Dr Zhang Qi Traditional Complementary and Integrative Medicine Service Delivery and Safety Overview of my presentation Global situation in TampCM WHO TM strategy Implementation of the strategy ID: 740825
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Slide1
WHO Traditional Medicine Strategy 2014-2023
Dr Zhang Qi
Traditional, Complementary and Integrative Medicine
Service Delivery and SafetySlide2
Overview of my presentationGlobal situation in T&CMWHO TM strategy
Implementation of the strategy Slide3
Demand and need to T&CMOver 100 million Europeans are currently T&CM users, with one-fifth regularly using T&CM and preferring health care which includes T&CM . There are many more T&CM users in Africa, Asia, Australia and North America. In Australia,
of those randomly interviewed, 68.9% used at least one form of CAM in the past 12 months and 44.1% visited CAM practitioners.In US, a national health survey in 2007 revealed that more than $34 billion is spent on CAM annually and almost 4 out of 10 adults had used CAM.In China, according to the recent national survey
data, 907
million visits to traditional Chinese medicine – 18% of all medical visits;
13.6
million traditional Chinese medicine inpatients – 16% of the total in all
hospitals.
In India, There are 785 185 registered Ayurveda, Yoga, Naturopathy, Unani, Siddha and Homeopathy(AYUSH) practitioners and an estimated one million village-based, traditional AYUSH community health workers.Slide4
Demand and need to T&CMAn extensive number of patients with multiple sclerosis resort to complementary and alternative medicine treatments: prevalence of use ranges from
41 percent in Spain to 70 percent in Canada and 82 percent in Australia.In China, the top five diseases for admission to traditional Chinese medicine hospitals: cerebrovascular accident, intervertebral disc displacement, haemorrhoids, ischaemic heart disease and essential hypertension.Slide5
Demand and need to T&CMNearly a quarter of all modern medicines are derived from natural products, many of which were first used in a traditional medicine context. TM is thus a resource for primary health care, but also for innovation and discovery.Slide6
Progress since 2002 in T&CMSlide7
Regulation on practitioners in T&CM
56
(43.5%)
56
(43.5%)
17
(13%)
129Slide8
Education in T&CM
72 (56%)
129Slide9
Challenges in T&CMSlide10
ChallengesProgress relating to regulation on herbal medicines is moving faster, while regulation on TM practice and practitioners is advancing at a slower rate.
Member States where lack of knowledge in formulating national policy has led to a lack of regulations on TM practice and practitioners as well as a lack of integration of TM services into health service delivery and self-health care. Slide11
Member
States & WHOSlide12
SDGs
(Impact)
UHC (Outcome)
HSS
(Input/Output)
Responsiveness Efficiency Fairness Quality Resilience
Achieve Universal Health Coverage
All people and communities receive the quality health services they need,
without financial hardship
SDG
1: No poverty
SDG 4: Quality Education
SDG 5: Gender Equality
SDG 16: Inclusive societies
G o v e r n a n c e
F i n a n c i n g
S e r v i c e D e l i v e r y
Workforce
Medical Products
SGD 8: Inclusive economic growth and
decent jobs
Infrastructure
SDG 3: Equitable health outcomes and wellbeing; Global public health security and resilient societies
Information
HSS->UHC->SDG
TCI
TCI
TCI
TCI
TCI
TCI
TCISlide13
Universal
Health coverage values and principles
T&CM
T&CM
T&CMSlide14
Health systems building blocks and outcomes
T&CM
T&CM
T&CM
T&CM
T&CM
T&CMSlide15
Why TCI can contribute to UHC and SDGsSDG: Ensure healthy lives and promote wellbeing for all at all agesT&CM close to cultural, social, economical, environmental and spiritual elements – sustainable developmentEquity and universal access in health: T&CM is more available
, accessible, acceptable and affordableOTCs and non-medication interventionsElderly care and healthy industrySlide16
Why TCI can contribute to UHC and SDGsIncreasing practice and requests to WHO for policy and technical support on integrative medicine and care:
To provide support on appropriate policy in the integration of T&CM into health services particularly in PHC.To provide support on appropriate regulation in ensuring safety, quality and effective use of integrative practice in T&CM with conventional medicine.To provide support on appropriate training for providers in integrative practice to ensure the safety and quality of its services.
To provide technical support on interactions of herbal medicines with other medicines as increasing use of herbal medicines with drugs.
To provide support on cost effectiveness in the integrative approaches.Slide17
Primary health care and TCIActivities on 40th anniversary of Alma Ata DeclarationThe role of PHC in achieving UHC and SDGsThe role of TCI in PHC
The role of WHO TM strategy 2014-2023 and relevant WHA resolutionsSlide18
WHO TM Strategy 2014-2023: GoalsHarnessing the potential contribution of T&CM to health, wellness, people-centred health care and universal health coverage
Promoting safe and effective use of T&CM through the regulation, research and integration of T&CM products, practices and practitioners into the health system, as appropriateSlide19
WHO TM Strategy 2014-2023:
Objectives and directions
Build knowledge
base for
management through
policies
Strengthen quality assurance, safety
,
proper use
and effectiveness by regulation
Promote universal
health
coverage by integration
understand
and
recognize role and potential, build country profile
strengthen knowledge base
,
build evidence and
sustain resources
capitalize on
potential contribution
to improve
health services and health outcomes
informed
choice
about self-health care
products: monitoring, enforcement, harmonization
practices
and
practitioners: education &training, skills development, services and therapies
2014-2023Slide20
Implementation of WHO TM Strategy: Indicators for monitoring
Member States reporting
a national/
provincial T&CM policy
increased governmental/
public research funding on T&CM
national regulation for T&CM products
national/
provincial regulation for T&CM
practice
national/provincial regulation/
registration for T&CM practitioners
national plan/
program/
approach for integrating T&CM service into national health service delivery
consumer education project/program for self-health care using
T&CM
WHOSlide21
WHA Resolution on Traditional MedicineWHA67.18 adopted in May 2014 urges Member States
:To adapt, adopt and implement, where appropriate, the WHO strategy as a basis for national T&CM programmes or work plansTo develop and implement working plans to integrate TM into health services particularly primary health care servicesTo report to WHO on progress in implementing the strategySlide22
WHA Resolution on Traditional MedicineWHA67.18 requests the Director-General of WHO:To facilitate Member States’ implementation of the WHO strategy, supporting their formulation of knowledge-based national policies, standards and regulations, and strengthening national capacity building
To provide policy guidance to Member States on how to integrate T&CM services within health care systemsTo provide technical guidance in ensuring safety, quality and effectiveness of T&CM servicesSlide23
WHA Resolution on integrated, people-centred health services(2016)
Title: Strengthening integrated, people-centred health servicesUrges WHO Member States to integrate where appropriate traditional and complementary medicine and modern health systems, based on national context and knowledge-based policies, while assuring the safety, quality and effectiveness of health services and taking into account a holistic approach to healthSlide24
Promote the contribution through : Leadership-Integration and Q&SSupport MS in their efforts in providing more health care choices to meet people’s needs and demandsReview and identify the existing models of appropriate integration in MS
particularly in PHC to support IPCHS, UHC, SDGs and to report good practicesQuality improvement and safety of traditional, complementary and integrative medicine(TCI) services (starting in acupuncture) - keep the world safe and “do no harm”
Quality and safety on herbal medicines
Qualified TCI practitionersSlide25
Promote the contribution through :Standards, norms and technical documentsA series of Benchmarks for practice in TCI:
Benchmarks for practice in Acupuncture and in CuppingBenchmarks for practice in AyurvedaBenchmarks for practice in PanchakarmaBenchmarks for practice in Tuina
Benchmarks for practice in UnaniSlide26
Promote the contribution through: Traditional Medicine Chapter (Module 1)
Purpose: enable traditional medicine health services to count and be counted internationally.Nature and scope:
the chapter in its current form refers to
disorders and patterns
which originated in ancient Chinese
medicine
and are commonly used in China, Japan, Korea, Australia, America, Europe and elsewhere around the world.
It will be the
case
for creating a
common language for
this part of TM
diagnosis
and strengthening the
integrative approach for
improving
people’s
health
. WHO EB progress report agreed and consensus reache
d in Tokyo ICD congress in 2016.
Will be launched in June 2018.Slide27
Integration of T&CM into national health systems
Integrative medicine
The patients and the public
will be benefited
from
accessing more choices.
Traditional and
complementary/
alternative
medicine
Conventional
medicine