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“Getting the water-carrier to light the lamps”: Discrepant role perceptions of traditional, complementary, and alternative medical practitioners in government health facilities in India

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  • Josyula, K. Lakshmi
  • Sheikh, Kabir
  • Nambiar, Devaki
  • Narayan, Venkatesh V.
  • Sathyanarayana, T.N.
  • Porter, John D.H.

Abstract

The government of India has, over the past decade, implemented the “integration” of traditional, complementary and alternative medical (TCAM) practitioners, specifically practitioners of Ayurveda, Yoga and Naturopathy, Unani, Siddha, Sowa-rigpa, and Homoeopathy (collectively known by the acronym AYUSH), in government health services. A range of operational and ethical challenges has manifested during this process of large health system reform. We explored the practices and perceptions of health system actors, in relation to AYUSH providers' roles in government health services in three Indian states – Kerala, Meghalaya, and Delhi. Research methods included 196 in-depth interviews with a range of health policy and system actors and beneficiaries, between February and October 2012, and review of national, state, and district-level policy documents relating to AYUSH integration. The thematic ‘framework’ approach was applied to analyze data from the interviews, and systematic content analysis performed on policy documents.

Suggested Citation

  • Josyula, K. Lakshmi & Sheikh, Kabir & Nambiar, Devaki & Narayan, Venkatesh V. & Sathyanarayana, T.N. & Porter, John D.H., 2016. "“Getting the water-carrier to light the lamps”: Discrepant role perceptions of traditional, complementary, and alternative medical practitioners in government health facilities in India," Social Science & Medicine, Elsevier, vol. 166(C), pages 214-222.
    • Handle: RePEc:eee:socmed:v:166:y:2016:i:c:p:214-222
    DOI: 10.1016/j.socscimed.2016.08.038
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    References listed on IDEAS

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    1. Jingfeng, Cai, 1988. "Integration of traditional Chinese medicine with Western medicine--Right or wrong?," Social Science & Medicine, Elsevier, vol. 27(5), pages 521-529, January.
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    3. Hollenberg, Daniel, 2006. "Uncharted ground: Patterns of professional interaction among complementary/alternative and biomedical practitioners in integrative health care settings," Social Science & Medicine, Elsevier, vol. 62(3), pages 731-744, February.
    4. Jefferey, Roger, 1982. "Policies towards indigenous healers in independent India," Social Science & Medicine, Elsevier, vol. 16(21), pages 1835-1841, January.
    5. Chi, Chunhuei, 1994. "Integrating traditional medicine into modern health care systems: Examining the role of Chinese medicine in Taiwan," Social Science & Medicine, Elsevier, vol. 39(3), pages 307-321, August.
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    1. Patel, Gupteswar & Brosnan, Caragh & Taylor, Ann & Garimella, Surekha, 2021. "The dynamics of TCAM integration in the Indian public health system: Medical dominance, countervailing power and co-optation," Social Science & Medicine, Elsevier, vol. 286(C).

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