scholarly journals Analisis Hukum Perjanjian Penyembuhan Kepada Pasien Dari Penyelenggara Praktik Pengobatan Tradisional

PRANATA HUKUM ◽  
2018 ◽  
Vol 13 (2) ◽  
pp. 133-142
Author(s):  
Rissa Afni Martinouva
Keyword(s):  
Traditional Medicine ◽  
Health Care Providers ◽  
Traditional Healers ◽  
Health Law ◽  
Care Providers ◽  
Legal Certainty ◽  
Community Members ◽  
Traditional Treatment ◽  
Medical Practices ◽  
Treatment Providers

The organization of traditional medicine practices is an alternative healing path besides medical methods. The practice of traditional medicine must be supported by a health law device intended to provide legal certainty and protection for community members as patients and traditional treatment providers. This study is intended to find out the regulations that protect the organization of traditional medical practices and the forms of healing agreements provided by providers of traditional medical practices for patients. The research method used is normative by reviewing regulations, literature studies and observations of traditional medicine. The implementation of traditional medical practices is supported by several regulations including the Minister of Health Decree No. 1076 / MENKES / SK / VII / 2003 concerning Traditional Medicine Administrators and Law No. 36 of 2009 concerning Health. The health law instrument is intended to provide legal certainty and protection for community members as patients and traditional treatment providers. The traditional treatment agreement is clear that if carried out in accordance with the procedures specified by law is a legal agreement and binds the parties to traditional healers and patients. The type of agreement used by traditional healers and patients is a healing agreement (therapeutic agreement). A therapeutic agreement is a term of agreement that deals with a doctor that also applies to traditional healing staff as health care providers. Healing agreements within the scope of traditional medicine are not currently supported by clarifying the legal requirements of the agreement specifically.

scholarly journals Traditional Healers of Nepal: Their Knowledge, Skill, Practices and Technology

2020 ◽  
Vol 1 (1) ◽  
pp. 7-15
Author(s):  
SM Prasad ◽  
BD Patel ◽  
B Shah ◽  
S Sapkota ◽  
NN Tiwari
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Traditional Medicine ◽  
Health Care Providers ◽  
Traditional Healers ◽  
Demographic Characteristics ◽  
Medicinal Herbs ◽  
Care Providers ◽  
Primary Health ◽  
Tools And Techniques

Background: Nepali people have been using traditional medicine since time immemorial. Majority of population (80%) depend upon traditional medicine for primary health care in rural area. However, documentation on status of traditional healers (THs) in Nepal is scanty. The purpose of this study was to analyze the status on socio-demographic characteristics, knowledge, skill, practices and technology of THs in Morang, Nuwakot, Myagdi, Surkhet and Kanchanpur districts of Nepal. Materials and Methods: A cross-sectional study was conducted in the districts from February to May 2014. Total of 105 THs were interviewed using semi-structured questionnaires. Data were summarized using frequency, percentages and tables. Responses on following topics were obtained: socio-demographic characteristics, knowledge, skill, practices and technology. Results: In general, 73.9% of respondents were males with only 26.09% females. The greater proportion of (43.20%) THs were senior citizens above 46 years. Majorities (56.48%) of THs have been to primary school and were Hindu. Majority of THs (29.50%) were acquired the knowledge from traditional practitioners. Other sources of acquiring knowledge were family based apprenticeship, trainings and supernatural. History taking was used by 60.30% of THs for diagnosis of illness. Over forty five percent of THs had been practicing from 1-3 decades. THs (6.21%) of Morang and Surkhet consulted over 1000 clients per month. Most of THs (40.02%) used medicinal herbs as the means of healing. A total of 20% THs agreed referring complicated and unsuccessful clients to health institutions. THs used traditional tools and techniques to diagnose diseases. THs prescribed medicines prepared from medicinal herbs or in combination with minerals and animal byproducts. Conclusion: THs have acquired traditional medical knowledge, skill, practices and technology from their ancestors, colleagues, self-study, traditional teachers, training etc. THs use many traditional tools and techniques to diagnose diseases and treat clients by medicinal herbs. THs are the main source of primary health care providers for rural peoples. 

Pandemic Visitation Restrictions at the End of Life

2021 ◽  
Vol 46 (11) ◽  
pp. 3-4
Author(s):  
Molly Antone ◽  
Keyword(s):  
Health Care ◽  
End Of Life ◽  
Health Care Providers ◽  
Treatment Options ◽  
Care Providers ◽  
Medical Practices ◽  
Whole Person ◽  
Catholic Health Care

Dying today looks dramatically different than it did a century ago, largely due to wider treatment options and more specialized medical practices. Often missing from these advancements is the focus on factors relative to a patient’s total circumstances. Especially in light of the recent pandemic, it is incumbent upon Catholic health care providers to treat who whole person rather than simply focus on more utilitarian philosophies of care.

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 Who are CHWs? An ethnographic study of the multiple identities of community health workers in three rural Districts in Tanzania

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Mohamed Yunus Rafiq ◽  
Hannah Wheatley ◽  
Hildegalda P. Mushi ◽  
Colin Baynes
Keyword(s):  
Health Care ◽  
Family Planning ◽  
Health Services ◽  
Health Care Providers ◽  
Rural Areas ◽  
Health Workers ◽  
Multiple Roles ◽  
Care Providers ◽  
Professional Identities ◽  
Community Members

Abstract Background Numerous studies have examined the role of community health workers (CHWs) in improving the delivery of health services and accelerating progress towards national and international development goals. A limited but growing body of studies have also explored the interactions between CHWs’ personal, communal and professional identities and the implications of these for their profession. CHWs possess multiple, overlapping roles and identities, which makes them effective primary health care providers when properly supported with adequate resources, but it also limits their ability to implement interventions that only target certain members of their community, follow standard business working days and hours. In some situations, it even prevents them from performing certain duties when it comes to sensitive topics such as family planning. Methods To understand the multiple identities of CHWs, a mixture of qualitative and ethnographic methods was utilized, such as participant observation, open-ended and semi-structured interviews, and focus group discussions with CHWs, their supervisors, and their clients. The observation period began in October 2013 and ended in June 2014. This study was based on implementation research conducted by the Connect Project in Rufiji, Ulanga and Kilombero Districts in Tanzania and aimed to understand the role of CHWs in the provision of maternal and child health services in rural areas. Results To our knowledge, this was the first study that employed an ethnographic approach to examine the relationship between personal, communal and professional identities, and its implications for CHWs’ work in Tanzania. Our findings suggest that it is difficult to distinguish between personal and professional identities among CHWs in rural areas. Important aspects of CHW services such as personalization, access, and equity of health services were influenced by CHWs’ position as local agents. However, the study also found that their personal identity sometimes inhibited CHWs in speaking about issues related to family planning and sexual health. Being local, CHWs were viewed according to the social norms of the area that consider the gender and age of each worker, which tended to constrain their work in family planning and other areas. Furthermore, the communities welcomed and valued CHWs when they had curative medicines; however, when medical stocks were delayed, the community viewed the CHWs with suspicion and disinterest. Community members who received curative services from CHWs also tended to become more receptive to their preventative health care work. Conclusion Although CHWs’ multiple roles constrained certain aspects of their work in line with prevalent social norms, overall, the multiple roles they fulfilled had a positive effect by keeping CHWs embedded in their community and earned them trust from community members, which enhanced their ability to provide personalized, equitable and relevant services. However, CHWs needed a support system that included functional supply chains, supervision, and community support to help them retain their role as health care providers and enabled them to provide curative, preventative, and referral services.

scholarly journals Medical Ethics in Clinical Practice in Nepal: Challenges and Way Forward

2018 ◽  
Vol 6 (2) ◽  
pp. 69-72
Author(s):  
Shristi Raut ◽  
Anand Kumar
Keyword(s):  
Health Care ◽  
Clinical Practice ◽  
Medical Ethics ◽  
Health Care Providers ◽  
Undergraduate Curriculum ◽  
Medical Professionals ◽  
Care Providers ◽  
Treatment Providers ◽  
Level Of Knowledge ◽  
Hospital Ethics

Ethics for health care professional have many components. Among them, medical ethics is one of the important but neglected component which deals with issues related to confidentiality, beneficence and non-maleficence between health care providers and stake holders. Four basic principles of medical ethics are autonomy, justice, beneficence and non- maleficence which form the foundation of ethical clinical practice. The level of knowledge on medical ethics that medical students receive during the training is meagre and inadequate. In recent years, clinical practice has become more challenging. This is primarily due to increased opposition, aggression and violence against medical professionals at health care settings. As a result, the gap between clinicians and patients is increasing leading to diminishing trust and real/perceived allegations. In addition, the widening gap between doctors and patients has provided a space for middle men/broker to meddle, oppose and flare up the violence against treatment providers. Doctors and other medical professionals have been increasingly facing such challenges leading to circumspection in their practice, despondence, psychosocial trauma and depression. There is an urgent need of incorporation of medical ethics in undergraduate curriculum and independent hospital ethics committee consisting of experts from the hospital and outside to monitor and provide rational reasons to minimize such challenges.

Uterotonic Use at Childbirth in Ghana: A Qualitative Study of Practices, Perceptions, and Knowledge Among Facility-Based Health Care Providers and Community Members

2014 ◽  
Vol 4 (1) ◽  
pp. 25-38
Author(s):  
Alissa D. Koski ◽  
Ellie Mirzabagi ◽  
Patience Cofie ◽  
Vandana Tripathi
Keyword(s):  
Health Care ◽  
Qualitative Study ◽  
Health Care Providers ◽  
Pregnancy Termination ◽  
Herbal Medicines ◽  
Care Providers ◽  
Community Members ◽  
Medical Assistants ◽  
Patterns Of Use ◽  
Labor Augmentation

PURPOSE: Uterotonic drugs, administered immediately after delivery, can prevent postpartum hemorrhage (PPH). As programs expand uterotonic access in settings of high maternal mortality, it is important to understand why and how these drugs are currently used. This qualitative study aimed to describe Ghanaian health care providers’ and community members’ knowledge, perceptions, and practices of uterotonic usage at or near labor and delivery.METHODS: In-depth interviews were conducted in 3 districts with 185 physicians, medical assistants, midwives, nurses, new mothers, mothers aged 50 years and older, traditional birth attendants, and chemists.FINDINGS: Providers described using misoprostol most commonly for labor induction, oxytocin for labor augmentation and PPH prevention, and ergometrine for PPH treatment. Unsafe practices and knowledge gaps were identified regarding labor augmentation and uterotonic storage. Community members reported experience with uterotonics in facility deliveries. Community-based use of pharmaceutical uterotonics was rarely reported, except misoprostol for pregnancy termination; however, community members described use of herbal medicines for intended uterotonic effect. Across respondent categories, uterotonics were more commonly associated with accelerating delivery than PPH prevention.CONCLUSION: Programs promoting facility childbirth and/or uterotonic coverage at home births should consider these underlying patterns of use and encourage safe practices through provider and community engagement.

scholarly journals Knowledge, Perceptions and Effects of Ebola Virus Disease Outbreak on the Pig Value Chain in the Agro-pastoralist District of Luwero, Central Uganda

2021 ◽  
Author(s):  
Samuel Majalija ◽  
Doreen Birungi ◽  
Gabriel Tumwine ◽  
Charles Drago Kato ◽  
Tonny Ssekamatte ◽  
...  
Keyword(s):  
Health Care Providers ◽  
Value Chain ◽  
Ebola Virus ◽  
Virus Disease ◽  
Unit Cost ◽  
Cross Sectional Study ◽  
Traditional Healers ◽  
Care Providers ◽  
Cross Sectional ◽  
Farming Communities

Abstract Background: Ebola outbreaks have continued to affect the health, wellbeing and livelihoods of communities. In particular, Ebola response interventions affect food value chains, food and income security of pig farming communities. There is paucity of information on the effect of Ebola outbreak on the pig value chain as well there is a gap on the knowledge and perceptions of those engaged in the pig value chain on Ebola. Therefore, this study aimed at assessing the knowledge, perceptions on the occurrence of Ebola and its effects on the pig value chain in the agro-pastoral district of Luweero, Central Uganda.Methods: A cross sectional study was conducted in two parishes of Ssambwe and Ngalonkulu, Luwero district. A total of 229 respondents were included in the study. Structured questionnaires, key informant interviews and focus group discussions were conducted to collect data. Quantitative data was analysed using SPSS version 22 while qualitative data was analysed using thematic content analysis.Results: Of the 229 respondents, 95.6% could recall the occurrence of the last Ebola outbreak in their locality. The proportion of respondents that associated touching pigs or eating pork with acquisition of Ebola virus was 24.5%. Ebola was perceived as a spiritual manifestation of witchcraft activities. Traditional healers were among the first line of health care providers to Ebola patients in the outbreak. There was no significant association between the perceived human practices such as bush meat consumption, contact with wild animals and acquiring of Ebola virus. The number of pigs sold during the outbreak was significantly reduced (p= 0.001) and this normalized 2 months after the area was declared Ebola free. There was a significant reduction (p= 0.03) in consumption of pork, as well as the unit cost per kilogram of pork during the Ebola outbreak due to fear of acquiring the disease from pork. Conclusion: The study showed that the pig value chain was negatively affected by Ebola outbreak. Therefore, there is need to sensitize the stakeholders on Ebola in order to minimize the negative economic impacts associated with EVD outbreaks.

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