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Status of Using Indigenous Knowledge in Management of HIV / AIDS in Sri Lanka

Status of Using Indigenous Knowledge in Management of HIV / AIDS in Sri Lanka. Dr. Danister L. Perera Registrar Ayurvedic Medical Council Sri Lanka. IK in Healthcare in Sri Lanka. We are the only country having a separate ministry for Indigenous Medicine Ministry of Indigenous Medcine

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Status of Using Indigenous Knowledge in Management of HIV / AIDS in Sri Lanka

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  1. Status of Using Indigenous Knowledge in Management of HIV / AIDS in Sri Lanka Dr. Danister L. Perera Registrar Ayurvedic Medical Council Sri Lanka

  2. IK in Healthcare in Sri Lanka We are the only country having a separate ministry for Indigenous Medicine • Ministry of Indigenous Medcine • Department of Ayurveda • BMARI • NITM • Teaching Hospitals • Herbal Gardens • Sri Lanka Ayurveda Drugs Corporation • Ministry of Higher Education • University Institutes of Ayurveda / Siddha / Unani • Provincial Ministries • Provincial Department of Ayurveda • District Hospitals • Rural Hospitals • Central Dispensaries DLC Sri Lanka

  3. Sri Lankan Indigenous Knowledgebase • Total number of traditional practitioners is 11647 • 41% (4869) is General Practitioners • 59% (6778) is Special or Unisectional • 68% of total (17038) registered Ayurvedic practitioners is Traditional Practitioners • There are another thousand of local healers unregistered at village level DLC Sri Lanka

  4. Low immunity Neurological impairments Digestive and metabolic ailments Impairments with memory Rapid degenerative process Enhancement of cancerous conditions Low libido and strength of virility Microcirculatory impairments Displacement of astral body AIDS as a Disease Entity in IK DLC Sri Lanka

  5. IK Aspects of Management of AIDS • Biophysical • Psychological • Astrological / Cosmological • Religious / Spiritual • Cultural DLC Sri Lanka

  6. IK in HIV / AIDS Management DLC Sri Lanka

  7. Contribution of IK Practitioners • Number IKPs of reported to be involving in management of HIV / AIDS is very few • During last 10 years there were several paper advertisements claming to cure AIDS • Three of them were found to be quacks • One is amazingly found to be lunatic • I have personally interviewed five of these • Three were found to be very much knowledgeable on the subject and seemed to have experimental approach • They claimed that HIV / AIDS can be cured or controlled DLC Sri Lanka

  8. Benefits of Using IK in HIV / AIDS • Enhancement of quality of life • Pacifying day-to-day health problems • Controlling symptoms of AIDS • Lowering the rate of spread HIV • Improvements of natural immunity • Psycho-spiritual harmony • Encountering the side effects and complications of drug therapies • Complementing the conventional therapy DLC Sri Lanka

  9. An Innovative Case Study • A hepatitis B case was reported be having HIV positive • Cause of HIV is diagnosed as hepatitis B • It is concluded that hepatitis B sometimes can be transformed to HIV • He claimed that based on that conclusion the case was successfully treated • No scientific evidence is traced for HIV negative DLC Sri Lanka

  10. National Policy on ISM Quality Care & Efficacy Plurality in System Role in National Health System Mainstreaming Best Practices Diversity in Knowledge DLC Sri Lanka

  11. Problems and Issues • Lack of a national model for healthcare • Constrains in updating and upgrading of TM sector • Low recognition of role of TM in ongoing interventions • Lack of research and development relating to HIV / AIDS management through IK • No encouragement for private sector IKPs for promoting their treatments • Benefits of IK is not discussed in national level fora • No systematic review or documentation is done on existing data related to this area • Lack of financial support from donor agencies DLC Sri Lanka

  12. 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 results • Social barriers created by NGOs • Lack of cases DLC Sri Lanka

  13. Future and Suggestions • Human resource development • Research with IK practitioners • Pharmaceutical interventions • Ethnomedical database • Dialogues among stakeholders • Policy and legal reforms • Sharing best practices DLC Sri Lanka

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