Primary Health Care was launched on the international stage by the World Health Organization’s Alma Ata Declaration of 1978. This paper begins by unpicking the concept of primary health care as it evolved after Alma Ata and then explores its implementation in Sri Lanka and the extent to which Ayurveda (a blanket term for the traditional medical systems of Sri Lanka) has been integrated into the government health care system. The substantive part of the paper analyzes the responses of the traditional practitioners who were invited to explore the issues outlined above in a series of interviews. Part historical and part sociological, this discussion of the similarities and the divergences between the approaches of biomedicine and traditional medicine in Sri Lanka from the perspective of the Ayurvedic practitioner exposes the tenuous and disconnected part they play within the biomedical health care system at the practical level. * We would like to thank the Wellcome Trust for its generous support in the funding of this research. We are grateful to an anonymous reviewer for comments on an earlier draft and to Monica Saavedra for her insightful suggestions. We are also very grateful to Chathuri Gunathilaka, our research assistant, for her most valuable contribution in conducting and transcribing the interviews with our sample practitioners. Downloaded from Brill.com08/25/2019 01:28:08PM via FAO Food and Agriculture Organization 158 Jones and Liyanage Asian Review of World Histories 6 (2018) 157–184

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斯里兰卡的传统医学和初级卫生保健：政策，认识和实践

初级卫生保健是由世界卫生组织1978年的《阿拉木图宣言》在国际舞台上发起的。本文首先从初级卫生保健的概念开始，然后逐步探讨其在斯里兰卡的发展，然后探讨其在斯里兰卡的实施情况以及阿育吠陀（斯里兰卡传统医疗系统的统称）已被纳入政府的医疗体系。本文的实质部分分析了传统从业者的反应，他们在一系列访谈中被邀请探讨上述问题。部分是历史学，部分是社会学，从阿育吠陀医生的角度对斯里兰卡生物医学方法与传统医学方法之间的异同进行的讨论从实践层面揭示了它们在生物医学卫生保健体系中所发挥的脆弱和脱节的作用。*我们要感谢惠康基金会对这项研究的慷慨支持。我们感谢一位匿名审稿人对早期草案提出的意见，也感谢Monica Saavedra提出的有见地的建议。我们也非常感谢我们的研究助理Chathuri Gunathilaka在进行和记录与样本从业人员的访谈中所做的最宝贵的贡献。从Brill.com下载08/25/2019 01:28：