Complementary and Alternative Medicine in Pakistan: Prospects and Limitations

Abstract

Despite all the marvelous advancements in modern medicine, traditional medicine has always been practiced. More than 70% of the developing world's population still depends on the complementary and alternative systems of medicine (CAM). Cultural beliefs and practices often lead to self-care or home remedies in rural areas and consultation with traditional healers. Evidence-based CAM therapies have shown remarkable success in healing acute as well as chronic diseases. Alternative therapies have been utilized by people in Pakistan who have faith in spiritual healers, clergymen, hakeems, homeopaths or even many quacks. These are the first choice for problems such as infertility, epilepsy, psychosomatic troubles, depression and many other ailments. The traditional medicine sector has become an important source of health care, especially in rural and tribal areas of the country. The main reasons for consulting a CAM healer is the proximity, affordable fee, availability, family pressure and the strong opinion of the community. Pakistan has a very rich tradition in the use of medicinal plants for the treatment of various ailments. It necessitates the integration of the modern and CAM systems in terms of evidence-based information sharing. The health-seeking behavior of the people especially in developing countries calls for bringing all CAM healers into the mainstream by providing them with proper training, facilities and back-up for referral. A positive interaction between the two systems has to be harnessed to work for the common goal of improving health of the people.

Patterns and perception of complementary and alternative medicine use by patients in western Nepal

“…Several population-based studies in the developed countries such as in Australia, the UK, Taiwan, Singapore, and the USA reported that one half to two thirds of adults use CAM (Ceylan et al 2009). In developing countries more than 70% of the population still depend on the complementary and alternative systems of medicine (Shaikh and Hatcher 2005). Various scholarly traditional medication systems such as Ayurveda, Amchi, homeopathy, traditional Chinese medicine, Tibetan medicine, shamanistic medicine (faith healing system), and folk medicines exist in Nepal (Gewali 2008).…”

Sexually transmitted infections in Pakistan

“…Poor health services offer little for the prevention and treatment of STIs. Various factors, including proximity, affordability, availability, family pressure and strong community opinion, lead to self-care and consultation with traditional healers, hakeems or even quacks 50. Long-held misconceptions continue to contribute to the national neglect of STI treatment and prevention.…”

Knowledge, attitude and practice of medical students towards complementary and alternate medicine

“…A survey held in Singapore in 2005 states that 91% of medical students believe that CAM could play an important role in their future practice (Yeo et al, 2005). The major reason for not including CAM in medical courses can be the lack of education, training, regulation and the evidence base for CAM practioners (Shaikh and Hatcher, 2005).…”