Wellness

Summary
  • India is one of the pioneers in the alternative system of medicine and has an unparalleled heritage represented by its ancient and age-old traditional treatment methods, such as Ayurveda, Yoga, Unani, Siddha and Homoeopathy 1 
  • The Ministry of AYUSH was formed in November 2014, to overlook the optimal development and proliferation of the AYUSH systems of health care 2      
  • PM CARES Fund Trust allocates INR 201.58 cr for the installation of 162 dedicated PSA Medical Oxygen Generation Plants in public health facilities. 
  • Ministry of Ayush shared guidelines for safe Ayurveda Panchakarma practice in the COVID-19 pandemic.
  • The funds allocated for the scheme for the current financial year 2021-22 are INR 6,400 cr. As of 20th July 2021, approx. 23,000 hospitals have been empanelled under AB-PMJAY by various State/UT Governments. 
  • Market size of AYUSH industry as a whole has grown around 17 per cent during 2014-2020 with the increase in global and domestic demand and enabled by a strong support to regulatory, research and development and robust infrastructure by the Ministry of AYUSH.
  • The market size of the AYUSH industry in India has witnessed a quantum jump from over USD 3 bn in 2014 to USD 18 bn in 2021, clocking a phenomenal annual growth of 75%. 
  • Market of AYUSH grew by 17 percent in 2014-20 to reach USD 18.1 bn.
    
Reasons to Invest
  • The Indian systems of medicine and homoeopathy particularly Ayurveda and Yoga are widely recognised for their holistic approach to health and capability for meeting emerging health challenges. These systems are playing an important role in achieving the national health outcome goals of reducing Maternal Mortality Rate (MMR), Infant Mortality Rate (IMR), malnutrition and anaemia
  • The demand for Ayurveda, Yoga, Naturopathy, Unani, Siddha and Homoeopathy (AYUSH) and herbal products is surging in India and abroad
  • India is the second largest exporter of AYUSH and herbal products. Investors and corporate houses are increasingly investing in AYUSH sector
  • Ayurveda has a unique therapy called Panchkarma which is beneficial for preventive/promotive health care and for treatment of many chronic lifestyle disorders
  • Yoga is widely recognised and practiced in Asian as well as western countries. Several yoga centres/studios have been established across the globe during the last 4-5 decades
  • Yoga is a drugless system and can be applied as an independent modality or as add-on therapy with other systems
  • 8,001 Janaushadhi Kendras opened as on 02.08.2021 covering all the districts of the country.
Key Achievements
  • Hon’ble PM Shri Narendra Modi will inaugurate Institute of Teaching and Research in Ayurveda (ITRA) at Jamnagar and National Institute of Ayurveda (NIA) at Jaipur on 5th Ayurveda Day (i.e) 13th November 2020 via video conferencing. These institutions are expected to play global leadership roles in the growth and development of Ayurveda in the 21st Century.21
  • More than 50,000 (50,025) Ayushman Bharat - Health and Wellness Centres (AB-HWCs) are now operational across the country to providing Comprehensive Primary Health Care (CPHC) services to the communities closer to their homes.23
  • “AYU SAMVAD”(My Health My Responsibility) is one of the largest public awareness campaign programs on AYURVEDA and COVID 19 PANDEMIC, organized by All India Institute of Ayurveda New Delhi.
  • MoU signed between Regional Ayurveda Research Institute and Sikkim Manipal University for collaborative research.
  • Ayush-64 is a very effective medicine that helps with the mild and asymptomatic cases of Covid-19. Its supply will increase manifold as fresh license is given to 39 companies i.e. technology has been transferred for use in Covid-19.
  • Ministry of Ayush's comprehensive document puts forth the concept of ‘Holistic Health’. The recommendations for the public on ‘holistic health and well-being’ focus on preventive measures and care during ‘COVID-19 and Long COVID’-19.
  • Government has published Ayurvedic Formulary of India (Part I-III) containing 986 Formulations, Siddha Formulary of India (Part I-II) containing 400 Formulations and National Formulary of Unani Medicine (Vol. I-VI) containing 1230 Formulations. 
  • GOI has published monographs of quality standards of 645 Single drugs and 203 Formulations of Ayurveda; 139 Single drugs and 1 Formulation of Siddha; 298 Single drugs and 201 Formulations of Unani; and 1117 drugs of Homoeopathy (Vol. I-X).
  • 24 Health & Wellness Centres in Mizoram are inaugurated to boost the healthcare infrastructure in the hill state of the Northeast.
  • The Union Cabinet has approved the establishment of the WHO Global Centre for Traditional Medicine (WHO GCTM) in Jamnagar, Gujarat  under the Ministry of AYUSH by signing a Host Country agreement between the GOI and the World Health Organization (WHO). This would be the first and only global outposted Centre (office) for traditional medicine across the globe.
Recent Announcements

13th May 2022: Ministry of Ayush Handed over Ayush Entry level NABH Certificates to Five Ayurveda Hospitals.

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12th May 2022: Food Safety and Standards Authority of India (FSSAI) & MoA formulates regulations for ‘Ayurveda Aahara’ products.

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20th April 2022: Ministry of Defence signs MoUs with Ministry of AYUSH to start Ayurveda Centres at 37 Cantonment & 12 AFMS military hospitals.

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19th April 2022: PM lays foundation stone of WHO Global Center for Traditional Medicine at Jamnagar, Gujarat.

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10th March 2022: Regional Research Institute of Unani Medicine in Srinagar to be developed as Centre of Excellence.

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Statistics
  • India is a rich country in terms of biodiversity. Of the 17,000-18,000 species of flowering plants found in India, more than 7,000 are estimated to have medicinal usage 5
  • Around 1,178 species of medicinal plants are estimated to be in trade, of which 242 species are annually consumed in excess of 100 metric tons/year 6
  • India has 15 Agro-climatic zones 7
  • Indian Medicines Pharmaceutical Corporation Limited (IMPCL), the public sector manufacturing unit of the Ministry of AYUSH has recorded a turnover of Rs 164.33 Crore (tentative figure) for the financial year 2020-21.25
  • An increase of 6.2%, from 0.73 mn Tonne in 2019-20 to 0.78 mn Tonne in 2020-21, has been registered in Aromatic & Medicinal crops.
  • Buoyed by the growing global and domestic demand and enabled by a strong support to regulatory, research and development and back-end infrastructure, the market size of AYUSH has grown by 17 percent in 2014-20 to reach US dollars 18.1 bn
  • As per the RIS report, the Ayush industry is projected to reach USD 20.6 bn in 2021 and USD 23.3 bn in 2022. In terms of global share, India accounts for about 2.8 per cent of the market.
Growth Drivers
  • The diversity of flora in the North East region of India along with the rich heritage of traditional medicine will act as a catalyst for development of AYUSH based industries in the region.
  • GOI has established Pharmacopoeia Commission for Indian Medicine and Homoeopathy c(PCIM&H) under the Ministry of AYUSH to standardization of Ayurvedic, Siddha, Unani and Homoeopathy (ASU&H) medicines in the country.
  • Ministry of Ayush has launched a composite nutritional guideline as “Ayush Dietary Advisory for Kuposhan Mukt Bharat” to improve nutritional outcomes in children, pregnant women and lactating mothers with Ayush practices and principles.
  • Ministry of Ayush has launched nationwide activities for distribution of AyushProphylactic medicines for boosting immunity in general population, namely SamshamaniVati and AshwagandhaVati, from 30th August 2021 and will continue till 15th August 2022.
  • North Eastern Institute of Ayurveda and Folk Medicine Research (NEIAFMR) has been documenting and validating traditional healing practices scientifically for recognition and integration into the health care services. In addition, it is certifying traditional healers in their respective domain and creating a pool of certified traditional healers. 
  • A new set of ready-to-cook nutraceutical-based items that will provide necessary dietary support to the patients of diabetes, obesity, chronic pains, and anemia are available at Trade Fairs.
  • GOI aims to establish 10 bedded hospitals in the state;50-bedded upgraded AYUSH hospital in Kotdwar; 50-bedded Unani hospital in Pirankaliyar, Haridwar; establishment of  Government Homeopathic Medical College at Doiwala; provision of mobile AYUSH units (AYUSH Raths) in each district to increase the availability of AYUSH services for general public.
  • National Medicinal Plants Board (NMPB)  will support 13 nurseries in 13 districts to provide quality planting material to the farmers in Uttarakhand; assistance of 15lakhs per farmer group will be given for setting up a local cluster for value addition, drying, warehousing and augmenting marketing infrastructure for medicinal plants.
  • GOI has signed 25 MoUs for country to country cooperation in the field of medicine. 33 MoUs for undertaking collaborative research and development of Traditional Medicine have been signed with foreign Institutes/Universities/Organizations. 14 MoUs have been signed for setting up of Ayush Academic Chairs in foreign Institutes/Universities
  • A new Ayurveda College with a student intake of 30 as well as a 60 bedded Ayurveda hospital will be set up inside the NEIAFMR campus at Pasighat bringing direct employment of 86 posts in addition to the existing capacity at a cost of INR 53.72 crores.
  • Union Minister laid the foundation stone for a new AYUSH Educational Institute for Ayurveda with a capital outlay INR 49.83 Crores. 
  • A 50 Bed Integrated Ayush Hospital in Moreh, Manipur is developed. GOI plans to develop 15 AYUSH dispensaries, seven 10 Bed Hospital, 100 School Herbal Gardens, 16 Nursery in each district and 50 Health and Wellness Centres (HWCs) in the state.
  • CCRAS has undertaken 4562, CCRUM has undertaken 1792, CCRS has undertaken 92 and CCRH has undertaken 936 research projects on medicines.
  • Ministry of AYUSH is also implementing a Central Sector Scheme namely AYURGYAN Scheme for Research & Innovation in AYUSH. Under the scheme, financial support was provided for 311 research projects in Ayush including 34 research projects on COVID-19.
  • The National Medicinal Plants Board (NMPB) and the Council of Scientific and Industrial Research-Central Institute of Medicinal and Aromatic Plants, (CSIR-CIMAP), Lucknow signed an MoU for extending joint collaborative efforts to promote the production of quality planting material (QPM) of medicinal plants.
  • Government has formulated action-plan to standardization of Ayurvedic, Siddha, Unani and Homoeopathy (ASU&H) medicines in the country and has established Pharmacopoeia Commission for Indian Medicine and Homoeopathy(PCIM&H) under the Ministry of AYUSH to publish and revise Ayurvedic Pharmacopoeia of India (API), Siddha Pharmacopoeia of India (SPI), Unani Pharmacopoeia of India (UPI) and Homoeopathic Pharmacopoeia of India (HPI). 
  • A dedicated storefront for ayurveda products on Amazon.in marketplace will enhance visibility of unique Ayurveda products such as various kinds of juices, skin-care supplements, immunity boosters, oils and more from small businesses and startup brands. 
  • The National Health Authority (NHA) under its flagship scheme of Ayushman Bharat Digital Mission (ABDM) has completed 27 major integrations across Government and private sector. These integrations with organizations offers Health Management Information Systems (HMIS), Laboratory Management Information Systems (LMIS), health locker services, health tech services and other digital services are a step towards developing a user-inclusive, integrated and interoperable digital healthcare eco-system for the country.
  • Marma Chikitsa’ training center will be made in Uttarakhand Ayurveda University as the nodal centre for the country, which will help students from across the country and world to specialize themselves in Ayurveda.
  • Ayush Minister laid the foundation stones for setting up a Panchakarma Block at Central Ayurveda Research Institute (CARI) in Borsajai and a Panchakarma Centre of Excellence at State Ayurveda College in Jalukbari Guwahati. The cost of these centres INR 20 crores.
  • One 30 bedded Ayush hospital and three 10 bedded hospitals along with one Ayurvedic college which will be developed in the state of Nagaland worth more than INR 100 crores.
  • Ministry of Ayush has signed a tripartite Memorandum of Understanding with Council of Scientific & Industrial Research (CSIR), and Indian Council of Agricultural Research (ICAR) for Inter-Ministerial co-operation for the promotion and facilitation of research and development, validation, and deployment of agri-technologies related to medicinal plants and their value-added products of benefit to humans, plants and animals.
  • Ministry has signed 25 Country to Country MoUs  for Cooperation in field of Traditional Medicine and Homoeopathy with foreign nations.
  • 32 MoUs have been signed with international institutes for undertaking Collaborative Research / Academic collaboration.
  • The Ministry of Ayush and Ministry of Defence decided to operationalise Ayurveda Centres at 37 Cantonment Hospitals & 12 AFMS military hospitals across the country to integrate Ayurveda into the health establishment.
  • Ministry of Ayush and Food Safety & Standards Authority of India (FSSAI) have formulated regulations of safety & quality standards for food products under ‘Ayurveda Aahara’ category to ensure manufacturing of quality Ayurveda food products and help in expanding the international market for Make-In-India products. 
  • Ministry of Ayush Handed over Ayush Entry level NABH Certificates to Five Ayurveda Hospitals to establish quality across the board.
FDI Policy
  • 100% FDI is permitted in the AYUSH sector 16
Sector Policy

Ayushman Bharat (Pradhan Mantri Jan Arogya Yojana (PM-JAY))

Ayushman Bharat, a flagship scheme of Goverment of India was launched as recommended by the National Health Policy 2017, to achieve the vision of Universal Health Coverage (UHC). This initiative has been designed on the lines as to meet SDG and its underlining commitment, which is "leave no one behind".

Ayushman Bharat is an attempt to move from sectoral and segmented approach of health service delivery to a comprehensive need-based health care service. Ayushman Bharat aims to undertake path breaking interventions to holistically address health (covering prevention, promotion and ambulatory care), at primary, secondary and tertiary level. For more details, Refer to Ayushman Bharat.

National Ayush Mission

The National Ayush Mission (NAM) aims to promote Ayurveda, Siddha and Unani and Homoeopathy drugs in the country. It also aims to make provisions for the sustainable availability of Ayush, Siddha, Unani and Homoeopathy raw materials.17 This mission was launched on 15th September 2014 which is a Centrally Sponsored Scheme having financial implication of INR 4,607.30 cr (INR 3,000 cr as Central Share and INR 1,607.30 cr as State Share) from 01-04-2021 to 31-03-2026.

The objectives of NAM are as follows 18:

  1. Provide cost-effective AYUSH services with universal access by upgrading AYUSH hospitals and dispensaries, co-location of AYUSH facilities at primary health centres (PHCs), community health centres (CHCs) and district hospitals (DHs).
  2. To strengthen institutional capacity at the state level by upgrading AYUSH educational institutions, State government Ayurveda, Siddha and Unani and Homoeopathy pharmacies, drug testing laboratories and Ayurveda, Siddha and Unani and Homoeopathy enforcement mechanism.
  3. Support cultivation of medical plants by adopting Good Agricultural Practices (GAP) to provide sustained supply of quality raw materials and support certification mechanism for quality standards, good agricultural/collection/storage practices.  
  • Ministry of AYUSH has rolled out a set of initiatives to improve Financial Management and accelerate Governance Reforms.  These initiatives have two thrust areas, namely the Government Schemes (both Central Sector and Centrally Sponsored) and the Autonomous Bodies of the Ministry.22
  • Providing cost-effective AYUSH Services, with universal access through upgrading AYUSH Hospitals and Dispensaries, co-location of AYUSH facilities at Primary Health Centers (PHCs), Community Health Centers (CHCs) and District Hospitals (DHs), strengthening institutional capacity at the State level through upgrading AYUSH educational institutions.
  • Setting up of new upto 50 bedded integrated AYUSH Hospital, AYUSH Public Health programmes and operationalization of 12,500 AYUSH Health and Wellness Centres to provide services of a holistic wellness model based on AYUSH principles and practices so as to empower masses for "self-care" to reduce the disease burden, and out of the pocket expenditure.
  • To encourage the farmers for cultivation of Medicinal Plants, the Ministry has provided subsidy @30%, 50% and 75% of cultivation cost of prioritized plant species throughout the country
  • Under the National AYUSH Mission (NAM), there is a provision for Infrastructural development of AYUSH Under-Graduate Institutions and Post-Graduate Institutions.
  • A total amount of INR 553.36 crore has been released by the GOI to Uttar Pradesh for various activities under the National AYUSH Mission.

Champion Service Sector Scheme:24 

  • Ministry of AYUSH established AYUSH Health Care Super Specialty Day Care / Hospital under Champion Service Sector Scheme with the provision of INR 769 cr. for three years in collaboration with the Ministry of Commerce.

 

For more information, please refer to National Ayush Mission.

Financial Support

Key Highlights of Budget 2022-23:

  • Ayush Ministry’s budget allocation stands up at INR 3,050 Cr, 4-fold increase over 7 years.
Investment Opportunities
  • Ayurveda drug manufacturing (nutraceuticals, food supplements, cosmetics and rejuvenates).
  • Setting up of specialised treatment centres.
  • Medical tourism for curative and rejuvenation treatments.
  • Objectives of National AYUSH Mission: 

    • Provide cost effective AYUSH services with universal access by upgrading AYUSH hospitals and dispensaries, co-location of AYUSH facilities at primary health centres (PHCs), community health centres (CHCs) and district hospitals (DHs).

    • Strengthen institutional capacity at the state level by upgrading AYUSH educational institutions, State government Ayurveda, Siddha and Unani and Homoeopathy pharmacies, drug testing laboratories and Ayurveda, Siddha and Unani and Homoeopathy enforcement mechanism.
    • Support cultivation of medical plants by adopting Good Agricultural Practices (GAP) to provide sustained supply of quality raw materials and support certification mechanism for quality standards, good agricultural/collection/storage practices.
Agencies
Sources
  1. “Medical Value Travel in India", FICCI, http://www.ficci.in/Medical-Value-Travel-Report.pdf
  2. "India Pharma and Healthcare Sector 2019/2023", EMIS, https://www.emis.com/php/store/reports/IN/India_Pharma_and_Healthcare_Sector_Report_20192023_en_646360982.html
  3. Ministry of Ayush, https://health.ncog.gov.in/
  4. Ministry of Ayush, https://health.ncog.gov.in/
  5. "Introduction", National Medicinal Plants Board, https://nmpb.nic.in/content/introduction
  6. "Introduction", National Medicinal Plants Board, https://nmpb.nic.in/content/introduction
  7. "Introduction", National Medicinal Plants Board, https://nmpb.nic.in/content/introduction
  8. "Over 50 Lakh Benefit under Ayushman Bharat", PIB,  https://pib.gov.in/PressReleseDetail.aspx?PRID=1588099
  9. Wellness and Beauty: An ecosystem in the making”, FICCI, http://ficci.in/publication.asp?spid=23105
  10. “Nearly 16% growth in Foreign Tourist Arrivals for Medical Tourism in 2017: Shri K. J. Alphons", PIB, https://pib.gov.in/PressReleasePage.aspx?PRID=1556223
  11. “Nearly 16% growth in Foreign Tourist Arrivals for Medical Tourism in 2017: Shri K. J. Alphons", PIB, https://pib.gov.in/PressReleasePage.aspx?PRID=1556223
  12. “Nearly 16% growth in Foreign Tourist Arrivals for Medical Tourism in 2017: Shri K. J. Alphons", PIB, https://pib.gov.in/PressReleasePage.aspx?PRID=1556223
  13. “Cabinet Approves Memorandum of Understanding between India and Sao Tome and Principe for Cooperation in the field of Traditional Systems of Medicine and Homoeopathy", PIB, https://pib.gov.in/PressReleaseIframePage.aspx?PRID=1530142
  14. “Cabinet Approves Memorandum of Understanding between India and Sao Tome and Principe for Cooperation in the field of Traditional Systems of Medicine and Homoeopathy", PIB, https://pib.gov.in/PressReleaseIframePage.aspx?PRID=1530142
  15. “Cabinet Approves Memorandum of Understanding between India and Sao Tome and Principe for Cooperation in the field of Traditional Systems of Medicine and Homoeopathy", PIB, https://pib.gov.in/PressReleaseIframePage.aspx?PRID=1530142
  16. Consolidated FDI Policy, https://invest-india-revamp-static-files.s3.ap-south-1.amazonaws.com/2020-04/FDI%20Policy%202019%20revised_19%20April%202020.pdf
  17. "National Health Policy 2017", National Health Portal,   https://www.nhp.gov.in/nhpfiles/national_health_policy_2017.pdf
  18. “National Ayush Mission", Ministry of AYUSH, https://nmpb.nic.in/sites/default/files/downloads/4197396897-Charakasamhita_ACDP_english_0.pdf
  19. “Summary of Union Budget 2020-21”, PIB, https://pib.gov.in/PressReleseDetail.aspx?PRID=1601475
  20. PIB, https://pib.gov.in/PressReleasePage.aspx?PRID=1646461
  21. PIB, https://www.pib.gov.in/PressReleasePage.aspx?PRID=1671893
  22. PIB Release, https://www.pib.gov.in/PressReleasePage.aspx?PRID=1674004
  23. PIB Release, https://www.pib.gov.in/PressReleasePage.aspx?PRID=1674243
  24. PIB Release, https://www.pib.gov.in/PressReleasePage.aspx?PRID=1683320
  25. PIB Release,  https://www.pib.gov.in/PressReleasePage.aspx?PRID=1711702

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