Social and economic factors influencing the patronage and use of complementary and alternative medicine in Enugu

Usifoh, Stella Folajole; Udezi, AW

doi:10.4314/jpb.v10i1.3

“…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. 45 With respect to religion, a community-based study in Enugu, Nigeria reported TCAM users were likely to be Christians than other religions, 74 whereas another Nigerian study conducted in Imo State did not observe any significant difference. 68 Meanwhile, two Nigerian studies reported no significant correlation between the sociodemographic characteristics of the respondents and TCAM use.…”

Section: Resultsmentioning

confidence: 96%

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

James

¹

,

Wardle

²

,

Steel

³

et al. 2018

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BackgroundThe WHO estimates that a considerable number of people in Sub-Saharan Africa (SSA) rely on traditional, complementary and alternative medicine (TCAM) to meet their primary healthcare needs, yet there remains a dearth of research evidence on the overall picture of TCAM utilisation in the region.MethodsWe conducted a literature search of original articles examining TCAM use in SSA between 1 January 2006 and 28 February 2017, employing Medline, Cumulative Index to Nursing and Allied Health Literature, Allied and Complementary Medicine Database, Scopus, ProQuest, PubMed, Embase and African Journals Online databases. A critical appraisal of relevant articles reporting a quantitative or mixed-method design was undertaken.ResultsDespite the heterogeneity and general low quality of the identified literature, the review highlights a relatively high use of TCAM alone or in combination with orthodox medicine, in both general population and in specific health conditions in SSA. TCAM users compared with non-TCAM users are more likely to be of low socioeconomic and educational status, while there were inconsistencies in age, sex, spatial location and religious affiliation between TCAM users and non-TCAM users. Most TCAM users (55.8%–100%) in SSA fail to disclose TCAM use to their healthcare providers, with the main reasons for non-disclosure being fear of receiving improper care, healthcare providers’ negative attitude and a lack of enquiry about TCAM use from healthcare providers.ConclusionTCAM use in SSA is significant, although most studies emerge from a few countries. Factors associated with TCAM use in SSA are similar to those observed in other regions, but further research may be required to further elucidate challenges and opportunities related to TCAM use specific to SSA.

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“…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. 45 With respect to religion, a community-based study in Enugu, Nigeria reported TCAM users were likely to be Christians than other religions, 74 whereas another Nigerian study conducted in Imo State did not observe any significant difference. 68 Meanwhile, two Nigerian studies reported no significant correlation between the sociodemographic characteristics of the respondents and TCAM use.…”

Section: Prevalence Of Concurrent Use Of Tcam and Allopathic Medicinesmentioning

confidence: 96%

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

James

¹

,

Wardle

²

,

Steel

³

et al. 2019

Advances in Integrative Medicine

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“…In Ghana, because of the high cost of orthodox medicines coupled with inadequate health care facilities and healthcare professionals especially in rural areas, most individuals rely on folkloric medicines, which are believed to be efficacious, readily available, affordable, and of low toxicity for management of wounds [11][12][13].…”

Section: Introductionmentioning

confidence: 99%

Wound Management Property of a Hydroethanolic Leaf Extract of Cnestis ferruginea DC

Jibira

¹

,

Koffuor

²

,

Atsu-Nunyawu

³

et al. 2021

Advances in Pharmacological and Pharmaceutical Sciences

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Context. Nature assumes imperative part in managing both acute and chronic ailments. Cnestis ferruginea is one of the sources of healing prowlers in traditional medicine practice for the treatment of wounds. Nonetheless, there are no scientific reports archived so far on the wound management activity of this plant. Objective. To establish the wound management property of a hydroethanolic Cnestis ferruginea leaf extract (CFHE). Materials and Methods. The wound area was measured after excision at the dorsal part of the Albino rats, and after treatment with 5–15% w / w CFHE ointments for 14 days. Absorbances of platelet-rich plasma treated with 0.8–100 mg/mL CFHE and an aggregating agent were spectrophotometrically determined in an in vitro platelet aggregation test. Wound tissue histopathology of CFHE ointment-treated animals revealed angiogenesis, reepithelialization, deposition of collagen, and granular tissue formation in wound tissues. Reduction in thigh oedema and pain threshold, in 7-day-old chicks, were assessed by carrageenan-induced oedema and Randall-Sellito pressure models, respectively. By the Agar diffusion method, bacterial growth inhibition by a 15% w / w CFHE ointment was investigated on Salmonella typhi, Escherichia coli, Pseudomonas aeruginosa, Staphylococcus. Aureus, and Streptococcus pyogenes. Results. All concentrations of CFHE ointment significantly reduced ( p < 0.0001 ) wound area by 29–41% posttreatment. CFHE (1.6–100 mg/ml) promoted platelet aggregation ( p ≤ 0.0001 ) by 37–67% (IC50: 3.1–6.2 mg/ml). There were improved wound tissue reepithelization, fibroblast proliferation, angiogenesis, and collagen deposition with 15% CFHE ointment treatment. CFHE ointment significantly ( p ≤ 0.0001 ) and dose-dependently reduced thigh oedema and showed a significant ( p ≤ 0.05 ) analgesic effect. In vitro, 15% CFHE ointment caused >100% growth inhibition of selected bacteria. Conclusion. The hydroethanolic leaf extract of Cnestis ferruginea possesses wound healing, platelet aggregation, anti-inflammatory, analgesic, and antimicrobial properties and, hence, could be effective in the management of open and some closed wounds.

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Social and economic factors influencing the patronage and use of complementary and alternative medicine in Enugu

Cited by 12 publications

References 0 publications

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

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

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

Wound Management Property of a Hydroethanolic Leaf Extract of Cnestis ferruginea DC

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