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Status of Using Indigenous Status of Using Indigenous Knowledge in Management of Knowledge in Management of
HIV / AIDS in Sri Lanka HIV / AIDS in Sri Lanka
Dr. Danister L. Perera Dr. Danister L. Perera
RegistrarRegistrar
Ayurvedic Medical CouncilAyurvedic Medical Council
Sri LankaSri Lanka
2005.08.11 DLC Sri Lanka
IK in Healthcare in Sri Lanka IK in Healthcare in Sri Lanka We are the only country having a separate ministry for We are the only country having a separate ministry for
Indigenous Medicine Indigenous Medicine Ministry of Indigenous MedcineMinistry of Indigenous Medcine
Department of AyurvedaDepartment of Ayurveda BMARIBMARI NITMNITM Teaching HospitalsTeaching Hospitals Herbal GardensHerbal Gardens
Sri Lanka Ayurveda Drugs CorporationSri Lanka Ayurveda Drugs Corporation
Ministry of Higher Education Ministry of Higher Education University Institutes of Ayurveda / Siddha / Unani University Institutes of Ayurveda / Siddha / Unani
Provincial Ministries Provincial Ministries Provincial Department of AyurvedaProvincial Department of Ayurveda
District HospitalsDistrict Hospitals Rural HospitalsRural Hospitals Central Dispensaries Central Dispensaries
2005.08.11 DLC Sri Lanka
Sri Lankan Indigenous Sri Lankan Indigenous Knowledgebase Knowledgebase
Total number of traditional Total number of traditional practitioners is 11647practitioners is 11647
41% (4869) is General Practitioners 41% (4869) is General Practitioners
59% (6778) is Special or Unisectional 59% (6778) is Special or Unisectional
68% of total (17038) registered 68% of total (17038) registered Ayurvedic practitioners is Traditional Ayurvedic practitioners is Traditional PractitionersPractitioners
There are another thousand of local There are another thousand of local healers unregistered at village levelhealers unregistered at village level
2005.08.11 DLC Sri Lanka
AIDS as a Disease Entity in IK AIDS as a Disease Entity in IK
Low immunityNeurological impairments Digestive and metabolic ailments Impairments with memoryRapid degenerative processEnhancement of cancerous conditionsLow libido and strength of virilityMicrocirculatory impairments Displacement of astral body
2005.08.11 DLC Sri Lanka
IK Aspects of Management of AIDSIK Aspects of Management of AIDS
Biophysical Psychological Astrological / Cosmological Religious / Spiritual Cultural
2005.08.11 DLC Sri Lanka
IK in HIV / AIDS ManagementIK in HIV / AIDS Management
IK Involvements in HIV/ AIDS State Private
Human Resource DevelopmentHuman Resource Development 00 00
Research Research 00 00
Publications Publications 00 04
Curative InterventionsCurative Interventions 00 08
Seminars / Presentations Seminars / Presentations 00 06
Product DevelopmentProduct Development 00 01
National Level Proposals National Level Proposals 01 00
2005.08.11 DLC Sri Lanka
Contribution of IK Practitioners
Number IKPs of reported to be involving in Number IKPs of reported to be involving in management of HIV / AIDS is very fewmanagement of HIV / AIDS is very fewDuring last 10 years there were several During last 10 years there were several paper advertisements claming to cure paper advertisements claming to cure AIDSAIDSThree of them were found to be quacksThree of them were found to be quacksOne is amazingly found to be lunatic One is amazingly found to be lunatic I have personally interviewed five of theseI have personally interviewed five of theseThree were found to be very much Three were found to be very much knowledgeable on the subject and seemed knowledgeable on the subject and seemed to have experimental approach to have experimental approach They claimed that HIV / AIDS can be cured They claimed that HIV / AIDS can be cured or controlled or controlled
2005.08.11 DLC Sri Lanka
Benefits of Using IK in HIV / AIDS Benefits of Using IK in HIV / AIDS
Enhancement of quality of lifeEnhancement of quality of life
Pacifying day-to-day health problemsPacifying day-to-day health problems
Controlling symptoms of AIDSControlling symptoms of AIDS
Lowering the rate of spread HIV Lowering the rate of spread HIV
Improvements of natural immunity Improvements of natural immunity
Psycho-spiritual harmony Psycho-spiritual harmony
Encountering the side effects and Encountering the side effects and complications of drug therapies complications of drug therapies
Complementing the conventional Complementing the conventional therapy therapy
2005.08.11 DLC Sri Lanka
An Innovative Case Study
A hepatitis B case was reported be A hepatitis B case was reported be having HIV positive having HIV positive
Cause of HIV is diagnosed as hepatitis Cause of HIV is diagnosed as hepatitis BB
It is concluded that hepatitis B It is concluded that hepatitis B sometimes can be transformed to HIVsometimes can be transformed to HIV
He claimed that based on that He claimed that based on that conclusion the case was successfully conclusion the case was successfully treated treated
No scientific evidence is traced for HIV No scientific evidence is traced for HIV negative negative
2005.08.11 DLC Sri Lanka
National Policy on ISM National Policy on ISM
Quality Care & Efficacy
Diversity in Knowledge
MainstreamingBest Practices
Plurality in System
Role in National Health
System
2005.08.11 DLC Sri Lanka
Problems and Issues Problems and Issues
Lack of a national model for healthcareLack of a national model for healthcare
Constrains in updating and upgrading of TM sectorConstrains in updating and upgrading of TM sector
Low recognition of role of TM in ongoing interventionsLow recognition of role of TM in ongoing interventions
Lack of research and development relating to HIV / AIDS Lack of research and development relating to HIV / AIDS management through IKmanagement through IK
No encouragement for private sector IKPs for promoting No encouragement for private sector IKPs for promoting their treatments their treatments
Benefits of IK is not discussed in national level fora Benefits of IK is not discussed in national level fora
No systematic review or documentation is done on existing No systematic review or documentation is done on existing data related to this areadata related to this area
Lack of financial support from donor agencies Lack of financial support from donor agencies
2005.08.11 DLC Sri Lanka
Some problems raised by IKPs Some problems raised by IKPs
Legal constrains Lack of linkage with national level research programmes Scarcity of essential medicines / herbs Lack of financial support Inadequacy of conventional evaluating criteria in treatment resultsSocial barriers created by NGOsLack of cases
2005.08.11 DLC Sri Lanka
Future and Suggestions Future and Suggestions
Human resource developmentResearch with IK practitioners Pharmaceutical interventions Ethnomedical database Dialogues among stakeholdersPolicy and legal reforms Sharing best practices