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坦桑尼亚传统医学的认知与发展

Recognition and development of traditional medicine in Tanzania.

作者信息

Stangeland Torunn, Dhillion Shivcharn S, Reksten Haavard

机构信息

Department of Ecology and Natural Resource Management, Norwegian University of Life Sciences, PO Box 5003, NO-1432 Aas, Norway.

出版信息

J Ethnopharmacol. 2008 May 8;117(2):290-9. doi: 10.1016/j.jep.2008.02.008. Epub 2008 Feb 13.

Abstract

The aim of this paper is to trace developments in Traditional Medicine (TM) and legislation concerning conservation and use of biodiversity in Africa, with Tanzania as a case study. Based on field trips, interviews with different actors, site visits, and literature we explored the history, current status, re-establishment, and development of TM. A summary of laws and regulations concerning forests, access and benefit sharing is presented. During the last decade the Government of Tanzania put forth legislation to address national health needs, traditional knowledge, and the resource base for TM (e.g., practitioners, biodiversity). Our findings indicate that TM is the most common form of health care, and that the HIV pandemic has highlighted the need to work across health sectors. New legislation has facilitated this need. In Tanzania TM is experiencing a renaissance in being formally recognized, integrated into mainstream health care, formal establishment of practitioners, and gaining the interests of different sectors. More studies on bioactivity, safety, domestication, and sustainability of use of medicinal plants are needed. Development of TM can also, other than making a significant contribution to health care and livelihoods, provide income possibilities. It is however yet to be seen if the recent regulations can be made fully operational and implemented.

摘要

本文旨在以坦桑尼亚为例,追溯非洲传统医学(TM)的发展以及有关生物多样性保护和利用的立法情况。基于实地考察、对不同行为主体的访谈、实地走访以及文献资料,我们探究了传统医学的历史、现状、重建与发展。文中呈现了有关森林、获取与惠益分享的法律法规摘要。在过去十年里,坦桑尼亚政府出台了相关立法,以满足国家卫生需求、保护传统知识以及为传统医学提供资源基础(如从业者、生物多样性)。我们的研究结果表明,传统医学是最常见的医疗保健形式,而且艾滋病疫情凸显了跨卫生部门合作的必要性。新的立法推动了这一需求。在坦桑尼亚,传统医学正经历复兴,在获得正式认可、融入主流医疗保健、从业者的正式确立以及赢得不同部门的关注等方面都有所进展。需要对药用植物的生物活性、安全性、驯化及可持续利用开展更多研究。传统医学的发展除了能为医疗保健和生计做出重大贡献外,还能提供创收机会。然而,近期的法规能否全面实施并发挥作用仍有待观察。

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