10. AYUSH Report_Chapter 5

Page 1

5 A Study of Selected State Pharmacies


A Study of Selected State Pharmacies Background

163

A Study of State Pharmacies by Faculty of National Institute of Ayurveda, Jaipur

165

General Findings

170

Conclusions and Recommendations

170

Annexures

Annexure-I: Grant in Aid released to States/UTs under the Centrally Sponsored Scheme for Quality Control of ASU&H drugs from 2000-01 to 2011-12 (in Rs. lakhs)

173

Annexure-II: Questionnaire for Preparing Status Report on Government Ayurvedic pharmacies

174

162  Status of Indian Medicine and Folk Healing


5 A Study of Selected State Pharmacies Background A panel discussion1 was held on 19 March 2012 in order to elicit expert views on Part-I of the Status Report on Indian Medicine and Folk Healing. One of the panelists Dr. Madhulika Banerjee, Associate Professor of Political Science in Delhi University spoke about the role of State pharmacies in making quality medicines available to Government health facilities. She had this to say: “In the Government sector, huge network of State pharmacies had once been at the forefront in providing Ayurvedic and Unani medicines to people. The pharmacies have actually let down the system in a big way. We all gun for industries, and there is no question about that the industry has taken advantage to a great extent. The industry has taken Ayurveda in directions which are problematic, but that’s a different issue. But Ayurvedic and Unani pharmacies run by the State were meant to produce good quality medicines for the common person - a person who is not a consumer. Regarding reference, the last time State Pharmacies were ever referred to in any Government. Report was by the Udupa Committee Report. As for the questionnaires used in the Udupa Committee’s Annexure, it is amazing how much the subject continues to be

relevant. We need a thorough understanding, investigation and analysis of what we did with the State Pharmacies. The Department was quite taken aback when I said we were talking about what the industry should do and what research should do. What happens to the pharmacy? Why are the pharmacies not brought into the picture? Don’t we need to see why they are not doing what they were doing? Or are they doing something valuable which we are not assessing properly?” The present status of State Pharmacies is as follows: A Centrally Sponsored Scheme for Quality Control was started in the year 20002001 (9th Plan) to support strengthening of State Drug Testing Laboratories and Pharmacies. Revisions were made to the scheme to include many more important aspects of quality control. During the 10th and 11th Plans, grant in aid for State Pharmacies was confined to giving balance instalments for the strengthening of the Pharmacies but no new Pharmacy was supported in the 11th Plan. As a result, 46 State ASU&H Pharmacies received funding for infrastructure development. The funding released may be seen in Annexure-I. The lump-sum provisions may have helped some pharmacies but that too only partially.

1. Name of the panelists: i. Prof. Bhushan Patwardhan, Vice Chancellor, Symbiosis International University, Pune; ii. Prof. Ram Harsh Singh, Life Time Distinguished Professor, Faculty of Ayurveda, IMS, BHU, Varanasi; iii. Mr. Darshan Shankar, Chairman, Foundation for the Re-vitalisation of Local Health Traditions (FRLHT), Bengaluru; iv. Dr. DBA Narayanan, Chairman of the Indian Pharmacopoeia Commission’s Crude Drug & Herbal Products Committee and v. Dr. Madhulika Banerjee, Department of Political Science, University of Delhi, Delhi. http:// over2shailaja.wordpress.com/2012/04/04/panel-discussion-at-iic-on-status-of-indian-medicine-folk-healing/.

A Study of Selected State Pharmacies  163


Certainly not enough to expand production capacity and make large-scale improvements in terms of renovation and modernization. During her visits to the States of Odisha, Uttar Pradesh, Andhra Pradesh, Himachal Pradesh and Jammu & Kashmir, the PI found that shortage in the supply of medicines and the indifferent quality of some drugs procured from private and public sector companies was a universal complaint. All the officials recounted that several years ago, the supply from the State Pharmacies was excellent and people were very appreciative of the quality of medicine. But now the supply from the state pharmacies had dwindled down considerably. It was lamented that problems of delay in transit, leakage, fungus existed and had not been addressed. The lone public sector unit under the Department of AYUSH is located at Almora (Uttarakhand) and is called Indian Medicines Pharmaceutical Corporation Ltd. (IMPCL). In the State Sector TAMPCOL in Tamil Nadu and Oushadi (in Kerala are also well-known manufacturers. The PI did not examine these commerciallyrun enterprises as a part of her study. However they were doing brisk business and there were no complaints of shortages in those State. The PI felt that it would be useful to have a quick random survey done of a few Staterun departmental pharmacies to understand their working and the general picture that the situation presents. It was not possible for the PI to have an all India survey conducted due to constraints of time. The exercise undertaken was not intended to be either an inspection or a fault finding mission – simply a glimpse of the work undertaken by a cross-section of State pharmacies. Since such a study required knowledge of how Ayurveda pharmacies are expected to be organized and run, the PI had, after

164  Status of Indian Medicine and Folk Healing

visiting two pharmacies herself, decided to commission a study using a group of subject experts who could provide an objective and analytical picture. Accordingly the PI visited two pharmacies – the Uttar Pradesh State Pharmacy at Lucknow and the pharmacy attached to the SV Ayurvedic College Hospital at Tirupati. The outcomes of her visits have been mentioned in the reports covering field visits and are not being repeated here. This Chapter highlights the findings of the group of experts that visited eight State pharmacies using a questionnaire that was prepared by National Institute of Ayurveda (NIA), Jaipur in consultation with the PI. The PI contacted Prof. Ajay Kumar Sharma, the Director of the National Institute of Ayurveda at Jaipur. He selected the faculty members who would conduct the study. The PI then requested selected State Health Secretaries or Directors in charge of AYUSH in the States of Rajasthan, Karnataka, Uttar Pradesh, and Andhra Pradesh to permit the visits. All the officers were cooperative and the state authorities agreed that it was important to have such a study conducted. The documents/investigation sheets have not been reproduced in this report for the sake of brevity. What follows is a summary of the findings of the team from NIA that visited various pharmacies examining aspects like the suitability of the location, the space available, pest control measures, power supply, negative press reports, if any, waste disposal systems, availability of manpower, quality control systems, the production of drugs at each facility, supply of raw material, storage, packing, equipment and its upkeep. To a certain extent the picture of fund availability has also been discussed. Ascertaining about adverse press reports was a way of identifying whether the subject of drug production was noteworthy or not.


Study of State Pharmacies by Faculty of National Institute of Ayurveda, Jaipur Professor Ajay Kumar Sharma, Director, National Institute of Ayurveda, Jaipur deputed the following faculty members to pay visits to selected State Pharmacies in four States. Four faculty members from the Department of Rasa Shashtra and Bhaisajya Kalpana, who visited different Pharmacies and used the questionnaire provided (Annexure-II) were as follows:

Highlights Location of the Pharmacies The Hyderabad and Jodhpur Pharmacies were difficult to reach. The remaining pharmacies were well connected by local transport. Availability of Space All the eight pharmacies had a large amount of space but except at Ajmer, Bharatpur and Lucknow, the space was not being utilized efficiently.

1.

Dr. K Shankar Rao, Associate Professor & Head

Power Supply

2.

Dr. V Nageswar Professor

3.

Dr. Parimi Suresh, Assistant Professor; and

Except for Ajmer Pharmacy, shortage of electricity was not reported by the Pharmacies.

4.

Rao,

Associate

Dr. Sanjay Kumar, Lecturer

The team visited the following 8 pharmacies: 1.

Government Indian Medicine Pharmacy (Ayurveda), Kattedan, Hyderabad, Andhra Pradesh.

2.

Government Central Bangalore, Karnataka

Pharmacy,

3.

Government Ayurvedic Jodhpur, Rajasthan

Pharmacy,

4.

Rajkiya Ayurvedic Udaipur, Rajasthan

5.

Government Ayurvedic Ajmer, Rajasthan

Pharmacy,

6.

Government Ayurvedic Bharatpur, Rajasthan

Pharmacy,

7.

State Ayurvedic & Unani Pharmacy, Lucknow, Uttar Pradesh

8.

Lalit Hari Government Ayurvedic Pharmacy, Pilibhit, Uttar Pradesh.

Rodent/Insect Menace All the eight pharmacies were prone to rodent menace and insect infestation but no measures were being employed to prevent and control this. Recommendation: Pest control procedures should be laid down and a certificate of compliance obtained annually. Negative Press Reports •

Jodhpur: The local newspapers had published reports about insect infestation in some material.

Hyderabad: The Ex-Incharge’s pension was blocked on account of irregularities in the purchase of a generator.

Udaipur: Certain pharmacy in charge officials were facing Departmental enquiries.

Rasayanshala,

No such reports had appeared in the press in respect of other pharmacies visited.

A Study of Selected State Pharmacies  165


Waste Disposal In none of the pharmacies had any waste disposal systems been installed. In Lucknow, a big ditch was being used for waste disposal. Recommendation: Waste disposal guidelines should be issued and compliance sought annually. Availability of Manpower 1)

Hyderabad: There was shortage of technical staff. No labour union existed and the labour presently working in the pharmacy consisted of very senior persons who did not evince much interest. The office staff however was found to be working sincerely.

2)

Bangalore: There was a shortage of unskilled attendants (25 posts were vacant).

3)

Jodhpur: There did not appear to be any shortage of workers. However, punctuality was not being observed.

4)

Udaipur: No technical and skilled labours were available in the pharmacy. The Incharge and Assistant In-charge of the pharmacy were graduates and had been working as Medical Officers since long. They did not possess the technical knowledge required for supervising pharmacy work.

5)

6)

7)

Ajmer: There was a need to fill the vacant posts. Out of a total of 51 posts, 12 were lying vacant. Additional personnel like machine operators, electricians, a store keeper and pharmacists were needed. Bharatpur: The total sanctioned posts were 27, out of which 17 were for labourers. Recruitment to fill the vacant posts of labourers needed to be undertaken. There was a need for an additional post of Machine Operator. Lucknow: It is a big campus and

166  Status of Indian Medicine and Folk Healing

production is on a large scale. The workers were not in uniform. 8)

Pilibhit: There was a shortage of unskilled attendants.

Recommendation: The staff strength should be suggested on normative lines and should be related to capacity utilization and production. A normative list issued by Department of AYUSH would enable the Pharmacies to argue for specific manpower support. Quality Control in the Pharmacies 1.

Hyderabad: Earlier, the Drug Testing Laboratory was attached to the pharmacy but at present it is located at the Erragadda College. The raw material and finished goods were being tested at the new location.

2.

Bangalore: The Quality Control Department is in an adjacent building in the same compound. All the materials including raw materials, finished goods and inspection samples collected from private pharmacies are being tested here. The requisite equipment was available.

3.

Jodhpur: A Quality Control Department did not exist. The raw materials were being supplied in response to tenders called at Ajmer, and the material was expected to be inspected by external morphology only. No information about finished goods could be collected.

4.

Udaipur: No Quality Control Lab was linked to the pharmacy.

5.

Ajmer: The State Drug Testing Laboratory (DTL) operates from the same building, but did not appear to be functioning satisfactorily. There is a requirement to test raw materials and finished products which was not being undertaken.


6.

Bharatpur: A Drug Testing Laboratory was not available.

7.

Lucknow: A Drug Testing Laboratory is attached to the pharmacy but was not functioning satisfactorily. There were certain vacant posts and skilled persons were not available.

8.

prepare 89 formulations and gradually it was reduced to 29. At present the number of formulations has been further reduced to just 12. The majority of the formulations are in powder form and the quantity produced is small. 5)

Ajmer: Presently this unit is preparing 15 Ayurvedic formulations which include various forms like Vati, Rasa, Choorna, Lepa, Arka, Dhoop. Inaddition, the unit is also preparing 18 Unani formulations.

6)

Bharatpur: Only 12 Ayurvedic products are being manufactured in this unit. The dosage forms include Bhasma, Pisthi, Taila, Vati, Choornaand Malham.

7)

Lucknow: Fifty Ayurvedic and 42 Unani formulations were being manufactured.

8)

Pilibhit: Forty Ayurvedic Products were being manufactured.

Pilibhit: The Quality Control Lab was not attached to the pharmacy and tests were being conducted in the State Ayurvedic College nearby.

Recommendation: Quality control is an important aspect of the GMP requirements. State Government Pharmacies should adopt proper quality control processes. This needs to be reviewed periodically before funds are released for various schemes related to capacity building. Production Capacity and Utilization 1)

2)

3)

4)

Hyderabad: A total of 44 formulations had been allotted to be prepared which included 6-7 different dosage forms, out of which 13 were in powder form, 13-14 in tablet forms, four were medicated oils, and four were bhasmas. In addition three ointments and two local applications were also being prepared. Bangalore: Eighty Ayurvedic products and 58 Unani products were being manufactured. The formulation of a variety of dosage forms: powders, guggulu, oils and ghee, asavaristhas and lehyas was being undertaken. Jodhpur: Only 13 products were being manufactured in this unit. Apart from the medicines produced in these units, certain drugs were also purchased from private pharmaceuticals to meet the requirements of the dispensaries. Udaipur: Earlier the pharmacy used to

Raw Material availability 1.

Hyderabad: Separate committees exist for Selection, Tender and Purchase. E-tenders were being issued on an AllIndia basis depending upon the annual requirement. No extra local purchases were being made.

2.

Bangalore: E-tendering was being undertaken. There was no shortage of raw materials and no order was left pending for want of raw material.

3.

Jodhpur: E-tendering was being done at the main pharmacy at Ajmer. After passing the tender, the material was being supplied directly to the pharmacy. Occasionally, a shortage of material had been experienced.

4.

Udaipur, Ajmer and Bharatpur: Centralized open tender system was executed by the Directorate’s Office at Ajmer. From the previous year

A Study of Selected State Pharmacies  167


e-tendering had been adopted. The raw materials were being purchased and supplied to the pharmacies as per the budget provision. No extra local purchases were being made generally. It was reported that a shortage of raw materials was faced occasionally. 5.

Lucknow and Pilibhit: There is central tendering system operated from the Directorate’s office.

Storage of products

raw

material

and

working order. This needs the creation of a post of “Machine Operator”. Recommendation: The utilization and upkeep of equipment need to be monitored by the AYUSH/ISM Directorate or a designated official should give an independent audit report to avoid underutilization. Dispensaries and Hospitals 1.

Hyderabad: They claim to be meeting up to 75-80 percent of the target but the dispensaries complain about non-supply and irregular supply of medicine.

2.

Bangalore: It was said that 60 percent of the target was met and the supply was regular. Wooden boxes are used and a private organisation has been entrusted with distribution to the respective dispensaries.

3.

Jodhpur: The pharmacy indicated that it was achieving 100 percent of the target. The material was supplied twice a year through a private transporter and the finished products were being supplied to the zones and the respective dispensaries or collected by them.

4.

Udaipur: The pharmacy was meeting up to 75-80 percent of the target. Occasionally, dispensaries complained about the non-supply of medicines in time. Wooden boxes were packed and supplied to various dispensaries and hospitals. These were seen lying in the pharmacy even after the manufacturing process had been completed.

5.

Ajmer: The material is supplied twice in a year through a private transporter. The supply is regular and the pharmacy said it was achieving up to 60 percent of the target.

6.

Bharatpur: The material was being supplied twice in a year through a private

finished

In all the pharmacies, there was an absence of proper storage as per the GMP guidelines. Items were being stored in gunny and plastic bags. Some materials were stored in galvanized iron drums and cartons. In Ajmer and Bharatpur, although the storage place was sufficient, it was not being used optimally. Packaging aspects In all the pharmacies, the packing was being done manually in plastic bags and plastic containers. Availability of equipment 1)

Hyderabad, Udaipur and Lucknow: Brand new equipment was lying idle. Even after installation, due to certain problems like payment of bills and non-availability of skilled persons the equipment remained unutilized. If these problems are corrected, the production likely to improve.

2)

Bangalore, Ajmer and Pilibhit: They were having enough capacity to meet the requirements.

3)

Jodhpur: Certain machinery was lying idle ever since it was purchased.

4)

Bharatpur: Even though most of machinery was available, it was not in

168  Status of Indian Medicine and Folk Healing


purchase of raw materials was Rs.2.0 lakh under plan and Rs.166 lakh under non-plan head. Out of these, one lakh was utilized under plan and Rs.99 lakh was utilized under Non-plan head. The rates of raw material was decided through competitive tender, hence less budget was utilized.

transporter. The supply was regular and the pharmacy was achieving up to 80 percent of the target. 7.

Lucknow: They achieved 100 percent of the target. Medicines were supplied to hospital/ dispensaries twice a year.

8.

Pilibhit: They achieved 100 percent of the target and the supply was made once in a year.

Recommendation: All State pharmacies should be able to prepare and supply at least 50 percent of the demand of medicines required by the general hospitals and dispensaries. The targets given should be reviewed as at all places people seemed to prefer medicines which were formulated inhouse over commercially procured medicine. The capacity of all State pharmacies and their turnover required to be augmented to ensure timely and dependable supply to government AYUSH facilities. Fund Availability for meeting production requirements2 1)

2)

Hyderabad: The funds allotted for purchase of raw material was Rs.37 lakh for the financial year 2011-12. The allotted fund was not utilized for the said purchase due to shortage of manpower, non-availability of requisite machinery for manufacturing and lack of proper transportation for finished product. Bangalore: During the financial year 2011-12, the total fund sanctioned under plan was Rs.70 lakh and for nonplan expenditure was Rs.359 lakh. Out of this, Rs.66 lakh was utilized under plan and Rs.285 lakh was utilized under non-plan heads. The budget allotted for

3)

Jodhpur: Total fund allotted for purchase of raw materials was Rs.20 lakh during the financial year 2011-12 which was fully utilized. As per delegation of power, the Incharge has the power to purchase raw materials locally to the tune of Rs.30,000/- per annum.

4)

Udaipur: The total fund sanctioned for the financial year 2011-12 was Rs.104 lakh, out of which the budget allotted for purchase of raw material was Rs.40 lakh. Out of which a sum of Rs.15 lakh was utilized.

5)

Ajmer: The total sanctioned budget for financial year 2011-12 was Rs.131 lakh, out of which budget sanctioned for purchase of raw material was Rs.76 lakh. Raw materials were purchased for Rs.68 lakh. As per delegation of financial power, the Incharge has power to spend Rs.25,000/- per annum.

6)

Bharatpur: The total sanctioned budget for the financial year 2011-12 was Rs.104 lakh, out of which budget allotted for purchase of raw material was Rs.7.0 lakh. A sum of Rs.6.5 lakh was utilized for purchase of raw material. As per terms of delegation of authority, the Incharge had the power to spend from Rs.25,000/- to 30,000/- per annum.

2. The data is as collected by the research team. This has however not been counter-checked with the States. The data has been included only to give an idea of the level of funding and production of different kinds of drugs.

A Study of Selected State Pharmacies  169


7)

Lucknow: The total sanctioned budget for the financial year 2011-12 was Rs.561 lakh, out of which budget for raw material was Rs.131 lakh which was fully utilized.

8)

Pilibhit: Total sanctioned budget was Rs.58 lakh out of which Rs.16 lakh was for purchase of raw material which was fully utilized.

Recommendation: Funding should be related to cost of production and improvement in production should be encouraged and incentivised. Local purchase for identified items should be allowed as all requirements cannot be catered for fully. Scope for setting up joint sector production units to improve efficiency The Hyderabad, Udaipur, Ajmer, Bharatpur and Lucknow Pharmacies were not interested in any joint sector arrangement. 1.

2.

3.

Bangalore: The State Government has released Rs. 5-10 crore for the construction of Pharmacy. Another Rs. 10 crore would be given by Department of AYUSH, GOI on 50-50 percent sharing basis. Jodhpur: It was learnt that the pharmacy (all units) might be handed over to a private company. The authenticity of this could not be checked. Pilibhit: It was indicated that this was subject to the jurisdiction of the State Government.

General Findings The general picture that emerges although it is quite different from pharmacy to pharmacy and from State to State shows that production of Ayurvedic and Unani medicine

170  Status of Indian Medicine and Folk Healing

is in progress, and a range of products are being manufactured within the capacity of the infrastructure available to each unit. None of the pharmacies, except in Lucknow and Pilibhit presented a picture of efficiency or of being one of the key players in the area of supplying medicines to the State hospitals and pharmacies. The position seems to have deteriorated over the years although there was capacity available in terms of space and in some places even in terms of equipment. The availability of raw material seems to be totally dependent upon the State tendering process and although at all places the Incharges claimed that they had adequate powers it is unlikely that they could actually make local purchases to fill emergent gaps like payment for gas supply or other essential consumables. The redeeming feature was that electricity supply was not reported to be a big problem and most places were well connected by local transport. Some of the negative challenges that came out of the study, which might be indicative of what probably prevails in most State pharmacies, are indicated below. •

Although there was plentiful space available at most of the pharmacies it was not being utilized properly.

The prevention and control of rodents and insects spoiling the raw drugs as well as the manufactured products is not a stated requirement.

There appears to be a universal shortage of technical staff and labour.

Arrangements for quality control seem to lack focus and from the reports it would appear that the GMP requirements are hardly being met by the State pharmacies at many places.


Conclusions and Recommendations Although the production capacity used to be quite large some years ago, it has diminished considerably and cannot be augmented unless coordinated action is taken to provide technical staff, labour and raw material. All these aspects are perhaps being addressed in routine or not at all. There is every need for the State AYUSH Departments to augment production and supply from the State pharmacies as opposed to making purchase of finished goods from outside because all the field visits had shown that even in the States where primacy has been given to Indian medicine (Himachal Pradesh, Odisha and Uttar Pradesh), the demand and supply of drugs from the State Pharmacies was irregular and insufficient. The PI discussed the reasons for the decline of State pharmacies with some State Directors of Ayurveda. She was told that the State pharmacies became dormant or defunct because they were established at a time when the government instructions were extremely rigid but over time these could not be followed because there was a need for extensive documentation for which there was little capacity. Over the years it became difficult to extract work from the pharmacy staff who were not bound by shift duties round-theclock but were engaged only to work during normal office hours. Whenever power supply was a problem, most of the time was spent in idle gossip. The revival of such pharmacies would require changing the terms of engagement of the staff, moving to a corporate culture in terms of financial management and production. This would also require that the industrial production laws would have to apply.

State pharmacies working on commercial lines are functioning quite successfully if the examples of Tamcol in Tamil Nadu and Oushadi in Kerala are considered. In the interest of using the capacity nearer home so that the uncertainties of transportation and storage are minimized, there is a great need to follow such examples. Even if a couple of states set up a joint sector undertaking or a State run corporation, it would be a great beginning. This would require tremendous persuasion and the preparation of a MOUs and legal documents if such projects are to be taken forward. The level of interest among individual States is poor and there is no willingness to give up making purchase of medicines from outside despite vagaries of supply. The Directors of Ayurveda had pointed out that state governments are not investing in the purchase of AYUSH drugs. They depend on the provisions made under NRHM or allocations made by the Department of AYUSH. A policy on the revival of state pharmacies needs to be made as the provisioning of drugs has to go hand-in-hand with the appointment of hundreds of contractual doctors under NRHM. Even if funding is continued for the NRHM facilities, efforts would need to be made to maintain supplies to the AYUSH dispensaries and hospitals and also to compress the time taken for the drugs to actually reach the facilities. The procurement process is ridden with procedural problems. If the ultimate goal is to see that AYUSH is mainstreamed, some imaginative measures would need to be taken to run the state pharmacies in a cost-effective and efficient way. It may be worthwhile to start by establishing a new society with an independent Governing Body or to set up new ventures while using

A Study of Selected State Pharmacies  171


the old infrastructure. Each state could empower the Governing body to take local decisions on procurement of raw material and processing. The infrastructure could be placed under control of the new setup and the staff could be given the choice to join the new setup or measures may have to be taken to redeploy them within the government. It must be recognised that total reliance on budgetary support and supplies made under NRHM or by Department of AYUSH, Government of India would never be able to meet the requirements of the hospitals and stand-alone facilities. This is completely a state responsibility. Unless there is a continuous supply of at least 50 products made by the State Pharmacies, Ayurveda and Unani systems will fall into

172  Status of Indian Medicine and Folk Healing

disuse in the government sector. Some drastic measures are needed because there has been a virtual absence of drugs in several States visited by the PI among the Eastern and Northern States. Funding for state pharmacies should be revived in the 12th plan. It is necessary to give the money to specific pharmacies by name and to relate further funding to increase in production capacity and fulfilment of targets. It is not as though all the pharmacies have closed down. With some injection of leadership, supervision and funds, things can improve. But it is a subject which needs special attention because on it depends the success of the Ayush initiatives at the facility level.


Annexure-I Grant in Aid released to States/UTs under the Centrally Sponsored Scheme for Quality Control of ASU&H drugs from 2000-01 to 2011-12 (in Rs. lakhs) S. No.

State/UT

1

Andhra Pradesh

2

Drug Testing AYUSH Strengthening Reimbursement Support to GMP compliant ASU of Drug Laboratory Pharmacies of Enforcement Units Testing Fee Mechanism

Total Grant Released

150.00

670.00

36.94

2. 00

-

858.94

Arunachal Pradesh

95.00

100.00

36.40

2.00

-

233.40

3

Assam

93.50

95.00

32.27

2.00

0.60

223.37

4

Bihar

150.00

90.70

29.00

2.00

-

271.70

5

Chhatisgarh

137.60

179.49

29.00

2.00

-

348.09

6

Delhi

95.00

-

29.00

2.00

-

126.00

7

Chandigarh

Â

-

29.00

2.00

-

31.00

8

Gujarat

150.00

598.72

29.00

2.00

18.71

798.43

9

Haryana

100.00

200.00

29.00

4.00

4.21

337.21

10

Himachal Pradesh

100.00

378.05

37.06

4.00

1.97

521.08

11

Jammu & Kashmir

100.00

100.00

30.00

2.00

-

232.00

12

Jharkhand

100.00

150.00

37.06

2.00

-

289.06

13

Karnataka

120.00

185.00

29.00

2.00

37.80

373.80

14

Kerala

150.00

365.00

36.78

2.00

65.79

619.57

15

Madhya Pradesh

115.69

380.00

39.90

2.00

-

537.59

16

Maharashtra

79.04

52.65

38.52

2.00

26.07

198.28

17

Lakshadweep

-

-

29.00

2.00

-

31.00

18

Meghalaya

88.62

-

29.00

2.00

-

119.62

19

Mizoram

175.00

-

34.00

4.00

-

213.00

20

Nagaland

175.00

200.00

34.00

4.00

-

413.00

21

Orissa

100.00

584.47

37.89

2.00

5.00

729.36

22

Punjab

150.00

95.00

34.25

2.00

-

281.25

23

Rajasthan

141.19

779.24

44.46

4.00

20.88

989.77

24

Sikkim

150.00

-

29.00

2.00

-

181.00

25

Tamil Nadu

232.04

600.00

29.00

2.00

-

863.04

26

Tripura

134.63

100.00

35.78

2.00

-

272.41

27

Uttar Pradesh

130.33

534.76

29.00

2.00

-

696.09

28

Uttaranchal

150.00

499.77

36.34

2.00

-

688.11

29

West Bengal

140.00

350.00

29.00

4.00

3.99

526.99

30

Pondicherry

-

-

29.00

2.00

-

31.00

3502.64

7287.85

987.65

72.00

185.02

12035.16

Total

A Study of Selected State Pharmacies  173


Annexure-II Questionnaire for Preparing Status Report on Government Ayurvedic Pharmacies 1)

Name of Pharmacy & address:

2)

Date upto which license has been issued:

3)

Date on which GMP approved :

4)

Sanctioned posts and staff details with qualifications.

5)

Posts (enclose separate list)

6)

What is the installed capacity of the pharmacy product-wise.

7)

Is the capacity fully utilized? If not, why? Give details of : •

Staff shortages

Raw material shortage

Equipment not in working order.

State whether budget is the problem or management capability.

8)

Funding agency (AYUSH/State Govt.)Indicate quantum of grants received in last 3 years:

9)

Total sanctioned budget last year:

10) Total utilized budget last year: 11) Is there sufficient infrastructure for expansion of manufacturing capacity by volume and by adding more terms? 12) Budget allotted for Raw material(last year) and utilization: 13) If budget for raw material was not utilized give reasons including non-availability of certain items. 14) Procedure for raw material purchase: 15) Any delay in raw material purchase: 16) Is any formulations pending for want of Ingredients: 17) Are you satisfied with the storage facilities for Raw material/finished goods: 18) No. of items (classical/proprietary) prepared: 19) Has packing of finished medicines and supply in properly packed condition been satisfactory? Were any complaints received from state hospitals and dispensaries? 20) What percentage of the needs of state hospitals /dispensaries is met from your Pharmacy? 21) Is there any pharmacy development committee? What were its major recommendations? 22) Was there delay caused by administrative procedures. Give examples: 23) Does the in charge have financial/administrative powers? Give details of such delegated authority.

174  Status of Indian Medicine and Folk Healing


24) Last year’s Target item-wise: 25) Whether target was achieved: 26) If not, give details (enclose separate sheet) 27) Any labour/union problems/scams/ enquiries under process? 28) Is there shortage of Power supply? Is there scope to justify a generator?: 29) List of equipment which are not in working order and reasons for non-repair/nonreplacement. 30) Whether Drug Testing Lab attached with Pharmacy or not: 31) List of dispensaries where you are supplying products and comparison with the demand placed: 32) Whether supply of products was regular/irregular with reasons: 33) Has there been any thinking or discussion on the possibility of converting the pharmacy into a corporation or starting a joint sector company with IMPCL or any other state public sector company? 34) Any other suggestion?

(Signature of Pharmacy I/C)

A Study of Selected State Pharmacies  175


Turn static files into dynamic content formats.

Create a flipbook
Issuu converts static files into: digital portfolios, online yearbooks, online catalogs, digital photo albums and more. Sign up and create your flipbook.