHC Neil Island UT of Andaman & Nicobar Islands DISTRICT: SOUTH ANDAMAN Sl. Location Co-location of Average Facilities available Support required No AYUSH System Daily OPD Attendance Block Year Stream Staff Infrastructure/Eq Infrastruc Equipment / Furniture (one time Medicine Prothrapur (Ayur/Hom/ uipment/ ture Grant) Drug Unani/Siddh Furniture Recurring a) Grant District MO Supp Ph Fina Physical Financial South orting ysi ncia (Appr) Andaman cal l 1 2 3 4 5 6 7 8 9 10 11 12 13 1 PHC 2009 Ayurveda 20 MO Nil BP Apparatus Nil Nil 01-Computer with all 80,000 3,00,000 Shaheed Dispensary Ayurveda Weighing Machine accessories and 01- Dweep (NRHM) 01 Stethoscope Computer Table with Computer with all Chair accessories Height scale Executive Table & Chair Patient. Examination Table Steel Almirah-01 Wooden Stool- 02 Big Size Rack-02 Yoga Mat 80,000 3,00,000 One Time grant for furniture & Equipments- 80,000 +Medicines- 3,00,000 + Recurring Contingency- 10,000 = 3,90,000 Grand Total = 3,90,000.00

Format 1(a) Strengthening of Ayurveda Dispensary at PHC, Hut Bay UT of Andaman & Nicobar Islands DISTRICT: SOUTH ANDAMAN Sl. Location Co-location of AYUSH Average Facilities available Support required No. System Daily OPD Attendance Block Year Stream Staff Infrastruc Infrastructur Equipment / Furniture Medicine Little (Ayur/Hom/Unani/ ture/Equi e (one time Grant) Drug Andaman Siddha) pment/ Recurring Furniture Grant District MO Support Phys Finan Physical Financial South ing ical cial (Appr) Andaman 1 2 3 4 5 6 7 8 9 10 11 12 13 1 PHC 2009 Ayurveda Dispensary 50 MO Nil 1 MO Nil Nil 01-Computer 80,000 3,00,000 Hut Bay (NRHM) Ayurveda room & 01 with all 01 store room accessories

and 01-

Computer Table with Chair

3,00,000 One Time grant for furniture & Equipments- 80,000 + Medicines- 3,00,000 + Recurring Contingency- 10,000 = 3,90,000 Grand Total = 3,90,000.00

Format 1(a) Strengthening of Homoeo Dispensary at PHC, Havelock UT of Andaman & Nicobar Islands DISTRICT: SOUTH ANDAMAN Sl Location Co-location of AYUSH Average Facilities available Support required . System Daily N OPD o Attenda nce Block Year Stream Staff Infrastructure/Equip Infrastructur Equipment / Medicine Little (Ayur/Hom/Unani ment/ Furniture e Furniture (one time Drug Andaman /Siddha) Grant) Recurring Grant District MO Supporti Phys Finan Physical Financi South ng ical cial al Andaman (Appr) 1 2 3 4 5 6 7 8 9 10 11 12 13 1 PHC 2009 Homoeo Dispensary 60 MO Nil Medicine Rack -01 Nil Nil 01- 80,000 3,00,000 Swaraj (NRHM) Homeo Examination Table-01 Computer Dweep 01 Executive Chair-01 with all File Rack-01 accessories Weighing Machine-01 Sphygmomano meter- and 01- 01 Computer Dustbin-01 Table with Small Table-01 Chair Wooden Stool-01 80,000 3,00,000

One Time grant for furniture & Equipments-80,000 + Medicines- 3,00,000 + Recurring Contingency- 10,000 = 3,90,000 Grand Total = 3,90,000.00

Format 1(a) Strengthening of Homoeo Dispensary at PHC, R.K. Pur UT of Andaman & Nicobar Islands DISTRICT: SOUTH ANDAMAN Sl. Location Co-location of Average Facilities available Support required No AYUSH System Daily OPD Attendance Block Year Stream Staff Infrastructure/ Infrastructure Equipment / Medicine Little (Ayur/Hom/ Equipment/ Furniture (one time Drug Andaman Unani/Siddha) Furniture Grant) Recurring Grant District MO Supporting Physical Financial Physical Financial S/Andaman (Appr) 1 2 3 4 5 6 7 8 9 10 11 12 13 1 PHC 2009 Homoeo 40 MO Pharmacist OPD Room -01 Nil Nil 01- 80,000 3,00,000 R.K. Pur Dispensary Homoeo Homoeo – No. and Computer (NRHM) 01 01 Pharmacy with all Room – 01 accessories and 01- Computer Table with Chair

3,00,000 One Time grant for furniture & Equipments- 80,000 + Medicines- 3,00,000 + Recurring Contingency- 10,000 = 3,90,000 Grand Total = 3,90,000.00

Format 1(a) Strengthening of Homoeo Dispensary at PHC, Manglutan UT of Andaman & Nicobar Islands DISTRICT: SOUTH ANDAMAN Sl. Location Co-location of AYUSH Average Facilities available Support required No System Daily . OPD Attendan ce Block Year Stream Staff Infrastructure Infrastructure Equipment / Medicine Ferrargunj (Ayur/Hom/Unani /Equipment/ Furniture (one time Drug /Siddha) Furniture Grant) Recurring Grant District MO Supporti Physi Finan Physical Financi South ng cal cial al Andaman (Appr) 1 2 3 4 5 6 7 8 9 10 11 12 13 1 PHC 2009 Homoeo 40 MO 01 __ Nil Nil 01- 80,000 3,00,000 Manglutan Dispensary (Homoeo Pharmac Computer (NRHM) )- 01 ist with all Homoeo accessories

and 01- Computer Table with Chair

One Time grant for furniture & Equipments- 80,000 + Medicines- 3,00,000 + Recurring Contingency- 10,000 = 3,90,000 Grand Total = 3,90,000.00

Format 1(a) Strengthening of Ayurveda Dispensary at PHC, Tushnabad UT of Andaman & Nicobar Islands DISTRICT: SOUTH ANDAMAN Sl. Location Co-location of AYUSH Average Facilities available Support required No System Daily . OPD Attendan ce Block Year Stream Staff Infrastru Infrastructure Equipment / Furniture Medicine Ferrargu (Ayur/Hom/Unani/ cture/Eq (one time Grant) Drug nj Siddha) uipment/ Recurring Furniture Grant District MO Support Physi Finan Physical Financi South ing cal cial al Andama (Appr) n 1 2 3 4 5 6 7 8 9 10 11 12 13 1 PHC 2009 Ayurveda 40 MO Nil __ Nil Nil 01-Computer 80,000 300000 Tushnab Dispensary (Ayurveda) with all ad (NRHM) - 01 accessories and 01-Computer Table with Chair

300000 One Time grant for furniture & Equipments- 80,000 + Medicines- 3,00,000 + Recurring Contingency- 10,000 = 3,90,000 Grand Total =3,90,000.00

Format 1(a) Strengthening of Homoeo Dispensary at PHC, Ferrargunj UT of Andaman & Nicobar Islands DISTRICT: SOUTH ANDAMAN Sl. Location Co-location of AYUSH Average Facilities available Support required No System Daily OPD Attenda nce Block Year Stream Staff Infrastructure/ Infrastructu Equipment / Medicine Ferrargunj (Ayur/Hom/Unani re Furniture (one time Drug /Siddha) Equipment/Furnitu Grant) Recurring re Grant District MO Supportin Physi Fina Physical Financi S/Andama g cal ncia al n l (Appr) 1 2 3 4 5 6 7 8 9 10 11 12 13 1 PHC 2009 Homoeo 18 MO 1 MO I/c chamber and Nil Nil 01- 80,000 3,00,000 Ferrargunj Dispensary (Homoe Pharmacis Pharmacists room. Computer (NRHM) o)01 t Homoeo Store for keeping with all medicines. accessories Equipment BP apparatus and 01- unserviceable Computer condition Table with Furniture-2 Chair tables, 1 Executive Chair, 1 stools & steel almirah Steel racks. 80,000 3,00,000 One Time grant for furniture & Equipments- 80,000 + Medicines- 3,00,000 + Recurring Contingency- 10,000 = 3,90,000 Grand Total = 3,90,000.00

Format 1(c) Strengthening of Homoeo Dispensary at DH, Garacharma UT of Andaman & Nicobar Islands DISTRICT: SOUTH ANDAMAN Sl. Location Co-location of AYUSH Avera Facilities available Support required No System ge . Daily OPD Atten dance Block Year Stream Staff Infrastructure/Equipment/ Infrastructure Equipment / Medicin Prothrapu (Ayur/Hom/Unani/S Furniture Furniture (one e Drug r iddha) time Grant) Recurri ng Grant District MO Suppor Physi Fina Physical Financ S/Andama ting cal ncial ial n (Appr) 1 2 3 4 5 6 7 8 9 10 11 12 13 1 DH 2009 Homoeo Dispensary 25 MO 1 Infrastructure- Common MO Nil Nil 01- 80,000 5,00,000 Garachar (NRHM) (Hom Pharma i/c room and 01 Pharmacy Computer ma oeo)- cist for keeping medicines. with all 01 Homoe Equipment- accessorie o BP apparatus unserviceable condition s and 01- Furniture- Computer 1) Steel racks – 04, Table with unserviceable condition. Chair 2) Almirah – 02 in unserviceable condition. 3) Table – 02 4) 3ornate chair, 1 Executive chair, one stool, 1 plastic chair 80,000 5,00,000 One Time grant for furniture & Equipments- 80,000 +Medicines- 5,00,000 + Recurring Contingency- 20,000 = 6,00,000 Grand Total = 6,00,000.00

Format 1(b) Strengthening of Homoeo Dispensary at CHC, Bambooflat UT of Andaman & Nicobar Islands DISTRICT: SOUTH ANDAMAN Sl. Location Co-location of Averag No. IPD Facilities available Support required No. AYUSH System e Daily of (Average OPD IPD Bed Attend Beds Occupan ance cy) Block Year Stream Staff Infrastruct Infrastructure Equipment / Medicine Ferrargunj (Ayur/Ho ure/ Furniture (one time Drug m/ Unani/ Equipment Grant) Recurring / Furniture Grant Siddha) District MO Suppor Physic Financi Physical Financi North & ting al al al (Appr) South Andaman 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 1 CHC 1997 Homoeo 40-50 Nil NA MO Pharm OPD Nil Nil 02- Bambooflat Dispensary (Homo acist - Pharmacy Computer (UT eo) - 01 store with all Scheme) 01 accessories 1,60,000 and 02- 5,00,000 Computer MO(A Table with Ayurveda 17-20 Nil NA yur)- - Dispensary Chair 01

1,60,000 5,00,000 One Time grant for furniture & Equipments- 1,60,000 + Medicines- 5,00,000 + Recurring Contingency- 15,000 = 6,75,000 Grand Total = 6,75,000.00

Format 1(a) Strengthening of Ayurveda Dispensary at PHC, Wimberlygunj UT of Andaman & Nicobar Islands DISTRICT: SOUTH ANDAMAN Sl. Location Co-location of AYUSH Average Facilities available Support required No System Daily OPD Attenda nce Block Year Stream Staff Infrastructure Infrastructure Equipment / Medicin Ferrargunj (Ayur/Hom/U /Equipment/F Furniture (one e Drug nani/Siddha) urniture time Grant) Recurrin g Grant

District MO Supporting Physic Financ Physical Finan South al ial cial Andaman (Appr)

1 2 3 4 5 6 7 8 9 10 11 12 13 1 PHC 2009 Ayurveda 60 MO Pharmacist __ Nil Nil 01- 80,000 3,00,000 Wimberly- Dispensary (Ayurve Ayurveda Computer gunj (NRHM) da)- 01 with all accessories and 01- Computer Table with Chair

80,000 3,00,000 One Time grant for furniture & Equipments- 80,000 + Medicines- 3,00,000 + Recurring Contingency- 10,000 = 3,90,000 Grand Total = 3,90,000.00

Format 1(c) Strengthening of Homoeo Dispensary at BJR Hospital, Car Nicobar (DH) UT of Andaman & Nicobar Islands DISTRICT: NICOBAR SL Locatio Co-location of Average No. IPD Facilities available Support required No n AYUSH System Daily OPD of Averag Attendanc IPD e Bed e Beds Occupa ncy Block Year Stream Staff Infrastructu Infrastructu Equipment / Medicine Nicobar (Ayur/Ho re/ re Furniture (one time Drug m/ Equipment/ Grant) Recurring Unani/ Furniture Grant Siddha) Car MO Supporti Phys Fina Physical Financia Nicobar ng ical ncia l (Appr) l 1 2 3 4 5 6 7 8 9 10 11 12 14 15 1 DH, Car 1998 Homoeo 15-20 Nil NA MO Yoga 3 rooms for Nil Nil 03- 2,40,000 5,00,000 Nicobar (UT (Homeo Instructo doctors & Computer Scheme) ) r-01 pharmacy with all and furniture 2009 Yoga 20-25 accessories

(NRHM) and 03- 2013 Ayurveda 15-20 Computer Dispensar MO Table with y (NRHM) (Ayur) Chair

2,40,000 5,00,000

One Time grant for furniture & Equipments- 2,40,000 + Medicines- 5,00,000 + Recurring Contingency- 20,000 = 7,60,000 Grand Total = 7,60,000.00

Format 1(b) Strengthening of Homoeo Dispensary at CHC, Nancowrie UT of Andaman & Nicobar Islands DISTRICT: NICOBAR Sl. Location Co-location of Average No. IPD Facilities available Support required No. AYUSH System Daily OPD of (Avera Attendance IPD ge Beds Bed Occup ancy) Block Year Stream Staff Infrastru Infrastructure Equipment / Furniture Medicine Nancowrie (Ayur/Hom/ cture/ (one time Grant) Drug Unani/ Equipme Recurring nt/ Grant Furniture Siddha)

District Nicobar MO Suppor Physi Finan Physical Financial ting cal cial (Appr)

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 1 CHC Nancowrie 2009 Homoeo 16 Nil 2 MO Pharma 2 nos. Nil Nil 01- 80,000 500,000 Dispensary Homoeo – cist Almira Computer (NRHM) 01 Homoe o – 01 01 no. with all Table accessories and 01- 03 nos Computer Wooden rack Table with Chair

80,000 500,000

One Time grant for furniture & Equipments- 80,000 +Medicines- 500,000 + Recurring Contingency- Nil Grand Total = 580,000

Format 1(a) Strengthening of Ayurveda Dispensary at PHC, Katchal UT of Andaman & Nicobar Islands DISTRICT: NICOBAR Sl. Location Co-location of Average Facilities available Support required No Nicobar AYUSH System Daily OPD Attenda nce Block Year Stream Staff Infrastructur Infrastructure Equipment / Furniture Medicine Nancowrie (Ayur/Hom e/Equipment (one time Grant) Drug /Unani/ /Furniture Recurring Grant Siddha) District MO Suppor Physical Financial Physical Financi Nicobar ting al (Appr) 1 2 3 4 5 6 7 8 9 10 11 12 13 1 PHC 2009 Ayurveda 10 MO Nil Combined Nil Nil NIL NIL 300,000 Katchal Dispensary (Ayurve room for OPD (NRHM) da)- 01 & pharmacy, furniture.

One Time grant for furniture & Equipments-NIL + Medicines-300,000 + Recurring Contingency- Nil Grand Total = 300,000

Format 1(a) Strengthening of Ayurveda Dispensary at PHC, Teressa UT of Andaman & Nicobar Islands DISTRICT: NICOBAR Sl. Location Co-location of Average Facilities available Support required No Nicobar AYUSH System Daily OPD Attenda nce Block Year Stream Staff Infrastructure/E Infrastructure Equipment / Medicine Nancowrie (Ayur/Hom quipment/Furni Furniture (one time Drug /Unani/ ture Grant) Recurring Grant Siddha) District MO Suppor Physical Finan Physical Financi Nicobar ting cial al (Appr) 1 2 3 4 5 6 7 8 9 10 11 12 13 1 PHC 2009 Ayurveda 10-15 MO 1 Currently Nil Nil NIL NIL 3,00,000 Teressa Dispensary (Ayurve Pharma sharing room (NRHM) da)- 01 cist with Allopathic Ayurved facility a currentl y vacant

3,00,000 One Time grant for furniture & Equipments-NIL + Medicines-3,00,000 + Recurring Contingency- = Nil Grand Total = 3,00,000

Format 1(a) Strengthening of Homoeo Dispensary at PHC, Campbell Bay UT of Andaman & Nicobar Islands DISTRICT: NICOBAR Sl. Locatio Co-location of AYUSH Average Facilities available Support required No n System Daily . OPD Attenda nce Block Year Stream Staff Infrastructure/Eq Infrastructure Equipment / Furniture Medicine Great (Ayur/Hom/Unani uipment/Furnitur (one time Grant) Drug Nicobar /Siddha) e Recurring Grant

District MO Supporti Physi Finan Physical Financial Nicobar ng cal cial (Appr) 1 2 3 4 5 6 7 8 9 10 11 12 13 1 PHC 1999 Homoeo 10-15 MO - Doctor room - 01 & Nil Nil 02-Computer 80,000 3,00,000 Camp- Dispensary (Homoeo) Pharmacy – 01 with all bell Bay (UT Scheme) - 01 accessories

and 02- Computer Table with Chair

80,000 3,00,000 One Time grant for furniture & Equipments- 80000 + Medicines- 3,00,000 + Recurring Contingency- 10,000 = 3,90,000 Grand Total = 3,90,000.00

Format-III Annexure-II Up gradation of 30 beds AYUSH Hospital UT of Andaman & Nicobar Islands DISTRICT: South Andaman Sl. 45000 System of Facilities available Support required No. Medicines Block Port (Streams) Land (State Staff Infrastructure Infrastructure Equi Medicine Drug Blair Share) / Equipment/ pme Recurring Grant Furniture nt / Furn iture (one time

No. beds of IPD Gran

Year of Establishment t) District Area Approxi MO Supporting Physical Financial Phys Financi Financial South mate ical al (Appr)

Andaman cost (Appr)

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 1. AYUSH 200 Ayurveda, 30 2800 ___ MO Ayur-1, "Nursing Sister – 1 IPD & OPD Specialist 1,302,840 450,000 Hospital 5 Homoeo, & beds Homoeo-3 (1 Sr. Homoeo Pharm.– 1 (Homoeo, (Panchakarm Yoga (UT sanctioned & Staff Nurse-7 Ayurveda & a) @ Scheme) 2 Diverted), Pharmacist (H)-3 Yoga Units) 108570/- Siddha-1 Pharmacist (A)- 02 Panchakarma, GDMO-02 1,524,600 (vacant), Lab Technician- 1 Pharmacies, (Ayur) @ Unani-1 Lab Assistant- 1 Medicine 63525/- (vacant), Physiotherapist- 1 Stores, Pharmacist- 554,400 LGC-1 Physiotherapy, 02 @ Cook- 1 Lab, Dressing Rs.23100/- Panchakarma Assit.-1 room, Kitchen, Panchkarma 396,912 Ward Attn. (Male)- 4 30 bedded Attendant- Safai Karmachari-1 wards. 02 @ Rs. Yoga Physician-1 16538/- Contract Staffs under Hospital NHM: Attendant- 793,824

""Panchakarma attn.- 04 @ Rs. 1 16538/- Yoga Instructor-2

45,72,576.00 4,50,000 One Time grant for furniture & Equipment- Nil + Manpower- Rs. Rs. 45,72,576.00/- Medicines- 4,50,000/- + Recurring Contingency- 70,000 Grand Total = Rs. 50,92,576.00

Note: 5 %increment has been proposed for all the existing filled up posts.

Format-V Annexure-III Setting up of upto 50 bedded Integrated AYUSH Hospital, Port Blair UT of Andaman & Nicobar Islands DISTRICT: South Andaman

Sl. Location Facilities available Support required No AYUSH

Hospital

Block Land (State Staff Infrastructure/ Infrastructure Equipment/ Medicine Drug Port Blair Share) Equipment/ Furniture (one time Recurring Grant Furniture Grant)

District Area Approxi MO Supp Physical Financial Physical Financial Financial South mate orting (Appr) (Appr) Andaman cost

Year of Establishment System of Medicines (Streams Proposed No. of IPD beds 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 1 - - Existing Staff 2,500,000

# Accountant 01 @ Rs. 36960/- 443,520

# Data Assistant 01 @ Rs. 30030/- 360,360 *Data Entry Operator 02 @ Rs. 498,960

20,790/-

*MTS 01 @ Rs.

16,538/- 198,456 $ MTS 01 @ Rs.

estimate is awaited from APWD 15,000/- 90,000

20 $ Chowkidar 03 @ - Rs. 20000/- 360,000 (Outsource)

Upto50bed Hospital,AYUSH Port Blair 2019 Ayurveda, Homoeo, Yoga Naturopathy& (NAM Scheme) 50 Beds at first phase 3100 sq. mtr Land for projectthe has been allotted at Junglighat,Port Blair Building Creation of regular proposedpost is to the UT Administration

$ Sweeper/ Jamadars-03 @ Rs. 360,000 20000/- (Outsource) New Staff Proposed $ Nursing Staff-02 @ Rs. 22000/- 264,000 Laboratory Technician 02 @ 192,000 Rs.16000/- Sweeper/Jamadars- 03 @ Rs. 20000/- 360,000 (Outsource) Cook/MTS 01 @ Rs. 15000/- 90,000 One time grant for construction- 100,00,000 One time grant for fixture & Manpower- 3,217,296.00 Contingency 2,500,000 furniture- Nil 200,000 Grant Total= 15,917,296.00

# Subject to approval of the Ministry, the Existing Manpower of Programme Management Unit with the same salary may be shifted to 50 bedded AYUSH Hospital.

* 02 Date Entry Operators (Existing) and 01 MTS (Existing) not approved under ASU&H head of SAAP 2019-20. Subject to approval of the Ministry, the Existing Manpower with the same salary may be shifted to the 50 bedded AYUSH Hospital.

$ Propose six months’ salary only

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Annexure – IV Format – 4

Proposal for AYUSH supporting facilities Programme Management Unit in the UT:

1. Facility Established: SPMU (State Programme Management Unit – AYUSH)

2. Location of the Unit: AYUSH Hospital Complex, Junglighat, Port Blair, South Andaman – 744103.

3. Infrastructure support required for Unit:

Sl. Components Amount (Rs.) No. A Existing Manpower 15,38,460.00

B Other Expenses 75,061.00

Total fund proposed (A+B) 16,13,521.00

(A) Existing Manpower:

Monthly Tentative Salary Sl. No. of Name of the Post Salary * (Rs.) Per Annum with No. Posts increment (Rs.) 1. Programme Manager 01 61,215.00 7,34,580.00 2. # Accountant 01 36,960.00 4,43,520.00 3. # Data Assistant 01 30,030.00 3,60,360.00 Total 15,38,460.00

(B) Others Expenses:

Sl.No Components Total Cost (Rs.) 1 Office Contingency, Statutory Audit, 75,061.00 Administrative expenses Total 75,061.00

Note: # Subject to approval of the Ministry, the Existing Manpower with the present salary may be shifted to 50 bedded AYUSH Hospital from Programme Management Unit. *5 %increment has been proposed for all the existing filled up posts.

Annexure – V

Format-VI

Public Health Outreach Activities: A& N State AYUSH Society, A & N Islands

Sl. Name, Details of Number of Outcome Per Total Cost No Block, Activity Expected expected unit (Rs.) District of beneficiarie Cost Location s (Rs.) For three Medical Camps i. Awareness Districts creation Peripheral OPD ii. Improving of A & N Public of all health status 1 Islands AYUSH Health the three 100,000.00 iii. Increase Mela/Exhibition districts accessibility of Other Activities AYUSH treatment etc. Grand Total 100,000.00

Annexure – VI Format-VII

BCC/IEC: A & N State AYUSH Society, A & N Islands

S.No Name, Block, District of Details of Activity Per unit Total Cost Location Cost Consolidate For three Districts of A & Electronic Media fund for all 1 N Islands Print Media the 5,00,000.00

Art/folk media BCC/IEC Other activities Grand Total of BCC/IEC 5,00,000.00

Annexure – VII Mission Flexi-Pool (NAM)

1 Yoga Wellness Centre Staff No. of Monthly Tentative Salary Sl No YWC Staff Posts Salary (Rs.) Per Annum (Rs.) i Yoga Instructor (Existing Staff)* 6 19,845.00 1,428,840.00 MTS 3 595,368.00 ii 03 Existing * 16,538.00 03 New # 3 15,000.00 270,000.00 Contingency 6 YWC @ Rs. 30,000 iii 6 30,000.00 180,000.00 each Total 2,474,208.00 2 District Programme Management Unit Staff No.of Monthly Tentative Salary Sl.No DPMU Staff Posts Salary (Rs.) per Annum (Rs.) i Accountant # 3 22,000.00 396,000.00 ii Data Entry Operator # 3 18,000.00 324,000.00 iii Contingency 3 DPMU # 3 50,000.00 150,000.00 Total 870,000.00 Tentative Salary 3 AYUSH per Annum (Rs.) i IEC Coordinators # 3 18,000.00 324,000.00 Total 324,000.00 Integrative Research Project on NCD at PHC 4 100,000.00 Wimberlygunj 5 Medical Tourism Project at Chouldari Village 100,000.00 6 State AYUSH Exhibition 100,000.00 7 World Homoeopathy Day 100,000.00 8 National Ayurveda Day 100,000.00 9 International Day of Yoga 200,000.00 Grand Total 4,368,208.00

# Note: Salary for these posts is proposed for six months only as recruitment will take time of few months. *5 %increment has been proposed for all the existing filled up posts.

Annexure – VIII

Proposal for strengthening ASU&H Regulatory Mechanism/ ASU & H Drug Control Framework:

1. Facility Established : Supporting Unit for Quality Control of ASU&H Drugs & ASU&H Drug Control Framework 2. Location of Unit : AYUSH Hospital Complex, Junglighat, Port Blair, South Andaman-744103. 3. Infrastructure support required for unit: (A)-Manpower: Sl Name of the Post No. Monthly Tentative No. of Salary Salary Per Posts (Rs.) * Annum (Rs.) 1. Technical Officer (Ay) as ‘Drugs 2 63,525/- 13,29,300/- Quality Control Coordinator-Drug and testing & Pharmacovigilance’@ Rs. 47,250/- 63,525/- and One Technical respectively Officer (Ay) as ‘Drugs Quality as per Control Coordinator-Monitoring of seniority objectionable advertisements’ @ Rs.47,250/- 2. Pharmacist (Ayu) 1 23,100/- 277,200.00 3. MTS 1 16,538/- 198,456.00 Total 18,04,956.00 *5 %increment has been proposed for all the existing filled up posts.

Note: 02 Data Entry Operators (Existing) and 01 MTS (Existing) not approved under SAAP 2019-20. Subject to approval of the Ministry, the Existing Manpower with the same salary may be shifted to the 50 bedded AYUSH Hospital with their present salary.

Annexure – IX Proposal for the AYUSH Health & Wellness Centre: Sl. Particulars Nature of Nos. Per Unit Amount No Expenditure Cost (Rs.) (Rs.) 1 Civil work for Repair and Renovation Non Rec 6 500,000 3,000,000 Manpower 2 AYUSH Physician- contract @ Rs. Rec 6 45,000 #1,620,000 45,000/- per month 3 Yoga Instructor (Part Time) @ Rs. Rec 6 8,000 #288,000 8000/- per month 4 Incentive to ANM/ Multipurpose Rec 6 48,000 288,000 Health Worker (Male or Female) @ Rs. 2,000/- X 2 5 ASHA incentives for maximum upto 5/ Rec 6 60,000 360,000 HWC @1,000 per month 6 Incentive for safai-Karamchari for safai Rec 6 3,600 #10,800 karmachari for maintenance of Herbal Garden @ Rs. 300/- per month Training & Capacity Building 7 Certificate Course/ Training on Non Rec 6 103,400 620,400 Standard treatment protocol 8 Refresher training of physician Rec 6 10,000 60,000 9 Multi-skilling of MPWs and ASHAs Rec 6 20,000 120,000 Others 10 Essential Medicines Rec 6 180,000 1,080,000 11 Computer & Furniture Non Rec 6 70,000 420,000 12 IT support and Broadband Charges Rec 6 5,000 30,000 13 IEC Rec 6 25000 150,000 14 Contingency Rec 6 50000 300,000

HWCs Administrative Cost proposal at State Level Sl.No Particulars Nature of Nos. Per Unit Amount Expenditure Cost (Rs.) (Rs.) 15 Additional incentives to existing salary Rec 1 30,000 #180,000 for the staff of SPMU at Rs. 30,000/- per month (The incentive not more than 40% of total will be provided to the SPMU Staff for taking additional activities under HWCs)

16 Training of Trainers (2 days duration Rec 1 100,000 100,000 for AYUSH specific components).

17 Miscellaneous Rec 1 25,000 25,000 Subtotal (HWCs): (Rs. Eighty Six Lakhs Fifty Two Thousand Two Hundred Only ) 86,52,200 Note: # Incentive Proposed Six months as recruitment of staff will take time of few months’ time.