Epidemiology of herbal drugs use in Addis Ababa, Ethiopia

Fenta, Teferi Gedif; Hahn, Heinz-Jürgen

doi:10.1002/pds.729

Cited by 23 publications

(20 citation statements)

References 9 publications

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“…Visits to holy water sources as recourse for treatment or healing are reported in 46% of the cases; 11% of the deceased visited a traditional healer. This figure is lower than other reports of alternative medicine use in Ethiopia, but unlike these other studies, our data do not account for self-medication in minor conditions (Kloos et al 1987;Gedif and Hahn 2002). Both holy water and traditional healer visits are reported more often for TB/AIDS deaths.…”

Section: Resultscontrasting

confidence: 91%

“…As in other developing countries, health services are often provided through several, sometimes overlapping, channels that include both modern and traditional forms of medicine and healing (Beals 1976;Feierman 1981;Kroeger 1983;Hunte and Sultana 1992;Develay et al 1996;Ngalula et al 2002;Nyamongo 2002;Hatchett et al 2004;Case et al 2005;de-Graft Aikins 2005). In Addis Ababa, the treatment with self-administered medicine (herbal or modern) and the pursuit of other alternative curative options are relatively common, despite the widespread availability of relatively cheap modern medical services (Kloos et al 1987;Gedif and Hahn 2002).…”

Section: Introductionmentioning

confidence: 99%

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Health services utilization during terminal illness in Addis Ababa, Ethiopia

Reniers¹,

Tesfai²

2009

Health Policy and Planning

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ObjectivesWe describe modern and alternative health services use in terminal illness of adults, and assess whether utilization patterns of TB/AIDS patients are distinct from those of patients suffering from other illnesses. MethodsData are from post-mortem interviews with close relatives or caretakers of the deceased. We provide descriptive statistics of health care utilization in adults and discuss their covariates in multivariate analyses. ResultsOver 85% of terminally sick patients visited a modern medical facility, but less than 40% spent more than 24 hours in a medical facility and only 25% died in one. Traditional healer (11%) and holy water (46%) visits offer a common treatment and healing alternative, but these visits do not co-vary in any consistent manner with the utilization of modern medical services. In terms of the cause of death, we find a higher contact rate with both modern and alternative medical service providers among TB/AIDS patients compared with those suffering from other medical conditions. The duration of illness seems to account for a good share of that variability. Other covariates of health services utilization are socio-economic status, education and age.Conclusions The contact rate of adults with modern medical facilities in terminal illness is almost universal, but their usage intensity is rather low. Alternative curative options are less commonly used, and do not exclude modern health services use. This suggests that both types of services are considered complements rather than alternatives for each other. Because the contact rate with health service providers is greatest for TB/AIDS patients, it is unlikely that HIV/AIDS-related stigma is an impediment to seeking care. We cannot exclude, however, that it delays health-seeking behaviour.

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Section: Resultscontrasting

confidence: 91%

Section: Introductionmentioning

confidence: 99%

Health services utilization during terminal illness in Addis Ababa, Ethiopia

Reniers¹,

Tesfai²

2009

Health Policy and Planning

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“…Herbal medicines are of great importance in the primary health care of individuals and communities and there has been an increased in international trade in herbal medicine products worldwide in recent years (Barrett et al, 1999;Gedif and Hahn, 2002;Raskin et al, 2002;Zou et al, 2005). In general, patients tend to take herbs in combination with prescribed modern medication with the aim to decrease side effects or toxicity, or to obtain a synergistic or additive effect (Pekthong et al, 2008).…”

Section: Discussionmentioning

confidence: 97%

Andrographolide and 14-Deoxy-11, 12-Didehydroandrographolide inhibit cytochrome P450s in HepG2 hepatoma cells

et al. 2011

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“…Part of the reasons for this could be due to: (i) HIV related stigma which is known to be higher in females than in males, and prohibits them out from HIV care seeking [58, 59]; (ii) Lower literacy status in females than males, which is a big challenge that prevent women from optimising the benefit of HIV care [60], (iii) higher usage in females than males of traditional healers which hinders females from taking ART consistently [61], and (v) lack integration between modern and traditional medicines which has been identified as one of the key factors in for a consistent uptake of ART programs in Ethiopia [62]. Similar to findings by Meloni and colleagues[63], discontinuation was higher among patients with immunological failure than their comparator.…”

Section: Discussionmentioning

confidence: 99%

Prevalence, trend and risk factors for antiretroviral therapy discontinuation among HIV-infected adults in Ethiopia in 2003-2015

et al. 2017

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BackgroundIt is well acknowledged that antiretroviral therapy (ART) discontinuation hampers the progress towards achieving the UNAIDS treatment targets that aim to treat 90% of HIV diagnosed patients and achieve viral suppression for 90% of those on treatment. Nevertheless, the magnitude, trend and risk factors for ART discontinuation have not been explored extensively. We carried out a retrospective data analysis to assess prevalence, trend and risk factors for ART discontinuation among adults in Southwest Ethiopia.Methods12 years retrospective cohort analysis was performed with 4900 HIV-infected adult patients between 21 June 2003 and 15 March 2015 registered at the ART clinic at Jimma University Teaching Hospital. ART discontinuation could be loss to follow-up, defaulting and/or stopping medication while remaining in care. Because data for 2003 and 2015 were incomplete, the 10 years data were used to describe trends for ART discontinuation using a line graph. We used binary logistic regression to identify factors that were correlated with ART discontinuation. To handle missing data, we applied multiple imputations assuming missing at random pattern.ResultsIn total, 4900 adult patients enrolled on ART, of whom 1090 (22.3%) had discontinued, 954 (19.5%) had transferred out, 300 (6.1%) had died, 2517 (51.4%) were alive and on ART, and the remaining 39 (0.8%) had unknown outcome status. The trend of ART discontinuation showed an upward direction in the recent times and reached a peak, accounting for a magnitude of 10%, in 2004 and 2005. Being a female (AOR = 2.1, 95%CI: 1.7–2.8), having an immunological failure (AOR = 2.3, 1.9–8.2), having tuberculosis/HIV co-infection (AOR = 1.5, 1.1–2.1) and no previous history of HIV testing (AOR = 1.8, 1.4–2.9) were the risk factors for ART discontinuation.ConclusionsOne out of five adults had discontinued from ART, and the trend of ART discontinuation increased recently. Discontinued adults were more likely to be females, tuberculosis/HIV co-infected, with immunological failure and no history of HIV testing. Therefore, it is vital to implement effective programs such as community ART distribution and linkage-case-management to enhance ART linkage and retention.

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Epidemiology of herbal drugs use in Addis Ababa, Ethiopia

Abstract: This study showed that in spite of the geographic accessibility of modern health institutions in urban areas, the use of traditional medicine, particularly herbal drugs, remains a major form of health care option. Hence health planners should give appropriate consideration to this sector.

Cited by 23 publications

References 9 publications

Health services utilization during terminal illness in Addis Ababa, Ethiopia

Health services utilization during terminal illness in Addis Ababa, Ethiopia

Andrographolide and 14-Deoxy-11, 12-Didehydroandrographolide inhibit cytochrome P450s in HepG2 hepatoma cells

Prevalence, trend and risk factors for antiretroviral therapy discontinuation among HIV-infected adults in Ethiopia in 2003-2015

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