Annexure -1 Application for grant of Financial Assistance for organizing Seminars / Conference / Symposium / Workshops /Meeting on AYUSH to be submitted 3 months before the event along with complete details. 1. Name& Address (with e-mail Id & Mobile no.) of State Government / Organization/ Association / Body / Society / NGO / Institution seeking financial assistance: Institute of Post Graduate Training & Research in Ayurveda, Gujarat Ayurved Univerity, Jamnagar. Address: Opposite B-division Police Station, Gurudwara Road, Jamnagar, Gujarat, India - 361008 Website : www.ayurveduniversity.edu.in Email: ipvcjamnagar@gmail.com Telephone: (O) 0288 2552014 (R)0288 2553669 Fax : +91–288– 2553936 2. Indicate whether it is the main Society or Chapter / Unit / Branch of the main Association / Body / Society and status of the organization which is applying: 3. In case of NGO- Article of Association, bye-laws, audited statement of accounts for last three years, activities and performance report for the last three years; sources and pattern of income and expenditure etc. must be enclosed: 4. Date(s), Place and Topic/subject (brief synopsis) of Seminar/conference/Symposium / Workshop / Meeting. Institute For Post Graduate Teaching And Research In Ayurveda(IPGT&RA), has been identified as Intermediary Pharmacovigilance Centre for Ayurveda in India. Under this programme 9 Regional and 30 peripheral centres are working across the country. A Two days National Consultative meet has been organised by the Institute under financial support from WHO country office, India at the conference Hall of department of AYUSH, New Delhi on 29th & 30th August 2008. The National protocol of Pharmacovigilance ASU & H drugs was finalised in the meeting along with this different IPvC and PPvC throughout the country were also identified. As the concept of Pharmacovigilance in ASU drug is new, the experts emphasised on training the trainers who can properly sensitise the matter among mass for better implementation of the programme. Hence it is thought to organise a workshop where the trainers, who are the anticipated coordinators of near future, with the concepts and background of the Pharamcovigilance system which can be disseminated across the country. 5. a) Scientific details of the Seminar/Conference/Symposium/ Workshop (including various technical sessions). A tentative programme of activities may also be supplied: A two days CME has been planned to be conducted on 11th December -12th December 2008 at IPGT&RA, G.A.U, Jamnagar, The tentative schedule is as follows: Day 1: [11 October, 2019) Registration of the Delegates Inauguration Technical Session 1: What is Pharmacovigilance? Aims and objectives of pharmacovigilance, Definitions and terminologies Pharmacovigilance. used Technical Session 2: Pharmacovigilance initiatives at International and National levels Technical Session 3: Pharmacovigilance in ASU & H drugs : Current Scenario Technical Session 4.: Challenges in Introducing Pharmacovigilance in ASU & H drugs Day 2: in [12 October, 2019 ] Technical Session 5: National Pharmacovigilance programme for ASU & H drugs Technical Session 6: Setting up and operating a centre for spontaneous adverse reaction monitoring, Detection & Assessment of Adverse reactions to ASU & H medicines Technical Session 7: Skills to foster reporting culture. Communications skills – for complete and meticulous collection of data. Methodology of filling up the forms, causality analysis etc. Technical Session 8: Assessing pharmacoepidemiological studies. Prevention of Adverse reactions to ASU & H Medicines Total 50 coordinators of Ayurveda, Siddha, Unani (ASU & H) , across the country (at least one from each state from Ayurveda, Unani & Siddha) shall be invited to be trained as trainer of Pharmacovigilance for ASU & H drugs. The training module will be prepared by the Intermediary Pharmacovigilance Centre for Ayurveda. Reputed resource persons shall be invited to deliver lectures to the trainees. b) Explain briefly as to how the subject of the Seminar/Conference/Symposium/ Workshop is directly related to dissemination of proven results of AYUSH: c) In case the topic of the Seminar/Conference/Symposium/Workshop is the same as in previous years what is your justification for holding it again. d) Has any Chapter/Unit/Branch of the Association/ Body/Society/ NGO received any grant from the Central Government, i.e., Ministry of AYUSH during the last 3 years for organizing Seminar/Conference/Symposium/Workshop? If so, give details year-wise in tabular form under the following heads, along with a report of work done/summary of achievements and its effect on the society at large: Name of Body (indicating if Branch/ Chapter Unit etc.) Amount Year Letter No. and date of Ministry of AYUSH Purpose Name of the Whether U.C. Seminar/Confer Submitte d ence/ Symposium/W orkshop e) if the application is from an Institute/Department, give details regarding collaboration, if any with particular Institute/Department/Representative National Scientific Body. 6. a) How many delegates are expected to participate? (Indicate the number and names of the delegates). Total 50 Teachers of Ayurveda, Siddha Unani(ASU) and Research officers from different ASU research councils, across the country designated as coordinators of IPvCs and PPvCs ( at least one from each state) shall be invited to be trained as trainer of Pharmacovigilance. The training module will be prepared by the National pharmacovigilance Resource Centre ASU drugs. Resource persons shall be invited to deliver lectures to the trainees. 250 trainees shall be invited to present their research papers. b) How many delegates are expected to present their papers? (Please give their names, designation and topics). If abstracts have been received, please send copies. 50 c) Please give structure of Seminar/Conference speakers with their topic for each session: Sl. No Name and address of the expert Prof. Urmila Thatte, Nair Hospital, Mumbai, Maharastra Designation Subject expert Professor and Head 2. Prof K C Singhal, VC NIMS University, Jaipur 3. Prof Y K Gupta, AIIMS, New Delhi Prof GP Mohanta, WHO India office, New Delhi Vice chancellor Ex – Prof Pharmacology. Professor Skills to foster reporting culture. Communications skills – for complete and meticulous collection of data., Methodology of filling up the forms, causality analysis Setting up and operating a centre for spontaneous adverse reaction monitoring What is Pharmacovigilance?, Aims and objectives of Pharmacovigilance Pharmacovigilance initiatives at International and National levels 1. 4. Professor, WHO consultant 5. Prof SS Savrikar, Podar college, Mumbai, Professor Prevention of Adverse reactions to ASU Medicines 6. Prof PK Debnath, Kolkata, Professor Pharmacovigilance in ASU drugs : Current Scenario 7. Dr B Ravishankar, Head, Pharmacology, IPGT&RA, Jamnagar Prof. D. Santani, Vapi, Gujarat, Head, Pharmacology Lab. Professor and director PG studies Interpretations and use of informationfrom spontaneous adverse reaction reporting systems Definition and terminologies used in Pharmacovigilance. Assessing pharmacoepidemiological studies. Dr. Chetana Desai, Ahmedabad, Gujarat Asst. Prof. pharmaceutical expert Challenges in Introducing Pharmacovigilance in ASU drugs, Pharmacovigilance in industry 8. 9. 10. Prof. M S Baghel Director, Chairman, NPP-ASU drugs National Pharmacovigilance programme for ASU drugs d) To how many delegates is TA/DA offered? 50 7. a) What is the total anticipated expenditure? Please give details under various heads. (Item- wise) Budget Item No Expenditure Head 1 *personnel / Secretarial assistance Planned Budget (Rs.local currency) *(Please refer to the Ministry’s budget rates limit guidelines indicated below) 500.00 Rs. 250.00 for 2 days = Rs.500.00 2 * Per Diem/ Daily Allowence 45,600.00 Daily allowance for one Resource person @Rs. 700.00 Per day for 8(eight)Resource persons@ Rs. 700.00 X 8= Rs. 5600.00 Per diem per participant Rs. 400 per day for 2 days for 50 participants Rs. 400.00X 50 X 2 days = 40000.00 3 Meeting and training A Venue hiring – Free of Cost Planning to organize at Depts conference Hall B Training materials and stationary 12,500.00 (please indicate articles and quantity required) Rs. 250.00 per participant for 50 participants 50 kits including a folder, writing pad, pen = Rs 12,500.00 C Refreshments(tea / coffee) For 50 persons @Rs 150.00 per day for 2 days= 15,000.00 Rs. 15000.00 4 Transportation / Travel cost TA for 8 outstation Resource persons @ Rs 20,000.00 each (air / train)= 4,00,000.00 Actual expenditure Rs.1,60,000.00(one lakh sixty thousands only) TA @ Rs 6000.00 per participant for 40 participants Rs. 2,40,000.00 (Rupees two lakhs forty thousand only) 5 Office running costs(small supplies and stationary) Rs. 10,000.00 10,000 6 Preparation of Report and proceedings 15,000 7 Miscellaneous(not to exceed 10,000.00) Rs. 10,000.00 Rs. Total = 10,000 05,08,600.00 Rupees five lakh eight thousand and six hundred only) b) What is the amount requested from the Central Government? c) What will be the contribution of the organization? 8. Details of grants requested/received from agencies like GOI, State Govts. UGC, INSA, DST, CSIR and ICAR for the proposed Seminar/Symposium/Workshop: Name of the Agency Grant requested Grant received Items for which grant has been asked for Whether U.C. submitted? 9. Income from participants by way of(a) Registration fees, and (b) other sources, etc. 10. Name of the authority who will be responsible for submitting the audited statement of accounts/Utilization Certificate and proceedings/Reports of the Seminar / Symposium / Workshop within one month of the event. 11. a) Any other information relevant to the event. b) ECS/Bank Details as per Annexure-II c) Agency Registration as per Annexure-III Signature With full address and rubber stamp.