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
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Myanmar Traditional Medicine SystemMyanmar Traditional Medicine System
Desana systemDesana system
Bhesijja systemBhesijja system
Nekhatta syatemNekhatta syatem
Vijjadhara systemVijjadhara system
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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..´́
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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
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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..
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TMPs vs Gender
n = 346
Female, 48%
Male, 52%
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Diagnosis of disease
Desana-naya
44%
Ayurveda
26%
Personal
experience
19%
Western
medicine
8%
Sangahita
3%
n = 198n = 198
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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
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B ackground: Contd«.
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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
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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
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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
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Hypertension: Occurrence vs Gender
n = 102
0
10
20
30
40
50
60
Female Male
%
0
10
20
30
40
50
60
Female Male
%
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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
%
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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
%
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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
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Myanmar Traditional Medicine HandbookMyanmar Traditional Medicine Handbook
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Contents of Traditional MedicineContents of Traditional Medicine
HandbookHandbook
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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
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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.
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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.
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Visit to International Research Center for
Traditional Medicine
International research center for T
Life science hall
Health stadium
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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
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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.
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Action Plans Action Plans
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.
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Action Plans Action Plans
Output3Output3
Research in Traditional MedicineResearch in Traditional Medicine
Activity Activity
Strengthening of scientific researchStrengthening of scientific research
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ConstrainsConstrains
Human resourcesHuman resources
Technical man powerTechnical man power
Inadequate InstrumentsInadequate Instruments
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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..
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Acknowledgement Acknowledgement
JICAJICA
Institute of Natural Medicine,Institute of Natural Medicine,
University of ToyamaUniversity of Toyama