1.
Mainstreaming of AYUSH in Community
Health Nursing Practice
Dr Nilima Sonawane
Principal
Institute of Nursing Education , Mumbai

2.
कोरोना महामारीने ननर्ााररत नकया है |
आयुर्वेद एक सर्वोत्तम उपचार है |

3.
AYUSH : The Indian Heritage

4.
• Once upon a time India's health care system
was dominated by Ayurveda- the holistic
health approach to keep person disease free by
adopting healthy life style.

5.
• With so many attacks on Indian heritage
Ayurveda was pushed back for centuries.
• Indian Government never promote this
health system as main health delivery tool.
• Now the Prime Minister, Shri Narendra
Modi launched a much needed mission to
make Ayush as one of main health care
delivery system in India.

6.
AYUSH : The Indian Heritage
• The ‘New India’ also needs to be a ‘Healthy
India’ where its own traditional Health systems
can play a significant role.
• Ayurveda, or ayurvedic medicine, is a healthy-
lifestyle system that people in India have used
it for more than 5,000 years.
• Ayurveda emphasizes good health, prevention
and treatment of illness through lifestyle
modification practices.

7.
Why AYUSH
• These systems are based on definite Medical
philosophies and represent a way of healthy living
with established concepts on prevention of diseases
and promotion of health.
• There is much scientific evidence through which it
can be validated that no single system of medicine
can cater the health care needs effectively.

8.
Why AYUSH
• These drugs comprise of natural molecules which are
better absorbed and utilized in the human body and
produce effect without adverse drug reaction.
• Realizing the 21st century is termed as the "Century
for Natural Drug Molecules". AYUSH system is
centuries old.

9.
Why AYUSH
• Cost effective
• Medical Pluralism : CAM Conventional
,complementary and Alternative system of
Medicine (AAYUSH)
• The National Health Policy (NHP) 2017 has
strongly advocated mainstreaming the
potential of AYUSH within a pluralistic system
of Integrative health care.

10.
AYUSH : The Ray of Hope in covid-19 pandemic

11.
National Ayush Mission(NAM)
• The much needed government attention
towards Ayush was fulfilled on 15th Sept 2014
when union cabinet approved the National
Ayush Mission under the chairmanship of
Prime Minister.
• National Ayush Mission(NAM) will set up a
National Mission as well as corresponding
Missions in States and Union territories.

12.
NAM : Vision
• Provide cost effective and equitable AYUSH health
care
• Improving access to the services.
• Revitalize and strengthen the AYUSH systems
• Establish a Holistic Wellness Model
• Improve educational institutions for quality AYUSH
education
• Promote the adoption of Quality Control of ASU&H
Drugs
• Making available the sustained supply of AYUSH
raw-materials.

13.
NAM: Objectives
• To provide cost effective AYUSH Services, with a
universal access through upgrading AYUSH
Hospitals and Dispensaries, co-location of
AYUSH facilities at Primary Health Centres
(PHCs), Community Health Centres (CHCs) and
District Hospitals (DHs).
• To establish a holistic wellness model based on
AYUSH principles and practices to empower
masses for ‘self-care’ to reduce the disease
burden, out of pocket expenditure and to provide
informed choice to the needy public.

14.
NAM: Objectives
• To strengthen institutional capacity at the state level through
upgrading AYUSH educational institutions, State Govt.
ASU&H Pharmacies, Drug Testing Laboratories and ASU
& H enforcement mechanism.
• Support cultivation of medicinal plants by adopting Good
Agricultural Practices (GAPs) so as to provide sustained
supply of quality raw-materials
• Support certification mechanism for quality standards,
Good Agricultural/Collection/Storage Practices.
• Support setting up of clusters through convergence of
cultivation, warehousing, value addition and marketing.

15.
Components of AYUSH services under NAM
• Co-location of AYUSH facilities at PHCs, CHCs and
DHs.
• Upgradation of Government / Panchayat / Government
aided AYUSH Dispensaries
• Setting up of upto 50 bedded integrated AYUSH
Hospitals
• Supply of essential drugs to AYUSH Hospitals and
Dispensaries
• Public Health Outreach activity
• Behaviour Change Communication (BCC)
• Mobility support
• AYUSH Gram
• School Health Programme through AYUSH

16.
AYUSH Health & Wellness Canters
• Ministry of AYUSH to
operationalise 12,500
Health and Wellness Centre
under Ayushman Bharat in a
phased manner from year
2019-20 to 2023-24. under
the broad umbrella
of NAM.

17.
AYUSH WELNESS CENTERS
• To reduce the disease burden, out of pocket
expenditure and to provide informed choices
• Functional integration by using Standard protocols,
• Up-gradation Of Infrastructure
• Community mobilization for self care,
• Capacity building of health care providers
• Linkages with higher-level facilities, AYUSH
educational institutions, reputed NGOs & Trusts
• Documentation with the help of IT platform

18.
Flexible Components: -
• Yoga & Naturopathy
• Tele-medicine
• Sports Medicine through AYUSH
• PPP
• Reimbursement of Testing charges
• IEC activities
• Research & Development in areas related to
Medicinal Plants
• Market Promotion, Market intelligence & buy
back interventions
• Crop Insurance for Medicinal Plants

19.
Community Health Nursing
• Community Health Nursing is a population-focused,
community-oriented approach aimed at health
promotion of an entire population, and prevention of
disease, disability and premature death in a
population.

20.
Focus of community Health Nursing
• Community Health Assessment
• Community Diagnosis
• Health Promotion
• Preserve , Protect the Health &Prevention of disease
• Promote self care
• Disability limitations & Rehabilitation
• Develop appropriate workable policies and
interventions

21.
Pluralism of CHN & AAYUSH

22.
The Ultimate Goals of CHN & AYUSH
• Promote, protect and
preserve the health
• Prevention of diseases
• Disability limitation
• Rehabilitation

23.
Health assessment
B-Questionnaire for “Prakriti” Analysis

24.
Community Diagnosis
A-Community based assessment checklist (CBAC)
• Risk assessment
• Early detection
• B1-Women & Men
• B2-Women only
• B3-Elderly Specific above 60 years
• Part C : Risk factors for COPD
• Part D : PHQ 2
Patient Health Questionnaire –Mental Health

25.
Health Promotion : Know your health/ Prakriti
• Review Genetic Blue
print
• Self assessment or from
the physician/ ayurveda
experts
• Towards the Holistic
Health

26.
Dinacharya –Daily routine
• The Dinacharya, Ritucharya
and Sadvritta are parts of
correct/ideal Lifestyle measures
mentioned in Ayurvedic classics
for maintenance of health and
also to achieve a long, healthy
active life, providing relief
from pain and disease.

27.
Rutucharya –Seasonal Routine
• Rituacharya is the ancient Ayurvedic
practice and is comprised of two words,
“Ritu” which means season and “charya”
which means Regimen or discipline.
Ritucharya consists of lifestyle and
ayurvedic diet routine to cope with the
bodily and mental impacts caused by
seasonal changes as recommended by
Ayurveda .

28.
Dietetics

29.
Dietary Awareness

30.
Yoga –Group Specific yoga practices

31.
Group Yoga

32.
Yoga Nurse

33.
Medicinal Plant for self care
India is one of the richest countries in
the world in terms of biodiversity,
has 15 agro-climatic zones. Out of
the 17000-18000 species of
flowering plants, more than 7000 are
estimated to have medicinal usage in
folk and documented systems of
medicine like Ayurveda, Unani,
Siddha & Homoeopathy (AYUSH
System of Medicine).

34.
INE HERBAL GARDEN

35.
National Medicinal Plants Board
• In order to promote medicinal plants sector, the
Government of India has set up National
Medicinal Plants Board (NMPB) on 24th
November 2000.The primary mandate of NMPB
is to develop an appropriate mechanism for
coordination between various ministries/
departments/ organizations in India
and implements support policies/programs for
overall (conservation, cultivation, trade and
export) growth of medicinal plants sector both at
the Central /State and International level.

36.
Management of common ailments
• Home remedies

37.
Protect and preserve the Health of community
• Create awareness
• To ensure prakriti analysis of every individual
• Ensure regular yoga at the community
• Advocacy of AYUSH IEC campaign –Life style ,diet,
Behavioral codes
• Capacity Building

38.
Protect and preserve the Health of community
• Assist AYUSH Physician
• Empower the community –self care
 Identification of risk
 Referral services
 Recording and reporting
 Family health folders

39.
Disability limitations and Rehabilitation
• Interacted approach –
AAYUSH+N
• Yoga
• Ayushman Bharat and
Med Insurance
• Referral services

40.
Blank Wall
• AYUSH Hospital concept is new
• Nursing taught in the affiliated allopathic hospitals
• Nursing Syllabus based on allopathy System
• Comprehensive Inclusion contents
• Little knowledge on AYUSH
• No experience of AYUSH
• Not included in Policy Decision
• Pluralism work Better ------------
• Projection of Integrated AYUSH Services

41.
Recommendations
• More Ayush Health Facilities
• Operationalization of AYUSH Wellness centres
• Training Institute
• Nursing Syllabus should be inclusive of AYUSH
Component in details
• Creation of cadre of Ayush Nurses
• AAYUSH+N Approach
• More integrated training and awareness campaigns
• Inclusion of traditional healers

42.
Community Health Nursing Sub-Specialization
 CHN-AYUSH
 CHN-Primary Health Care
 CHN-Geriatric Nursing
 CHN-Disaster Nursing
 CHN- Communicable Diseases
 CHN- School Health
 CHN- Occupational Health Nursing
 CHN- Mother & Child Health

43.
Key Points
• Ayurvedic medicine is gaining popularity as part of
the burgeoning interest in complementary therapies
and New Age spirituality
• There are claims and counter claims about the
• therapeutic potentials of Ayurvedic medicine.
• Nurses need to be cognisant of the principles and
practices of Ayurvedic medicine as some patients
may be taking Ayurvedic preparations while
receiving conventional medical treatment

44.
Take Home message
• The ‘New India’ also needs to be a ‘Healthy India’ where
its own traditional systems can play a significant role.
Ayurveda, Yoga, Naturopathy, Unani, Siddha,
Homoeopathy collectively covered under the Ministry of
AYUSH, represent a pluralistic and integrative scheme of
health services. AYUSH can play an important role in
realizing the dream of ‘New India’ by providing quality
healthcare and medical care for its citizens. At present we
are witnessing a highly receptive environment where the
value of AYUSH systems in healthcare is widely
recognized. Community Health Nurses plays a pivotal
frontline role in health system. Nursing and AYUSH
Integration will be the innovative approach for Ayushman

45.
• A physician who fails to enter
the body of a patient with the
lamp of knowledge and
understanding can never treat
diseases. He should first study
all the factors, including
environment, which influence a
patient's disease, and then
prescribe treatment. It is more
important to prevent the
occurrence of disease than to
seek a cure.
Charaka

46.
• Nursing as “the act of utilizing the
patient’s environment to assist him in
his recovery.”
• She identified 5 environmental
factors: fresh air, pure water, efficient
drainage, cleanliness or
sanitation, and light or direct
sunlight.
FLORENCE NITINGALES THEORY ON ENVIRONMENT

47.
THANK YOU