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von Schoen-Angerer T, Manchanda RK, Lloyd I, Wardle J, Szöke J, Benevides I, Martinez NSA, Tolo F, Nicolai T, Skaling-Klopstock C, Parker T, Suswardany DL, van Haselen R, Liu J. Traditional, complementary and integrative healthcare: global stakeholder perspective on WHO's current and future strategy. BMJ Glob Health 2023; 8:e013150. [PMID: 38050407 PMCID: PMC10693890 DOI: 10.1136/bmjgh-2023-013150] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/15/2023] [Accepted: 11/12/2023] [Indexed: 12/06/2023] Open
Abstract
As the 'WHO Traditional Medicine Strategy: 2014-2023' is entering its final phase, reflection is warranted on progress and the focus for a new strategy. We used WHO documentation to analyse progress across the objectives of the current strategy, adding the role of traditional, complementary and integrative healthcare (TCIH) to address specific diseases as a dimension absent in the current strategy. Our analysis concludes on five areas. First, TCIH research is increasing but is not commensurate with TCIH use. TCIH research needs prioritisation and increased funding in national research policies and programmes. Second, WHO guidance for training and practice provides useful minimum standards but regulation of TCIH practitioners also need to reflect the different nature of formal and informal practices. Third, there has been progress in the regulation of herbal medicines but TCIH products of other origin still need addressing. A risk-based regulatory approach for the full-range of TCIH products seems appropriate and WHO should provide guidance in this regard. Fourth, the potential of TCIH to help address specific diseases is often overlooked. The development of disease strategies would benefit from considering the evidence and inclusion of TCIH practices, as appropriate. Fifth, inclusion of TCIH in national health policies differs between countries, with some integrating TCIH practices and others seeking to restrict them. We encourage a positive framework in all countries that enshrines the role of TCIH in the achievement of universal health coverage. Finally, we encourage seeking the input of stakeholders in the development of the new WHO Traditional Medicine Strategy.
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Affiliation(s)
- Tido von Schoen-Angerer
- International Federation of Anthroposophic Medical Associations, Brussels, Belgium
- Division of General Pediatrics, Geneva University Hospitals, Geneve, Switzerland
| | - Raj Kumar Manchanda
- Health and Family Welfare Department, Government of Delhi, Directorate of Ayush, Delhi, India
| | - Iva Lloyd
- World Naturopathic Federation, Toronto, Ontario, Canada
| | - Jon Wardle
- National Centre for Naturopathic Medicine, Southern Cross University, Lismore, New South Wales, Australia
| | - Janka Szöke
- International Federation of Anthroposophic Medical Associations, Brussels, Belgium
| | - Iracema Benevides
- RedePICS Brasil, Brazilian Network of Integrative and Complementary Practices in Healthcare, Belo Horizonte, Brazil
| | | | - Festus Tolo
- Keny Medical Research Institute, Nairobi, Kenya
| | | | | | - Tabatha Parker
- Academy of Integrated Health and Medicine, La Jolla, California, USA
| | - Dwi Linna Suswardany
- Indonesian Public Health Association, Jakarta, Indonesia
- Department of Public Health, University of Muhammadiyah Surakarta, Jakarta, Indonesia
| | | | - Jianping Liu
- Center for Evidence-Based Chinese Medicine, Beijing University of Chinese Medicine, Beijing, China
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Guarnizo-Losada MA, Rosero-Toro JH, Íquira-Guzmán YA. Estudio etnobotánico con estudiantes de grado 5° de la escuela rural mixta el Colorado, del resguardo indígena de Cohetando, Páez, Cauca. REVISTA U.D.C.A ACTUALIDAD & DIVULGACIÓN CIENTÍFICA 2022. [DOI: 10.31910/rudca.v25.nsupl.1.2022.2149] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022] Open
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Cruz LR, Muylaert RL, Galetti M, Pires MM. The geography of diet variation in Neotropical Carnivora. Mamm Rev 2021. [DOI: 10.1111/mam.12266] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Affiliation(s)
- Lívia R. Cruz
- Programa de Pós Graduação em Ecologia Instituto de Biologia Universidade Estadual de Campinas (UNICAMP) Campinas São Paulo Brazil
- Laboratório de Estrutura e Dinâmica da Diversidade (LEDDiv) Departamento de Biologia Animal Instituto de Biologia Universidade Estadual de Campinas (UNICAMP) Campinas São Paulo13083‐970Brazil
| | - Renata L. Muylaert
- Molecular Epidemiology and Public Health Laboratory Hopkirk Research InstituteMassey University Palmerston North Manawatu‐Wanganui New Zealand
| | - Mauro Galetti
- Department of Biology University of Miami Coral Gables FL33146USA
- Departamento de Biodiversidade Instituto de Biociências Universidade Estadual Paulista (UNESP) Rio Claro São Paulo13506‐900Brazil
| | - Mathias M. Pires
- Laboratório de Estrutura e Dinâmica da Diversidade (LEDDiv) Departamento de Biologia Animal Instituto de Biologia Universidade Estadual de Campinas (UNICAMP) Campinas São Paulo13083‐970Brazil
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