Charles Dhewa makes an interesting point in his posting. He seems to suggest that traditional medicine is the mainstream not modern medicine. To us many factors have unwittingly made people have that perception including weakened modern medicine that leads to poor outcomes and dissatisfied populations in LMIC: presystem defect like ignorance and superstition, illiteracy and lack of scientific knowledge and technological advances and their benefit in health, poor health seeking behavior that delays access and utilization of modern health care even when it is present, proximity and availability of traditional healers and local herbs and ignoring the complications and consequences arising from delays in utilizing modern health care, etc etc. Traditional healers make sure they despatch their dick people to go and die in modern facilities.
What is urgently needed and sustained in population education on the benefits of modern medicine, strengthening the system, making embedding clinical governance.
Modern medicine is the main stream even on LMICs even though a sizeable minority patronize traditional healers. The current moves to modernize traditional medicine in many countries is welcome so that evidence base infrastructure can be constructed for it. It will be win-win for all: patients, practitioners and society.
HIFA profile: Joseph Ana is the Lead Consultant and Trainer at the Africa Centre for Clinical Governance Research and Patient Safety in Calabar, Nigeria. In 2015 he won the NMA Award of Excellence for establishing 12-Pillar Clinical Governance, Quality and Safety initiative in Nigeria. He has been the pioneer Chairman of the Nigerian Medical Association (NMA) National Committee on Clinical Governance and Research since 2012. He is also Chairman of the Quality & Performance subcommittee of the Technical Working Group for the implementation of the Nigeria Health Act. He is a pioneer Trustee-Director of the NMF (Nigerian Medical Forum) which took the BMJ to West Africa in 1995. He is particularly interested in strengthening health systems for quality and safety in LMICs. He has written Five books on the 12-Pillar Clinical Governance for LMICs, including a TOOLS for Implementation. He established the Department of Clinical Governance, Servicom & e-health in the Cross River State Ministry of Health, Nigeria in 2007. Website: www.hriwestafrica.com Joseph is a member of the HIFA Steering Group: http://www.hifa.org/people/steering-group
jneana AT yahoo.co.uk