Policy mandates for Ayush in National Health Policy-2017: Achievements, impediments, and future prospects

The Ayush sector has seen multidimensional growth in the last 10 years, especially since its inception as the Ministry of Ayush in 2014 from the earlier Department of Ayush. This expansion is evident across various facets of the sector, notably reflected in the allocation within the union budget, the surge in exports of herbal medicines, the proliferation of educational institutions, the establishment of integrated Ayush hospitals, and the integration into the broader public healthcare system. The National Health Policy 2017 (NHP-2017) is the cornerstone guiding document for all health-related matters, including Ayush systems. It advocates for transitioning from a standalone to a comprehensive three-dimensional mainstreaming of Ayush services, emphasising the intricate integration of Ayush into the public healthcare system and adopting Ayush-based promotive and preventive strategies for fostering healthy lifestyles. Significant strides have been undertaken in recent years to realise the mandates outlined in NHP-2017. Noteworthy initiatives include the approval of 12,500 Ayushman Arogya Mandirs - Ayush (erstwhile Health and Wellness Centres), the establishment of co-located Ayush facilities across three tiers of public healthcare, the provision for Ayush academic departments in all new and forthcoming AIIMS establishments, and, more recently, the publication of guidelines related to Indian Public Health Standards for Ayush. However, several challenges persist, such as the skewed distribution of Ayush facilities, the non-inclusion of Ayush packages from the Pradhan Mantri Jan Arogya Yojana (PM-JAY), and logistical issues about the supply chain of medicines in co-located facilities. Addressing these challenges is imperative for achieving a seamless integration of Ayush systems into the mainstream public healthcare framework and fulfilling the policy mandate designated to Ayush. Such integration holds promise for contributing to realising universal health coverage, national health objectives, and the overarching goal of health for all. This paper delves into the policy imperatives for Ayush within the public health domain as stipulated by NHP-2017, examining its progress, identifying challenges, and proposing potential solutions.