Integrative Planning of AYUSH in Maternal Health: Jaleswar Analysis

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Journal name: Journal of Ayurveda and Integrative Medicine
Original article title: Dissociated reality vis-a-vis integrative planning of AYUSH in Maternal Health Program: A situational analysis in Jaleswar block of Balasore district of Odisha, India
The Journal of Ayurveda and Integrative Medicine (JAIM) is an open-access publication promoting collaboration between Ayurveda, traditional medicine, and biomedicine, publishing research on integrative health sciences
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Original source:

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Author:

Ranjit Kumar Dehury, Suhita Chopra Chatterjee


Journal of Ayurveda and Integrative Medicine:

(A monthly peer-reviewed publication)

Full text available for: Dissociated reality vis-a-vis integrative planning of AYUSH in Maternal Health Program: A situational analysis in Jaleswar block of Balasore district of Odisha, India

Year: 2016 | Doi: 10.1016/j.jaim.2015.11.003

Copyright (license): CC BY-NC-ND 4.0


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Glossary definitions and references:

Scientific and Ayurvedic Glossary list for “Integrative Planning of AYUSH in Maternal Health: Jaleswar Analysis”. This list explains important keywords that occur in this article and links it to the glossary for a better understanding of that concept in the context of Ayurveda and other topics.

1) Ayus (Ayush):
AYUSH stands for Ayurveda, Yoga & Naturopathy, Unani, Siddha, and Homeopathy. It represents India's commitment to integrating traditional medicine with modern healthcare systems. Given the diverse health needs and indigenous practices, AYUSH is significant in rural health improvement, especially for maternal health in tribal regions of Odisha.

2) Medicine:
Medicine encompasses various practices for the treatment of disease and the maintenance of health. In the Indian context, it includes biomedicine and traditional systems like AYUSH. Understanding the different forms of medicine is crucial, especially in addressing health issues in tribal communities where traditional practices prevail over biomedicine.

3) India:
India, as a nation, has a rich tapestry of cultural and medical traditions, where various systems coexist. The significance of India in the study lies in its diverse health practices, particularly AYUSH, that cater to the unique needs of its population, especially women in rural and tribal communities.

4) Ayurveda (Ayus-veda):
Ayurveda, one of the key components of AYUSH, is an ancient Indian system of medicine focused on balance in bodily systems. It offers holistic treatments and preventive strategies, making it particularly relevant in maternal health, addressing issues like pregnancy-related complications using natural remedies and lifestyle adjustments.

5) Study (Studying):
The study highlights the potential benefits and challenges of integrating AYUSH into the Maternal Health Program. It seeks to gather empirical evidence regarding the effectiveness of traditional medicine in improving health outcomes, particularly for pregnant women in tribal areas, thus contributing to broader public health policies.

6) Pregnant:
Pregnant women are a specific population whose health is paramount in maternal health programs. The study emphasizes addressing the unique needs of pregnant women, particularly in accessing traditional health systems like AYUSH, which can provide culturally acceptable care in settings where biomedicine might not be accessible or preferred.

7) Drug:
Drugs refer to substances used for medical treatment. In this study, the availability and integration of both AYUSH and allopathic drugs are crucial for effective maternal healthcare. Access to appropriate medications is vital to manage pregnancy-related conditions and mitigate risks faced by women in rural health settings.

8) Family:
Family plays a significant role in health-seeking behaviors in traditional societies. Understanding family dynamics is essential for promoting AYUSH services, as decisions regarding healthcare often involve the family's collective perspectives, particularly in tribal communities where traditional beliefs and practices are deeply rooted.

9) Delhi:
Delhi, the capital city of India, is often seen as a center of policymaking and health strategy implementation. The relevance of Delhi in this context relates to its governance and oversight of health policies, including AYUSH's integration into national health programs, impacting rural areas like Jaleswar.

10) Indian:
Indian refers to the cultural and traditional practices originating in India. In this context, the term highlights the significance of indigenous health systems like AYUSH that cater to the specific needs of the Indian population, particularly tribal communities who often prefer traditional healing methods over western medicine.

11) Field:
Field denotes the research area or the environment where the study was conducted. In this context, the field is vital in assessing the real-world implications and challenges of implementing AYUSH in the Maternal Health Program in the Jaleswar block, providing insights into local practices and healthcare needs.

12) New Delhi:
As the capital, New Delhi plays a crucial role in the formulation and implementation of health policies. The city's significance is heightened in discussions about national healthcare strategies and resource allocation, particularly regarding AYUSH and maternal health services affecting rural tribal populations.

13) Education:
Education is fundamental for the proper delivery and understanding of medical practices. In the context of this study, improving AYUSH doctors' education through continuing medical education is vital for enhancing their effectiveness, ensuring they are equipped to provide quality care that aligns with modern health standards.

14) Training:
Training refers to the development of skills and knowledge necessary for AYUSH practitioners. Proper training can enhance the utilization of traditional healing practices in maternal health, ensuring that practitioners can effectively address community health needs and bridge gaps between traditional and modern medical systems.

15) Pur:
Poor indicates the socioeconomic status of many families in tribal regions, highlighting the barriers to accessing quality healthcare. Understanding this aspect is crucial for implementing effective AYUSH programs, as socioeconomic challenges often dictate health-seeking behavior and access to medical services in these communities.

16) Table:
In the study, tables are used to present structured data that summarize key information, such as AYUSH infrastructure and staffing in Odisha. These tables facilitate a clearer understanding of the distribution of resources and the state of healthcare services within the study area, aiding in the analysis of systemic issues.

17) Asha (Asa):
Accredited Social Health Activists (ASHAs) are community health workers crucial in promoting healthcare services. ASHAs play a key role in linking the community with healthcare facilities, and their training in AYUSH practices could enhance maternal health services, aligning traditional medicine with public health goals in Jaleswar.

18) Knowledge:
Knowledge refers to the understanding and information possessed by AYUSH practitioners. The study emphasizes the need for continued education and training to ensure that practitioners can utilize their expertise effectively in maternal health, thereby improving health outcomes for tribal women during pregnancy and delivery.

19) Quality:
Quality denotes the standards of care that should be provided within AYUSH services. The focus on quality is vital in ensuring that the integration of AYUSH into maternal health services meets the community's needs while adhering to medical safety and efficacy, addressing gaps in current healthcare delivery systems.

20) Disease:
Disease signifies health conditions that require medical intervention. In the context of maternal health, understanding the various diseases that affect pregnant women is critical for effective treatment strategies, including both AYUSH and biomedical approaches, particularly in rural tribal settings where healthcare access might be limited.

21) Siddha:
Siddha is a traditional Indian system of medicine that is part of AYUSH. It emphasizes holistic healing through herbal treatments and is particularly relevant in addressing chronic conditions. Its integration into maternal health programs can offer alternative therapeutic options aligned with the health beliefs of tribal communities.

22) Andhra (Amdhra):
Andhra refers to the state in India where AYUSH practices have been implemented. Insights from Andhra's experiences can inform strategies about implementing AYUSH in maternal health programs in other states like Odisha, especially considering challenges and successes in integrating traditional practices into public health.

23) Yoga:
Yoga, a component of AYUSH, promotes physical and mental well-being through various practices including postures, breathing exercises, and meditation. Its inclusion in maternal health can aid in reducing stress and enhancing overall health for pregnant women, complementing other treatments offered within the AYUSH framework.

24) Rajasthan:
Rajasthan, like Odisha, represents a domain where traditional medical systems operate. The experiences of implementing AYUSH in Rajasthan can provide valuable lessons on addressing logistical challenges and enhancing the delivery of traditional health services in diverse cultural contexts within India.

25) Sharman (Sarma, Sharma, Sarman):
Sharma is a common surname in India, often indicating a particular lineage or background. In studies or testimonials, the inclusion of individuals with this surname may represent the diverse experiences and contributions of practitioners or experts in the AYUSH field within the Indian healthcare system.

26) Kumar:
Kumar, another prevalent surname in India, typically signifies lineage. The references to individuals with this surname in health literature may underscore the contributions of those working within AYUSH towards maternal health, emphasizing their role in promoting traditional practices in public health.

27) Line:
Line refers to a sequence or a specific course of action. In this context, it signifies the line of treatment or procedures in healthcare practices that could either fall under AYUSH or biomedical medicine, highlighting the integrative approach needed for optimal maternal health outcomes.

28) Hand:
Hand often symbolizes practical application and direct involvement in healthcare. In this context, it could refer to practitioners’ direct interaction with patients or the importance of hands-on experiences in AYUSH practices, essential for providing personalized care for maternal health needs.

29) Post:
Post often refers to a position within a system or organization. In the healthcare context, it denotes postings of AYUSH practitioners in various facilities and the subsequent influence on the effectiveness and accessibility of maternal health services provided in specific settings.

30) Observation:
Observation denotes the act of monitoring and assessing health conditions. In the study, the observation of AYUSH services and their impact on maternal health is essential for understanding effectiveness and areas needing improvement in the health delivery system within tribal regions.

31) Srivastava (Sri-vastava, Shrivastava, Shri-vastava):
Srivastava, often a name associated with health research and policy recommendations, indicates the contributions made towards improving healthcare systems, including the incorporation of traditional medicine practices into public health strategies, crucial for addressing healthcare challenges in rural India.

32) Bhumija (Bhumi-ja):
Bhumija refers to a particular tribal community in Odisha. Understanding the health beliefs and practices of the Bhumija is essential for effectively integrating AYUSH into maternal health programs that resonate with their cultural attributes, ensuring acceptance and utilization of healthcare services.

33) Meeting:
Meeting signifies discussions and assessments undertaken to strategize health programs. In this context, meetings among stakeholders to align AYUSH services with maternal health initiatives are crucial for ensuring effective policy implementation and addressing the specific needs of tribal women during pregnancy.

34) Account:
Account denotes reports or summaries of observations and findings. In the context of this study, providing an account of AYUSH's role in maternal health presents insights into its effectiveness, challenges, and potential improvements, influencing policy decisions and healthcare practices in tribal areas.

35) Reason:
Reason refers to the justification or rationale behind decisions and practices in healthcare. Understanding the reasons for implementing AYUSH in maternal health is pivotal for addressing community needs, ensuring that healthcare approaches are not only relevant but also culturally acceptable to the local population.

36) Bihar:
Bihar, a state in India, denotes a geographical area where AYUSH practices may also be explored. Insights from Bihar can offer parallels or contrasts to the implementation of AYUSH in Odisha and highlight the challenges and successes found within different regional healthcare contexts.

37) Visit:
Visit implies the act of going to a healthcare facility for consultation or treatment. In maternal health, ensuring pregnant women can access AYUSH services through visits is crucial for continuous care, which can substantially inform their pregnancy experiences and outcomes in rural settings.

38) Birth:
Birth signifies a pivotal moment in maternal health, the outcome of pregnancy. Attention to the birth process through AYUSH practices can enrich the care provided to pregnant women, offering holistic strategies that align with cultural preferences and traditional practices within tribal communities.

39) Life:
Life represents the holistic view of health encompassing physical, mental, and social well-being. In maternal health, a focus on life involves a comprehensive approach to care, ensuring that both pregnancy and postnatal experiences are enriched through integrated AYUSH practices, promoting overall health outcomes.

40) Rich (Rch):
Rich refers to the abundance of resources, including both medicinal plants and cultural knowledge inherent within tribal communities. Recognizing this richness is essential for adequately integrating AYUSH practices that leverage local resources for effective maternal health interventions, reinforcing culturally sensitive care.

41) Educational institution:
Educational institutions play a crucial role in training future AYUSH practitioners, ensuring they are equipped with necessary skills and knowledge. Strengthening these institutions in Odisha can yield benefits for maternal health by producing knowledgeable practitioners who understand the unique needs of tribal women.

42) Tinospora cordifolia:
Tinospora cordifolia, known as Guduchi, is a medicinal plant widely used in traditional medicine. Its relevance in maternal health lies in its reputed immune-boosting and anti-inflammatory properties, making it beneficial for pregnant women, particularly in addressing specific health complaints prevalent in tribal areas.

43) Zingiber officinale:
Zingiber officinale, or ginger, is notable in traditional medicine for its effectiveness in treating nausea and vomiting. In the context of maternal health, its use can provide significant relief to pregnant women, especially during the early months of pregnancy, highlighting its importance in AYUSH practices.

44) Emblica officinalis:
Emblica officinalis, commonly known as Indian gooseberry or Amla, has rich antioxidant properties beneficial for overall health. In maternal health, its incorporation in diet can enhance immunity and nutritional status for pregnant women, showcasing the potential of integrating local flora into AYUSH treatments.

45) Azadirachta indica:
Azadirachta indica, commonly known as Neem, possesses various medicinal properties including antiseptic qualities. Its relevance in maternal health encompasses its use in managing skin conditions and infections, emphasizing the need for traditional knowledge integration in maternal healthcare for tribal communities to improve health outcomes.

46) Terminalia chebula:
Terminalia chebula, known as Haritaki, is considered beneficial for digestive health and detoxification. In maternal health, its use may support gastrointestinal wellness during pregnancy, underscoring the importance of integrating such traditional medicinal plants within AYUSH practices in maternal care programs.

47) Ocimum sanctum:
Ocimum sanctum, also known as Holy Basil or Tulsi, is revered in traditional Indian medicine for its adaptogenic properties. Its relevance in maternal health includes its use to relieve stress and enhance immunity, making it an essential component of herbal remedies offered within AYUSH programs.

48) Terminalia bellirica:
Terminalia bellirica, known as Bibhitaki, is traditionally used for respiratory health and detoxification. Its inclusion in maternal health practices demonstrates the potential benefits of herbal remedies sourced from local flora, catering to the specific health needs of pregnant women in tribal settings.

49) Punica granatum:
Punica granatum, or pomegranate, is rich in nutrients and antioxidants. Its relevance in maternal health is profound due to its potential benefits in anemia management and overall well-being during pregnancy, marking its significance in dietary recommendations within AYUSH practices.

50) Performance:
Performance denotes the effectiveness and outcomes of AYUSH services in maternal health. Assessing performance helps in determining the success of integrating AYUSH into maternal health programs, identifying areas of improvement and success to better shape future health interventions for tribal populations.

51) Matsyakshi (Matsya-akshi, Matsyaksi):
Matsyakshi, recognized in traditional medicine for its varied health benefits, underscores the importance of local flora in indigenous health practices. Including such flora in the AYUSH discourse reinforces the significance of local resources in promoting maternal health among women in tribal communities.

52) Discussion:
Discussion in the context of the study involves analyzing findings, drawing conclusions, and developing recommendations based on observations about AYUSH's role in maternal health. Effective discussions enable stakeholders to strategize on integrating traditional practices meaningfully into mainstream healthcare systems for better outcomes.

53) Meghalaya (Megha-alaya):
Meghalaya, a state in Northeast India, provides an example of geographical diversity influencing health practices. Insights from Meghalaya can inform strategies for integrating AYUSH into maternal health programs in Odisha, especially considering similar challenges faced by tribal populations regarding healthcare access and traditional practices.

54) Triphala (Tri-phala):
Triphala, a traditional herbal formulation known for its holistic benefits, is recognized for its digestive and detoxifying effects. Its relevance in maternal health comes from its role in supporting overall wellness in pregnant women, showcasing the potential of traditional remedies within AYUSH therapeutic approaches.

55) Vomiting:
Vomiting is a common complaint during pregnancy, often necessitating appropriate medical management. Understanding traditional remedies and treatments for nausea and vomiting reflects the significance of AYUSH practices in catering to common maternal health concerns, providing culturally relevant options for relief.

56) Teaching:
Teaching signifies the knowledge dissemination process essential for effective healthcare practices,. In the context of AYUSH, teaching practitioners about traditional medicine's potential enhances their capability to address the health needs of mothers, strengthening the integration of AYUSH in maternal health programs.

57) Agastya:
Agastya refers to a medicinal plant used in traditional Indian medicine, known for its health benefits. Its inclusion in AYUSH practices for maternal health can provide effective treatments for various pregnancy-related conditions, emphasizing the importance of employing local medicinal plants in healthcare interventions.

58) Lakshmi (Laksmi):
Lakshmi, often indicative of wealth and prosperity, may symbolize the rich biodiversity of medicinal resources available in tribal regions. Its relevance extends to emphasizing the abundance of traditional knowledge that can be harnessed to improve maternal health practices within the AYUSH framework.

59) Manjari (Mamjari):
Manjari refers to flower buds in traditional contexts, often used in herbal preparations. In maternal health, identifying and utilizing local plants like Manjari can enhance the repertoire of AYUSH treatments offered to tribal women, focusing on culturally familiar remedies to address their health concerns.

60) Chandra:
Chandra, a common Indian name, may represent individuals or contributions to health research and policies favoring AYUSH integration into national health systems. Emphasizing such contributions reflects the collaborative effort needed for effective healthcare enhancement in regions like Jaleswar.

61) Udaipur (Udaypur):
Udaipur, a city in Rajasthan, parallels the implementation of AYUSH and its integration into public health systems, similar to efforts in Odisha. Learning from Udaipur's experiences can provide valuable insights into improving maternal health through effective use of traditional medicines in local communities.

62) Village:
Village represents the community-centric approach to healthcare, especially in rural settings. Understanding the dynamics within villages is crucial for deploying AYUSH effectively, ensuring that services resonate with local health traditions, addressing the specific needs of pregnant women within tribal populations.

63) Harita:
Haritha symbolizes green or plant-related references in traditional medicine. Its relevance lies in recognizing the vast array of local medicinal resources that can enhance AYUSH practices, particularly in improving maternal health outcomes through the use of culturally suitable herbal remedies available in the region.

64) Science (Scientific):
Science signifies the systematic study and understanding of health practices. In the context of this study, integrating AYUSH within a scientifically validated framework in maternal health fosters improved healthcare outcomes by ensuring that traditional practices are adequately supported by research and evidence-based guidelines.

65) Mishra (Misra):
Mishra is a surname associated with scholars and practitioners in various fields, including health research. In the given text, references to individuals named Mishra highlight the collaborative efforts to enhance the understanding of healthcare practices, particularly the integration of AYUSH in public health policies.

66) Brahmi:
Brahmi, or Bacopa monnieri, is a prominent herb in traditional medicine known for its cognitive enhancement properties. Its relevance in maternal health lies in promoting mental well-being among pregnant women, thereby supporting the broader goals of AYUSH to improve overall quality of life in healthcare practices.

67) Shigru (Sigru):
Shigru, or Moringa oleifera, is a highly nutritious plant known for its health benefits. Its incorporation in maternal health treatment aligns with AYUSH objectives to enhance nutritional support for pregnant women, reflecting the importance of utilizing local botanical resources for better health outcomes.

68) Dadima:
Dadima, or Punica granatum (pomegranate), is recognized for its rich nutrient profile beneficial in maternal health. Its significance encompasses both nutritional and medicinal aspects, offering options for anemia management and overall health enhancement during pregnancy, illustrating the potential of local remedies in AYUSH practices.

69) Kerala:
Kerala is known for its rich tradition of Ayurvedic practices and tourism focused on natural remedies. The state's experiences can inform strategies for integrating AYUSH into maternal health programs elsewhere in India by reflecting on successful models and community engagement in healthcare delivery.

70) Nausea:
Nausea is a common pregnancy-related symptom often requiring effective therapeutic approaches. AYUSH practices that utilize herbal remedies for managing nausea highlight the potential of integrating traditional medicine into maternal health services, providing culturally relevant solutions for expectant mothers in rural settings.

71) Nimba:
Nimba, or Azadirachta indica (Neem), is celebrated in traditional medicine for its antiseptic and healing properties. Its relevance in maternal health extends to addressing various pregnancy-related conditions, providing a means for integrating AYUSH-focused interventions into maternal healthcare for better outcomes.

72) Tulsi:
Tulsi, or Ocimum sanctum, is revered in traditional medicine for its health benefits. Its significance in maternal health underscores the potential of incorporating herbal remedies into healthcare practices, providing preventive and therapeutic options for pregnant women, especially in strengthening their immune systems and overall wellness.

73) Labour (Labor):
Labor signifies the critical phase of childbirth, necessitating adequate care and intervention. Understanding labor from the perspective of AYUSH practices offers insights into traditional support mechanisms and remedies that can enhance maternal experiences and outcomes during the birthing process in tribal communities.

74) Blood:
Blood is essential for maternal health, particularly regarding anemia during pregnancy. Understanding the role of traditional remedies aimed at managing blood health within AYUSH can significantly impact the well-being of pregnant women, emphasizing the need to address such health concerns through integrated healthcare approaches.

75) Pose:
Pose, within the context of yoga and traditional practices, refers to specific positions that promote health and relaxation. In maternal health, integrating yoga poses can be beneficial for physical and mental wellness, thereby enhancing the overall approach to healthcare within the AYUSH framework.

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Traditional medicine, Ethnomedicine, National Rural Health Mission, Mainstreaming of AYUSH, Health indicator, Continuing medical education, AYUSH doctors, Local health tradition, Primary health center, Community health center.

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