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Traditional Medicine in Asia

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should be sequential and progressive, and<br />

specific learn<strong>in</strong>g objectives should be<br />

derived from the competencies required for<br />

more effective and efficient performance. 6<br />

Here, there are greater opportunities than<br />

with basic-level programmes to pursue<br />

multi-professional or team-and-problemoriented<br />

approaches to education.<br />

S<strong>in</strong>ce the purpose of cont<strong>in</strong>u<strong>in</strong>g<br />

education is enhanced job performance <strong>in</strong><br />

the health services, it must be associated<br />

with other factors that contribute to high<br />

levels of staff morale and productivity.<br />

Cont<strong>in</strong>u<strong>in</strong>g education is, therefore, not only<br />

a part of the tra<strong>in</strong><strong>in</strong>g component of human<br />

resource development, but of human<br />

resources management as well. In Ch<strong>in</strong>a<br />

these aspects are reasonably wellarticulated<br />

<strong>in</strong> the cont<strong>in</strong>u<strong>in</strong>g education of<br />

traditional medic<strong>in</strong>e practitioners. It<br />

requires cooperation between the tra<strong>in</strong>ers<br />

and the health service managers.<br />

Orientation of medical students<br />

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

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

In order to foster and generate an<br />

atmosphere of cooperation between the<br />

practitioners of modern and traditional<br />

medic<strong>in</strong>e, one requirement would be to<br />

orientate the students and practitioners of<br />

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

This should therefore be taken up as a<br />

parallel activity. In India, for example, it is<br />

now compulsory for medical students to<br />

have a certa<strong>in</strong> number of hours of<br />

<strong>in</strong>struction dedicated to traditional<br />

medic<strong>in</strong>e. This is a good start and, later, it<br />

may be possible to <strong>in</strong>corporate some<br />

assessments also <strong>in</strong>to this. It would be<br />

desirable to similarly orientate the<br />

practitioners of Western medic<strong>in</strong>e <strong>in</strong><br />

traditional medic<strong>in</strong>e, but this would be a<br />

much more difficult exercise as there would<br />

be few available ways of generat<strong>in</strong>g <strong>in</strong>terest<br />

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

among them <strong>in</strong> this subject. It would be<br />

easier when, and if, the two systems are<br />

available to the community <strong>in</strong> some<br />

<strong>in</strong>tegrated or coord<strong>in</strong>ated manner so that<br />

the practitioners communicate regularly<br />

with each other.<br />

Conclusion<br />

Many years have passed s<strong>in</strong>ce the World<br />

Health Assembly first urged <strong>in</strong>terested<br />

governments to give adequate importance<br />

to the utilization of their traditional systems<br />

of medic<strong>in</strong>e with appropriate regulations<br />

as suited to their national health system<br />

(Resolution WHA30.49). So far no clear<br />

picture as to how this was to be implemented<br />

<strong>in</strong> many countries has evolved and<br />

many public health adm<strong>in</strong>istrators look on<br />

traditional medic<strong>in</strong>e with cont<strong>in</strong>ued<br />

cynicism. Without a proper understand<strong>in</strong>g<br />

at Government level of the issues <strong>in</strong>volved<br />

and the creation of an <strong>in</strong>formed body of<br />

op<strong>in</strong>ion on the subject among the health<br />

profession and the public, there will be no<br />

significant move to utilize traditional<br />

medic<strong>in</strong>e <strong>in</strong> national health systems.<br />

One tends to speak as if the traditional<br />

forms of medic<strong>in</strong>e and their practitioners<br />

are each homogeneous entities. It is,<br />

however, important to dist<strong>in</strong>guish between<br />

the “formalized” traditional systems of<br />

medic<strong>in</strong>e, such as Ayurveda, Unani, and<br />

Ch<strong>in</strong>ese traditional medic<strong>in</strong>e and the<br />

practice of those practitioners who are<br />

recognized by their communities as be<strong>in</strong>g<br />

competent to provide health care. These<br />

practitioners serve a long apprenticeship<br />

and their knowledge is handed down from<br />

generation to generation, ma<strong>in</strong>ly by word<br />

of mouth.<br />

There are also various types of healers<br />

whose practices are based on spiritual or<br />

moral convictions and others more difficult<br />

to def<strong>in</strong>e but who, nevertheless, are<br />

191

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