RASOANAIVO Traditional medecine in Madagascar .pdf



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Africa-China Forum
On Traditional Medicine
Beijing, China
18-20 October 2002

TRADITIONAL MEDICINE IN MADAGASCAR

ƒ Present status

ƒ Challenges
ƒ Opportunities

Philippe Rasoanaivo
Ministry of Health
Republic of Madagascar

INTRODUCTORY REMARKS
One driving policy of the Malagasy Government is the rapid and
sustainable development of Madagascar

At this point, key priorities have been identified, among
these is traditional medicine mainly focussed on:

¾ Community-based approach, and
¾ Production of safe, efficacious
and affordable phytomedicines
and nutraceuticals.

BACKGROUND
Rich plant diversity with unparalleled degree of endemism:
ƒ 85% of the species estimated at 13,000
ƒ 25 of the genera and
ƒ 8 entire plant families

Wealth of indigenous knowledge:
ƒ 5,000 species with reported ethnomedical uses

50% of the population rely on
traditional medicine for their
primary health care.
Association of Traditional Healers
ƒ Herbal practitioners,
ƒ Birth attendants,
ƒ Bone setters, etc.

Endemic to the
island

INSTITUTIONS INVOLVED IN TRADITIONAL MEDICINE
PROGRAMMES IN MADAGASCAR

State institute :
Centre National d’Application de Recherches Pharmaceutiques :
ƒ WHO Collaborating Centre for Traditional Medicine
ƒ Local production of the tradenamed drug Fanaferol (cicatrisant)
ƒ Bioprospecting

Semi-public institute
Institut Malgache de Recherches Appliquées:
ƒ WHO Collaborating Centre for Traditional Medicine (underway)
ƒ Production of 40 phytopharmaceuticals
ƒ Availability of biological screenings: antimalarial, anticancer,
antidiabetic and immunostimulant

Private Sector
Ranging from family enterprises to small scale companies
ƒ Local production of phytopharmaceuticals, essential oils
and cosmetics

CHALLENGES
Lack of harmonisation of activities between state and
private stakeholders as well as traditional healers

Lack of infrastructure for large-scale production of
phytopharmaceuticals
Lack of international collaborations
Lack of up-dated legal frameworks

RECENT ACHIEVEMENTS
Coordination of the activities of traditional medicine
at the Ministry of Health
¾ Department of Traditional Medicine and Pharmacopeae

Creation of the National Advisory Committee in charge of
elaborating:
¾ A National Policy of Traditional Medicine in Madagascar
¾ A technical document for the implementation of the national policy
¾ All legal frameworks for the practice of the traditional medicine

CD compilation of available ethnomedical data of plants
¾ 5,700 medicinal plants recorded

SUGGESTED AREAS OF COLLABORATION WITH THE
REPUBLIC OF CHINA
ƒ Training in the galenical formulations of
plant-based drugs
ƒ Assistance in the large production of
phytopharmaceuticals and nutraceuticals,
by strengthening the existing infrastructure
(OFAFA)
ƒ Technology transfer for the cultivation of
Artemisia annua and medium scale production
of artemisinin for the control of malaria

THANK YOU FOR
YOUR ATTENTION



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