Assignment: Product /Service Available in the Local

Market

Choice:Particular Service Segment

Traditional MedicineComplementary or Alternative Medicine(CAM)

Herbal MedicineUnani Medicine

Faizan Saeed……………………………

……………………………………..

Reasons for Selecting this segment• Despite all the marvelous advancements in modern medicine, traditional

medicine has always been practiced. • More than 70% of the developing world's population depends on the

complementary and alternative systems of medicine (CAM).• Cultural beliefs and practices often lead to self-care or home remedies in

rural areas and consultation with traditional healers.• Evidence-based CAM therapies have shown remarkable success in healing

acute as well as chronic diseases. • Alternative therapies have been utilized by people in Pakistan who have

faith in spiritual healers, clergymen, Hakeems, Homoeopaths or even many Family-descendant Practitioners.

• These are the first choice for problems such as infertility, epilepsy, psychosomatic troubles, depression and many other ailments.

Current Scenario• The segment has gained strong momentum from the

World Health Organization realizing that the modern medicine alone cannot achieve the goal of health in any of the Global Health Regions of the World

• WHO Regional Offices:• WHO African region • WHO Region of the Americas • WHO South-East Asia Region • WHO European Region • WHO Eastern Mediterranean Region • WHO Western Pacific Region

Products/ Services Available in the Local Market

• The traditional medicine sector has become an important source of health care,

especially in rural and tribal areas of the country. Thousands of Pharmaceutical Preparations under Natural Products or Herbal Products are used

• Health Sector all over the country renders variable sort of OPD Clinic services with remarkable Products’ range

• Now as the system is getting more popularity, Tertiary Care i.e. Hospitalization has also commenced

• Qualification (Bachelor & Post-graduate) has been recognized by he HEC and practitioners are now required to be Degree holders from recognized Universities of the country. The Physicians of this walk of Medicine are rendering services to the population of our country.

Shifa ul Mulk Memorial HospitalShifa ul Mulk Memorial Hospital

BH-HU Libr.Databank of

Ethno-BotanicalLiterature

Center ForHorticulture,

HydrochemistryLab. HU-MAH

HMIIPHSInstt. of

Pharmacol. &Herbal Scs.

HACEMHamdard

University+ Shifaul Mulk

Hospital

Cultivation-Drip Irrigation

MINFAL ProjectHACEM-MAH

HamdardFoundation

Pakistan40-Yrs +

Publications

Faculty of Eastern Medicine-HamdUniv

These Services are supported by proper Institutional R & D Programs

ManufacturingLaboratories

Hamdard (Waqf)

Whole Plant, Leaves, Fruits, Seeds, Roots, Bark, Gums, Extracts, Bioactive Constituents, Compound Formulations

Overview of Trad’. Medicine

Natural Drugs…

Zinc OxideMica

…Variable Origin

MuskAmber

Marketing chain for medicinal plants collected in Swat, Pakistan

OTHERCOUNTRIES

CHINA

AFGHANISTANINDIASWAT

IRANOTHER COUNTRIES

OTHER COUNTRIES

PESHAWAR RAWALPINDI

OTHER NATIONAL MARKETS

KARACHI

LAHORE

Some Examples

Products’ Range Examples

• Herbal Teas (Joshanda Granules/)• Infusions (Khesanda)• Syrups (Sharbat)• Tablets (Qars)• Confections (Khamiray)• Electuaries (Ma’jun)• Drops (Qaturat)• Ointments (Marham)• Oil (Roghan)• Aqua (‘Arq)• Powders (Safuf)

Many developing country populations use TM to help meet health care needs, while many populations in developed countries have used CAM at least onceSources: Eisenberg DM et al, 1998; Fisher P & Ward A, 1994; Health Canada, 2001; World Health Organization, 1998; and government reports submitted to WHO.

Market Segment of Herbal Drugs

• Global sales of herbal products now exceed a staggering US$40 billion a year.

• From the more than 250+ Companies manufacturing Medicine, 44 are manufacturing Traditional/Herbal Drugs

• Around 70–80% of the population, particularly in rural areas, uses CAM therapies.

How is herbal medicine sold in stores?• The herbs available in most stores come in several different forms:

teas, syrups, oils, liquid extracts, tinctures, and dry extracts (pills or capsules). Teas can be made from dried herbs left to soak for a few minutes in hot water, or by boiling herbs in water and then straining the liquid. Syrups, made from concentrated extracts and added to sweet-tasting preparations, are often used for sore throats and coughs. Oils are extracted from plants and often used as rubs for massage, either by themselves or as part of an ointment or cream. Tinctures and liquid extracts are made of active herbal ingredients dissolved in a liquid (usually water, alcohol, or glycerol). Tinctures are typically a 1:5 or 1:10 concentration, meaning that one part of the herb is prepared with five to ten parts (by weight) of the liquid. Liquid extracts are more concentrated than tinctures and are typically a 1:1 concentration. A Dry extract form is the most concentrated form of an herbal product (typically 2:1 - 8:1) and is sold as a tablet, capsule, or lozenge.

Consumers Attraction

Regulation

• Currently, no organization or agency properly regulates the manufacture or certifies the labeling of herbal preparations. This means you can't be sure that the amount of the herb contained in the bottle, or even from dose to dose, is the same as what is stated on the label. Some herbal preparations are standardized, meaning that the preparation is guaranteed to contain a specific amount of the active ingredients of the herb. However, it is still important to ask companies making standardized herbal products about their product's guarantee. It is important to talk to your doctor or an expert in herbal medicine about the recommended doses of any herbal products.

Follow-up of Proper Documentation

The Sale of Herbal Medicines

Pakistan• There is One regulating Body i.e. National Council for

Tibb, and One for Homoeopathy which regulate the overall operation of the registration of Practitioners but it has no good control over the manufacture, sale, quality control like issues. Cost of such medicines is therefore erratic and most of the time self regulated by the companies/ manufacturers or importers. Bill for all such issues addressed is pending with the National Assembly which deals with Standardization, Quality Control and Safety as well.

Cost structure

• Herbal Drugs/ Medicinal Plants and Natural Products obtained from these are not regulated properly

• Two bigger markets viz. Akbari Mandi Lahore and Karachi observe cost regulation linked with availability and demand rather than state control

Natural Products Cost is rising due to many factors e.g. Import,

Seasonal variation, Excessive Utilization, Environmental

Regulations, etc.

Finished Products

• Raw Material Cost ultimately effects the Finished Products (Saffron……all products)

• The raw products’ cost is however lower as compared to finished products due to additives cost, labor, packing/printing, advertising, selling procedures etc.

• Pakistan Tibbi Manufacturers Association and Pakistan Pharmaceutical Manufacturers Association also play some role regarding these phenomenon but its not much effective.

• Of course it has risen as less an attractive market as compared to India’s more than 2Billion, due to the slow pace of our recognition of Traditional Medicine sector as potential health sector to be incorporated into mainstream Healthcare system.

What is then requird…!

The world’s poorest countries are most in need of inexpensive, effective treatments for diseases. WHO estimates that one-third of the global population still lacks regular access to essential drugs, and that in the poorest parts of Africa and Asia, this figure rises to over 50%. In these regions, some form of TM is often a more widely available and more affordable source of health care. However, if access to TM is to be increased to help improve health status, two issues must be tackled. They are: development of reliable standard indicators to accurately measure levels of access, and collection of qualitative data to identify constraints to extending access.

Access : Making TM Available & Affordable

Suggestion & Recommendation

ReferencesBabar T. Shaikh1,* and Juanita Hatcher2 (2005) Complementary and Alternative Medicine in Pakistan: Prospects and Limitations. eCAM Advance Access originally published online on April 20, 2(2):139-142.Subhuti Dharmananda (2004) UNANI MEDICINE with Reference to Hamdard of Pakistan and India Institute for Traditional Medicine and Preventive Health Care. http://en.wikipedia.org/wiki/Hamdard_(Wakf)_Laboratories.Chishti, Hakim (1990). The traditional healer's handbook: a classic guide to the medicine of Avicenna. Inner Traditions / Bear & Company. ISBN 0892814381.Hakim Syed Zillur Rahman (2001) Unani Medicine in India: Its Origin and Fundamental Concepts History of Science, Philosophy and Culture in Indian Civilization, Vol. IV Part 2 (Medicine and Life Sciences in India), Ed. B. V. Subbarayappa, Centre for Studies in Civilizations, Project of History of Indian Science, Philosophy and Culture, New Delhi, pp. 298-325"Central Council for Research in Unani Medicine (CCRUM)". Traditional Knowledge Digital Library. http://www.tkdl.res.in/tkdl/LangSpanish/Unani/Una_ccrum.asp?GL=Wold Health Organization (WHO) Traditional medicine, Fact sheet N°134 , December 2008 Alternative medicine: http://en.wikipedia.org/wiki/Alternative_medicine. Accessed Jan.16, 2011.Astin JA (May 1998). Why patients use alternative medicine: results of a national study. JAMA 279 (19): 1548–53.Bodeker, G., Ong, C.K., Grundy, C., Burford, G., Shein, K. (2005) WHO Global Atlas of Traditional, Complementary and Alternative Medicine , WHO Kobe Centre, 347 pp.

Thank you