Well, originally the
bill had been written and advanced to
parliament but it could not proceed because
the policy was not ready and that is why we
had to back track and make sure the policy
document is ready before we go ahead with
the principles. So we could say that the
principles are ready and just need to be
tabled in parliament through cabinet.
What are the
major highlights of the Bill?
They include
regulation, control of the practice and
practitioners and environmental
conservation. The policy makes sure that
the environment is not depleted of both
the herbs and animals from which the
products are gotten. It also caters for
training and curriculum development
because healers are coming up with
apprenticeships at their places of
practice and I think this needs to be
regulated.
How does the
law propose to protect the intellectual
property rights that have been passed on
for generations through families, clans
and communities?
In the draft
policy, there is a provision on the
protection of intellectual property
rights. This has been one of the major
concerns of the healers and they fear
that once they expose the contents of
the herbs, it will be taken away. On the
task force, we have lawyers who are
advising on how this will be handled.
Why has it
taken the government long to develop a
policy to regulate the activities of
traditional medicine practitioners?
The collaboration
between the government and the private
sector has been a process. The private
sector includes the
private-not-for-profit (missionary
hospitals and NGOs with facility based
and non-facility based), and
private-for-profit (individual
practitioners in clinics or hospitals,
and the traditional complimentary
medicine).
In the process of
building a partnership and because of
the already established framework and
similarity in the missions (policy), the
government chose to begin with the
private-not-for-profit followed by
private-for-profit.
And currently, we
are developing the policy for
traditional and complimentary medicine.
So it is not that it has taken long but
this had to be phased out and
traditional and complimentary medicine
being the more complex and diverse
sector had be dealt with last.
What is the
difference between witchcraft and
traditional healers and how will the law
draw the boundaries?
Witchcraft is a
very negative practice and concentrates
on doing bad to a person while
traditional and complimentary medicine
looks at bringing good health to an
individual.
There is the
Witchcraft Act, which spells out clearly
how the trade should be dealt with.
The draft policy
lays down who a traditional healer is,
the accreditation, licensing, control,
regulation and how one gets into
healing. And the purpose of the policy
really is to ensure that a statutory
council comes into place so that it is
able to stamp out the current bad
practices of human sacrifices and
mutilation, many of which we get to know
of from the media.
Why is it that
witchcraft has painted the entire
practice as evil?
It is common that
negative things are over pronounced and
one bad thing will destroy all the good
done and that is why witchcraft has
taken a large share of the bad
advisement of the industry.
There are many
good things that healers do but they may
not have been very strategic in
marketing themselves because it is
believed that over 60 percent of the
population will either contact healers
as the first point before going to a
health facility or resort to them when
they have failed to get a cure from the
health facility. And if indeed the
practice were bad, then we would not be
having such a large number of the
population relying on traditional
healers.
How is the
government going to bring traditional
medicine on board the main health
delivery systems?
First of all, the
traditional healers are found in the
communities so they can be trained on
methods of hygiene, used as conduits of
other community health programmes (pass
on messages that do not need a high
level technical knowledge), offer safe
practice and discourage them from things
that endanger health.
The intention to
work with traditional healers is both to
strengthen them in what they are doing
and also to get them to work on the
government programmes.
What is the
importance of traditional medicine?
Well, the
importance is that most of the western
medicine is derived from herbs and found
to be effective. We have the Natural
Chemotherapeutics Laboratory where the
value of the drugs are tested and found
to be effective. Conceptually, it
appeals to the population and they
understand it more easily that the
western medicine.
The traditional
healers tend to have very close contact
with their patients and are good at
counselling with the psychology element.
So it has its good and superior aspects
that have to be promoted and upheld, and
that is why we think you cannot just
throw it away. It existed even before
western medicine came here and our great
grandfathers relied on traditional
medicine.
How will the
policy ensure that the practitioners
adhere to the ethical code?
Right now, there
are associations for different
traditional healers, which have mainly
played the role of registration of the
healers than anything else. Now these
associations could be strengthened and
trained and they themselves can weed out
the bad apples. The government can work
with them to ensure they discourage bad
practices, look out for those coming on
board and the government would only come
in to supervise through the local
governments.
Shall we see
the government starting up a school or
institute of traditional medicine for
purposes of training and research among
others?
It does not have
to be the government. Some healers have
set up training institutions. Now one
has to go in and ensure that they have
the criteria for recruitment, credible
training curriculum, and they need to
work with the government to ensue that
the graduates can develop a career along
the traditional medicine practice.
They need to be
guided and follow standards as well as
do research because a lot of research
can only take place if you have higher
centres of learning. Our task force has
experts from the Makerere University
School of Medicine and the Para Medical
School to ensure and guide the process
of capacity building within traditional
and complimentary medicine.
Countries like
China have made great strides in this
line. Do we see Uganda following the
same because traditional has proved to
be far safer?
We have to be
careful of course when we speak about
some of the alternatives and
complimentary practices like the Chinese
medicine. It can very easily overshadow
our own practices.
So that is why we
think the policy is very important to
make sure that the positive traditional
medicine practices that are indigenous
to Uganda do not go underground but are
instead maintained and carried forward
but along side some of the alternatives
and complimentary practices like the
Chinese. Yes, we think that if the
policy comes into place, we will
preserve and even develop through
training.
Maybe we shall see
our traditional and complimentary
medicine occupying a place alongside
western medicine in future so that when
one visits a hospital, he can be asked
whether he would prefer to be seen by a
traditional medicine healer or western
trained doctor like it is in places like
China.
Do you know
of any countries in Africa that have
made good use of their traditional
medicine practice through sound
policies?
Yes, Nigeria,
Malawi and Ghana have policies on
traditional and complimentary
medicine and we are looking at some
of their documentations though we
have generally followed the World
Health Organisation guidelines to be
able to come up with our own.