Operationalisation and Utilisation of Ayush Clinics in Chandigarh, India: a Cross Sectional Evaluation Study
Subscribe/Renew Journal
National Rural Health Mission (NRHM) strategy of mainstreaming AYUSH health facilities, require evaluations for continual improvement.
Objectives
To assess operationalisation and utilization of AYUSH clinics, to ascertain the level of patient satisfaction, to explore the perceptions of AYUSH practitioners regarding implementation of AYUSH scheme and to assess the factors influencing AYUSH scheme implementation.
Material and Methods
Cross-sectional study design and mixed methodology was followed that included record review, and interviews with AYUSH service users and the service providers, of both Allopathic and AYUSH streams.
Results
AYUSH system has been implemented successfully in Chandigarh and people are using these services. Females, prior users of allopathic medicine and suffering from chronic problems were the main users. Client satisfaction with service provision by AYUSH clinics was high. However, allopathic practitioners are not much enthusiastic about recognizing these systems as scientific therapies. More publicity about AYUSH in the region is required as the main goal of integration is not being fulfilled.
Keywords
- MoHFW.India. AYUSH in national health care. [Press release]: Press Information Bureau 2007 [updated August 13]; Available from: http://pib.nic.in/release/rel_print_page. asp?relid=29845.
- MoHFW. India. Mainstreaming AYUSH, revitalizing local health traditions under NRHM- an appraisal of the annual state programme implementation plans 2007-10 and mapping technical assistance needs New Delhi: National Health Systems Resource Centre; 2009.
- WHO Traditional Medicine Strategy- 2002-2005. Geneva: World Health Organization; 2002.
- Mutatkar RK, Arole RS. Mainstreaming of AYUSH in Health Care (NRHM) Studies in Himachal Pradesh, Madhya Pradesh, Chhattisgarh and Maharashtra. 2009.
- Ernst E. Obstacles to research in complementary and alternative medicine. Med J Aust. 2003 Sep 15;179(6):279-80.
- Bhat S, Gupta V, Srikanth N, Lavekar GS. Feasibility of integrating Ayurveda with modern system of medicine in a tertiary care hospital for management of osteoarthritis (knee)- An operational Study. New Delhi: Central Council for Research in Ayurveda and Siddha.2007.
- Lee G, Charn T, Chew Z, Ng T. Complementary and alternative medicine use in patients with chronic diseases in primary care is associated with perceived quality of care and cultural beliefs. Family Practice. 2004 December 1, 2004;21(6):654-60.
- Kitai E, Vinker S, Sandiuk A, Hornik O, Zeltcer C, Gaver A. Use of complementary and alternative medicine among primary care patients. Family Practice. 1998 October 1, 1998;15(5):411-4.
- Sato T, Takeichi M, Shirahama M, Fukui T, Gude JK. Doctorshopping patients and users of alternative medicine among Japanese primary care patients. Gen Hosp Psychiatry. 1995 Mar;17(2):115-25.
- Singh V, Raidoo DM, Harries CS. The prevalence, patterns of usage and people’s attitude towards complementary and alternative medicine (CAM) among the Indian community in Chatsworth, South Africa. BMC Complement Altern Med. 2004 Feb 4;4:3.
- Lodha R, Bagga A. Traditional Indian systems of medicine. Ann Acad Med Singapore. 2000 Jan;29(1):37-41.
- MacLennan AH, Wilson DH, Taylor AW. Prevalence and cost of alternative medicine in Australia. Lancet. 1996 Mar 2;347(9001):569-73.
- Shih V, Chiang JY, Chan A. Complementary and alternative medicine (CAM) usage in Singaporean adult cancer patients. Ann Oncol. 2009 Apr;20(4):752-7.
- Al-Windi A. Determinants of complementary alternative medicine (CAM) use. Complement Ther Med. 2004 Jun- Sep;12(2-3):99-111.
- Fouladbakhsh JM, Stommel M. Gender, symptom experience, and use of complementary and alternative medicine practices among cancer survivors in the U.S. cancer population. Oncol Nurs Forum. 2010 Jan;37(1):E7-E15.
- Eisenberg DM, Kessler RC, Foster C, Norlock FE, Calkins DR, Delbanco TL. Unconventional medicine in the United States. Prevalence, costs, and patterns of use. N Engl J Med. 1993 Jan 28;328(4):246-52.
- Astin JA. Why patients use alternative medicine: results of a national study. JAMA. 1998 May 20;279(19):1548-53.
- Kumar D, Bajaj S, Mehrotra R. Knowledge, attitude and practice of complementary and alternative medicines for diabetes. Public Health. 2006 Aug;120(8):705-11.
Abstract Views: 449
PDF Views: 0