Performance Audit on Efforts to Popularise and Strengthen Ayurveda in Rajasthan (2012-2017)
| Author | CAG of India | |
| Date Accessioned | 2024-06-30T01:29:01Z | |
| Date Available | 2024-06-30T01:29:01Z | |
| Date of Publication | 05-09-2018 | |
| Abstract | Indian Systems of Medicine comprise Ayurveda, Unani, Siddha, Yoga and Naturopathy, of which Ayurveda is widely practiced in Rajasthan. The Ayurveda Department (Department) has an extensive network of 118 hospitals and 3,577 dispensaries in the State and during 2012-17, Government of Rajasthan (GoR) incurred INR 2,655.89 crore for Ayurveda Healthcare Services and Ayurveda Education. Though the Department prepared State Public Health Standards for standardization of facilities in Ayurveda dispensaries and hospitals in May 2014, they were still pending approval of GoR as of October 2017. The Department’s decision in September 1994 to establish a dispensary for minimum population of 2,000 persons was not followed and there was imbalanced distribution of dispensaries in rural areas. Further, in absence of an effective awareness programme, the utilisation of the vast network of Ayurveda healthcare facilities could not be ensured in the State. Even the specialty clinics for key diseases had not been established. Basic infrastructural facilities were inadequate as electricity was not available in 46.88 per cent and drinking water in 74.17 per cent of the Ayurveda healthcare centers. Further, in seven test checked districts, toilets were not available in 75.38 per cent healthcare centers and most healthcare centers did not have all essential equipment. There was shortage of manpower at all levels and disproportionate deployment of Medical Officers and Nurse/Compounders was also noticed. Further, efforts for filling up the vacant posts on contractual basis were also not initiated. There was no significant growth in number of Ayurveda patients during last decade in spite of the fact that Department had inflated the number of beneficiary patients. The number of hospitals having nil bed occupancy increased from 60 in 2012-13 to 79 in 2016-17 and no patient was admitted consecutively for five years in 40 hospitals, four years in 48 hospitals and three years in 49 hospitals. In spite of this trend, no review to reduce/relocate the staff was conducted. The performance of the departmental pharmacies was dismal as the achievement in drug production vis-à-vis targets during 2012-17 was only 39.12 per cent. Further, the cost of drugs manufactured by the departmental pharmacies was 1.23 to 3.92 times higher the price of Indian Medicines Pharmaceutical Corporation Limited. Distribution of drugs was done without ascertaining demand and there were instances of delay in distribution of drugs, distribution of expired drugs to the patients and failure to distribute drugs in small hygienic packaging. The quality of drugs produced was also not tested adequately to maintain standards. No new Post Graduate courses could be started in Government Ayurveda College, Udaipur after 1986 due to non-availability of qualified teachers. Further, practical training in Surgery and Gynecology was not being provided to the students as the Ayurveda colleges did not have facilities for delivery and surgery cases. The financial management was also weak as the Department failed to monitor the delays in submission of UCs resulting in the deprival of central assistance of ` 52.96 crore. As 91.78 per cent of total available funds during 2012-17 were spent on pay and allowances, a very small percentage of funds was available for strengthening and upgradation of healthcare facilities, which adversely impacted the quality of healthcare services provided in the State. The Department thus was not able to provide effective and quality Ayurveda healthcare services to the public despite having the largest number of Ayurveda dispensaries/hospitals in the country. Considering the existence of large number of professionals, dispensaries and hospitals in the State, there is an urgent need for GoR to review and improve the prevalent deficiencies in the Ayurveda healthcare services by adopting a suitable policy and standards. | |
| Identifier URI | https://resourcerepository.azimpremjiuniversity.edu.in/handle/apurr/522 | |
| Language | English | |
| Publisher | CAG of India | |
| Series | Rjasthan (General and Social Sector); 1 of 2018 | |
| Title | Performance Audit on Efforts to Popularise and Strengthen Ayurveda in Rajasthan (2012-2017) | en |
| Subtitle | For the Period 2012-2017 | |
| Item Type | Audit Report |
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