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BMC International Health and Human Rights
Published in: BMC International Health and Human Rights 1/2013

Open Access 01-12-2013 | Research article

Use of traditional medicine for the treatment of diabetes in Eastern Uganda: a qualitative exploration of reasons for choice

Authors: Elizeus Rutebemberwa, Muhamadi Lubega, Sheila K Katureebe, Abanga Oundo, Francis Kiweewa, David Mukanga

Published in: BMC International Health and Human Rights | Issue 1/2013

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Abstract

Background

While there are biomedical drugs for managing diabetes mellitus, some patients with diabetes use traditional medicine. The aim of the study was to explore why patients with diabetes use traditional medicine for the treatment of diabetes.

Methods

The study was conducted in Iganga and Bugiri districts in Eastern Uganda using four focus group discussions (FGDs) with patients with diabetes; two with female patients and two with male patients, thirteen key informant interviews (KIIs); nine with health workers working with patients with diabetes and four with herbalists. FGDs and KIIs focused on what respondents perceived as reasons for patients with diabetes taking traditional medicine. Analysis was done using content analysis.

Results

Reasons for taking traditional medicine included finding difficulties accessing hospitals, diabetic drugs being out of stock, traditional medicine being acceptable and available within community, as well as being supplied in big quantities. Others were traditional medicine being cheaper than biomedical treatment and payment for it being done in installments. Traditional medicine was also more convenient to take and was marketed aggressively by the herbalists. Influence of family and friends as well as traditional healers contributed to use of traditional medicine.

Conclusions

Possibilities of putting diabetic drugs at facilities closer to patients need to be considered and health facilities should have a constant supply of diabetic drugs. Community members need to be sensitized on the proper treatment for diabetes mellitus and on the dangers of taking traditional medicine.
Appendix
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Literature
1.
Tchacondo T, Karou SD, Agban A, Bako M, Batawila K, Bawa ML, Gbeassor M, De Souza C: Medicinal plants use in central Togo (Africa) with an emphasis on the timing. Pharmacognosy Res. 2012, 4 (2): 92-103. 10.4103/0974-8490.94724.CrossRefPubMedPubMedCentral
2.
De-Graft Aikins A: Healer shopping in Africa: new evidence from rural–urban qualitative study of Ghanaian diabetes experiences. BMJ. 2005, 331 (7519): 737-10.1136/bmj.331.7519.737.CrossRefPubMedPubMedCentral
3.
Hjelm K, Mufunda E: Zimbabwean diabetics’ beliefs about health and illness: an interview study. BMC Int Health Hum Rights. 2010, 10: 7-10.1186/1472-698X-10-7.CrossRefPubMedPubMedCentral
4.
Gbolade AA: Inventory of antidiabetic plants in selected districts of Lagos State, Nigeria. J Ethnopharmacol. 2009, 121 (1): 135-139. 10.1016/j.jep.2008.10.013.CrossRefPubMed
5.
Hoa NK, Phan DV, Thuan ND, Ostenson CG: Screening of the hypoglycemic effect of eight Vietnamese herbal drugs. Methods Find Exp Clin Pharmacol. 2009, 31 (3): 165-169. 10.1358/mf.2009.31.3.1362514.CrossRefPubMed
6.
Al-Kindi RM, Al-Mushrafi M, Al-Rabaani M, Al-Zakwani I: Complementary and alternative medicine use among adults with diabetes in muscat region, Oman. Sultan Qaboos Univ Med J. 2011, 11 (1): 62-68.PubMedPubMedCentral
7.
Modak M, Dixit P, Londhe J, Ghaskadbi S, Paul ADT: Indian herbs and herbal drugs used for the treatment of diabetes. J Clin Biochem Nutr. 2007, 40 (3): 163-173. 10.3164/jcbn.40.163.CrossRefPubMedPubMedCentral
8.
Jung M, Park M, Lee HC, Kang YH, Kang ES, Kim SK: Antidiabetic agents from medicinal plants. Curr Med Chem. 2006, 13 (10): 1203-1218. 10.2174/092986706776360860.CrossRefPubMed
9.
Feng CG, Zhang LX: Progress in research of aldose reductase inhibitors in traditional medicinal herbs. Zhongguo Zhong Yao Za Zhi. 2005, 30 (19): 1496-1500.PubMed
10.
Li WL, Zheng HC, Bukuru J, De Kimpe N: Natural medicines used in the traditional Chinese medical system for therapy of diabetes mellitus. J Ethnopharmacol. 2004, 92 (1): 1-21. 10.1016/j.jep.2003.12.031.CrossRefPubMed
11.
Famuyiwa OO: The efficacy of traditional medicine in the management of diabetes mellitus in southwestern Nigeria. Afr J Med Med Sci. 1993, 22 (1): 31-37.PubMed
12.
Guimaraes C, Marra CA, Gill S, Meneilly G, Simpson S, Godoy AL, Foss De MC, Freitas Queiroz RH, Lynd L: Exploring patients’ perceptions for insulin therapy in type 2 diabetes: a Brazilian and Canadian qualitative study. Patient Prefer Adherence. 2010, 4: 171-179.CrossRefPubMedPubMedCentral
13.
Burnham GM, Pariyo G, Galiwango E, Wabwire-Mangen F: Discontinuation of cost sharing in Uganda. Bull World Health Organ. 2004, 82 (3): 187-195.PubMedPubMedCentral
14.
District Health Office Iganga: Annual Progressive Report. 2009, Ministry of Health, Government of Uganda, Kampala
15.
District Health Office Bugiri: Annual Progressive Report. 2009, Ministry of Health, Government of Uganda, Kampala
16.
Marshall C, Rossman GB: Designing Qualitative Research. 1999, Thousand Oaks, London: Sage Publications, 3
17.
Dahlgren L, Emmelin M, Winkvist A: Qualitative Methodology for International Public Health. 2004, Umea: Umea University
18.
Marshall C, Rossman GB: Designing Qualitative Research. 2006, London: Sage Publications, 4
19.
Patton MQ: Qualitative Research & Evaluation Methods. 2002, London: Sage Publications, 3
20.
Dawson S, Manderson L, Tallo VL: A Manual for the Use of Focus Groups. 1993, Boston, MA: International Nutrition Foundation for Developing Countries
21.
Gning SB, Thiam M, Fall F, Ba-Fall K, Mbaye PS, Fourcade L: Diabetes mellitus in sub-Saharan Africa: epidemiological aspects and management issues. Med Trop (Mars). 2007, 67 (6): 607-611.
22.
Millot G: Access to essential medicines in Africa: a global approach. Med Trop (Mars). 2006, 66 (6): 558-564.
23.
Balde NM, Youla A, Balde MD, Kake A, Diallo MM, Balde MA, Maugendre D: Herbal medicine and treatment of diabetes in Africa: an example from Guinea. Diabetes Metab. 2006, 32 (2): 171-175. 10.1016/S1262-3636(07)70265-3.CrossRefPubMed
24.
Hall V, Thomsen RW, Henriksen O, Lohse N: Diabetes in Sub Saharan Africa 1999–2011: Epidemiology and public health implications. a systematic review. BMC Public Health. 2011, 11: 564-10.1186/1471-2458-11-564.CrossRefPubMedPubMedCentral
25.
Bonow RO, Gheorghiade M: The diabetes epidemic: a national and global crisis. Am J Med. 2004, 116 (Suppl 5A): 2S-10S.CrossRefPubMed
26.
Myers M, Zimmet P: Halting the accelerating epidemic of type 1 diabetes. Lancet. 2008, 371 (9626): 1730-1731. 10.1016/S0140-6736(08)60739-4.CrossRefPubMed
27.
28.
Rutebemberwa E, Pariyo G, Peterson S, Tomson G, Kallander K: Utilization of public or private health care providers by febrile children after user fee removal in Uganda. Malar J. 2009, 8 (1): 45-10.1186/1475-2875-8-45.CrossRefPubMedPubMedCentral
29.
Kumarasamy N, Safren SA, Raminani SR, Pickard R, James R, Krishnan AK, Solomon S, Mayer KH: Barriers and facilitators to antiretroviral medication adherence among patients with HIV in Chennai, India: a qualitative study. AIDS Patient Care STDS. 2005, 19 (8): 526-537. 10.1089/apc.2005.19.526.CrossRefPubMed
30.
Meyer-Weitz A, Reddy P, Van den Borne HW, Kok G, Pietersen J: Health care seeking behaviour of patients with sexually transmitted diseases: determinants of delay behaviour. Patient Educ Couns. 2000, 41 (3): 263-274. 10.1016/S0738-3991(99)00103-2.CrossRefPubMed
31.
Meyer-Weitz A, Reddy P, Van Den Borne HW, Kok G, Pietersen J: The determinants of health care seeking behaviour of adolescents attending STD clinics in South Africa. J Adolesc. 2000, 23 (6): 741-752. 10.1006/jado.2000.0356.CrossRefPubMed
32.
Omorodion FI: The socio-cultural context of health behaviour among Esan communities, Edo State, Nigeria. Health Transit Rev. 1993, 3 (2): 125-136.PubMed
33.
Xie W, Zhao Y, Zhang Y: Traditional chinese medicines in treatment of patients with type 2 diabetes mellitus. Evid Based Complement Alternat Med. 2011, 2011: 726723-PubMedPubMedCentral
34.
Crabb R, Hunsley J: Age-related patterns in mental health-related complementary and alternative medicine utilization in Canada. Int Psychogeriatr. 2011, 23 (3): 459-471. 10.1017/S1041610210001328.CrossRefPubMed
35.
York T, De Wet H, van Vuuren SF: Plants used for treating respiratory infections in rural Maputaland, KwaZulu-Natal, South Africa. J Ethnopharmacol. 2011, 135 (3): 696-710. 10.1016/j.jep.2011.03.072.CrossRefPubMed
36.
Kyomuhendo GB: Low use of rural maternity services in Uganda: impact of women’s status, traditional beliefs and limited resources. Reprod Health Matters. 2003, 11 (21): 16-26. 10.1016/S0968-8080(03)02176-1.CrossRefPubMed
37.
Rice PL, Ezzy D: Qualitative Research Methods - A Health Focus. 1999, Oxford, New York: Oxford University Press
38.
Flick U: Triangulation revisited: strategy of validation or alternative?. J Theor Soc Behav. 1992, 22: 175-197. 10.1111/j.1468-5914.1992.tb00215.x.CrossRef
Metadata
Title
Use of traditional medicine for the treatment of diabetes in Eastern Uganda: a qualitative exploration of reasons for choice
Authors
Elizeus Rutebemberwa
Muhamadi Lubega
Sheila K Katureebe
Abanga Oundo
Francis Kiweewa
David Mukanga
Publication date
01-12-2013
Publisher
BioMed Central
Published in
BMC International Health and Human Rights / Issue 1/2013
Electronic ISSN: 1472-698X
DOI
https://doi.org/10.1186/1472-698X-13-1

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