Evaluating AYUSH Integration in Delhi NCR: A PRISMA Framework Study

Abstract

As the Indian government attempts to mainstream AYUSH (Ayurveda, Yoga & Naturopathy, Unani, Siddha, and Homoeopathy) systems into the healthcare sector, it is plagued by the problem of policy perception paradox, whereby persistent low utilisation of these services persists despite significant infrastructure development and investment. A systematic review of the literature using the PRISMA framework is used as the methodology for this study. The findings reveal that Delhi-NCR is recognised as a centre for a number of apex institutions, extensive co-location with allopathic facilities and digital integration. However, this is in sharp contrast to a consistent pattern of severe demand-side underutilization as AYUSH accounts for a disproportionately low fraction of outpatient visits compared to allopathy, which results in increased government spending per patient in AYUSH facilities. The analysis further reveals that even though AYUSH is preferred in managing chronic conditions, its widespread acceptance is hampered by perceived lack of scientific validation and operational challenges in integrated settings. The study concludes that current trends in Delhi-NCR highlight policy-perception gaps, showing the critical need for solutions that move beyond infrastructural expansion to effectively address the determinants of low public utilization.