ISM&H Facilities in Delhi Directorate Of ISM&H, Govt. of NCT Delhi
Contents • Overview • ISM&H institutions • Patient turnover of Dispensaries • Morbidity profile of patients • Case studies of Homoeopathy
Directorate of ISM & Homoeopathy • Established in August 1996 • HQ at A&U Tibbia College campus, Karol Bagh, New Delhi. • Homoeopathic Wing at CSC-IIIrd, B Block, PreetVihar .
Directorate of ISM & Homoeopathy • Activities in respect of AYUSH stream • Patient care • Education • Drug Control Cell (only of Ayurveda & Unani; Homoeopathic part is still being looked after by allopathic drug control department) • Coordination with GOI, MCD, NDMC and various NGOs. • Research
Educational institutions A & U Tibbia College and Hospital, Karol Bagh. New Delhi Nehru Homoeopathic Medical College & Hospital, Defence Colony, New Delhi Dr. B.R. Sur Homoeopathic Medical College & Hospital, Nanak Pura, New Delhi Ch. Braham Prakash Ay Sansthan, KheraDabur JamiaHamdard, Jamia Nagar, New Delhi
A&U Tibbia College • Land 33.3acres • Intake capacity: 88 students (44 Ayurveda and 44 Unani) for Degree level & Six seats for P.G. level • Affiliation: Delhi University • Indoor capacity: 255 bedded IPD • Annual OPD patient turnover about 1.65 Lac
NEHRU HOMOEOPATHIC MEDICAL COLLEGE & HOSPITAL, • Land- 2.25 acres • Intake capacity: 100 students, 4 P.G. Seats • Affiliation: Delhi University • Indoor capacity: 100 bedded IPD • Annual Patient turnover 1.45 Lakh
DR BR SUR HOMOEOPATHIC MEDICAL COLLEGE & HOSPITAL • Land : One acre • Intake capacity: 50 students • Affiliation: I.P. University • Indoor capacity: 50 bedded IPD • Annual patient turnover: 78389 pt
Dispensaries • Multiple agencies are providing Patient Care services of ISM&H in Delhi. • Under the cafeteria approach to Health Care services, the Directorate of ISM & H is establishing regularly Ayurvedic, Unani and Homoeopathic dispensaries in existing Allopathic Hospitals and dispensaries.
REGISTRATION OF PRACTITIONERS There are two statutory bodies: • Board of Homoeopathic System of Medicine: Board of Homoeopathic System of Medicine Act-1956 • Delhi BhartiyaChikitsaParishad:Constituted under Delhi BhartiyaChikitsa Parishad Act 1996
STATUS OF STATE REGISTERS • Renewal of registration once every 5 years is undertaken in respect of Ayurveda, Unani and Homoeopathic practitioners. • The state registers are periodically updated by these statutory bodies and the names of registered practitioners are notified in the gazette.
DRUG CONTROL & LICENSING • The Deputy Director (ISM) is the notified Drug Controller cum Licensing Authority in respect of Ayurveda and Unani. There are 5 Drug Inspectors. • The work related to Homoeopathy is being undertaken by the Drug Control department of Allopathy.
DRUG CONTROL & LICENSING • There are 62 (40AY+14U+8H) manufacturing units. • For the sale of A & U drugs no separate sale- license is required. • However, for sale of Homoeopathic drugs, License is required: There are 293 Homoeopathic sale counters. • All the manufacturing units of ISM are Good Manufacturing Practices (GMP)compliant.
Cost Effectiveness and Efficacy of Homeopathy in Primary Health Care Units of Government- A study Dr. R. K. Manchanda, M. D. (Hom), Deputy Director (Homeopathy) & Dr. Mukul Kulashreshtha, MD (CHA), Chief Medical Officer (Allopathy) Health and Family Welfare Department, Govt. of Delhi, India.
Abstract: Two studies presented at International Homoeopathic Congress 2005, LIGA at Berlin
Government of Delhi has adopted a policy of cafeteria approach in primary health care units. • The homeopathic clinics have been established in allopathic primary health care units. • The patients have the option of availing treatment of their own choice.
Title – To assess the cost effectiveness of homeopathic clinic in Cafeteria approach • Aims and Objectives • To compare the expenditure incurred by government towards running of allopathic and homeopathic clinics. • To analyze the morbidity profile of patients coming to homeopathic clinics in comparison to allopathic clinics working under one roof.
Method • The revenue expenditure incurred on both types of clinics during 1999-2000 have been taken from government records. The capital expenditure on the maintenance of these clinics have been excluded. • The morbidity data has been complied using the disease classification system ICD- 9 of World Health Organization.
Result- 1 The patient’s attendance patterns revealed that homeopathic clinics were as popular as allopathic clinics at the primary health care level.
The expenditure in homeopathic clinics was one-fifth of the expenditure in allopathic clinics both in terms of salary as well as medicines. The reason for greater expenditure on salary indicates that the allopathic clinics require more supportive staff than homeopathic clinics.
Comparsion of Morbidity Profile The morbidity profile of both types of clinics reveals that diseases of respiratory tract, infections, GIT diseases and skin diseases are the most common diseases at PHC level.
The patterns were not similar in both the types of clinics. • These clinics complemented each other. • Allopathic had been found to be preferred by patients with acute diseases and homeopathy by patients with sub-acute and chronic diseases. • The above preference indicates the strengths and limitations of both the systems as per perception of the public.
Study- II • Title-Evaluation Study to assess the Effectiveness of Homeopathic Clinics running adjacent to Allopathic Clinics at Primary Health Care Level.
This study was conducted by an independent agency- Planning & Evaluation Department of Govt. of Delhi for deciding upon further expansion of homeopathy under the cafeteria approach at Primary Health Care Level.
Objectives • To assess the effectiveness of Homoeopathic dispensaries • Patient satisfaction levels. • To assess the perceptions of Allopathic doctors towards homeopathic clinic
Methods • The field survey of homeopathic clinics was conducted from 20.02.2003 to 25.03.2003. • The study team interviewed 10 to 15 patients from each clinic and the staff working in homeopathic as well as allopathic clinics during the field visit. • Separate structured questionnaires were used for both types of interviews. • 57 homoeopathic clinics and 840 patients were covered during the survey.
Utilization of Homeopathic clinics The number of patients in Homeopathic dispensaries is steadily increasing and indicates the growing popularity of the system.
Perceptions of Doctors of Allopathic Clinics- (53 ) Majority of the doctors of allopathic clinics felt that homeopathic clinics within the same premises are beneficial for the patients. The doctors expressed that they do not face any problems in running both the clinics and also refer the patients to homeopathic clinics for treatment.