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Ayush mainstreaming presforfgd_who
Ayush mainstreaming presforfgd_who
Ayush mainstreaming presforfgd_who
Ayush mainstreaming presforfgd_who
Ayush mainstreaming presforfgd_who
Ayush mainstreaming presforfgd_who
Ayush mainstreaming presforfgd_who
Ayush mainstreaming presforfgd_who
Ayush mainstreaming presforfgd_who
Ayush mainstreaming presforfgd_who
Ayush mainstreaming presforfgd_who
Ayush mainstreaming presforfgd_who
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Ayush mainstreaming presforfgd_who


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thoughts on AYUSH mainstreaming. presented during a WHO consultation.

thoughts on AYUSH mainstreaming. presented during a WHO consultation.

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  • 1. Bringing AYUSH Systems intoPublic Health Mainstream:Vision and a Possible Roadmap
    Presentation during a WHO initiated Consultation at Raipur
    organised by Directorate of AYUSH, Chhattisgarh
    on 07.10.2009
    V R Raman, Public Health Resource Network
    Consultant, ICICI Centre for Child Health and Nutrition
    For Setting up SHRC Jharkhand
  • 2. Vision
    Positioning AYUSH systems on the public health mainstream towards Comprehensive Primary Health Care and for achieving Health for All, with:
    Equitable identity and parity with modern systems
    Better outreach, access and coverage,
    Indigenous knowledge streams are seen, studied and examined in scientific terms, according due attention and dignity,
    Proper political and administrative environment as well as supportive measures
    Time-bound plans of action
  • 3. Why Mainstreaming Emerged as a need ?
    Almost all systems under AYUSH got a strong structure, still they are to be mainstreamed and internally strengthened: but why?
    The growth of modern systems negated the footage and the legacy of existing systems
    AYUSH systems too, negated the necessary learning from modern medicine- how had it updated itself through self-correction, diagnostics, biochemistry, and many other developments
    Interesting read: Bandopadhyay, Tarashankar: ArogyaNiketan, a novel
  • 4. Mainstreaming: are the objectives clear?
    Different perspectives:-
    Mainstream Health Services lookout: a stop gap arrangement, to provide at least an “underqualified physician”, for the underserved areas
    GoI: a cafeteria approach to give choices to the clientele
    Modern Medicine Doctor: a useless initiative for them, as no understanding of these systems
    AYUSH outlook: sheer showcasing measure
    People: No idea, as nothing has reached them so far; however, they welcome and need holistic approach, if provided
    Private (vested) AYUSH establishments: don’t want it, as it may finish off many of their golden egg hen avenues..
  • 5. Mainstreaming: Possible Goals or Positive Meanings
    Getting proper space within Health Acts, Policies and Programmes
    Securing well-deserved identity amongst system leaders as well as people
    Attaining parity in terms of position with other systems
    Identifying Priority/ effective interventional areas for AYUSH
    Ensuring scope for advanced learning of these system
    Initiating advanced research and documentation for standardisation, accreditation and dissemination of knowledge
    Rebuilding the community trust and inclination
    Creating comradeship with practitioners of modern system
    Achieving trust within- amonst different components of AYUSH systems themseleves
  • 6. Mainstreaming: Strategies
    2 way convergence with modern systems
    Departure from traditional teaching-learning processes: Revise AYUSH systems curricula to include modern diagnostic approaches, technologies- also develop language, IT skills in students
    Introducing AYUSH system briefs in MBBS curricula, from the very beginning- Yoga etc, however with care not to project them as a solution for each and every health problem
    Introducing concurrent research guided by experts both in modern and AYUSH systems- not the traditional research which gets a full stop at a PhD award or a wage hike or promotion
    Comparative medicine to be taught and holistic medicine in practice
    Joint Diagnosis in place of cafeteria approach which takes care of patient’s choices only, not their need (KottakkalAryaVaidyaShala)
  • 7. Strategies Contd..
    Clinical / House Surgeon posting: cross-posting from AYUSH to modern and vice-versa
    Capacity building of AYUSH HRH, to reduce the inferior feeling
    Equipping AYUSH facilities with advanced communication and computing systems, technologies
    CME, journals, knowledge repositories
    Regulatory measures: control of magical remedies a must to regain the trust on AYUSH as a systems of medicine
    Accreditation of Traditional Healers with documentation and validation of their existing knowledge, identifying gaps and training
  • 8. Strategies Contd..
    Uniform classification of diseases in line of ICD, though based on the school of thought represented by each systems
    Computerised diagnostics (Rog-Nidan) Protocols, like the ones already available for Homoeo
    Comparative, symptom based treatment protocols, indicating cross-referrals
    Standardised pharmacopeia reforms: production based on new technologies and combinations are largely controlled by private players and profit interests
    Coordination to be established with patents and IPR procedures- no idea on how are the things evolving and patented
    Essential Drug Lists, procurement and storage procedures,
    Drug formularies, including old as well as new formulations
  • 9. Strategies Contd...
    Promotion of SwasthaVrutha or similar measures, updated based on changed life-styles and surroundings
    Defining clear boundaries for Home remedies, traditional care and for systemic care- what to do and what not and when- with suggestions on when to refer for advanced or specialised care
  • 10. Priority Intervention Areas, where acceptance will be immediate and high..
    Geriatric Care
    Life-style diseases control and life style modifications: YOGA etc
    Mental Health Care
    Antenatal and Post-natal mother care: GarbhaRaksha
    Malnutrition Management
    Anaemia Management
    Community Eye Care
    Community Dental Care
    Community Skin care
    Control of Non-communicable Diseases: Diabetics, Asthma, Liver disorders, Rheumatic care, etc
    Supplementary role in TB, Leprosy, HIV management
  • 11. Mainstreaming: Pre-conditions
    Priority to be accorded- beyond current prominence
    Not lucrative, but sufficient resources to be allocated
    Equity/parity issues
    Orientation and fellow-travelling of modern systems in mainstreaming efforts
    Survival of the sickest too, within AYUSH systems, kept in focus... Not just AYURVEDA and YOGA
  • 12. Mainstreaming: Conclusions
    The Roads are ahead....