Less equal than others? Experiences of AYUSH medical officers in primary health centres in Andhra Pradesh

Indian J Med Ethics. 2012 Jan-Mar;9(1):18-21. doi: 10.20529/IJME.2012.005.


The National Rural Health Mission (NRHM) includes, inter alia, the establishment of an AYUSH (Ayurveda, Yoga and Naturopathy, Unani, Siddha and Homoeopathy) component (practitioner, trained assistants, drugs and equipment) in every primary health centre (PHC). However, five years following the launch of the NRHM, the AYUSH mainstreaming scenario is below expectations, riddled with ethical and governance issues. Accounts from AYUSH practitioners at PHCs in various regions of the state of Andhra Pradesh reveal enormous lacunae in implementation: unfilled positions, inequitable emoluments, inadequate or absent infrastructure, assistance and supplies, unethical interpersonal arrangements, and limited support from non-AYUSH personnel. The widespread negative impact of these conditions undermines the value of AYUSH, demotivating both practitioners and patients, and failing to provide the intended support to the public health system.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Complementary Therapies* / ethics
  • Complementary Therapies* / organization & administration
  • Cross-Sectional Studies
  • Health Services Accessibility*
  • Humans
  • India
  • Interprofessional Relations
  • Medicine, Ayurvedic*
  • Personnel Management
  • Primary Health Care
  • Rural Health Services* / ethics
  • Rural Health Services* / organization & administration
  • Workforce