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By Emilie Salomons, R.TCMP, R.Ac.
This December 2007, as part of a group of
five acupuncturists from North America, I was privileged to spend three
weeks in Uganda teaching local healthcare workers acupuncture. The
response from all parties was incredibly positive. The Pan African
Acupuncture Project (PAAP) training system is based on highly successful
models such as the ‘Barefoot Doctors’ in China and ‘GUAMAP’ in
Guatemala. PAAP is a very practical training system that is geared
towards getting healthcare workers from training to treating patients
with acupuncture as fast and as safely as possible. December was round
one of three training intensives the two groups of medical professionals
involved would receive throughout the next year. The response from the
healthcare workers was one of curiosity, excitement and relief that they
would have another tool to treat the myriad of patients they see
everyday. This allowed them to treat not only their regular patients,
but also patients who could not be treated with allopathic medicine,
patients who had no access to medication, and patients who were not
willing to see allopathic medical professionals.
“Acupuncture is like the bridge between our traditional medicine and
Western medicine,” one trainee commented. The trainee was referring to
the observation that certain patients who were only willing to see
Traditional African Medicine Practitioners (TAMP) felt comfortable
having acupuncture and were more willing to listen to advice given by
their acupuncturist or TAMP, including advice about HIV testing. A
benefit noted with the use of acupuncture was that it was sustainable
and affordable. In a country where fraudulent placebo medication has
sometimes found its way into pharmacies, and where availability of
medication is not always guaranteed, acupuncture is proving to be a
promising addition to the Ugandan medical system. Patient response was
nothing short of phenomenal. It was often the response of the patient
that convinced the healthcare worker to implement acupuncture into their
rural health centres.
Reaction to the acupuncture, for reasons we can only start to imagine,
was much faster and more drastic than in North America. Often what took
4 or 5 treatments in North America to see effect would take one
treatment in the village clinic. We had people literally jumping off the
treatment tables dancing with relief. I would estimate that 85% of the
patients my trainees and I saw marked at least a minimal feeling of
improvement after the first treatment, if not greater. To imagine a
series of such treatments is simply exhilarating. The most common
diseases seen were HIV related opportunistic infections, keloids,
malaria and pain, all of which responded very well to treatment. As
someone who spent five years studying Chinese Medicine full time, I must
admit I was skeptical of how much could be taught in such a short period
of time. Fortunately, with the use of the training manual which each
trainee took away with them, this simplified, very pragmatic, ‘no
frills’ program allowed the healthcare workers a way to start treating
some of the most common diseases immediately, even with pattern
differentiation. Once treatments had begun, the patient results were
enough to convince me of the efficacy of the point prescription in the
manual. The best part was that the trainees, now equipped with a new
treatment tool, were incredibly excited about acupuncture and very
curious to learn more.
With over 170 Ugandan healthcare workers trained in acupuncture, and
interest from neighboring countries like Kenya and Malawi, the Pan
African Acupuncture Project is proving to be an invaluable addition to
Uganda’s already progressive effort in treating and caring for its
people. As a recent volunteer trainer, it is without hesitation that I
say the trip was undoubtedly the most inspiring, satisfying and
enriching practical experience I have had.
Emilie Salomons is a Practitioner of Traditional Chinese Medicine in
Vancouver, BC. She has a private practice in Yale Town and also works
for Vancouver Coastal Health Authority doing acupuncture detoxification.
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