Integration for coexistence? Implementation of intercultural health care policy in Ghana from the perspective of service users and providers

Gyasi, Razak M.; Poku, Adjoa Afriyie; Boateng, Simon; Amoah, Padmore Adusei; Mumin, Alhassan Abdul; Obodai, Jacob; Agyemang-Duah, Williams

doi:10.1016/s2095-4964(17)60312-1

Cited by 27 publications

(66 citation statements)

References 32 publications

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“…Intercultural health care is arguably one of the most commonly conjured pathways and the best practices to robust health care delivery 7 , 19 ; it is a cornerstone of well-being and health status 20 in which healthy population and economic development evaluations interconnect. In the past few years, many SSA countries, like other low- and middle-income countries, adopted and experimented with certain levels of integration between CHT and mainstream national health system.…”

Section: Nurses and The Intercultural Health In Ssamentioning

confidence: 99%

“…Nevertheless, these countries appear to practice medical coexistence rather than a truly integrative medical system. 20 Indeed, medical integration agendas in SSA need to take cognizance of individual- and institutional-level participation as well as culturally acceptable care provided by health care professionals and nurses in particular who are often in direct link with patients. 21 Most integrative policy frameworks in SSA appear purposeful but lack real quality.…”

Section: Nurses and The Intercultural Health In Ssamentioning

confidence: 99%

“…Research has shown that experiences and knowledge on, a positive attitude to, and professional practice of CHT modalities among nurses and some other health care professionals may be critical in achieving intercultural health care policies in SSA. 7 , 11 , 20 Nurses, therefore, play a critical role in providing credible medical information to patients. Nurses are required to be adequately informed with sufficient understanding and knowledge about CHT therapies toward intercultural health care delivery.…”

Section: Nurses and The Intercultural Health In Ssamentioning

confidence: 99%

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Unmasking the Practices of Nurses and Intercultural Health in Sub-Saharan Africa: A Useful Way to Improve Health Care?

Gyasi¹

2018

J Evid Based Complementary Altern Med

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In 2001 and 2013, the World Health Organization (WHO) published the WHO Traditional Medicine Strategy 2002-2005 and 2014-2023, respectively, to address policy, ethics, quality, and integration of complementary health therapies (CHT). Despite the adoption of these strategic frameworks, sub-Saharan African (SSA) countries largely run dualistic and inclusive health care system. A recent article published in Complementary Therapies in Clinical Practice analyzed the role of practicing nurses in CHT integration and intercultural health in an SSA country setting. Drawing on the Complementary and Alternative Medicine Health Belief Questionnaire, the study specifically examined nurses’ knowledge, practices, and attitudes toward CHT. The study revealed that nurses had low knowledge about CHT, which reflected in their ineptitude to engage in professional practices of CHT. In spite of the knowledge deficit, nurses generally held favorable attitudes toward CHT and the majority supported the need for “safe” and evidence-based integrative model. Efforts to improve CHT-related knowledge of nurses may enhance medical integration in SSA. This commentary proposes novel political will and investment in CHT education and research as well as an inclusion of CHT modules in the nurses’ training programs; viabilities to achieve intercultural health and improved care in SSA.

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Section: Nurses and The Intercultural Health In Ssamentioning

confidence: 99%

Section: Nurses and The Intercultural Health In Ssamentioning

confidence: 99%

Section: Nurses and The Intercultural Health In Ssamentioning

confidence: 99%

See 1 more Smart Citation

Unmasking the Practices of Nurses and Intercultural Health in Sub-Saharan Africa: A Useful Way to Improve Health Care?

Gyasi¹

2018

J Evid Based Complementary Altern Med

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“…In the rural and peri-urban areas like the Ejisu-Juaben district in the Ashanti region of Ghana, access to medical care is limited, and most indigenes rely on herbal medicine practitioners for their primary health needs. Herbal medicines are highly valued and enjoy patronage by a large number of the populace due to its acceptability, affordability, and perceived safety [ 9 ]. In this study, an ethnobotanical survey was undertaken in the Ejisu-Juaben district to obtain comprehensive data on plant-based remedies commonly used by traditional healers to treat infection.…”

Section: Introductionmentioning

confidence: 99%

Indigenous Medicinal Plants as Biofilm Inhibitors for the Mitigation of Antimicrobial Resistance

Ampofo

Amponsah

Asante-Kwatia

et al. 2020

Advances in Pharmacological and Pharmaceutical Sciences

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The majority of indigenes in the rural areas of Ghana use herbal medicines for their primary health care. In this study, an ethnobotanical survey was undertaken to document medicinal plants used by traditional healers in the Ejisu-Juaben district in the Ashanti region of Ghana to treat infections and to further investigate the antibiofilm formation properties of selected plants in resisting pathogenic bacteria. Seventy medicinal plants used by traditional practitioners for the treatment of skin infections and wounds were documented from the ethnobotanical survey. Forty out of the seventy plants were collected and their methanol extracts evaluated for antimicrobial activity by the agar diffusion assay. Extracts that showed antibacterial activity were tested for biofilm inhibitory activity, and the most active plant was subsequently purified to obtain the active constituents. Biofilm formation was significantly mitigated by petroleum ether, ethyl acetate, and methanol extracts of Holarrhena floribunda stem bark. Bioassay-guided fractionation of an alkaloidal extract prepared from the methanol fraction led to the isolation of three steroidal alkaloids, namely, holonamine, holadienine, and conessine. The isolated compounds demonstrated varying degrees of biofilm formation inhibitory properties. The current study reveals that screening of indigenous medicinal plants could unravel potential leads to salvage the declining efficacy of conventional antibiotics. Holarrhena floribunda stem bark extract has strong biofilm formation inhibition properties, which could be attributed to the presence of steroidal alkaloids.

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“…Such challenges, among others, include cultural incompetence of many health systems. The World Health Organization (WHO) advocates for intercultural healthcare strategies (Gyasi et al, 2017; WHO, 2013). Given this, the study of the role of social capital in healthcare delivery is even more critical for weak health systems such as that of Ghana (Saleh, 2013).…”

Section: Introductionmentioning

confidence: 99%

“Who'll do all these if I'm not around?”: Bonding social capital and health and well-being of inpatients

Amoah¹,

Koduah

Gyasi³

2018

International Journal of Qualitative Studies on Health and Well

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Purpose: Although social capital influences health-related decisions and behavioural patterns in many developing countries, minimal attention has been paid to the nuances of its effect on healthcare. This paper examines how bonding social capital affects healthcare delivery for inpatients in Ghana. Methods: Semi-structured in-depth interviews were used and thematic analysis method employed to analyse the data. Interviews were conducted with health professionals and relatives and close friends of inpatients in three public health facilities in Ashanti region. Results: Relatives and close friends of inpatients were a critical source of instrumental support such as provision of meals, laundry services, running errands and financial assistance as well as emotional support. These functions—that were both ‘expected’ and ‘encouraged’— reduced the burden on the health facilities, which apparently had limited resources to offer adequate care. However, the relatives of inpatients sometimes inadvertently obstructed efficient healthcare delivery through actions such as extending ‘unapproved’ alternative care to patients. Moreover, the process of contributing towards health and well-being of the sick exposed the relatives to health risks due to poor living conditions. Conclusion: A well-defined and befitting role must be devised for at least an immediate social relation of inpatients to improve the positive effects of bonding social capital on healthcare delivery.

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Integration for coexistence? Implementation of intercultural health care policy in Ghana from the perspective of service users and providers

Cited by 27 publications

References 32 publications

Unmasking the Practices of Nurses and Intercultural Health in Sub-Saharan Africa: A Useful Way to Improve Health Care?

Unmasking the Practices of Nurses and Intercultural Health in Sub-Saharan Africa: A Useful Way to Improve Health Care?

Indigenous Medicinal Plants as Biofilm Inhibitors for the Mitigation of Antimicrobial Resistance

“Who'll do all these if I'm not around?”: Bonding social capital and health and well-being of inpatients

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