Skip to main content
Top
Published in: BMC Public Health 1/2014

Open Access 01-12-2014 | Research article

Use of traditional medicines to cope with climate-sensitive diseases in a resource poor setting in Bangladesh

Authors: Md Aminul Haque, Valérie R Louis, Revati Phalkey, Rainer Sauerborn

Published in: BMC Public Health | Issue 1/2014

Login to get access

Abstract

Background

This study aims to explore the use of traditional medicines to cope with climate sensitive diseases in areas vulnerable to climate change. We assessed the extent to which traditional or alternative medicines were used for the treatment of the climate sensitive diseases by villagers as part of their health-coping strategies.

Methods

The study deployed a mixed-method research design to know the health-coping strategies of the people in a resource-poor setting.
A cross sectional study was conducted from September 2010 to March 2011 among 450 households selected randomly in the districts of Rajshahi and Khulna, Bangladesh. The elder males or females of each household were interviewed. For qualitative methods, twelve focus group discussions (six with females and six with males) and fifteen key informant interviews were conducted by the research team, using interview guidelines on the use of traditional medicine.

Results

Univariate analysis showed that the use of traditional medicines has increased among community members of all socio-economic and demographic backgrounds. Due to the increased incidence of disease and sickness respondents had to increase the use of their cultural means to cope with adverse health situations.

Conclusions

A systematic collection of knowledge on the use of traditional medicines to cope with climate-sensitive diseases can help the adaptation of communities vulnerable to climate change. In addition it can be instrumental in creating a directory of traditional medicine components used for specific diseases and highlight the effectiveness and relevance of traditional medicines as health-coping strategies. This may be useful for policymakers, researchers, and development partners to adapt existing health care policy in resource-limited contexts. It may also encourage WHO, national and international institutions, such as pharmaceutical companies, to carry out research investigating the effectiveness of these traditional medicines and integrate them with modern medicine. Overall, it could increase the health coping capacity of people in a resource-poor setting and contribute to their adaptation capabilities.
Literature
1.
go back to reference Germanwatch: Global Climate Risk Index 2009. Weather-Related Loss Events and Their Impacts on Countries in 2007 and in A Long-Term Comparison. 2007, Bonn: Germanwatch e.V. Germanwatch: Global Climate Risk Index 2009. Weather-Related Loss Events and Their Impacts on Countries in 2007 and in A Long-Term Comparison. 2007, Bonn: Germanwatch e.V.
2.
go back to reference Forests MoEa: National Adaption Program of Action. 2005, Dhaka: Ministry of Environment and Forests. Government of the People’s Republic of Bangladesh, 1-63. Forests MoEa: National Adaption Program of Action. 2005, Dhaka: Ministry of Environment and Forests. Government of the People’s Republic of Bangladesh, 1-63.
3.
go back to reference CCC: Climate Change and Health Impacts in Bangladesh. 2009, Dhaka: Ministry of Forenst and Environment, 1-82. CCC: Climate Change and Health Impacts in Bangladesh. 2009, Dhaka: Ministry of Forenst and Environment, 1-82.
4.
go back to reference IPCC: Climate Change: Impacts, Adaptation, and Vulnerability. Contribution of Working Group II to the Third Assessment Report of the Intergovernmental Panel on Climate Change. 2001, New York: Cambridge University Press, 1032- IPCC: Climate Change: Impacts, Adaptation, and Vulnerability. Contribution of Working Group II to the Third Assessment Report of the Intergovernmental Panel on Climate Change. 2001, New York: Cambridge University Press, 1032-
5.
go back to reference McMichael AJ, Butler CD: Climate change and human health: recognising the really inconvenient truth. Med J Aust. 2009, 191 (11–12): 595-596.PubMed McMichael AJ, Butler CD: Climate change and human health: recognising the really inconvenient truth. Med J Aust. 2009, 191 (11–12): 595-596.PubMed
7.
go back to reference WHO: Climate Change and Human Health - Risks and Responses. World Health Organization. 2003, Geneva: WHO WHO: Climate Change and Human Health - Risks and Responses. World Health Organization. 2003, Geneva: WHO
8.
go back to reference Andy H: Commentary: sustainable policies to improve health and prevent climate change. Social Science & Medicine. 2012, 74 (5): 680-683. 10.1016/j.socscimed.2011.12.008.CrossRef Andy H: Commentary: sustainable policies to improve health and prevent climate change. Social Science & Medicine. 2012, 74 (5): 680-683. 10.1016/j.socscimed.2011.12.008.CrossRef
9.
go back to reference WHO: Gender, Climate Change and Health. World Health Organization. 2009, Geneva: WHO WHO: Gender, Climate Change and Health. World Health Organization. 2009, Geneva: WHO
13.
go back to reference Lokuge KM, Smith W, Caldwell B, Dear K, Milton AH: The effect of arsenic mitigation interventions on disease burden in Bangladesh. Environ Health Perspect. 2004, 112 (11): 1172-1177. 10.1289/ehp.6866.CrossRefPubMedPubMedCentral Lokuge KM, Smith W, Caldwell B, Dear K, Milton AH: The effect of arsenic mitigation interventions on disease burden in Bangladesh. Environ Health Perspect. 2004, 112 (11): 1172-1177. 10.1289/ehp.6866.CrossRefPubMedPubMedCentral
14.
go back to reference Haque MA, Yamamoto SS, Malik AA, Sauerborn R: Households’ perception of climate change and human health risks: a community perspective. Environ Health. 2012, 11 (1): 1-10.1186/1476-069X-11-1.CrossRefPubMedPubMedCentral Haque MA, Yamamoto SS, Malik AA, Sauerborn R: Households’ perception of climate change and human health risks: a community perspective. Environ Health. 2012, 11 (1): 1-10.1186/1476-069X-11-1.CrossRefPubMedPubMedCentral
15.
go back to reference Guha-Sapir D, Hargitt D, Hoyois P, Louvain U, Disasters WHOCRE, Consortium P, Oceanic USN, Program AACI, Assistance USAIDOUSFD: Thirty Years of Natural Disasters 1974–2003: The Numbers. 2004, Brussels: University of Louvain Presses Guha-Sapir D, Hargitt D, Hoyois P, Louvain U, Disasters WHOCRE, Consortium P, Oceanic USN, Program AACI, Assistance USAIDOUSFD: Thirty Years of Natural Disasters 1974–2003: The Numbers. 2004, Brussels: University of Louvain Presses
16.
go back to reference ADB: Bangladesh: 2004 Flood, Response, Damage and Recovery Needs. 2004, Dhaka: Asian Development Bank (ADB) ADB: Bangladesh: 2004 Flood, Response, Damage and Recovery Needs. 2004, Dhaka: Asian Development Bank (ADB)
17.
go back to reference Bank W, World Bank: vol. 21104 BD. Bangladesh: Climate Change & Sustainable Development, Report Prepared by South Asia Development Team. 2000, Dhaka: World Bank Bank W, World Bank: vol. 21104 BD. Bangladesh: Climate Change & Sustainable Development, Report Prepared by South Asia Development Team. 2000, Dhaka: World Bank
18.
go back to reference Rahman A: Climate change and its impact on health in Bangladesh. Regional Health Forum. 2008, 2 (1): 16-26. Rahman A: Climate change and its impact on health in Bangladesh. Regional Health Forum. 2008, 2 (1): 16-26.
20.
go back to reference MOHAF: Bangladesh National Health Accounts 1997–2007. 2007, Dhaka: Ministry of Health and Family Welfare (MOHFW), 1-107. MOHAF: Bangladesh National Health Accounts 1997–2007. 2007, Dhaka: Ministry of Health and Family Welfare (MOHFW), 1-107.
22.
go back to reference Kaztman R, United Nations: Activos y estructuras de oportunidades: estudios sobre las raíces de la vulnerabilidad social en Uruguay, 1a. edn. Economic Commission for Latin America and the Caribbean. CEPAL Montevideo. 1999, Montevideo, Uruguay: Comisión Económica para América Latina y el Caribe, Oficina de Montevideo Kaztman R, United Nations: Activos y estructuras de oportunidades: estudios sobre las raíces de la vulnerabilidad social en Uruguay, 1a. edn. Economic Commission for Latin America and the Caribbean. CEPAL Montevideo. 1999, Montevideo, Uruguay: Comisión Económica para América Latina y el Caribe, Oficina de Montevideo
24.
go back to reference H.G V: Similarities between various systems of traditional medicine. Considerations for the future of ethnopharmacology. J Ethnopharmacol. 1991, 35 (2): 179-190. 10.1016/0378-8741(91)90071-K.CrossRef H.G V: Similarities between various systems of traditional medicine. Considerations for the future of ethnopharmacology. J Ethnopharmacol. 1991, 35 (2): 179-190. 10.1016/0378-8741(91)90071-K.CrossRef
25.
go back to reference Lock M: Medicine in Chinese Cultures: Comparative Studies of Health Care in Chinese and Other Societies. Arthur Kleinman, Peter Kunstadter, E. Russell Alexander, and James L. Gale. Medical Anthropology Newsletter. 1978, 9 (4): 11-13. 10.1525/maq.1978.9.4.02a00140.CrossRef Lock M: Medicine in Chinese Cultures: Comparative Studies of Health Care in Chinese and Other Societies. Arthur Kleinman, Peter Kunstadter, E. Russell Alexander, and James L. Gale. Medical Anthropology Newsletter. 1978, 9 (4): 11-13. 10.1525/maq.1978.9.4.02a00140.CrossRef
26.
go back to reference S B: WHO Definition of Health, Rethinking the. International Encyclopedia of Public Health. Edited by: Kris H. 2008, Oxford: Academic Press, 590-597. S B: WHO Definition of Health, Rethinking the. International Encyclopedia of Public Health. Edited by: Kris H. 2008, Oxford: Academic Press, 590-597.
27.
go back to reference Field J: Social Capital. 2003, London; New York: Routledge Field J: Social Capital. 2003, London; New York: Routledge
28.
go back to reference Banglapedia: National Encyclopedia of Bangladesh: Traditional Medicine. 2006, Dhaka: Asiatic Society of Bangladesh Banglapedia: National Encyclopedia of Bangladesh: Traditional Medicine. 2006, Dhaka: Asiatic Society of Bangladesh
29.
go back to reference Chunhuei C: Integrating traditional medicine into modern health care systems: examining the role of Chinese medicine in Taiwan. Soc Sci Med. 1994, 39 (3): 307-321. 10.1016/0277-9536(94)90127-9.CrossRef Chunhuei C: Integrating traditional medicine into modern health care systems: examining the role of Chinese medicine in Taiwan. Soc Sci Med. 1994, 39 (3): 307-321. 10.1016/0277-9536(94)90127-9.CrossRef
30.
go back to reference Volken-Reinert T: Elemente des Vertrauens : Internetdiffusion in den Transformationsländern als Paradigmatest. 2002, Bern; New York: P. Lang Volken-Reinert T: Elemente des Vertrauens : Internetdiffusion in den Transformationsländern als Paradigmatest. 2002, Bern; New York: P. Lang
31.
go back to reference Theresa B: Meanings and Ritiuals of Birth in Rural Bangladesh. 1984, Dhaka: The University Press Limited Theresa B: Meanings and Ritiuals of Birth in Rural Bangladesh. 1984, Dhaka: The University Press Limited
32.
go back to reference Shahaduz Z: Poverty and violence, frustration and inventiveness: hospital ward life in Bangladesh. Soc Sci Med. 2004, 59 (10): 2025-2036. 10.1016/j.socscimed.2004.03.007.CrossRef Shahaduz Z: Poverty and violence, frustration and inventiveness: hospital ward life in Bangladesh. Soc Sci Med. 2004, 59 (10): 2025-2036. 10.1016/j.socscimed.2004.03.007.CrossRef
33.
go back to reference Ellickson J: A Believer Among Believers: The Religious Beliefs Practices and Meanings in a Village in Bangladesh. 1972, Michigan: Michigan State University Ellickson J: A Believer Among Believers: The Religious Beliefs Practices and Meanings in a Village in Bangladesh. 1972, Michigan: Michigan State University
34.
go back to reference Islam M: Folk Medicine and Rural Women in Bangladesh. 1980, Dhaka: Women for Women Islam M: Folk Medicine and Rural Women in Bangladesh. 1980, Dhaka: Women for Women
35.
go back to reference Islam M: Women Health and Culture: A Study of Beliefs and Practices Connected with Female Diseases in a Bangladesh Village. 1985, Dhaka: Women for Women Islam M: Women Health and Culture: A Study of Beliefs and Practices Connected with Female Diseases in a Bangladesh Village. 1985, Dhaka: Women for Women
36.
go back to reference Rk H: Text Book of Community Medicine and Public Health. 1992, Dhaka: RKH Publishers Rk H: Text Book of Community Medicine and Public Health. 1992, Dhaka: RKH Publishers
37.
go back to reference Vargas Cetina G, Palomo Infante MD: De lo privado a lo público : organizaciones en Chiapas, 1. edn. 2002, México: CIESAS Centro de Investigaciones y Estudios Superiores en Antropología Social : Miguel Angel Porrúa Grupo Editorial Vargas Cetina G, Palomo Infante MD: De lo privado a lo público : organizaciones en Chiapas, 1. edn. 2002, México: CIESAS Centro de Investigaciones y Estudios Superiores en Antropología Social : Miguel Angel Porrúa Grupo Editorial
38.
go back to reference Morse MJ, Niehaus L: Mixed Method Design: Principles and Procedures (Developing Qualitative Inquiry). 2009, Walnut Creek, California: Left Coast Press Morse MJ, Niehaus L: Mixed Method Design: Principles and Procedures (Developing Qualitative Inquiry). 2009, Walnut Creek, California: Left Coast Press
39.
go back to reference Creswell WJ: Research Design: Qualitative, Quantitative, and Mixed Methods Approaches, vol. Third. 2009, New Delhi: Sage Publications, Inc Creswell WJ: Research Design: Qualitative, Quantitative, and Mixed Methods Approaches, vol. Third. 2009, New Delhi: Sage Publications, Inc
40.
go back to reference Creswell WJ: Qualitative Inquiry & Research Design: Choosing Among Five Approaches, vol. 2nd. 2007, New Delhi: Sage Publications, Inc. Creswell WJ: Qualitative Inquiry & Research Design: Choosing Among Five Approaches, vol. 2nd. 2007, New Delhi: Sage Publications, Inc.
41.
go back to reference BBS: Population Census Report 2011. 2011, Dhaka: Ministry of Planning. Government of the People’s Republic of Bangladesh BBS: Population Census Report 2011. 2011, Dhaka: Ministry of Planning. Government of the People’s Republic of Bangladesh
42.
go back to reference National Institute of Population R, Training, Mitra, Associates, and Macro I: Bangladesh Demographic and Health Survey 2007. 2009, Dhaka: NIPORT, Bangladesh and Calverton, Maryland, USA National Institute of Population R, Training, Mitra, Associates, and Macro I: Bangladesh Demographic and Health Survey 2007. 2009, Dhaka: NIPORT, Bangladesh and Calverton, Maryland, USA
43.
go back to reference UNDP: Perception of Illness and Health Seeking Behaviur Among Five Ethnic Groups (Belgali, Chakma, Marma, Tanchangya and Tripura) in the Chittagong Hill Tracts. 2010, Dhaka: UNPD UNDP: Perception of Illness and Health Seeking Behaviur Among Five Ethnic Groups (Belgali, Chakma, Marma, Tanchangya and Tripura) in the Chittagong Hill Tracts. 2010, Dhaka: UNPD
44.
go back to reference Kleinman A, Program JEFICASHSGHS, Washington U: Medicine in Chinese cultures: comparative studies of health care in Chinese and other societies. 1976, Washington: National Institutes of Health Kleinman A, Program JEFICASHSGHS, Washington U: Medicine in Chinese cultures: comparative studies of health care in Chinese and other societies. 1976, Washington: National Institutes of Health
45.
go back to reference Abo KA, Fred-Jaiyesimi AA, Jaiyesimi AEA: Ethnobotanical studies of medicinal plants used in the management of diabetes mellitus in South Western Nigeria. J Ethnopharmacol. 2008, 115 (1): 67-71. 10.1016/j.jep.2007.09.005.CrossRefPubMed Abo KA, Fred-Jaiyesimi AA, Jaiyesimi AEA: Ethnobotanical studies of medicinal plants used in the management of diabetes mellitus in South Western Nigeria. J Ethnopharmacol. 2008, 115 (1): 67-71. 10.1016/j.jep.2007.09.005.CrossRefPubMed
46.
go back to reference Kleinman A, Sciences JEFICASH, Washington U: Medicine in Chinese Cultures: Comparative Studies of Health Care in Chinese and Other Societies : Papers and Discussions from a Conference Held in Seattle, Washington, U.S.A., February 1974. 1976, Washington: U.S Department of Health, Education, and Welfare, Public Health Services, National Institutes of Health, John E. Fogarty International Center for Advanced Study in the Health Sciences, [International Cooperation and Geographic Studies Branch] Kleinman A, Sciences JEFICASH, Washington U: Medicine in Chinese Cultures: Comparative Studies of Health Care in Chinese and Other Societies : Papers and Discussions from a Conference Held in Seattle, Washington, U.S.A., February 1974. 1976, Washington: U.S Department of Health, Education, and Welfare, Public Health Services, National Institutes of Health, John E. Fogarty International Center for Advanced Study in the Health Sciences, [International Cooperation and Geographic Studies Branch]
47.
go back to reference Kleinman A: Patients and Healers in the Context of Culture: An Exploration of the Borderland Between Anthropology, Medicine, and Psychiatry. 1980, Los Angeles: University of California Press Kleinman A: Patients and Healers in the Context of Culture: An Exploration of the Borderland Between Anthropology, Medicine, and Psychiatry. 1980, Los Angeles: University of California Press
48.
go back to reference Morrison AR, Ellsberg M, Bott S, World Bank: Policy Research Working Paper 3438. Addressing Gender-Based Violence in the Latin American and Caribbean Region a Critical Review of Interventions. 2004, Washington, D.C: World Bank Morrison AR, Ellsberg M, Bott S, World Bank: Policy Research Working Paper 3438. Addressing Gender-Based Violence in the Latin American and Caribbean Region a Critical Review of Interventions. 2004, Washington, D.C: World Bank
49.
go back to reference Nedelchev D: Sot's'ialen kapital i ikonomichesko razvitie, 1. izd. edn. 2004, Sofii'a': Akademichno izdatelstvo “Marin Drinov” Nedelchev D: Sot's'ialen kapital i ikonomichesko razvitie, 1. izd. edn. 2004, Sofii'a': Akademichno izdatelstvo “Marin Drinov”
50.
go back to reference Gastaldi F, Milanesi E, Barca F: Capitale sociale e territorio: risorse per l’azione locale. 2003, Milano, Italy: FrancoAngeli Gastaldi F, Milanesi E, Barca F: Capitale sociale e territorio: risorse per l’azione locale. 2003, Milano, Italy: FrancoAngeli
51.
go back to reference Community Action Council for Lexington-Fayette Bourbon Harrison and Nicholas Counties., National Civic League (U.S.), J. Thomé Community Development Consulting: Understanding & Measuring Social Capital: Featuring the Winburn Neighborhood, Lexington, Kentucky. 2001, Lexington, KY: Community Action Council for Lexington-Fayette, Bourbon, Harrison, and Nicholas Counties Community Action Council for Lexington-Fayette Bourbon Harrison and Nicholas Counties., National Civic League (U.S.), J. Thomé Community Development Consulting: Understanding & Measuring Social Capital: Featuring the Winburn Neighborhood, Lexington, Kentucky. 2001, Lexington, KY: Community Action Council for Lexington-Fayette, Bourbon, Harrison, and Nicholas Counties
52.
go back to reference La Rosa Huertas L, Ford Foundation: Políticas de promoción de la salud y capital social. 2002, Perú: s.n La Rosa Huertas L, Ford Foundation: Políticas de promoción de la salud y capital social. 2002, Perú: s.n
53.
go back to reference Gambino F, Mingione E, Pristinger F: Distanze e legami : una ricerca su capitale sociale e diseguaglianze nel Veneto, 1a edn. 2003, Roma: Carocci Gambino F, Mingione E, Pristinger F: Distanze e legami : una ricerca su capitale sociale e diseguaglianze nel Veneto, 1a edn. 2003, Roma: Carocci
54.
go back to reference Kawade M, Bessho S, Katō R: Kōreika shakai ni okeru shakai shihon : bumonbetsu shakai shihon o kōryoshita chōki suikei. 2003, Tokyo, Japan: Naikakufu Keizai Shakai Sōgō Kenkyūjo Kawade M, Bessho S, Katō R: Kōreika shakai ni okeru shakai shihon : bumonbetsu shakai shihon o kōryoshita chōki suikei. 2003, Tokyo, Japan: Naikakufu Keizai Shakai Sōgō Kenkyūjo
55.
go back to reference Hooghe M: Sociaal kapitaal in Vlaanderen : verenigingen en democratische politieke cultuur. 2003, Amsterdam: Amsterdam University PressCrossRef Hooghe M: Sociaal kapitaal in Vlaanderen : verenigingen en democratische politieke cultuur. 2003, Amsterdam: Amsterdam University PressCrossRef
56.
go back to reference Szczepański MS, Rojek P, Wyższa Szkoła Zarządzania i Nauk Społecznych w Tychach: Cnoty i instytucje obywatelskie w społeczności lokalnej. 2001, Tychy: Śląskie Wydawnictwa Naukowe, Wyższa Szkoła Zarządzania i Nauk Społecznych w Tychach Szczepański MS, Rojek P, Wyższa Szkoła Zarządzania i Nauk Społecznych w Tychach: Cnoty i instytucje obywatelskie w społeczności lokalnej. 2001, Tychy: Śląskie Wydawnictwa Naukowe, Wyższa Szkoła Zarządzania i Nauk Społecznych w Tychach
57.
go back to reference Evers A, Rauch U, Stitz U: Von öffentlichen Einrichtungen zu sozialen Unternehmen: hybride Organisationsformen im Bereich sozialer Dienstleistungen. 2002, Berlin: Edition Sigma Evers A, Rauch U, Stitz U: Von öffentlichen Einrichtungen zu sozialen Unternehmen: hybride Organisationsformen im Bereich sozialer Dienstleistungen. 2002, Berlin: Edition Sigma
58.
go back to reference WHO: The World Health Report 2012: No Health Without Research. 2012, Jeneva WHO: The World Health Report 2012: No Health Without Research. 2012, Jeneva
59.
go back to reference WHO: The World Health Assembly Resolution 58.34. Edited by: WHO. 2005, Jenava: WHO WHO: The World Health Assembly Resolution 58.34. Edited by: WHO. 2005, Jenava: WHO
61.
go back to reference Robinson D, Victoria University of Wellington. Institute of Policy Studies: Building Social Capital. 2002, Wellington, N.Z: Institute of Policy Studies, Victoria University of Wellington Robinson D, Victoria University of Wellington. Institute of Policy Studies: Building Social Capital. 2002, Wellington, N.Z: Institute of Policy Studies, Victoria University of Wellington
63.
go back to reference Knack SF, Washington DC, World Bank. Development Research Group. Regulation and Competition Policy: Policy Research Working Paper 2504. Social Capital and the Quality of Government Evidence from the U.S. 2000, World Bank, Development Research Group, Regulation and Competition Policy Knack SF, Washington DC, World Bank. Development Research Group. Regulation and Competition Policy: Policy Research Working Paper 2504. Social Capital and the Quality of Government Evidence from the U.S. 2000, World Bank, Development Research Group, Regulation and Competition Policy
64.
go back to reference François P: Social Capital and Economic Development. 2002, London; New York: RoutledgeCrossRef François P: Social Capital and Economic Development. 2002, London; New York: RoutledgeCrossRef
65.
go back to reference Forests MoEa: National Adaption Programme of Action (NAPA). 2009, Dhaka, 1-78. Forests MoEa: National Adaption Programme of Action (NAPA). 2009, Dhaka, 1-78.
Metadata
Title
Use of traditional medicines to cope with climate-sensitive diseases in a resource poor setting in Bangladesh
Authors
Md Aminul Haque
Valérie R Louis
Revati Phalkey
Rainer Sauerborn
Publication date
01-12-2014
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2014
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/1471-2458-14-202

Other articles of this Issue 1/2014

BMC Public Health 1/2014 Go to the issue