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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 />

practitioners <strong>in</strong> district health care, with<br />

traditional health practitioners themselves<br />

as pr<strong>in</strong>cipal <strong>in</strong>vestigators, could greatly<br />

enhance development <strong>in</strong> this field. To take<br />

another example, mak<strong>in</strong>g available simple<br />

multipurpose kits conta<strong>in</strong><strong>in</strong>g appropriate<br />

therapeutic agents and basic <strong>in</strong>struments<br />

that could be handled by traditional<br />

practitioners <strong>in</strong> their own practices, as is<br />

done <strong>in</strong> some countries, could do much to<br />

improve the quality of their work.<br />

<strong>Traditional</strong> medic<strong>in</strong>e activities must, of<br />

course, be adequately funded and external<br />

and <strong>in</strong>ternal fund<strong>in</strong>g agencies and nongovernmental<br />

organizations should be<br />

coopted <strong>in</strong>to this endeavour.<br />

Some guid<strong>in</strong>g pr<strong>in</strong>ciples for<br />

develop<strong>in</strong>g a tra<strong>in</strong><strong>in</strong>g system<br />

<strong>in</strong> traditional medic<strong>in</strong>e<br />

The above experiences and questions<br />

provide the overall context for establish<strong>in</strong>g<br />

and improv<strong>in</strong>g education and tra<strong>in</strong><strong>in</strong>g<br />

programmes <strong>in</strong> traditional medic<strong>in</strong>e. The<br />

more immediate context for policy and<br />

action will be the structure and the function<br />

of the human resources development subsystem<br />

<strong>in</strong> the particular country.<br />

WHO advocates that each level of the<br />

health system should be the responsibility<br />

of the most suitably tra<strong>in</strong>ed health<br />

professionals, and not necessarily the “most<br />

highly” tra<strong>in</strong>ed staff. The support such<br />

“suitably tra<strong>in</strong>ed” staff need must be<br />

provided by the higher levels of staff. This<br />

would be a critical requirement to<br />

“<strong>in</strong>tegrate” the traditional medic<strong>in</strong>e<br />

practitioners <strong>in</strong> the general health care<br />

system and place them <strong>in</strong> a position of<br />

maximum use to the community.<br />

WHO also believes that the three ma<strong>in</strong><br />

components of the human resources<br />

development process – plann<strong>in</strong>g, production<br />

and management or utilization –<br />

186<br />

should be functionally <strong>in</strong>tegrated, and<br />

these, <strong>in</strong> turn, should be <strong>in</strong>tegrated with<br />

overall health systems development. In this<br />

scenario, ideally education and tra<strong>in</strong><strong>in</strong>g<br />

<strong>in</strong> traditional medic<strong>in</strong>e should be<br />

articulated with<strong>in</strong> this system. But reality<br />

is often otherwise. Many of the efforts <strong>in</strong><br />

the education and tra<strong>in</strong><strong>in</strong>g of traditional<br />

medic<strong>in</strong>e practitioners <strong>in</strong> the countries are<br />

made on an ad hoc basis outside the<br />

ma<strong>in</strong>stream of human resources for health<br />

development and do not constitute an<br />

<strong>in</strong>tegral part of the education and tra<strong>in</strong><strong>in</strong>g<br />

of health professionals. The reasons for<br />

this state of affairs are multiple, but they<br />

orig<strong>in</strong>ate ma<strong>in</strong>ly from two generic<br />

problems that are <strong>in</strong>herent <strong>in</strong> our health<br />

systems. One is the place of traditional<br />

medic<strong>in</strong>e <strong>in</strong> the health system, the types<br />

of issues that were identified <strong>in</strong> the earlier<br />

part of this paper. The other is an<br />

attitud<strong>in</strong>al and hierarchical problem<br />

where<strong>in</strong> the practitioners of the modern<br />

allopathic system of medic<strong>in</strong>e do not<br />

recognize the practitioners of traditional<br />

medic<strong>in</strong>e to be on par with them. The<br />

years of dom<strong>in</strong>ance of the allopathic<br />

system, and the technological advancement<br />

it has achieved, supported by<br />

public perception and demand, have<br />

comb<strong>in</strong>ed to create this situation and it<br />

will be narve to expect it to change<br />

overnight. But this is a fundamental<br />

problem that needs to be recognized and<br />

addressed appropriately <strong>in</strong> many of our<br />

countries.<br />

None of the three processes <strong>in</strong> human<br />

resources development – plann<strong>in</strong>g,<br />

education and management – can function<br />

<strong>in</strong>dependently of each other. They have their<br />

own cycles, though.<br />

� Human resources planners act<strong>in</strong>g<br />

<strong>in</strong>dependently of production and<br />

management become paper planners<br />

only;

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