A New Medical Pluralism

Cant, Sarah; Sharma, Ursula

doi:10.4324/9780203024973

Cited by 39 publications

(52 citation statements)

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“…As in many developing countries, western medicine does not enjoy a monopoly in Nigeria ( Cant and Sharma 2004 ). The country’s maternal health care system is pluralistic, characterized by conventional, complementary and alternative providers.…”

Section: Empirical and Theoretical Contextmentioning

confidence: 99%

What does quality maternity care mean in a context of medical pluralism? Perspectives of women in Nigeria

Izugbara

Wekesah

2017

Health Policy and Planning

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User priorities regarding quality care in contexts of medical pluralism are poorly documented. Drawing on group and individual interviews with women, we interrogate ideas of quality maternity care in the context of Nigeria’s medical pluralism. We found complex utilization patterns for conventional, complementary and alternative maternity care services as well as ideas of quality maternity care that stress effective coordination and integration of different typologies of maternity health services; socially sensitive and truthful providers; and socioeconomic, physical and parochial forms of safety. Informal providers were the commonly reported source of maternal health services in the study. Maternal health services in the country were also generally viewed as poor quality, characterized by pervasive abuse, quackery and lack of commitment to the needs and sensitivities of women. Convenience, availability and affordability of maternal health services, as well as sociocultural factors were major influences on women’s use of services. Results demonstrate the embeddedness of women’s quality of care notions in the vast socioeconomic inequities that typify Nigeria’s particular form of poorly regulated medical pluralism, raising need for strategies to strengthen the delivery, coordination and supervision of maternal health services in the country.

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Section: Empirical and Theoretical Contextmentioning

confidence: 99%

What does quality maternity care mean in a context of medical pluralism? Perspectives of women in Nigeria

Izugbara

Wekesah

2017

Health Policy and Planning

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“…The budding medical pluralism in the West encompassed a wide range of complementary and alternative medicines (CAMs) such as homeopathy, chiropractic, osteopathy and so on (Cant and Sharma 1999). The global appeal of ‘hatha’ yoga practices and the booming industry about yoga worldwide has attracted a good amount of research.…”

Section: Globalisation Of South Asian Therapeutic Practicesmentioning

confidence: 99%

Globalisation of South Asian Medicines: Knowledge, Power, Structure and Sustainability

Sujatha

2020

Society and Culture in South Asia

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The discourses on globalisation focus their attention on the flow of capital and technology from the global North. Historical, anthropological and sociological studies, however, point to crucial flows of medical knowledge, health practices, medicinal plants, other genetic resources and the first-hand knowledge of their applications into the global North from other regions rich in biodiversity. These flows do not just continue to happen but have been significant in shaping the postmodern condition. This collection is an attempt to draw attention to the less visible flows by presenting the epistemic, political, social and ecological dimensions of the globalisation of South Asian medicines and the ramifications of this process abroad and at home. The introduction outlines a framework to understand the convergences and divergences in the medical systems and health practices in the South Asian region. Although contemporary trajectories of traditional medicines in South Asian nations are many and varied, they face similar issues and share common anxieties. The challenge will be in evolving effective solutions at many levels and there are several possibilities for mutual learning among the South Asian nations.

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“…A historical evaluation of statutory regulation of some CAM therapies reveals a process of reductionism from esotericism to medical exotericism. History tells of how medical antagonism to osteopathy intensified in the 1920s [ 28 ]. In 1931, the practitioners sought state recognition through registration, but the medical profession opposed on the basis of “the lack of empirical evidence for the existence of osteopathic lesions” [ 28 ] and the level of training of the practitioners.…”

Section: The Bayesian Theory and Statutory Regulationmentioning

confidence: 99%

Law′s Dilemma: Validating Complementary and Alternative Medicine and the Clash of Evidential Paradigms

Iyioha

2010

Evidence-Based Complementary and Alternative Medicine

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This paper examines the (in)compatibility between the diagnostic and therapeutic theories of complementary and alternative medicine (CAM) and a science-based regulatory framework. Specifically, the paper investigates the nexus between statutory legitimacy and scientific validation of health systems, with an examination of its impact on the development of complementary and alternative therapies. The paper evaluates competing theories for validating CAM ranging from the RCT methodology to anthropological perspectives and contends that while the RCT method might be beneficial in the regulation of many CAM therapies, yet dogmatic adherence to this paradigm as the exclusive method for legitimizing CAM will be adverse to the independent development of many CAM therapies whose philosophies and mechanisms of action are not scientifically interpretable. Drawing on history and research evidence to support this argument, the paper sues for a regulatory model that is accommodative of different evidential paradigms in support of a pluralistic healthcare system that balances the imperative of quality assurance with the need to ensure access.

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A New Medical Pluralism

Cited by 39 publications

References 0 publications

What does quality maternity care mean in a context of medical pluralism? Perspectives of women in Nigeria

What does quality maternity care mean in a context of medical pluralism? Perspectives of women in Nigeria

Globalisation of South Asian Medicines: Knowledge, Power, Structure and Sustainability

Law′s Dilemma: Validating Complementary and Alternative Medicine and the Clash of Evidential Paradigms

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