scholarly journals Modern Desires, Knowledge Control, and Physician Resistance: Regulating Ayurvedic Medicine in Nepal

2008 ◽  
Vol 4 (1) ◽  
pp. 86-112 ◽  
Author(s):  
Mary Cameron
Keyword(s):  
Health Care ◽  
Rural Communities ◽  
Health Care Providers ◽  
Health Knowledge ◽  
Traditional Healers ◽  
Care Providers ◽  
Medical Practitioners ◽  
Medical Certification ◽  
Traditional Practitioners ◽  
The Government

AbstractForms of medical regulation in Nepal are shown to limit health knowledge transmission in the name of protecting the people from health care providers both familiar and trusted. Within the last four years Nepal's Ministry of Health implemented controversial legislation requiring Ayurvedic medical practitioners to register with the government in order to practise medicine and to prepare plant-based medications. Traditional practitioners find the age and lineage requirements for those not holding medical certification in Ayurveda potentially devastating to their profession, and they have launched an active campaign resisting the new professionalisation requirements. These actions can be seen to result from the convergence of a rising modern Nepali state bureaucracy, the people's desire for a country free of high rates of morbidity and mortality, and the powerful ideology of Western-based health care modernisation guiding health development. I draw on recent research in Kathmandu and in two rural communities to summarise the role of Ayurveda in Nepal's health care, to analyse the politics behind the legislation and the traditional healers' response, and finally to suggest the legislation's impact on health care.

scholarly journals Preserving traditional medical knowledge through modes of transmission: A post-positivist enquiry

2014 ◽  
Vol 16 (1) ◽  
Author(s):  
Janet Adekannbi ◽  
Wole M. Olatokun ◽  
Isola Ajiferuke
Keyword(s):  
Health Care ◽  
Rural Communities ◽  
Traditional Medicine ◽  
Health Care Providers ◽  
Horizontal Transmission ◽  
Healthcare Delivery ◽  
Medical Knowledge ◽  
Health Care Facilities ◽  
Care Providers ◽  
Medical Practitioners

Background: In Nigeria, most rural communities lack access to orthodox medical facilities despite an expansion of orthodox health care facilities and an increase in the number of orthodox health care providers. Over 90% of Nigerians in rural areas thus depend wholly or partly on traditional medicine. This situation has led to a call for the utilisation of Traditional medical practitioners in primary-healthcare delivery. Hence, the persistence of the knowledge of traditional medicine, especially in the rural communities where it is the only means of primary health care, has been a concern to information professionals.Objectives: This study investigated the role which the mode of transmission plays in the preservation of traditional medical knowledge.Method: A post-positivist methodology was adopted. A purposive sampling technique was used to select three communities from each of the six states in South-Western Nigeria. The snowball technique was used in selecting 228 traditional medical practitioners, whilst convenience sampling was adopted in selecting 529 apprentices and 120 children who were not learning the profession. A questionnaire with a five-point Likert scale, key-informant interviews and focus-group discussions were used to collect data. The quantitative data was analysed using descriptive statistics whilst qualitative data was analysed thematically.Results: The dominant mode of knowledge transmission was found to be oblique (66.5%) whilst vertical transmission (29.3%) and horizontal transmission (4.2%) occurred much less.Conclusion: Traditional medical knowledge is at risk of being lost in the study area because most of the apprentices were children from other parents, whereas most traditional medical practitioners preferred to transmit knowledge only to their children.

SCHISTOSOMIASIS-RELATED PERCEPTIONS, ATTITUDES AND TREATMENT-SEEKING PRACTICES IN MAGU DISTRICT, TANZANIA: PUBLIC HEALTH IMPLICATIONS

2004 ◽  
Vol 36 (1) ◽  
pp. 63-81 ◽  
Author(s):  
J. R. MWANGA ◽  
P. MAGNUSSEN ◽  
THE LATE C. L. MUGASHE ◽  
THE LATE R. M. GABONE ◽  
J. AAGAARD-HANSEN
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Local Community ◽  
Traditional Healers ◽  
Health Care Facilities ◽  
Primary School Children ◽  
Treatment Seeking ◽  
Care Providers ◽  
District Health ◽  
The Government

A study on perceptions, attitudes and treatment-seeking practices related to schistosomiasis was conducted among the Wasukuma in the rural Magu district of Tanzania at the shore of Lake Victoria where Schistosoma haematobium and mansoni infections are endemic. The study applied in-depth interviews, focus group discussions and a questionnaire survey among adults and primary school children. The perceived symptoms and causes were incongruous with the biomedical perspective and a number of respondents found schistosomiasis to be a shameful disease. Lack of diagnostic and curative services at the government health care facilities was common, but there was a willingness from the biomedical health care services to collaborate with the traditional healers. Recommendations to the District Health Management Team were: that collaboration between biomedical and traditional health care providers should be strengthened and that the government facilities’ diagnostic and curative capacity with regard to schistosomiasis should be upgraded. Culturally compatible health education programmes should be developed in collaboration with the local community.

The Special Perils of Being Old and Sick in Prison

2020 ◽  
Vol 32 (5) ◽  
pp. 276-284
Author(s):  
William J. Jefferson
Keyword(s):  
United States ◽  
Health Care ◽  
Medical Care ◽  
Health Care Providers ◽  
The United States ◽  
United States Constitution ◽  
Care Providers ◽  
Medical Practitioners ◽  
Medical Needs ◽  
Access To Medical Care

The United States Supreme Court declared in 1976 that deliberate indifference to the serious medical needs of prisoners constitutes the unnecessary and wanton infliction of pain…proscribed by the Eighth Amendment. It matters not whether the indifference is manifested by prison doctors in their response to the prisoner’s needs or by prison guards intentionally denying or delaying access to medical care or intentionally interfering with treatment once prescribed—adequate prisoner medical care is required by the United States Constitution. My incarceration for four years at the Oakdale Satellite Prison Camp, a chronic health care level camp, gives me the perspective to challenge the generally promoted claim of the Bureau of Federal Prisons that it provides decent medical care by competent and caring medical practitioners to chronically unhealthy elderly prisoners. The same observation, to a slightly lesser extent, could be made with respect to deficiencies in the delivery of health care to prisoners of all ages, as it is all significantly deficient in access, competencies, courtesies and treatments extended by prison health care providers at every level of care, without regard to age. However, the frailer the prisoner, the more dangerous these health care deficiencies are to his health and, therefore, I believe, warrant separate attention. This paper uses first-hand experiences of elderly prisoners to dismantle the tale that prisoner healthcare meets constitutional standards.

Covid-19 and its financial effects on the dental fraternity and health-care workers: A literature review

2020 ◽  
Vol 11 (SPL1) ◽  
pp. 628-631
Author(s):  
Devangi Agrawal ◽  
Namisha Khara ◽  
Bhushan Mundada ◽  
Nitin Bhola ◽  
Rajiv Borle
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Health Care Workers ◽  
Care Providers ◽  
Dental Procedures ◽  
Care Workers ◽  
Dental Practices ◽  
Precautionary Measures ◽  
The Government ◽  
Set Up

In the wake of the current outbreak of novel Covid-19, which is now declared as a 'pandemic' by the WHO, people around the globe have been dealing with a lot of difficulties. This virus had come into light in December 2019 and since then has only grown exponentially. Amongst the most affected are the ones who have been working extremely hard to eradicate it, which includes the hospitals, dental fraternity and the health-care workers. These people are financially burdened due to limited practise. In the case of dentistry, to avoid the spread of the virus, only emergency treatments are being approved, and the rest of the standard procedures have been put on hold. In some cases, as the number of covid cases is rising, many countries are even trying to eliminate the emergency dental procedures to divert the finances towards the treatment of covid suffering patients. What we need to realise is that this is probably not the last time that we are facing such a situation. Instead of going down, we should set up guidelines with appropriate precautionary measures together with the use of standardised PPEs. The government should also establish specific policies to support dental practices and other health-care providers. Together, we can fight this pandemic and come out stronger.

Fraud and Abuse: United States ex rel Merena v. SmithKline Beecham Corp.; United States ex rel Spear v. SmithKline Beecham Clinical Lab.; United States ex rel Grossenbacher v. SmithKline Beecham Clinical Lab.

2000 ◽  
Vol 28 (2) ◽  
pp. 191-193 ◽  
Author(s):  
Allyson Behm
Keyword(s):  
United States ◽  
Health Care ◽  
Health Care Providers ◽  
Laboratory Tests ◽  
The United States ◽  
Care Providers ◽  
Individual Analysis ◽  
Court Of Appeals ◽  
The Third ◽  
The Government

The United States Court of Appeals for the Third Circuit held that when quitam relators file a multi-claim complaint under the Fraudulent Claims Act (FCA), their share of the proceeds must be based on an individual analysis of each claim. More importantly, the court held that relators are not entitled to any portion of the settlement of a specific claim if that claim was subject to dismissal under section 3730(e)(4) Relator Merena filed a quitam suit against his employer, SmithKline Beecham (SKB), claiming, among other things, that SKB defrauded the government by billing for laboratory tests that were not performed, paying illegal kickbacks to health care providers, and participating in an “automated chemistry” scheme. Soon thereafter, additional relators filed suit.

Mobile E-Health

2007 ◽  
pp. 155-170 ◽  
Author(s):  
Norm Archer
Keyword(s):  
Health Care ◽  
Community Health ◽  
Health Care Providers ◽  
Home Health Care ◽  
Risk Mitigation ◽  
Community Health Care ◽  
Care Providers ◽  
Health Care Environment ◽  
Medical Practitioners ◽  
Critical Issues

Health care is an industry with a diverse set of stakeholders: governments, private health care providers, medical practitioners (physicians, nurses, researchers, etc.), home health care providers and workers, and last but not least, clients/patients and their families. Overlapping and interacting environments include hospitals, clinics, long-term care facilities, primary care providers, homes, and so forth, involving acute, emergency, chronic, primary, and outpatient care. Patient transitions between these environments are often unnecessarily dif?cult due to an inability by providers to access pre-existing patient records. Mobile/wireless solutions can play an important role in supporting health care by providing applications that access health care records and reduce paperwork for clinical physicians, nurses, and other workers, community health care practitioners and their patients, or mobile chronically ill patients such as diabetics. This chapter makes the case for mobile health care and its solutions in the non-acute community health care environment, where critical issues include usability, adoption, interoperability, change management, risk mitigation, security and privacy, and return on investment. A proposed community health care application demonstrates how these issues are addressed.

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