Mr. Ahmed Saleem [email protected] Asst.Lecturer Faculty of health sciences National University of Maldives ` Mr. Mohamed Shaheed [email protected]@moh.gov.mv;

Mr. Ahmed Saleem [email protected]

Asst.LecturerFaculty of health sciences

National University of Maldives

` Mr. Mohamed [email protected]; [email protected]

Director( public health programs)Traditional medicine regulatory unit

Ministry of Health and Family

Intercountry Workshop on Management of HerbalNet Digital Repository Bangkok, Thailand

14-15 June 2011

mailto:[email protected]


Intercountry Workshop on Management of HerbalNet Digital Repository Bangkok,Thailand 14-15 june 2011

Maldives

Land Area 300 sq kmSmall Islands 1192Inhabited islands 196Resort hotel islands 84Industrial Islands 14Suitable for agriculture 10 %Capital Male’ 2 sq km

Male’ accommodates one third of total population

After independence:• Developmental process started• Major disease controlled/eradicated• IMR /1000 LB 1986 = 63, 2009 = 11• Death Rate 1979= 17, 2009 –4• Life Expectancy 2009 73 Male,74

Female

Intercountry Workshopshop on Management of HerbalNet Digital Repository

Bangkok,Thailand,14-15 june 2011

Health Services:

Four tier Referral systemAtoll HC provide Basic medical care• Central Hospitals 2• Private hospitals 1• Regional hospitals 6• Atoll Hospitals 13• Island Health Centers 176

Intercountry Workshopshop on Management of HerbalNet Digital Repository

Bangkok,Thailand 14-15 jun2011

Health care staff:

• Doctors to population ratio 1:775• Nurse to population ratio 1:302• Alternative professionals 18• Alternative doctors (expatriate) 27 • Traditional practitioners 322 Medical services are largely

depend on expatriates Private sector small vigorous

Intercountry Workshopshop on Management of HerbalNet Digital

Repository Bangkok,Thailand 14-15 jun2011

Medicinal plants:

• Used for centuries• Today still practices• 18th century total curative needs depend



Arab influence in the past:



Name of the Author Name of the publication

Ibnusina Alqaanoon

Ibnu nafees Thashreekhul qanoon

Assuyuthi Kithaaburrahmath

Dhaaoodhul inthaakee Thazkirathul inthaakiyya

Traditional medicine

• Ayurveda , Unaini,Hekimi on 18th century• TM begun with 7 formularies• Locally grown and imported products



TM Focus on safety

• Protect the community from danger and consequences of using unknown ingredient products or which are fraudulent or do not meet required quality and standards.

• Facilitate authentication ,standardization and quality control. Those traditional medicine with efficacy, safety and quality are used in the community.



Traditional medical services and the Policy

• No separate policy• Complementary Role to allopathic medicine• Priority to promote • No research • Training strengthened• Need to use wider • Incorporate into FHS courses



Goals and objectives

• Increase number of trained practitioners• Increase acceptability • Increase number seeking treatments



Strengthen regulation

• First act on TM 1934• Existing act on TM 1978• System to register and license prescribers

and monitor the practices• Committee formed and functional• Assure quality and regulate• Essential alternative medicine list formulated



Issues and concerns

• Fostering community acceptability: - collaboration between allopathic,

traditional and alternative - alternative medicine committee• Program development• Introduce alternatives



Accessibility

• Accessibility to ingredients - encourage growing herbs - distribute seedlings - collaborate with line ministries - available local remedies in pharmacies - herb shops with imported herbal products

• Alternative medicine private clinics 17• Traditional medicine private clinics 6• Licensed TM practitioners 62



Training Education &research

• Develop training curriculum• Introduce advance training• Standardization mechanism



Develop/Strengthen National Policy on TM/HM -1

Activities Expected output Time frame

Participating Countries in Inter-

country Cooperation

a) I.C. meeting to review and strengthen country TM/HM Policies.

b) Support countries to organize national meetings for protection and preservation of TM knowledge.

c) Provide technical support to develop Herbal Digital Libraries & National Database.

d) To provide technical support to countries to integrate TM/HM in National Health Care System at appropriate levels.

Most countries have TM/HM policy documents.

Most countries have organized national meetings for implementation, protection & preservation of TM knowledge.

50 % of countries in the Region have Herbal digital libraries.

Most countries have introduced TM at Primary Health Care level and at Secondary and Tertiary levels as needed.

2012-2015

2011-2011

2012-2011

2012-2013

The existing policy required to review.

Cooperation and full involvement .

Staff need to train in relevant field.

Primary care level trained. Integration already begun

Safety, efficacy & quality -2

Activities Expected outputTime frame


country Cooperation

a) Develop technical guidelines & methodologies for research in safety, efficacy & quality.

b) Strengthen regulatory system for registration & quality assurance of herbal medicines by providing technical inputs through regional, interregional fellowships and consultancies.

c) Providing support for clinical research in efficacy & safety of herbal medicines, especially used in Malaria, & metabolic /degenerative diseases.

Guidelines prepared

. Strengthened regulatory

systems & evidence based data on herbal medicine used in priority health problems seen in PHC.

Research guidelines & protocols developed and quality assurance programmes strengthened in interested countries.

2011-2015

2011-2015

2011-2015

Common guideline available for research.

Health services act developed. Consultative process for revision of regulation

Quality assurance division foamed. Capacity need to develop

Availability, accessibility & affordability of herbal medicine. -3



country Cooperation

a) Provide technical inputs for cultivation, collection & preservation of medicinal plants especially those in the national list of essential herbal medicines and endangered species.

b) Collaborate with countries to develop/strengthen production of HM/TM and introduce GMP & quality control programmes.

c) Promote & support participation of NGO-Associations of TM practitioners in National Programme of TM/HM.

d) Regional database on medicinal plants for common health problems.

e) Developing and strengthening national traditional knowledge digital library (TKDL).

Guidelines for good cultivation and preservation of medicinal plants.

Every country has at least one herbal garden and a herbarium.

HM produced according to HM/TM GMP & increased provision of quality HM for health care.

Increase in the participation of national organizations of TM providers in national TM/HM programme.

Regional database prepared and available.

National TKDLs developed or strengthened.

2011

2011-2015

2012-2013

2014-2015

2014-2015

HR need to develop in related field.

Consultation need to identification of the location etc.Availability and sustainability of sufficient staff

Program management need to strengthen.Cooperation and involvement required.Capacity need to build in relevant field.

Rational use of herbal medicine -4



country Cooperation

a) Assist in organizing national meetings on rational use of herbal medicine.

b) To assist countries in developing national lists, National formularies and Pharmcopoeias of Herbal Medicine.

c) To encourage health provider’s organizations to hold CME programmes in HM/TM.

d) I.C. meeting of on rational use of HM/TM.

e) Assist countries to organize joint meetings of TM and modern medicine health providers upon request.

At least one meeting on rational use of herbal medicines.

All countries establish & implement NL of essential HM/TM at least for PHC level.

Countries assisted in development of National Formularies and Pharmacopoeias in HM/TM.

Continuing medical education (CME) programmes organized.

I.C. (Intercountry) meeting organized.

TM providers trained in modern hygienic & ethical practices and modern medicine practitioners trained in commonly used herbal remedies.

2011-2015

2011-2015

2012-2015

2011-2015

2011-2015

Cooperation and full involvement provide.

List is available in the MoHF Web site.Capacity and HR required

Cooperation and full involvementTechnical support requiredTraining and Tech support

Exchange of Information on Herbal/ Traditional medicine -5



country Cooperation

a) To strengthen network of centres of expertise or WHO collaborating centres in herbal medicine/TM, acupuncture-moxibustion, and/or yoga.

b) Panchakarma training & exchange of information.

c) Acupuncture & moxibustion training & exchange information.

d) To provide fellowships/study tours for training in Acupuncture, Panchakarma & Yoga at national centres of expertise.

e) To organize regional meeting including TRIPS agreements & their effect on HM/TM in Member countries.

Regional network of centres of expertise or WHO collaborating centres updated and functioning.

• Panchakarma training & exchange of info. promoted.

• Acupuncture training & exchange of info. promoted.

Fellowships & study tours provided & human resources strengthened.

Countries more conversant in TRIPS agreement and national intellectual property rights (IPR) safe-guarded/equitably shared.

2011-2015

2011-2015

2012-2015

2011-2015

2012-2015

Strengthen collaborating mechanism among institutions

Employment of trained staff in related fields.

Technical guidance required

Human resources trained/ developed/ strengthened to improve quality of their services -6

Activities Expected output Time frame

Participating Countries in

Inter-country Cooperation

a) WHO to provide guidance on basic training and safety for officially recognized HM/TM therapies.

b) Training of HM/TM practitioners to upgrade their knowledge & skills to promote patient safety.

National benchmarks for training of officially recognized HM/TM therapies established.

Patients’ health and well being & safety improved.

2011-2015 Faculty of health sciences is willing to conduct relevant training.

Cooperation and involvement

Monitoring & evaluation -7


Participating Countries in

Inter-country Cooperation

a) Organize regional meeting of managers of national TM programme to review and evaluate implementation of herbal medicine strategic framework in the countries of the Region.

b) To identify problems, constraints & develop future plan for national multisectoral HM/TM.

Regional meeting of national TM managers organized to evaluate programme implementation & the HM/TM strategic framework evaluated.

Future HM/TM work plan developed for delivering multi-sectoral national health system based on lessons learnt.

2015

2015

Cooperation and involvement.

Strengthen program management at country level.

LIST OF POTENTIAL TRADITIONAL/HERBAL MEDICINE INSTITUTES MALDIVES Name of Official Traditional System of Medicine: Dhivehi Beys



INSTITUTION NAME OF OFFICIAL AND CONTECT ADDRESS

The Central Unit for Traditional Medicine

Mr.Abdull Rahmaan Shareef, Asst.DirectorAlternative Medicine regulatory unit,Quality assurance and improvement division,Ministry of health and Family, Male’,MaldivesEmail: [email protected] phone: Fax:

Teaching Institutions:

National University of Maldives

Ms Aishath shaheen Ismail, Acting DeanFaculty of Health Sciences Handhuvari HigunMale’Email: [email protected] Phone: +960 334 6500Fax: +960 331 6498

Research Institution NA



LIST OF POTENTIAL TRADITIONAL/HERBAL MEDICINE INSTITUTES/CLINICS MALDIVES

Name of Official Traditional System of Medicine: Dhivehi Beys


Repository Bangkok,Thailand 14-15 june 2011


Service Institution:Hospital/Clinics

Mr. Ahmed HilmyTraditional Maldivian Medicine CentreMale’ Maldives. Phone : 9607706451

Ms Badhoora yoosufHerbal TouchMale’MaldivesPhone: 9607773141

Ms Fareega MohamedHuvandhu FaruvaaMale’,MaldivesPhone:

LIST OF POTENTIAL TRADITIONAL/HERBAL MEDICINE INSTITUTES MALDIVES

Name of Official Traditional System of Medicine: DhivehiBeys




Service Institutions:Hospital/Clinics

Mr.Mohamed Waheed Herbal Alternative Medical CentreMale ’,MaldivesPhone:9607846606

Mr Maavaa Mohamed ManikMMM Medi ClinicMale’, MaldivesPhone: 9607833724Mr Jibreel MoosaJM ClinicHaa Dhaal, Kulhudhuffushi, MaldivesPhone: 9607740801

LIST OF POTENTIAL TRADITIONAL/HERBAL MEDICINE INSTITUTES MALDIVES

Name of Official Traditional System of Medicine: DhivehiBeys




Service Institutions:Hospital/Clinics

Mr Ahmed SaalihDhivehibeys ClinicMale’, MaldivesPhone: 9607911170,9607734716



Documents

Mr. Ahmed Saleem [email protected] Asst.Lecturer Faculty of health sciences National University of Maldives ` Mr. Mohamed Shaheed [email protected]@moh.gov.mv;