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Published in: BMC Complementary Medicine and Therapies 1/2016

Open Access 01-12-2016 | Research article

Facilitators and barriers of herbal medicine use in Accra, Ghana: an inductive exploratory study

Authors: Lydia Aziato, Hannah Ohemeng Antwi

Published in: BMC Complementary Medicine and Therapies | Issue 1/2016

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Abstract

Background

The use of complementary and alternative medicine including herbal medicine is increasing in many countries including Ghana. However, there is paucity of research on the perspectives of patrons of herbal medicine regarding the facilitators and barriers of herbal medicine use. This study sought to investigate the facilitators and barriers of herbal medicine among Ghanaian adults who use one form of herbal medicine or the other.

Methods

The study employed an inductive exploratory qualitative approach. It was conducted at a private herbal clinic in Accra. Purposive sampling was employed to recruit 16 participants. Data collection was through individual face-to-face interviews and these were transcribed and analysed using content analysis procedures.

Results

It was realized that the factors that enhanced the use of herbal medicine included use of convincing information to enhance the initiation of herbal medicine use, effectiveness of herbal medicine, personal preference for herbal medicine, perceived ineffectiveness of western medicine and integration of spirituality in herbal medicine. The factors that hindered herbal medicine use included negative perceptions and attitudes about herbal medicine, poor vending environment, poor knowledge of vendors, high cost of herbal products at credible herbal clinics and inconsistent effectiveness of some herbal products. Participants desired that the national health insurance scheme will cover the cost of herbal medicine to alleviate the financial burden associated with herbal medicine use.

Conclusion

Although some Ghanaians patronize herbal medicine, the negative perceptions about herbal medicine resulting from deceitful producers and vendors call for enhanced education and monitoring to ensure that effective herbal products are used.
Literature
1.
go back to reference Awodele O, Agbaje EO, Abiola OO, Awodele DF, Dolapo DC. Doctors’ attitudes towards the use of herbal medicine in Lagos, Nigeria. J Herbal Med. 2012;2(1):16–22.CrossRef Awodele O, Agbaje EO, Abiola OO, Awodele DF, Dolapo DC. Doctors’ attitudes towards the use of herbal medicine in Lagos, Nigeria. J Herbal Med. 2012;2(1):16–22.CrossRef
2.
go back to reference Tabuti JR, Dhillion SS, Lye KA. Traditional medicine in Bulamogi county, Uganda: its practitioners, users and viability. J Ethnopharmacol. 2003;85(1):119–29.CrossRefPubMed Tabuti JR, Dhillion SS, Lye KA. Traditional medicine in Bulamogi county, Uganda: its practitioners, users and viability. J Ethnopharmacol. 2003;85(1):119–29.CrossRefPubMed
3.
go back to reference Gollschewski S, Kitto S, Anderson D, Lyons-Wall P. Women’s perceptions and beliefs about the use of complementary and alternative medicines during menopause. Complement Ther Med. 2008;16(3):163–8.CrossRefPubMed Gollschewski S, Kitto S, Anderson D, Lyons-Wall P. Women’s perceptions and beliefs about the use of complementary and alternative medicines during menopause. Complement Ther Med. 2008;16(3):163–8.CrossRefPubMed
4.
go back to reference Soner BC, Sahin AS, Sahin TK. A survey of Turkish hospital patients’ use of herbal medicine. Eur J Intern Med. 2013;5(6):547–52.CrossRef Soner BC, Sahin AS, Sahin TK. A survey of Turkish hospital patients’ use of herbal medicine. Eur J Intern Med. 2013;5(6):547–52.CrossRef
5.
go back to reference Gardiner P, Graham R, Legedza AT, Ahn AC, Eisenberg DM, Phillips RS. Factors associated with herbal therapy use by adults in the United States. Altern Ther Health Med. 2007;13(2):22–9.PubMed Gardiner P, Graham R, Legedza AT, Ahn AC, Eisenberg DM, Phillips RS. Factors associated with herbal therapy use by adults in the United States. Altern Ther Health Med. 2007;13(2):22–9.PubMed
6.
go back to reference Vickers KA, Jolly KB, Greenfield SM. Herbal medicine: women’s views, knowledge and interaction with doctors: a qualitative study. BMC Complement Altern Med. 2006;6:40.CrossRefPubMedPubMedCentral Vickers KA, Jolly KB, Greenfield SM. Herbal medicine: women’s views, knowledge and interaction with doctors: a qualitative study. BMC Complement Altern Med. 2006;6:40.CrossRefPubMedPubMedCentral
7.
go back to reference Ekor M. The growing use of herbal medicines: issues relating to adverse reactions and challenges in monitoring safety. Front Pharmacol. 2013;4:177.PubMedCentral Ekor M. The growing use of herbal medicines: issues relating to adverse reactions and challenges in monitoring safety. Front Pharmacol. 2013;4:177.PubMedCentral
8.
go back to reference Ndhlala AR, Stafford GI, Finnie JF, Van Staden J. Commercial herbal preparations in KwaZulu-Natal, South Africa: The urban face of traditional medicine. S Afr J Bot. 2011;77(4):830–43.CrossRef Ndhlala AR, Stafford GI, Finnie JF, Van Staden J. Commercial herbal preparations in KwaZulu-Natal, South Africa: The urban face of traditional medicine. S Afr J Bot. 2011;77(4):830–43.CrossRef
9.
go back to reference Cano JH, Volpato G. Herbal mixtures in the traditional medicine of eastern Cuba. J Ethnopharmacol. 2004;90(2–3):293–316.CrossRefPubMed Cano JH, Volpato G. Herbal mixtures in the traditional medicine of eastern Cuba. J Ethnopharmacol. 2004;90(2–3):293–316.CrossRefPubMed
10.
go back to reference Nworu CS, Udeogaranya PO, Okafor CK, Adikwu AO, Akah PA. Perception, usage and knowledge of herbal medicines by students and academic staff of University of Nigeria: A survey. Eur J Intern Med. 2015;7(3):218–27.CrossRef Nworu CS, Udeogaranya PO, Okafor CK, Adikwu AO, Akah PA. Perception, usage and knowledge of herbal medicines by students and academic staff of University of Nigeria: A survey. Eur J Intern Med. 2015;7(3):218–27.CrossRef
11.
go back to reference Evans S. Changing the knowledge base in Western herbal medicine. Soc Sci Med (1982). 2008;67(12):2098–106.CrossRef Evans S. Changing the knowledge base in Western herbal medicine. Soc Sci Med (1982). 2008;67(12):2098–106.CrossRef
12.
go back to reference Yang Y, Deng J, Yao ZP. Field-induced wooden-tip electrospray ionization mass spectrometry for high-throughput analysis of herbal medicines. Anal Chim Acta. 2015;887:127–37.CrossRefPubMed Yang Y, Deng J, Yao ZP. Field-induced wooden-tip electrospray ionization mass spectrometry for high-throughput analysis of herbal medicines. Anal Chim Acta. 2015;887:127–37.CrossRefPubMed
13.
go back to reference Mazina J, Vaher M, Kuhtinskaja M, Poryvkina L, Kaljurand M. Fluorescence, electrophoretic and chromatographic fingerprints of herbal medicines and their comparative chemometric analysis. Talanta. 2015;139:233–46.CrossRefPubMed Mazina J, Vaher M, Kuhtinskaja M, Poryvkina L, Kaljurand M. Fluorescence, electrophoretic and chromatographic fingerprints of herbal medicines and their comparative chemometric analysis. Talanta. 2015;139:233–46.CrossRefPubMed
14.
go back to reference Zhang J, Wider B, Shang H, Li X, Ernst E. Quality of herbal medicines: challenges and solutions. Complement Ther Med. 2012;20(1–2):100–6.CrossRefPubMed Zhang J, Wider B, Shang H, Li X, Ernst E. Quality of herbal medicines: challenges and solutions. Complement Ther Med. 2012;20(1–2):100–6.CrossRefPubMed
15.
go back to reference Van Wyk BE. The potential of South African plants in the development of new medicinal products. S Afr J Bot. 2011;77(4):812–29.CrossRef Van Wyk BE. The potential of South African plants in the development of new medicinal products. S Afr J Bot. 2011;77(4):812–29.CrossRef
17.
go back to reference Kalaiselvan V, Saurabh A, Kumar R, Singh GN. Adverse reactions to herbal products: An analysis of spontaneous reports in the database of the Pharmacovigilance Programme of India. J Herbal Med. 2015;5(1):48–54.CrossRef Kalaiselvan V, Saurabh A, Kumar R, Singh GN. Adverse reactions to herbal products: An analysis of spontaneous reports in the database of the Pharmacovigilance Programme of India. J Herbal Med. 2015;5(1):48–54.CrossRef
18.
go back to reference Merrills J, Fisher J. Chapter 12 - Control on Sales of Medicines. In: Fisher JM, editor. Pharmacy Law and Practice (Fifth Edition). San Diego: Academic; 2013. p. 161–81.CrossRef Merrills J, Fisher J. Chapter 12 - Control on Sales of Medicines. In: Fisher JM, editor. Pharmacy Law and Practice (Fifth Edition). San Diego: Academic; 2013. p. 161–81.CrossRef
20.
go back to reference van Andel T, van Onselen S, Myren B, Towns A, Quiroz D. “The medicine from behind”: The frequent use of enemas in western African traditional medicine. J Ethnopharmacol. 2015;174:637–43.CrossRefPubMed van Andel T, van Onselen S, Myren B, Towns A, Quiroz D. “The medicine from behind”: The frequent use of enemas in western African traditional medicine. J Ethnopharmacol. 2015;174:637–43.CrossRefPubMed
21.
go back to reference Falodun A. Herbal medicine in Africa-distribution, standardization and prospects. Res J Phytochemistry. 2010;4(3):154–61.CrossRef Falodun A. Herbal medicine in Africa-distribution, standardization and prospects. Res J Phytochemistry. 2010;4(3):154–61.CrossRef
22.
go back to reference van Andel T, Myren B, van Onselen S. Ghana’s herbal market. J Ethnopharmacol. 2012;140(2):368–78.CrossRefPubMed van Andel T, Myren B, van Onselen S. Ghana’s herbal market. J Ethnopharmacol. 2012;140(2):368–78.CrossRefPubMed
23.
go back to reference Okanlawon FA, Akowuai G, Siakwa M, Druye AA. Nurses’ perception on the efficacy and safety of integrating herbal with orthodox medicine in Ghana. West Afr J Nurs. 2011;22(1):70–4. 75p. Okanlawon FA, Akowuai G, Siakwa M, Druye AA. Nurses’ perception on the efficacy and safety of integrating herbal with orthodox medicine in Ghana. West Afr J Nurs. 2011;22(1):70–4. 75p.
24.
go back to reference Cheng J, Lu ZJ, Su Y, Chiang L, Wang R. A traditional Chinese herbal medicine used to treat dysmenorrhoea among Taiwanese women. J Clin Nurs. 2008;17(19):2588–95.CrossRefPubMed Cheng J, Lu ZJ, Su Y, Chiang L, Wang R. A traditional Chinese herbal medicine used to treat dysmenorrhoea among Taiwanese women. J Clin Nurs. 2008;17(19):2588–95.CrossRefPubMed
25.
go back to reference Yen HR, Chen YY, Huang TP, Chang TT, Tsao JY, Chen BC, Sun MF. Prescription patterns of Chinese herbal products for patients with uterine fibroid in Taiwan: A nationwide population-based study. J Ethnopharmacol. 2015;171:223–30.CrossRefPubMed Yen HR, Chen YY, Huang TP, Chang TT, Tsao JY, Chen BC, Sun MF. Prescription patterns of Chinese herbal products for patients with uterine fibroid in Taiwan: A nationwide population-based study. J Ethnopharmacol. 2015;171:223–30.CrossRefPubMed
26.
go back to reference Orief YI, Farghaly NF, Ibrahim MIA. Use of herbal medicines among pregnant women attending family health centers in Alexandria. Middle East Fertil Soc J. 2014;19(1):42–50.CrossRef Orief YI, Farghaly NF, Ibrahim MIA. Use of herbal medicines among pregnant women attending family health centers in Alexandria. Middle East Fertil Soc J. 2014;19(1):42–50.CrossRef
27.
go back to reference Mosavat SH, Ghahramani L, Sobhani Z, Haghighi ER, Chaijan MR, Heydari M. The effect of leek (Allium iranicum (Wendelbo)) leaves extract cream on hemorrhoid patients: A double blind randomized controlled clinical trial. Eur J Integr Med. 2015;7(6):669–673.CrossRef Mosavat SH, Ghahramani L, Sobhani Z, Haghighi ER, Chaijan MR, Heydari M. The effect of leek (Allium iranicum (Wendelbo)) leaves extract cream on hemorrhoid patients: A double blind randomized controlled clinical trial. Eur J Integr Med. 2015;7(6):669–673.CrossRef
28.
go back to reference Podiatrists IoC. Chinese herbal medicine ‘can be effective in treating rheumatoid arthritis’. Podiatry Rev. 2014;71(3):6. 1p. Podiatrists IoC. Chinese herbal medicine ‘can be effective in treating rheumatoid arthritis’. Podiatry Rev. 2014;71(3):6. 1p.
29.
go back to reference Ried K. Chinese herbal medicine for female infertility: an updated meta-analysis. Complement Ther Med. 2015;23(1):116–28.CrossRefPubMed Ried K. Chinese herbal medicine for female infertility: an updated meta-analysis. Complement Ther Med. 2015;23(1):116–28.CrossRefPubMed
30.
go back to reference Liu LY, Feng B, Chen J, Tan QR, Chen ZX, Chen WS, Wang PR, Zhang ZJ. Herbal medicine for hospitalized patients with severe depressive episode: a retrospective controlled study. J Affect Disord. 2015;170:71–7.CrossRefPubMed Liu LY, Feng B, Chen J, Tan QR, Chen ZX, Chen WS, Wang PR, Zhang ZJ. Herbal medicine for hospitalized patients with severe depressive episode: a retrospective controlled study. J Affect Disord. 2015;170:71–7.CrossRefPubMed
31.
go back to reference Ried K, Stuart K. Efficacy of Traditional Chinese Herbal Medicine in the management of female infertility: A systematic review. Complement Ther Med. 2011;19(6):319–31.CrossRefPubMed Ried K, Stuart K. Efficacy of Traditional Chinese Herbal Medicine in the management of female infertility: A systematic review. Complement Ther Med. 2011;19(6):319–31.CrossRefPubMed
32.
go back to reference Tribess B, Pintarelli GM, Bini LA, Camargo A, Funez LA, de Gasper AL, Zeni AL. Ethnobotanical study of plants used for therapeutic purposes in the Atlantic Forest region, Southern Brazil. J Ethnopharmacol. 2015;164:136–46.CrossRefPubMed Tribess B, Pintarelli GM, Bini LA, Camargo A, Funez LA, de Gasper AL, Zeni AL. Ethnobotanical study of plants used for therapeutic purposes in the Atlantic Forest region, Southern Brazil. J Ethnopharmacol. 2015;164:136–46.CrossRefPubMed
33.
go back to reference Leach MJ, Page AT. Herbal medicine for insomnia: A systematic review and meta-analysis. Sleep Med Rev. 2015;24:1–12.CrossRefPubMed Leach MJ, Page AT. Herbal medicine for insomnia: A systematic review and meta-analysis. Sleep Med Rev. 2015;24:1–12.CrossRefPubMed
34.
go back to reference Hassali MA, Saleem F, Shafie AA, Al-Qazaz HK, Farooqui M, Aljadhey H, Atif M, Masood I. Assessment of general public perceptions toward traditional medicines used for aphrodisiac purpose in state of Penang, Malaysia. Complement Ther Clin Pract. 2012;18(4):257–60.CrossRefPubMed Hassali MA, Saleem F, Shafie AA, Al-Qazaz HK, Farooqui M, Aljadhey H, Atif M, Masood I. Assessment of general public perceptions toward traditional medicines used for aphrodisiac purpose in state of Penang, Malaysia. Complement Ther Clin Pract. 2012;18(4):257–60.CrossRefPubMed
35.
go back to reference Hsieh CF, Huang SL, Chen CL, Chen WT, Chang HC, Wu ML, Yang CC. Increased risk of chronic kidney disease among users of non-prescribed Chinese herbal medicine in Taiwan. Prev Med. 2012;55(2):155–9.CrossRefPubMed Hsieh CF, Huang SL, Chen CL, Chen WT, Chang HC, Wu ML, Yang CC. Increased risk of chronic kidney disease among users of non-prescribed Chinese herbal medicine in Taiwan. Prev Med. 2012;55(2):155–9.CrossRefPubMed
36.
go back to reference Li LCF, Wong RWK, Rabie ABM. Clinical effect of a topical herbal ointment on pain in temporomandibular disorders: a randomized placebo-controlled trial. J Altern Complement Med. 2009;15(12):1311–7.CrossRefPubMed Li LCF, Wong RWK, Rabie ABM. Clinical effect of a topical herbal ointment on pain in temporomandibular disorders: a randomized placebo-controlled trial. J Altern Complement Med. 2009;15(12):1311–7.CrossRefPubMed
37.
go back to reference Miles M, Huberman A. Qualitative Data Analysis. London: Sage; 1984. Miles M, Huberman A. Qualitative Data Analysis. London: Sage; 1984.
38.
go back to reference Pichini S, Rotolo MC, Bellotti P, Minutillo A, Mastrobattista L, Pacifici R. Quali-quantitative analysis of best selling drugs from pharmacy, street market and traditional herbal medicine: a pilot study of market surveillance in Senegal. J Pharm Biomed Anal. 2015;104:62–6.CrossRefPubMed Pichini S, Rotolo MC, Bellotti P, Minutillo A, Mastrobattista L, Pacifici R. Quali-quantitative analysis of best selling drugs from pharmacy, street market and traditional herbal medicine: a pilot study of market surveillance in Senegal. J Pharm Biomed Anal. 2015;104:62–6.CrossRefPubMed
39.
go back to reference Olivier DK, van Wyk BE. Bitterness values for traditional tonic plants of southern Africa. J Ethnopharmacol. 2013;147(3):676–9.CrossRefPubMed Olivier DK, van Wyk BE. Bitterness values for traditional tonic plants of southern Africa. J Ethnopharmacol. 2013;147(3):676–9.CrossRefPubMed
40.
go back to reference Hasan SS, Loon WC, Ahmadi K, Ahmed SI, Bukhari NI. Reasons, perceived efficacy and factors associated with complementary and alternative medicine use among Malaysian patients with diabetes mellitus. Br J Diabetes Vasc Dis. 2011;11(2):92–8.CrossRef Hasan SS, Loon WC, Ahmadi K, Ahmed SI, Bukhari NI. Reasons, perceived efficacy and factors associated with complementary and alternative medicine use among Malaysian patients with diabetes mellitus. Br J Diabetes Vasc Dis. 2011;11(2):92–8.CrossRef
41.
go back to reference Zhang SJ, Xue ZY. Effect of Western medicine therapy assisted by Ginkgo biloba tablet on vascular cognitive impairment of none dementia. Asian Pac J Trop Med. 2012;5(8):661–4.CrossRefPubMed Zhang SJ, Xue ZY. Effect of Western medicine therapy assisted by Ginkgo biloba tablet on vascular cognitive impairment of none dementia. Asian Pac J Trop Med. 2012;5(8):661–4.CrossRefPubMed
42.
go back to reference Fennell CW, Lindsey KL, McGaw LJ, Sparg SG, Stafford GI, Elgorashi EE, Grace OM, van Staden J. Assessing African medicinal plants for efficacy and safety: pharmacological screening and toxicology. J Ethnopharmacol. 2004;94(2–3):205–17.CrossRefPubMed Fennell CW, Lindsey KL, McGaw LJ, Sparg SG, Stafford GI, Elgorashi EE, Grace OM, van Staden J. Assessing African medicinal plants for efficacy and safety: pharmacological screening and toxicology. J Ethnopharmacol. 2004;94(2–3):205–17.CrossRefPubMed
Metadata
Title
Facilitators and barriers of herbal medicine use in Accra, Ghana: an inductive exploratory study
Authors
Lydia Aziato
Hannah Ohemeng Antwi
Publication date
01-12-2016
Publisher
BioMed Central
Published in
BMC Complementary Medicine and Therapies / Issue 1/2016
Electronic ISSN: 2662-7671
DOI
https://doi.org/10.1186/s12906-016-1124-y

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