Traditional Medicine in Asia
Traditional Medicine in Asia
Traditional Medicine in Asia
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<strong>Traditional</strong> <strong>Medic<strong>in</strong>e</strong> <strong>in</strong> <strong>Asia</strong><br />
level of the Qualify<strong>in</strong>g Exam<strong>in</strong>ation. After<br />
pass<strong>in</strong>g, they can proceed to the second<br />
level of Special License Exam<strong>in</strong>ation. On<br />
pass<strong>in</strong>g the second level of exam<strong>in</strong>ation,<br />
graduates can obta<strong>in</strong> the Ch<strong>in</strong>ese<br />
<strong>Medic<strong>in</strong>e</strong> Physician (CMP) license. The two<br />
licenses, CMPLE and CMPSLQE, carry the<br />
same privileges and there is no way for<br />
patients to dist<strong>in</strong>guish between the two. 5<br />
Debate <strong>in</strong> Taiwan on improv<strong>in</strong>g<br />
Ch<strong>in</strong>ese medic<strong>in</strong>e focused on whether the<br />
Government should beg<strong>in</strong> with research or<br />
build a medical school. Characteristic of<br />
many governments, research was given<br />
priority and the Government established<br />
the National Ch<strong>in</strong>ese <strong>Medic<strong>in</strong>e</strong> and Drugs<br />
Research Centre. Establish<strong>in</strong>g a Ch<strong>in</strong>ese<br />
medical school was left to the private sector.<br />
The resultant Ch<strong>in</strong>a Medical College –<br />
established <strong>in</strong> 1958 – is the only such<br />
college <strong>in</strong> Taiwan and has been considered<br />
to have been under-funded and <strong>in</strong>adequately<br />
equipped.<br />
Recommendations made by The<br />
Commission on Health Research for<br />
Development, 39 for strengthen<strong>in</strong>g essential<br />
national research, such as the support and<br />
cooperation from <strong>in</strong>dustrialized nations,<br />
should also extend to the area of research<br />
<strong>in</strong> TRM and its <strong>in</strong>tegration. It has been<br />
argued that the global community should<br />
promote cooperation and <strong>in</strong>formation<br />
exchange centred on <strong>in</strong>tegration<br />
strategies. 5<br />
In Africa and the Americas, traditional<br />
and <strong>in</strong>digenous medic<strong>in</strong>e is <strong>in</strong>formal, <strong>in</strong><br />
some cases operat<strong>in</strong>g under a Monopolistic<br />
170<br />
“Healers have for long been treated like<br />
trees on savanna farms - not formally<br />
cultivated, yet valued and used,<br />
particularly by women and children”.<br />
Last & Chavanduka (1986) <strong>in</strong> The<br />
Professionalisation of African <strong>Medic<strong>in</strong>e</strong>.<br />
situation controlled by orthodox Western<br />
medic<strong>in</strong>e. In others, a more Tolerant<br />
situation exists, but <strong>in</strong> the absence of official<br />
recognition or health sector <strong>in</strong>vestment <strong>in</strong><br />
development. The same applies to <strong>in</strong>digenous<br />
medical traditions <strong>in</strong> Australia.<br />
<strong>Traditional</strong> <strong>Medic<strong>in</strong>e</strong> and the<br />
Formal Health sector <strong>in</strong> Africa<br />
There has been a long-reported will<strong>in</strong>gness<br />
on the part of traditional healers <strong>in</strong> Africa<br />
to collaborate with the formal sector and<br />
to establish jo<strong>in</strong>t tra<strong>in</strong><strong>in</strong>g. Burnett, et al.,<br />
(1999) note that 37 of the 39 traditional<br />
healers (94%) and 14 of the 27 formal<br />
health workers (52%) <strong>in</strong>terviewed <strong>in</strong> a<br />
Zambian study were keen to collaborate<br />
<strong>in</strong> tra<strong>in</strong><strong>in</strong>g and patient care relat<strong>in</strong>g to<br />
HIV/AIDS. 40<br />
However, this is not generally a<br />
reciprocal view. Although one per cent of<br />
nurses <strong>in</strong> South Africa are reported to be<br />
traditional healers, rural nurses <strong>in</strong><br />
Swaziland perceived themselves as be<strong>in</strong>g<br />
teachers to healers, but not learn<strong>in</strong>g from<br />
healers. They saw themselves as a source<br />
of referral for healers, but not the reverse. 41<br />
One view is that it may be more<br />
appropriate to work towards a system of<br />
cooperation between two <strong>in</strong>dependent<br />
systems, with each recogniz<strong>in</strong>g and<br />
respect<strong>in</strong>g the character of the other. (42)<br />
This has been the policy <strong>in</strong> Botswana,<br />
where parallel development has been<br />
encouraged, s<strong>in</strong>ce it is felt that one or other<br />
of the two systems might suffer <strong>in</strong> the<br />
process of <strong>in</strong>tegration. 40<br />
WHO policies of the late 1970s and<br />
1980s have promoted the establishment<br />
of associations of traditional healers <strong>in</strong><br />
Africa. Dur<strong>in</strong>g the 1990s, NGOs of traditional<br />
health practitioners – associations,<br />
small groups, cl<strong>in</strong>ics, etc. – have grown<br />
exponentially <strong>in</strong> Africa, play<strong>in</strong>g a partnership<br />
role <strong>in</strong> HIV/AIDS education and care, 43 <strong>in</strong>