By Our Reporter
SHILLONG, April 28: In Meghalaya’s East Garo Hills, menstrual disorders have emerged as a major health concern for Garo women, forcing many to rely heavily on traditional herbal medicine instead of modern healthcare.
A new study by the Cambridge University press namely ‘Cultural persistence in health-seeking behaviour: a mixed-method study of traditional healing practices among Garo tribal women in Meghalaya, India’, covering Garo women aged 15-49, found that nearly 84 per cent sought treatment from traditional healers, known locally as ojhas, for health issues such as excessive menstrual bleeding (menorrhagia) and the absence of menstruation (amenorrhea).
“Many women reported bleeding that continued for more than two weeks, leading to extreme weakness and fatigue. In some cases, it could last up to a month if left untreated,” the study noted.
Limited access to hospitals and poor quality of available services further push women towards using Achik medicine—herbal treatments passed down through generations. “The women reported that Achik medicine was more effective, affordable and readily available than modern healthcare facilities,” the study added.
Among the remedies widely used are poron for severe headaches, sam sko for stomach aches and rajamuri for swelling. These herbal treatments are prepared using leaves, bark, roots and seeds from local plants.
In most households, women themselves have deep knowledge of these traditional medicines, highlighting their critical role as preservers of indigenous healing practices.
The study also found that trust in traditional healers cuts across all socioeconomic groups. “Demographic factors like age, education, wealth and occupation do not influence the health-seeking behaviour of Garo women,” the researchers, Piyasa Mal and Nandita Saikia, observed.
However, when it comes to childbirth or serious accidents, there is a gradual shift towards modern healthcare, aided by government initiatives like the Janani Suraksha Yojana (JSY) and the work of Accredited Social Health Activists (ASHAs).
Researchers recommend that the government formally recognise traditional healers and integrate them into the public healthcare system. They also call for better gynaecological services in rural health centres and improved transport facilities.
“Policy must promote a holistic approach that respects cultural heritage while improving access to modern medical options,” the study concluded.