Traditional Medicine Handbook Project, JICA

8/3/2019 Traditional Medicine Handbook Project, JICA

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JICA Traditional Medicine Project in

Myanmar

JICA Traditional Medicine Project in

Myanmar

Dr.Tin Nyunt

Department of Traditional Medicine

Ministry of Health

Union of Myanmar



Myanmar Traditional Medicine SystemMyanmar Traditional Medicine System

Desana systemDesana system

Bhesijja systemBhesijja system

Nekhatta syatemNekhatta syatem

Vijjadhara systemVijjadhara system



33

The National Health PolicyThe National Health Policy

ItemItem numbernumber 1414::

³³ toto reinforcereinforce thethe serviceservice andand researchresearch

activitiesactivities of of indigenousindigenous medicinemedicine toto

internationalinternational levellevel andand toto involveinvolve inin

communitycommunity healthhealth carecare activitiesactivities..´́



Project outlineProject outline

DurationDuration:: NovNov.. 20062006 -- JanJan.. 20092009

ObjectiveObjective::

ToTo promotepromote skillskill levellevel of of TraditionalTraditional MedicineMedicine

PractitionersP

ractitioners toto improveimprove thethe basicbasic healthhealthsituationsituation of of MyanmarMyanmar locallocal peoplespeoples



Project outlineProject outline

Collect Collect informationinformation onon thethe workwork of of TMPsTMPs andand utilizationutilizationof of herbalherbal medicinemedicine byby thethe locallocal peoplespeoples

AnalyzeAnalyze popularpopular diseasesdiseases andand needsneeds of of herbalherbalmedicinesmedicines

CompileCompile aa MyanmarMyanmar TraditionalTraditional MedicineMedicine HandbookHandbook

FeedbackFeedback recommendationsrecommendations toto thethe Department Department of of TraditionalTraditional MedicinesMedicines byby meansmeans of of seminarsseminars andand alikealikeonon trainingtraining of of TMPsTMPs beforebefore andand afterafter graduationgraduation

ShareShare thethe recommendationsrecommendations of of thethe studystudy withwith TMPsTMPsthroughthrough seminarsseminars

Conduct Conduct trainingtraining of of TMPsTMPs onon thethe basicbasic knowledgeknowledge of of herbalherbal medicinemedicine..



TMPs vs Gender

n = 346

Female, 48%

Male, 52%



Diagnosis of disease

Desana-naya

44%

Ayurveda

26%

Personal

experience

19%

Western

medicine

8%

Sangahita

3%

n = 198n = 198



Frequency of encountered diseases in Myanmar

212

10587

7361 56 50

32 28 26 25 25 20 19 18 18 18 18 16 16 14 13 12 12 11 11 10 10

0

50

100

150

200

250

N u m b e r o f i n c i d e n c e

Disease states

n = 346



B ackground: Contd«.



Diabetes: Age vs. Occurrences

0

5

10

15

20

25

30

31-40 41-50 51-60 61-70 71-80

Age group

O c c u r a n c e ( % )

n = 52

0

5

10

15

20

25

30

31-40 41-50 51-60 61-70 71-80

Age group

O c c u r a n c e ( % )

n = 52



Diabetes: Gender vs. Occurrences

Gender

O c c u r a n c e ( % )

0

20

40

60

Female Male

n = 52

Gender

O c c u r a n c e ( % )

0

20

40

60

Female Male

n = 52



Hypertension: Occurrence vs Age

0

5

10

15

20

25

30

%

21-30 31-40 41-50 51-60 61-70 71-80 81-90

Age Group

n = 102

0

5

10

15

20

25

30

%

21-30 31-40 41-50 51-60 61-70 71-80 81-90

Age Group

n = 102



Hypertension: Occurrence vs Gender

n = 102

0

10

20

30

40

50

60

Female Male

%

0

10

20

30

40

50

60

Female Male

%



Stroke: occurrence vs Age

n = 47

0

5

10

15

20

2530

35

40

11-20 21-30 31-40 41-50 51-60 61-70 71-80

Age group

%

0

5

10

15

20

2530

35

40

11-20 21-30 31-40 41-50 51-60 61-70 71-80

Age group

%



Stroke: Occurrence vs Gender

n = 47

0

10

20

30

40

50

60

70

Female Male

Gender

%

0

10

20

30

40

50

60

70

Female Male

Gender

%



Basic principle of Myanmar traditional medicine.

The clinical approach, diagnosis, and management of the

patient.

The TM council law, the TMP¶s oath & ethics.

Diseases commonly encountered by TMPs and

management of (5) commonly encountered diseases.

Mostly prescribed TM formulation.

Mostly used medicinal plants

The medical records and referral system, the biomedical

parameters

Myanmar Traditional Medicine Handbook



Myanmar Traditional Medicine HandbookMyanmar Traditional Medicine Handbook



Contents of Traditional MedicineContents of Traditional Medicine

HandbookHandbook



1) To understand current situation of Human

Resource Development of Traditional Medicine in

Japan.

2) To utilize the knowledge obtained in planning of the

human resource development program in DTM.

Objectives of the course



Good Practice and Ideas from our

experiences in Japan

Lecture on the university

Pharmacognosy

Natural products chemistry

Metabolic engineering

Pharmacology

Pathogenic biochemistry

Gastrointestinal

pathophysiology

Clinical application

Museum etc.



Lecture at the hospital

There were lectures on kampo medicine

pharmaceutics, Kampo diagnosis and treatment.We also observed Kampo pharmacy and

dispensary.

On the next days, observatory visits and short

discussions at each departments. There wereresearch works in process.



Visit to International Research Center for

Traditional Medicine

International research center for T

Life science hall

Health stadium



There was an opportunity to visit to museum of

Materia medica, which would be very effective, very

interesting for TM students.

Apart from those, we had observed the course of

medical students, the pharmaceutical science and

treating the patients by Kampo medicine. Further

more observations were made on the system of health

care at out-patient department and few points on

health insurance system.

Others



Action Plans Action Plans

Output 1Output 1

Capacity building of the TMPsCapacity building of the TMPs

Activity Activity

Establishment of wellEstablishment of well--organisedorganised

traditional medicine museum.traditional medicine museum.




Output 2Output 2

Quality control of TM drugsQuality control of TM drugs

Activity Activity

To enable the public to consumeTo enable the public to consume

genuine quality ,safe and efficaciousgenuine quality ,safe and efficaciousTM drugs.TM drugs.




Output3Output3

Research in Traditional MedicineResearch in Traditional Medicine

Activity Activity

Strengthening of scientific researchStrengthening of scientific research



ConstrainsConstrains

Human resourcesHuman resources

Technical man powerTechnical man power

Inadequate InstrumentsInadequate Instruments



ConclusionConclusion

More integration of TM with national health careMore integration of TM with national health caresystem in line with national health policy.system in line with national health policy.

Promoting safety, efficacy & quality of traditionalPromoting safety, efficacy & quality of traditionalmedicine by Providing guidance on regulatory &medicine by Providing guidance on regulatory &quality assurance standard.quality assurance standard.

Providing easily accessible and affordable asProviding easily accessible and affordable asappropriate for poor population.appropriate for poor population.

Promoting the sound use of appropriatePromoting the sound use of appropriate

traditional medicine drugs providers andtraditional medicine drugs providers andconsumers.consumers.

II hopehope thatthat tappingtapping of of availableavailable resourcesresources fromfrom anyany countr ies,countr ies,agencies,agencies, andand or ganizationsor ganizations willwill makemake r apidr apid improvementimprovement of of

Myanmar Myanmar TMTM inin thethe futurefuture..



Acknowledgement Acknowledgement

JICAJICA

Institute of Natural Medicine,Institute of Natural Medicine,

University of ToyamaUniversity of Toyama

Traditional Medicine Handbook Project, JICA

Documents

Transcript of Traditional Medicine Handbook Project, JICA