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Journal of Complementary and Integrative Medicine

Editor-in-Chief: Lui, Edmund

Ed. by Ko, Robert / Leung, Kelvin Sze-Yin / Saunders, Paul / Suntres, PH. D., Zacharias


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1553-3840
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Utilization, preference, perception and characteristics of people adopting traditional and AYUSH systems of medicine in India: a systematic review

Janmejaya Samal
  • Corresponding author
  • Independent Public Health Researcher, Bhubaneswar, Odisha, India
  • C/o – Mr Bijaya Ketan Samal, Pansapalli, Bangarada, Gangapur, Ganjam 761123, Odisha India
  • Email
  • Other articles by this author:
  • De Gruyter OnlineGoogle Scholar
/ Ranjit Kumar Dehury
Published Online: 2018-10-18 | DOI: https://doi.org/10.1515/jcim-2018-0020

Abstract

Background

Albeit Indian system of medicine has been practised since long however it has got recent prominence after some policy decisions made to make it more accessible to the people of India.

Methods

A two fold search strategy was adopted to obtain the literature; search through PUBMED and hand search through cross references. Of the 58 articles obtained through both the search approaches 13 articles were finally included in the review.

Results

The studies reviewed assessed the utilization, preference, perception and characteristics of people adopting traditional and AYUSH systems of medicine in India. Utilization was observed in a particular geographical area (states) and by a specific group of people such as tribal and general population, medical practitioners and religious groups. Perception about AYUSH system was mixed with different segments of the society. Preference among the general population revolved around distrust or frustration with allopathic medicine, cost effectiveness, accessibility, non-availability of other options and less side effects of AYUSH medicines. Moreover people primarily adopted AYUSH systems of medicine based on their personal experiences and recommended the same to other people as well.

Conclusions

A mixed response was observed through this systematic review with regard to utilization, preference, perception and characteristics of people adopting traditional and AYUSH systems of medicine in India. A higher level of awareness and governmental patronization is required to make it available to the common man at the last corner of the society for the benefit of the former and the system as well.

Keywords: adoption; Complementary and Alternative Medicine (CAM); Indian System of Medicine and Homoeopathy (ISM&H); traditional system of medicine

References

  • [1]

    Samal J. Situational analysis and future directions of AYUSH: an assessment through 5-year plans of India. J Intercult Ethnopharmacol 2015;4:348–54.PubMedCrossrefGoogle Scholar

  • [2]

    Bhore Committee Report Government of India. Report of the HealthSurvey and Development Committee, vol. 2. Delhi: Manager of Publications, 1946.Google Scholar

  • [3]

    Mudaliar Committee Report Government of India. Report of the Health Surveyand Planning Committee. New Delhi: Ministry of Health, 1961.Google Scholar

  • [4]

    Srivastava Committee Report Government of India. Health series and medicaleducation: a programme for immediate action: a report of the group onmedical education and support manpower. New Delhi: Ministry of Health andFamily Planning, 1975.Google Scholar

  • [5]

    Ministry of Health and Family Welfare, Government of India. National Health Policy 1983. New Delhi: MoHFW, 1983. Available at: http://www.communityhealth.in/~commun26/wiki/images/6/64/Nhp_1983.pdf.

  • [6]

    Ministry of Health and family Welfare, Government of India. National HealthPolicy 2002. New Delhi: MoHFW, 2002. Available at: http://mohfw.nic.in/WriteReadData/l892s/18048892912105179110National%20Health%20policy-2002.pdf.

  • [7]

    Samal J. A brief assessment of Ayurveda, Yoga and Naturopathy, Unani, Siddha, and Homoeopathy health system based on Five-year Plans of India. Int J Green Pharm 2016;10:S91–5.Google Scholar

  • [8]

    Samal J. Role of AYUSH doctors in filling the gap of health workforce inequality in rural India with special reference to National Rural Health Mission: A situational analysis. Int J Adv AYUSH 2013;2:83.Google Scholar

  • [9]

    Samal J. Role of AYUSH workforce, therapeutics, and principles in health care delivery with special reference to national rural health mission. AYU (Int Q J Res Ayurveda) 2015;36:5.CrossrefGoogle Scholar

  • [10]

    Rudra S, Kalra A, Kumar A, Joe W. Utilization of alternative systems of medicine as health care services in India: evidence on AYUSH care from NSS 2014. PLoS One 2017;12:e0176916.Google Scholar

  • [11]

    Koley M, Saha S, Arya JS, Choubey G, Ghosh A, Das KD, et al. Patients’ preference for integrating homeopathy (PPIH) within the standard therapy settings in West Bengal, India: the part 1 (PPIH-1) study. J Traditional Complement Med 2016;6:237–46.CrossrefGoogle Scholar

  • [12]

    Rao KD, Stierman E, Bhatnagar A, Gupta G, Gaffar A. As good as physicians: patient perceptions of physicians and non-physician clinicians in rural primary health centers in India. Global Health: Sci Pract 2013;1:397–406.Google Scholar

  • [13]

    Albert S, Porter J. Is ‘mainstreaming AYUSH' the right policy for Meghalaya, northeast India? BMC Complement Altern Med 2015;15:288.CrossrefPubMedGoogle Scholar

  • [14]

    Mallick S. Challenges of mainstreaming: ayurvedic practice in Delhi Government health institutions. J Ayurveda Integr Med 2016;7:57–61.PubMedCrossrefGoogle Scholar

  • [15]

    Chatterjee B, Biswas PC, Pancholi J. Health awareness and popularity of alternative medicines among people of Jamnagar town: A cross-sectional study. AYU (Int Q J Res Ayurveda) 2012;33:33.CrossrefGoogle Scholar

  • [16]

    Yadav RJ, Pandey A, Singh P. A study on acceptability of Indian system of medicine and homeopathy in India: results from the state of West Bengal.Indian. J Public Health 2007;51:47–9.Google Scholar

  • [17]

    Singh P, Yadav RJ, Pandey A. Utilization of indigenous systems of medicine & homoeopathy in India. Indian J Med Res 2005;122:137.PubMedGoogle Scholar

  • [18]

    Goyal P, Midha T, Sharma RP, Martolia DS, Gupta A. Utilization of Indian systems of medicine and homeopathy (ISM&H): a cross-sectional study among school students of Kanpur city. Indian J Prev Soc Med 2011;42:327.Google Scholar

  • [19]

    Yadav RJ, Singh P, Pandey A. Acceptability of Indigenous systems of medicine in state of Bihar. Indian J Prev Soc Med 2009;40:4.Google Scholar

  • [20]

    Roy V, Gupta M, Ghosh RK. Perception, attitude and usage of complementary and alternative medicine among doctors and patients in a tertiary care hospital in India. Indian J Pharmacol 2015;47:137.CrossrefGoogle Scholar

  • [21]

    Yadav RJ, Pandey A, Mathur S, Yadav J. Utilization of Indian system of medicine and Homoeopathy in Uttar pradesh. Health Popul Perspect Issues 2012;35:193–201.Google Scholar

  • [22]

    Yadav RJ, Yadav J, Siddique N, Pandey A. Knowledge and utilization of Indian system of Medicine in the state of Assam. Indian J Community Health 2015;27:223–9.Google Scholar

  • [23]

    Priya R, Shweta AS. Status and role of AYUSH and Local Health Traditions under the National Rural Health Mission. New Delhi: National Health Systems Resource Centre, 2010.Google Scholar

  • [24]

    Albert S, Nongrum M, Webb EL, Porter JD, Kharkongor GC. Medical pluralism among indigenous peoples in northeast India‐implications for health policy. Trop Med Int Health 2015;20:952–60.CrossrefPubMedGoogle Scholar

  • [25]

    Vaidya AD ‘Financing and delivery of health care services in India’. Background Papers Financing and Delivery of Health Care Services in India Ministry of Health and Family Welfare Government of India, 2005:85–95.Google Scholar

  • [26]

    Payyappallimana U. Role of traditional medicine in primary health care: an overview of perspectives and challenges World Health Report. Yokohama J Soc Sci 2006;14:57–78.Google Scholar

  • [27]

    Patwardhan B. Strategic cooperation with WHO. J Ayurveda Integr Med 2016;7:1–2.CrossrefPubMedGoogle Scholar

  • [28]

    Ministry of Health and Family welfare, Mainstreaming of AYUSH under NRHM, Modified Operational Guidelines, (Updated on May 2011) Dept. of AYUSH, New Delhi, Government of India.Google Scholar

  • [29]

    Blaauw D, Gilson L, Penn-Kekana L, Schneider H. Organisational relationships and the ‘software’ of health sector reform. South Africa: Centre for Health Policy. School of Public Health. University of Witwatersrand, 2003.Google Scholar

  • [30]

    Mechanic D. The functions and limitations of trust in the provision ofmedical care. J Health Polit Policy Law 1998;23:661–86.CrossrefGoogle Scholar

  • [31]

    Ergler CR, Sakdapolrak P, Bohle H-G, Kearns RA. Entitlements to health care: whyis there a preference for private facilities among poorer residents ofChennai, India? Soc Sci Med 2011;72:327–37.CrossrefGoogle Scholar

  • [32]

    Gilson L. Trust and the development of health care as a social institution. Soc Sci Med 2003;56:1453–68.CrossrefPubMedGoogle Scholar

  • [33]

    Walt G, Gilson L. Reforming the health sector in developing countries: thecentral role of policy analysis. Health Policy Plann 1994;9:353–70.CrossrefGoogle Scholar

  • [34]

    Sheehan HE. Medical pluralism in India: patient choice or no other options. Ind J Med Ethics 2009;6:138–41.Google Scholar

  • [35]

    Sen G, Iyer A, George A. Systematic hierarchies and systemic failures: genderand health inequities in Koppal district. Econ Polit Wkly 2007;42:682–90.Google Scholar

  • [36]

    Halstead SB, Walsh JA, Warren KS. Good health at low cost. New York: Rockefeller Foundation, 1985.Google Scholar

  • [37]

    Palafox B. Further insights from China, Costa Rica, Kerala and Srilanka 25years later. In: D Balabanova, M McKee, A Mills, editors. Good health at low cost 25 years on what makes a successful health system? London: London School of Hygiene & Tropical Medicine, 2011:1–4.Google Scholar

  • [38]

    Dehury RK, Chatterjee SC. Dissociated reality vis-a-vis integrative planning of AYUSH in maternal health program: a situational analysis in Jaleswar block of Balasore district of Odisha, India. J Ayurveda Integr Med 2016;7:124–31.CrossrefGoogle Scholar

  • [39]

    Singh B, Kumar M, Singh A. Evaluation of implementation status of national policy on Indian systems of medicine and homeopathy 2002: stakeholders’ perspective. Anc Sci Life 2013;33:103–8.PubMedGoogle Scholar

  • [40]

    Kumar D, Bajaj S, Mehrotra R. Knowledge, attitude and practice of complementaryand alternative medicines for diabetes. Public Health 2006;120:705–11.CrossrefGoogle Scholar

  • [41]

    Gupta M, Shafiq N, Kumari S, Pandhi P. Patterns and perceptions of complementary and alternative medicine (CAM) among leukaemia patients visitinghaematology clinic of a north Indian tertiary care hospital. Pharmacoepidemiol Drug Saf 2002;11:671–6.CrossrefPubMedGoogle Scholar

  • [42]

    Lewith GT, Hyland M, Gray SF. Attitudes to and use of complementary medicineamong physicians in the United Kingdom. Complement Ther Med 2001;9:167–72.CrossrefPubMedGoogle Scholar

  • [43]

    Singh V, Raidoo DM, Harries CS. The prevalence, patterns of usage and people’sattitude towards complementary and alternative medicine (CAM) among theIndian community in Chatsworth, South Africa. BMC Complement Altern Med 2004;4:3.CrossrefGoogle Scholar

  • [44]

    Eisenberg DM, Davis RB, Ettner SL, Appel S, Wilkey S, Van Rompay M, et al. Trends in alternative medicine use in the United States, 1990–1997: results of a follow-up national Survey. JAMA 1998;280:1569–75.PubMedCrossrefGoogle Scholar

  • [45]

    Jump J, Yarbrough L, Kilpatrick S, Cable T. Physicians’ attitudes toward complementary and alternative medicine-expanding medical horizons. A report to the National Institutes of Health on alternative medical systems and practices in the United States (NIH Publication 94-066). Integr Med 1998;1:149–53.Google Scholar

  • [46]

    Ghassemi J. Finding the evidence in CAM: a student’s perspective. Evid Based Complement Alternat Med 2005;2:395–7.CrossrefGoogle Scholar

  • [47]

    Owen DK, Lewith G, Stephens CR. Can doctors respond to patients’ increasing interest in complementary and alternative medicine? BMJ 2001;322:154–8.PubMedCrossrefGoogle Scholar

  • [48]

    Chandrashekara S, Anilkumar T, Jamuna S. Complementary and alternative drug therapy in arthritis. J Assoc Physicians India 2002;50:225–7.PubMedGoogle Scholar

  • [49]

    Khan MU, Jamshed SQ, Ahmad A, Bidin MA, Siddiqui MJ, Al-Shami AK. Use of complementary and alternative medicine among osteoarthritic patients: a review. Journal Clin Diagn Res: JCDR 2016;10:JE01.Google Scholar

  • [50]

    Patwardhan B. Strengthening the Ayurveda ecosystem. J Ayurveda Integr Med 2016;7:73.CrossrefPubMedGoogle Scholar

  • [51]

    Jefferey R. Policies towards indigenous healers in independent India. Soc Sci Med 1982;16:1835e1841.PubMedGoogle Scholar

  • [52]

    Naraindas H. Of spineless babies and folic acid: evidence and efficacy in biomedicine and ayurvedic medicine. Soc Sci Med 2006;62:2658e2669.PubMedGoogle Scholar

  • [53]

    Sujatha V. What could ‘integrative’ medicine mean? Social Science Perspectives on Contemporary Ayurveda’. J Ayurveda Integr Med 2011;2:115e123.Google Scholar

  • [54]

    Priya R. AYUSH and public health: democratic pluralism and the quality of health services. In: A Sujatha, editors. Medical pluralism in contemporary India. Hyderabad, India: Orient Blackswan, 2012:112–220.Google Scholar

  • [55]

    Josyula KL, Sheikh K, Nambiar D, Narayan VV, Sathyanarayana TN, Porter JD. “Getting the water-carrier to light the lamps”: discrepant role perceptions of traditional, complementary, and alternative medical practitioners in government health facilities in India. Soc Sci Med 2016 Oct 31;166:214–22.PubMedCrossrefGoogle Scholar

  • [56]

    Dar AK, Salim Khan M, Lone AH, Haji A, Hassan W. Mainstreaming of AYUSH under NRHM in Jammu and Kashmir – a cross sectional observational study. JK Pract 2015;20:35e42.Google Scholar

  • [57]

    Dehury RK, Pattnaik R. National Rural Health Mission: how Far AYUSH is mainstreamed in Odisha? Proceedings of the Global Public Health Conference 2014: Public Health A Multi-Disciplinary Approach. Tamilnadu, India, 2014:47e56.Google Scholar

  • [58]

    SEDEM (Society for Economic Development and Environmental Management), 2010. Assessment of AYUSH in Rajasthan after Mainstreaming. Delhi. http://ayush.gov.in/sites/default/files/0629039883S%20E%20D%20E%20M%20Report%20Delhi%20%2024.pdf. Accessed: 25 Jun 2017.

  • [59]

    Chandra S. Status of Indian Medicine and Folk Healing – With a Focus on Integration of AYUSH Medical Systems in Health Care Delivery. Part II. New Delhi. Department of AYUSH, Ministry of Health and Family Welfare, Government of India, 2011.Google Scholar

  • [60]

    Priya R, Shweta AS. Status and Role of AYUSH and Local Health Traditions under the National Rural Health Mission, Report of a Study. 2010. http://nhsrcindia.org/download.php?downloadname1/4pdf_files/resources_thematic/Public_Health_Planning/NHSRC_Contribution/103.pdf. Accessed: 27 Jun 2017.

  • [61]

    Imran M. The prevalence and patterns of usage of Ayurveda, Unani and home remedies in younger adults of rural north India. Int J Green Pharm (IJGP) 2017;11:108–13.Google Scholar

  • [62]

    World Health Organization. 2003. Factsheet 134. Traditional Medicine: Report by the Secretariat. Geneva: WHO. Available at: http://www.who.int/mediacentre/factsheets/fs134/en. Accessed: 22 Jun 2017.

  • [63]

    Bodeker G, Kronenberg F. A public health agenda for traditional, complementary, and alternative medicine. Am J Public Health 2002;92:1582–91.CrossrefGoogle Scholar

  • [64]

    Chen YF, Chang JS. Complementary and alternative medicine use among patients attending a hospital dermatology clinic in Taiwan. Int J Dermatol 2003;42:616–21.PubMedCrossrefGoogle Scholar

  • [65]

    Bodeker G, Kronenberg F, Burford G. Policy and public health perspectives in traditional, complementary and alternative medicine: an overview. In: G Bodeker, G Burford, editors. Traditional, complementary and alternative medicine: policy and public health perspectives. London: Imperial College Press, 2007:9–40.Google Scholar

  • [66]

    Datta-Mitra A, Jr AO. Ayurvedic medicine use and lead poisoning in a child: a continued concern in the United States. Clin Paediatr (Phila) 2015;54:690–2.CrossrefGoogle Scholar

  • [67]

    Samal J. Medicinal plants and related developments in India: a peep into 5-year plans of India. Indian J Health Sci Biomed Res (KLEU) 2016;9:14.CrossrefGoogle Scholar

  • [68]

    Manohar PR. Toxicity of Ayurveda medicines and safety concerns: the need to revive the branch of toxicology in Ayurveda. Anc Sci Life 2014;34:1–2.CrossrefPubMedGoogle Scholar

  • [69]

    Samal J. Irrational use of herbal drugs: problem statement and ways ahead. Int J Health Sci Res 2014;4:161–4.Google Scholar

  • [70]

    Samal J. Can the recent public notice by the ministry of Ayurveda, Yoga and Naturopathy, Unani, Siddha and Homoeopathy be helpful in combating the irrational use of herbal drugs? J Family Med Prim Care 2016;5:732.CrossrefPubMedGoogle Scholar

About the article

Received: 2018-02-16

Accepted: 2018-09-06

Published Online: 2018-10-18


Author contributions: All the authors have accepted responsibility for the entire content of this submitted manuscript and approved submission.

Research funding: None declared.

Employment or leadership: None declared.

Honorarium: None declared.

Competing interests: None declared.


Citation Information: Journal of Complementary and Integrative Medicine, 20180020, ISSN (Online) 1553-3840, DOI: https://doi.org/10.1515/jcim-2018-0020.

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