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| Traditional Medicine Use and Healthworker Training in a Refugee Setting at the Thai-Burma Border | ||
| 作者 | Bodeker, Gerard (著) ; Neumann, Cora (著) ; Lall, Priya (著) ; Oo, Zaw Min (著) |
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| 出處題名 | Journal of Refugee Studies |
| 卷期 | v.18 n.1 |
| 出版日期 | 2005 |
| 頁次 | 76 - 99 |
| 出版者 | Oxford University Press |
| 出版者網址 | http://www.oxfordjournals.org |
| 出版地 | Oxford, UK [牛津, 英國] |
| 資料類型 | 期刊論文=Journal Article |
| 使用語言 | 英文=English |
| 摘要 | More than one million Burmese refugees and forced migrants live in Thailand. Though Western clinical care is the first choice for acute health problems experienced during the forced migration process, our research indicates that traditional medicine continues to be preferred and valued for many common health conditions, as well as for health service training and delivery. Our programme and research on the Thai-Burma border, conducted between 2001 and 2003, included: training of clinic staff in herbal medicine; research on Mae Tao Clinic outpatients' use of and belief in traditional medicine and spiritual practices; and initial work on the development of networks of herbalists in the Thai-Burma border region. Training programmes stimulated the development of several traditional healthcare initiatives and knowledge exchange networks throughout the border region. Outpatient survey findings revealed that 59 refugee respondents listed 271 traditional remedies used for common health conditions. Research on psychosocial health found that separation from ancestral spiritual practices and shrines in the home country may exacerbate and even prolong mental health conditions. The investigations were exploratory and based on small sample sizes and, accordingly, findings are presented in the context of hypothesis generation to guide further study rather than as conclusive outcomes. |
| 目次 | Introduction 76 Background 77 Project on Traditional Medicine at Mae Tao Clinic 80 Knowledge Exchange among Traditional Health Practitioners and Modern Health Workers 81 Healthworker Training in Traditional Medicine 82 Evolution of Community-based Traditional Healthcare Networks and Services 83 Surveys on the Use of Traditional Medicine and Spiritual Health Practices by Outpatients at Mae Tao Clinic 84 Survey Part I: Outpatients' Knowledge and Use of Traditional Burmese Medicine 85 Access and Availability Barriers 86 Distance and Displacement 87 Illness Severity 88 Clinical Diagnosis 88 Time and Treatment Duration 88 Financial Constraints 89 Taste and Potency 89 Conclusions on Survey Part I 89 Survey Part II: Outpatients' Spiritual Beliefs and Practices 90 Nats, Ghosts and Witches 90 Ghosts 91 Witches 92 Conclusions on Survey Part H 92 Discussion 93 Community-based Initiatives 93 Safety and Efficacy Issues 94 Culture and Healthcare Implications for Refugee Healthcare 96 |
| ISSN | 09516328 (P); 14716925 (E) |
| DOI | 10. 1093/refuge/fei004 |
| 點閱次數 | 27 |
| 建檔日期 | 2024.07.29 |
| 更新日期 | 2024.07.29 |
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