Traditional knowledge
Traditional practices are based on a holistic approach to the human being within the wider
environment, and this is also reflected in the ty
pe of knowledge to which they refer, the debate
surrounding their origins, their usage patterns and transmission modes. Traditional medical
knowledge and its application can be highly codified and systematized, sometimes even
institutionalized, with the result that it is transmitted by public medical institutions or jointly by
health institutions and families or specialist lineages. In some countries, traditional medical
knowledge remains localized and its dissemination is limited, thus conserving an informal aspect
that accrues from the accumulated experience of a particular lineage of healers. It is often kept
secret, being mainly transmitted orally, as pointed out above. It can also combine natural and
supernatural resources, and be deemed to be acquired at birth or through a gift or special
revelation to certain initiates.
In some developing countries, between 60% and 90% of the population use traditional medicine for
primary health care (WHO, 2002a). In most cases, th
is is either because they have no alternative,
since other, generally more expensive types of treat
ment are not readily available; or because of
cultural traditions. If people in developing countries are
turning to this type of medicine, it is mainly
because it is near at hand, readily available, affordable and compatible with the traditional culture
or ethnic group.
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