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Traditional Medicine in Asia

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<strong>in</strong>stitutions <strong>in</strong> address<strong>in</strong>g the critical<br />

problems now be<strong>in</strong>g faced.<br />

(8) How to f<strong>in</strong>ance traditional medic<strong>in</strong>e<br />

activities? Why?<br />

Because, the <strong>in</strong>troduction of traditional<br />

medic<strong>in</strong>e activities will require adequate<br />

budgetary appropriations. A sound<br />

programme and budget that maximizes<br />

the effective use of all available resources<br />

needs to be evolved.<br />

(a) There is no s<strong>in</strong>gle or simple approach<br />

to the problem of how to <strong>in</strong>volve<br />

traditional practitioners <strong>in</strong> national<br />

health systems, especially at the<br />

primary health care level. Dedicated<br />

and s<strong>in</strong>cere action on the part of all<br />

concerned will be required to foster a<br />

collective effort to generate and<br />

implement policies best suited to any<br />

given country.<br />

(b) The first step could be the establishment<br />

of a National Council for <strong>Traditional</strong><br />

<strong>Medic<strong>in</strong>e</strong>, that could be charged with<br />

responsibility for prepar<strong>in</strong>g a national<br />

strategy of lay<strong>in</strong>g down a broad plan<br />

of action to be followed by the<br />

Government. The Council should be<br />

multidiscipl<strong>in</strong>ary and multisectoral <strong>in</strong><br />

nature, with appropriate representation<br />

of the different types of traditional<br />

practitioners <strong>in</strong>volved.<br />

(c) Major policy issues need to be<br />

identified quickly, priorities determ<strong>in</strong>ed<br />

and mechanisms established to propose<br />

the various options and courses of<br />

action open to the Government, with<br />

ad hoc groups be<strong>in</strong>g formed to tackle<br />

specific issues.<br />

(d) Adequate f<strong>in</strong>ance should be assured<br />

under the Government’s regular<br />

budget for the support and promotion<br />

of traditional medic<strong>in</strong>e activities.<br />

External f<strong>in</strong>ance should be considered<br />

as only supplementary to the<br />

Government’s ma<strong>in</strong> effort.<br />

Development of tra<strong>in</strong><strong>in</strong>g programmes for traditional medic<strong>in</strong>e<br />

(e) In parallel with the work outl<strong>in</strong>ed<br />

above, it will be necessary to undertake<br />

a survey of the national situation <strong>in</strong><br />

respect of the practitioners, the<br />

population’s preferences and needs,<br />

resources, special problems, etc., upon<br />

which a sound national health plan<br />

reflect<strong>in</strong>g the role of traditional<br />

medic<strong>in</strong>e may be formulated. Practitioners<br />

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

be engaged <strong>in</strong> these activities and the<br />

results should be made widely known<br />

to the general public as well as to the<br />

health professions.<br />

(f) The <strong>in</strong>stitution of practical, low-cost<br />

traditional medic<strong>in</strong>e activities need not<br />

await the results of these surveys. One<br />

of the first activities should be the<br />

generation of a public debate that<br />

should <strong>in</strong>clude special educational<br />

efforts for the public (press, TV and<br />

radio), distribution of <strong>in</strong>formation on<br />

traditional medic<strong>in</strong>e, and short courses<br />

for traditional practitioners and<br />

conventional health personnel, as an<br />

<strong>in</strong>itial step, to secure their <strong>in</strong>volvement.<br />

There are three basic changes and<br />

reorientations that are needed <strong>in</strong> the<br />

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

traditional medic<strong>in</strong>e. Firstly, more attention<br />

must be paid to problem-solv<strong>in</strong>g skills as<br />

the current curricula are overburdened with<br />

the pursuit of knowledge and <strong>in</strong>formation,<br />

much of it is irrelevant to the priority tasks<br />

needed to meet the health problems of<br />

communities. The curricula also need to<br />

be more problem-oriented and communityoriented,<br />

if not community-based. In<br />

addition, appropriate teach<strong>in</strong>g and<br />

learn<strong>in</strong>g strategies need to be developed<br />

for traditional medic<strong>in</strong>e practitioners to<br />

work <strong>in</strong> teams.<br />

Secondly, the education and tra<strong>in</strong><strong>in</strong>g<br />

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

189

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