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Healing Rites: CAM in World Healthcare

This paper uses media framing as a lens on the socioeconomic, social, political and legal determinants of CAM’s degree of access, acceptance, and use in developed countries and small island nation states.
by

farzana gounder

on 6 October 2016

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Transcript of Healing Rites: CAM in World Healthcare

CAM in the South Pacific
CAM therapies
Why use media as a research lens?
Research questions
CAM
CAM in media
(W)rite of healing: Social determinants of complementary and alternative medicine access in developing & developed worlds

Farzana Gounder
Lecturer, IPU New Zealand
Research Associate, University of Waikato

Conclusion

1. How does media depict national
socio-cultural determinants
of CAM usage

2. How does media present national
socio-economic determinants
of CAM practices

3. How does media discuss national
legal and political determinants
of CAM usage
Agenda setting:
What
to think about
Framing:
How
to think about it
Cost of CAM vs conventional
Frames
Alternative treatment: choice or necessity
High emphasis
medical, government, legal
Caution against CAM use
Death
Who's choice?
Regulations
Official incorporation of CAM
Societal CAM literacy
Fiji's estimated expenditure on traditional healers

FJ$2.1 million in 2005
FJ$1.6 million in 2007
FJ$1.7 million in 2008
0.8% of total health expenditure in 2008

"It is highly probable that these figures are underestimated since most traditional healers are paid in-kind and it is difficult to put a dollar value on the payments."

MoH, 2008
NZ CAM use
One in five adults uses CAM
Most popular: massage therapy

Percentages of other CAM therapies:
25% homoeopath/naturopath/acupuncturist

4.4% of adults: osteopath

5.4% of adults: chiropractor

3% children: osteopath, chiropractor
Asia Pacific Observatory on Health Systems and Policies (2011)
traditional + complementary + alternative
NZ: 45%
FJ: 48%
NZ: 51%
FJ: 34%
NZ: 4%
FJ: 18%
media
public
policy
UN SDG 3:
"all people have access to needed, quality health services without suffering financial hardship"
Sensationalism
+
Conflicting messages
+
Media, public, health policies
Choice versus necessity
+
Absence, credibility, trustworthiness
Lack of CAM emphasis + absence of CAM practitioners + little discussion of socio-economic determinants


lack of public awareness of social determinants


lack of public engagement with population-health policies around the role of CAM in equitable societal healthcare access

References
http://www.acupuncturecamtherapyinstitute.com/complementary-alternative-medicine.htm
http://www.euromonitor.com/a-global-overview-of-herbal-traditional-products/report
https://www.health.govt.nz/system/files/documents/publications/portrait-of-health-june08.pdf
http://www.wpro.who.int/asia_pacific_observatory/en/
http://www.nonijuice4health.com/Noni-Beverages.html
http://www.fijitimes.com/gallery.aspx?gallery=910
http://www.remediesandherbs.com/top-5-herbal-remedies-for-parkinsons-disease/
http://www.tiptophomeremedies.com/learn-about-dandelion-tea-the-new-hope-for-successful-battle-with-cancer-destroys-cancer-cells-in-48-hours/
https://books.google.co.nz/books/about/Homeopathic_Medicine_for_Children_and_In.html?id=MmhbOSqvvK8C&source=kp_cover&redir_esc=y&hl=en
https://books.google.co.nz/books/about/The_Arthritis_Foundation_s_Guide_to_Alte.html?id=T4qTQgAACAAJ&source=kp_cover&redir_esc=y
http://www.remediesandherbs.com/7-herbs-that-lower-blood-pressure/
http://www.scenerypointe.org/index.php?option=com_content&task=view&id=46&Itemid=1
http://health.usnews.com/health-news/health-insurance/articles/2015/03/09/does-your-health-insurance-cover-alternative-medicine
http://www.mapsofworld.com/fiji/


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