28.02.2013 Views

Traditional Medicine in Asia

Traditional Medicine in Asia

Traditional Medicine in Asia

SHOW MORE
SHOW LESS

Create successful ePaper yourself

Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software.

<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>

Hooray! Your file is uploaded and ready to be published.

Saved successfully!

Ooh no, something went wrong!