STATE ANNUAL ACTION PLAN Of AYUSH UNDER NAM 2020-21 A & N State AYUSH Society A & N ISLANDS a 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 b 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 c d e f g h i j k l m n o p Blank Page 0 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 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 2 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 3 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.