Skip to main content
Top
Published in: BMC Complementary Medicine and Therapies 1/2021

Open Access 01-12-2021 | Intoxication | Research article

Local experience of using traditional medicine in northern Rwanda: a qualitative study

Authors: Mengxin Tan, Yuko Otake, Teisi Tamming, Valerie Akuredusenge, Beatha Uwinama, Fabien Hagenimana

Published in: BMC Complementary Medicine and Therapies | Issue 1/2021

Login to get access

Abstract

Background

The popular use of traditional medicine in low-income settings has previously been attributed to poverty, lack of education, and insufficient accessibility to conventional health service. However, in many countries, including in Rwanda, the use of traditional medicine is still popular despite the good accessibility and availability of conventional health services. This study aims to explore why traditional medicine is popularly used in Rwanda where it has achieved universal health coverage.

Methods

The qualitative study, which included in-depth interviews and participant observations, investigated the experience of using traditional medicine as well as the perceived needs and reasons for its use in the Musanze district of northern Rwanda. We recruited 21 participants (15 community members and 6 traditional healers) for in-depth interviews. Thematic analysis was conducted to generate common themes and coding schemes.

Results

Our findings suggest that the characteristics of traditional medicine are responding to community members’ health, social and financial needs which are insufficiently met by the current conventional health services. Participants used traditional medicine particularly to deal with culture-specific illness – uburozi. To treat uburozi appropriately, referrals from hospitals to traditional healers took place spontaneously.

Conclusions

In Rwanda, conventional health services universally cover diseases that are diagnosed by the standard of conventional medicine. However, this universal health coverage may not sufficiently respond patients’ social and financial needs arising from the health needs. Given this, integrating traditional medicine into national health systems, with adequate regulatory framework for quality control, would be beneficial to meet patients’ needs.
Literature
9.
go back to reference Ventevogel P, Niyonkuru J, Ndayisaba A, Reis R, de Jong J. Change and continuity in Burundian divinatory healing. J East Afr Stud. 2017;12(1):22–43.CrossRef Ventevogel P, Niyonkuru J, Ndayisaba A, Reis R, de Jong J. Change and continuity in Burundian divinatory healing. J East Afr Stud. 2017;12(1):22–43.CrossRef
18.
go back to reference Beste J, Asanti D, Nsabimana D, et al. Use of Traditional Botanical Medicines During Pregnancy in Rural Rwanda. Journal of Global Health Perspectives. 2015:1–10. Beste J, Asanti D, Nsabimana D, et al. Use of Traditional Botanical Medicines During Pregnancy in Rural Rwanda. Journal of Global Health Perspectives. 2015:1–10.
19.
go back to reference Morandini R, Bizuru E, Nyetera P, Ghanem G, Duez P, Baptiste J, et al. Tyrosinase modulation by five Rwandese herbal medicines traditionally used for skin treatment. J Ethnopharmacol. 2013;146:824–34.CrossRef Morandini R, Bizuru E, Nyetera P, Ghanem G, Duez P, Baptiste J, et al. Tyrosinase modulation by five Rwandese herbal medicines traditionally used for skin treatment. J Ethnopharmacol. 2013;146:824–34.CrossRef
20.
go back to reference Payyappallimana U. Role of Traditional medicine in primary health care : an overview of perspectives and challenges. Yokohama Journal of Social Sciences. 2010;14(6):57–77. Payyappallimana U. Role of Traditional medicine in primary health care : an overview of perspectives and challenges. Yokohama Journal of Social Sciences. 2010;14(6):57–77.
21.
go back to reference Taylor C. Milk, honey and money: changing concepts in Rwandan healing. Washington, DC: Smithsonian Institution Press; 1992. Taylor C. Milk, honey and money: changing concepts in Rwandan healing. Washington, DC: Smithsonian Institution Press; 1992.
22.
go back to reference Patton MQ. Qualitative evaluation and research methods. 2nd ed. Newbury Park: Sage Publications; 1990. Patton MQ. Qualitative evaluation and research methods. 2nd ed. Newbury Park: Sage Publications; 1990.
23.
go back to reference Charmaz K. Constructing grounded theory: a practical guide through qualitative analysis. London: SAGE Publication; 2006. Charmaz K. Constructing grounded theory: a practical guide through qualitative analysis. London: SAGE Publication; 2006.
24.
go back to reference Vahdat S, Hamzehgardeshi L, Hessam S, Hamzehgardeshi Z. Patient involvement in health care decision making: a review. Iran Red Crescent Med J. 2014;16(1):1–7. Vahdat S, Hamzehgardeshi L, Hessam S, Hamzehgardeshi Z. Patient involvement in health care decision making: a review. Iran Red Crescent Med J. 2014;16(1):1–7.
26.
go back to reference Irving G, Neves AL, Dambha-miller H, Oishi A, Tagashira H, Verho A, et al. International variations in primary care physician consultation time: a systematic review of 67 countries. BMJ Open. 2017:1–15. Irving G, Neves AL, Dambha-miller H, Oishi A, Tagashira H, Verho A, et al. International variations in primary care physician consultation time: a systematic review of 67 countries. BMJ Open. 2017:1–15.
27.
go back to reference Ha JF, Hons M, Anat DS, Longnecker N, Charles S, Hospital G. Doctor-patient communication: a review. Ochsner J. 2010;10(1):38–43.PubMedPubMedCentral Ha JF, Hons M, Anat DS, Longnecker N, Charles S, Hospital G. Doctor-patient communication: a review. Ochsner J. 2010;10(1):38–43.PubMedPubMedCentral
29.
go back to reference Ramsay G. Avoiding Poison: Congolese Refugees Seeking Cosmological Continuity in Urban Asylum. Soc Anal. 2016;60(3). Ramsay G. Avoiding Poison: Congolese Refugees Seeking Cosmological Continuity in Urban Asylum. Soc Anal. 2016;60(3).
Metadata
Title
Local experience of using traditional medicine in northern Rwanda: a qualitative study
Authors
Mengxin Tan
Yuko Otake
Teisi Tamming
Valerie Akuredusenge
Beatha Uwinama
Fabien Hagenimana
Publication date
01-12-2021
Publisher
BioMed Central
Keyword
Intoxication
Published in
BMC Complementary Medicine and Therapies / Issue 1/2021
Electronic ISSN: 2662-7671
DOI
https://doi.org/10.1186/s12906-021-03380-5

Other articles of this Issue 1/2021

BMC Complementary Medicine and Therapies 1/2021 Go to the issue