Does spatial location matter? Traditional therapy utilisation among the general population in a Ghanaian rural and urban setting

Gyasi, Razak M.; Asante, Felix Ankomah; Segbefia, Alexander Yao; Abass, Kabila; Mensah, Charlotte Monica; Siaw, Lawrencia Pokuah; Eshun, Gabriel; Adjei, Prince Osei‐Wusu

doi:10.1016/j.ctim.2015.04.007

Cited by 17 publications

(15 citation statements)

References 27 publications

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“…People that perceived TRM as effective in managing and preventing various ailments had the highest odds and therefore were more likely to report TRM use among both the insured and the uninsured. This finding is consistent with other previous research outputs that have reported vehemently that a growing utilisation of various modalities of TRM is subject to their efficacy and potency [ 1 , 12 , 16 , 29 , 31 , 45 , 46 ].…”

Section: Discussionsupporting

confidence: 93%

“…The growing interest and uptake of traditional medicine (TRM) in both local and global scales have been recognised and documented by various studies in both high-income and low- and middle-income countries [ 1 – 7 ]. Prescriptively, people in the academia, health professionals, policy-makers, and the general public have expressed concerns regarding the safety, efficacy, quality control, and regulatory subtleties of TRM utilisation.…”

Section: Introductionmentioning

confidence: 99%

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Relationship between Health Insurance Status and the Pattern of Traditional Medicine Utilisation in Ghana

Gyasi¹

2015

Evidence-Based Complementary and Alternative Medicine

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This paper examines the relationship between national health insurance status and the pattern of traditional medicine (TRM) use among the general population in Ghana. A retrospective cross-sectional survey of randomly sampled adults, aged ≥18 years (N = 324), was conducted. The results indicate that TRM use was high with prevalence of over 86%. The study found no statistically significant association between national health insurance status and TRM utilisation (P > 0.05). Paradoxically, major sources of TRM, frequency of TRM use, comedical administration, and disclosure of TRM use to health care professionals differed significantly between the insured and uninsured subgroups (P < 0.001). Whereas effectiveness of TRM predicted its use for both insured [odds ratio (OR) = 4.374 (confidence interval (CI): 1.753–10.913; P = 0.002)] and uninsured [OR = 3.383 CI: 0.869–13.170; P = 0.039)], work experience predicted TRM use for the insured [OR = 1.528 (95% CI: 1.309–1.900; P = 0.019)]. Cultural specific variables and health philosophies rather than health insurance status may influence health care-seeking behaviour and TRM use. The enrollment of herbal-based therapies on the national health insurance medicine plan is exigent to ensure monitoring and rational use of TRM towards intercultural health care system in Ghana.

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Section: Discussionsupporting

confidence: 93%

Section: Introductionmentioning

confidence: 99%

Relationship between Health Insurance Status and the Pattern of Traditional Medicine Utilisation in Ghana

Gyasi¹

2015

Evidence-Based Complementary and Alternative Medicine

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“…Besides, the socio-cultural differences among various geographical milieus, coupled with different methodological approaches used in the various studies may have gauged a contribution to the diverse prevalence. Considering the enormous use of TRM, 25 various interventions in support of increasing the utility of traditional health services delivery are urgently needed.…”

Section: Discussionmentioning

confidence: 99%

Unconventional medical practices among Ghanaian students: A university-based survey

Gyasi

Agyemang-Duah

Mensah

et al. 2017

Journal of Traditional and Complementary Medicine

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Research on unconventional medical practices among students has proliferated lately in the global space, hitherto, little is known explicitly in Ghana. This paper teases out insights for recent utilisation patterns of traditional medical therapies at Kwame Nkrumah University of Science and Technology (KNUST), Ghana. A sample of 754, randomly selected undergraduates were involved in a retrospective cross-sectional survey. Data were analysed using multivariate logistic regression and Pearson's χ2 test with p < 0.05 as significant. Overall prevalence of traditional therapies consumption was 89.1% in the last 12 months. Herbal-based products (67%), prayer healing (15%) and body-mind therapies (11%) were principally used and, accessed through purchases from pharmacy shops (29%) and encounter with faith healers (26%). Although students' knowledge on traditional therapies was acquired through family members (50%) and media (23%), literary materials remained significant information routes for Science related students compared to the Non-science related counterparts (p < 0.001). Pursuing Non-science-related programme [odds ratio (OR) 6.154 (95% confidence interval (CI) 3.745–10.111; p < 0.001)] and having Christian faith [OR 2.450 (95% CI 1.359–4.415; p = 0.003)] were strongly associated with students' traditional therapies use. Although students exhibited positive attitude towards unconventional therapies, there is an urgent need to validate the quality of traditional therapies through randomised clinical trials and regulatory practices to ensure quality control. Health forces should intensify efforts towards intercultural health care system in Ghana.

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“…A national household survey in South Africa identified rural residents as more likely to visit a TCAM practitioner than their urban counterparts, 20 while a study among 324 residents of the Ashanti Region of Ghana did not find any significant difference between TCAM users residing in both locations. 50 The available literature reports an equivocal relationship between TCAM use and gender. On one hand, two studies from Ethiopia and Nigeria identified women more than men as likely TCAM users, 44 65 while another Nigerian study reported men as likely users of TCAM.…”

Section: Prevalence Of Concurrent Use Of Tcam and Allopathic Medicinesmentioning

confidence: 99%

Traditional, complementary and alternative medicine use in Sub-Saharan Africa: a systematic review

James

Wardle

Steel

et al. 2019

Advances in Integrative Medicine

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Does spatial location matter? Traditional therapy utilisation among the general population in a Ghanaian rural and urban setting

Cited by 17 publications

References 27 publications

Relationship between Health Insurance Status and the Pattern of Traditional Medicine Utilisation in Ghana

Relationship between Health Insurance Status and the Pattern of Traditional Medicine Utilisation in Ghana

Unconventional medical practices among Ghanaian students: A university-based survey

Traditional, complementary and alternative medicine use in Sub-Saharan Africa: a systematic review

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