scholarly journals Herbal Medicines: Personal Use, Knowledge, Attitude, Dispensing Practice, and the Barriers among Community Pharmacists in Gondar, Northwest Ethiopia

2017 ◽  
Vol 2017 ◽  
pp. 1-6 ◽  
Author(s):  
Dessalegn Asmelashe Gelayee ◽  
Gashaw Binega Mekonnen ◽  
Seyfe Asrade Atnafe ◽  
Mequanent Kassa Birarra ◽  
Assefa Belay Asrie

Background. Herbal medicine use is increasing and the global market is estimated to be US$107 billion by the year 2017. Objectives. This study aimed at assessing community pharmacists’ personal use, knowledge, attitude, dispensing practice, and the barriers regarding herbal medicines. Methods. Institution based cross-sectional study was conducted among 47 community pharmacists in Gondar, Northwest Ethiopia, using a structured interviewing questionnaire. Results. Nearly half of the respondents (n=22, 46.8%) sometimes use herbal medicines. Although knowledge related to such preparations was self-rated as poor/acceptable (n=34, 72.4%), majority (n=44, 93.7%) of community pharmacists agree/strongly agree that herbal medicines have beneficial effects. Only 6 (12.7%) of them are sometimes/often engaged in dispensing herbal medicines and most of them (n=34, 72.3%) rarely/never counseled clients regarding these preparations. Limited knowledge on and access to information regarding herbal medicines are the main barriers to the pharmacists’ practice. Conclusion. Although community pharmacists in Gondar, Northwest Ethiopia, commonly use and demonstrated good attitude towards herbal medicines, they are less involved in dispensing such products. They are also challenged with limited knowledge on and access to herbal medicine information. Thus, pharmacy educators, professional organizations, and the government shall pay more attention to solve the problem. Regulatory provisions on herbal medicine dispensing must be enacted and communicated very well.

2020 ◽  
Vol 80 (2) ◽  
pp. 410-423 ◽  
Author(s):  
J. C. Lima Melro ◽  
S. A. Fonseca ◽  
J. M. Silva Júnior ◽  
S. P. B. Franco ◽  
M. A. Souza ◽  
...  

Abstract This study aimed to assess diagnosis of Unique Health System (SUS) users profile with regard to herbal medicine. This is a cross-sectional study with observational data collection conducted in the city of Marechal Deodoro, through a semi-structured questionnaire with questions related to socioeconomic data, use, and knowledge of medicinal plants and herbal medicines and satisfaction with the use of medicinal herbs (MH) and interactions of phytotherapeutic drugs (PD). Among the topics, 86.89% of users used herbal medicines often, especially lemon balm (Melissa officinalis L.). It was also observed that the plants are generally used as a sedative (21.74%) and as tea (87.84%). 82.32% of respondents claim to have acquired the knowledge of herbal medicine through a family member and 85.36% make use of medicinal plants without having received any information on the use of MH and PD. 61% of the plants described that coincided with the form of use and therapeutic properties found in the literature. With regard to satisfaction by treatment with MH and PD, it was found that 56.67% are satisfied. Therefore, it is necessary to pay attention to this aspect of usage, in order to avoid possible drug interactions or adverse reactions resulting from the incorrect use.


2017 ◽  
Vol 2017 ◽  
pp. 1-6 ◽  
Author(s):  
Dessalegn Asmelashe Gelayee ◽  
Gashaw Binega Mekonnen ◽  
Mequanent Kassa Birarra

Background. Community pharmacists are in a key position to provide information on drugs and thus promote the rational use of drugs. Objectives. The present study was designed to determine the needs and resources of drug information in community pharmacies. Methods. A prospective institution based cross-sectional study was carried out and data were collected on 48 community pharmacists in Gondar, Northwest Ethiopia, using interviewer administered structured questionnaire. Results. Almost all pharmacists (N=47, 97.9%) often receive drug related queries and these were mainly from consumers (N=41, 85.4%). While most questions relate to drug price (N=29, 60.4%) and dosage (N=21, 43.8%), the information resources mainly referred to were drug package inserts and national standard treatment guidelines. However, limited availability of information resources as well as limited ability to retrieve relevant information influenced the practice of pharmacists. Female pharmacists claimed better use of different information resources than males (P<0.05). Conclusions. Community pharmacists in Gondar, Northwest Ethiopia, are often accessed for drug related information. But there are limitations in using up to date and most reliable resources. Therefore, intervention aimed at improving pharmacists’ access to and evaluation of drug information is urgently needed.


2017 ◽  
Vol 2017 ◽  
pp. 1-6 ◽  
Author(s):  
Dessalegn Asmelashe Gelayee ◽  
Gashaw Binega Mekonnen ◽  
Seyfe Asrade Atnafe

Background. Health promotion is now becoming an integral part of community pharmacy practice worldwide. Objectives. This study was intended to determine the level of involvement of community pharmacists in providing health promotion service and to identify the barriers to the practice. Methods. A cross-sectional study was conducted on 48 community pharmacists working in Gondar town, Northwest Ethiopia. Data on sociodemographic factors, practice, and barriers to health promotion service were collected and analyzed using SPSS version 20. Results. The majority of respondents were B.Pharm holders (n=27, 56.3%). Almost all respondents (n=45, 95.8%) were willing and claimed to be well involved in health promotion services. The top 5 services were related to drug misuse, asthma, diabetes, family planning, and cardiovascular diseases. However, involvement in some types of health promotion services significantly differed based on sex, educational level, and pharmacy ownership of respondents. The main barrier reported was lack of training. Conclusion. The community pharmacists in Gondar, Northwest Ethiopia, are engaged in health promotion activities. However lack of training has limited their level of involvement and practice differences were noted based on sex, educational level, and pharmacy ownership status of the respondents.


2020 ◽  
Vol 35 (1) ◽  
pp. 59-66
Author(s):  
Arebu Issa Bilal ◽  
Bruck Messele ◽  
Dawit Teshome ◽  
Zelalem Tilahun ◽  
Teferi Gedif Fenta

In spite of an increase in the health service coverage of the country, studies reported that significant proportion of the Ethiopian population still relies on traditional medicine, particularly on the herbal aspect, for their healthcare. The aim of the present study was to determine the extent of the concomitant use of herbal medicines with modern antiretroviral medicines and identify the commonly used herbs among patients with human immunodeficiency virus/acquired immunodeficiency syndrome (HIV/AIDS) in Ethiopia. A cross-sectional study was conducted from May to June, 2017 among HIV/AIDS patients in five hospitals selected from four regions and one city Administration (Addis Ababa). A total of 768 HIV/AIDS patients were successfully interviewed and included in the analysis. Most 480 (62.5%) of them were on tenofovir-disoproxil fumarate (TDF) plus lamivudine (3TC)and efavirenz (EFV) regimen. Two hundred nineteen (28.5%) patients reported that they had used herbal medicines to treat their illness; of these 145 (66.2%) used herbal products along with modern medicine. Of those who reported to have used herbal medicine with modern medicine, 53 (40.8%) claimed that they took the herbal medicines for the treatment of HIV/AIDS, while 51(39.2%) used for treating co-morbid diseases. Only 33 (15.0%) of those who used herbal medicines along with modern drugs discussed the issue either with their physicians or pharmacists. A total of 31 plant species were reported to be used for the treatment as well as alleviation of symptoms associated with the disease. The most commonly cited herbal medicines that  have been used by HIV/AIDS patients to treat their comorbid diseases were Moringa stenopetala (Baker f.) Cufod. (Moringaceae) (35.6%) followed by Ocimum lamiifolium Hochst. (Lamiaceae) (18.0%), Zheneria scabra Sond. (Cucurbitaceae) (7.2%), Allium sativum L. (Alliaceae) (5.7%), and Ruta chalapensis L. (Rutaceae) (5.7%). The study revealed that close to one-third of HIV/AIDS patients interviewed reported use of herbal medicine and almost two-thirds of them did so concomitantly with modern medicine. Only small percentage of the patients who used herbal medicines along with modern drugs disclose the use either to their treating physicians or to counselling pharmacists. Practitioners involved in antiretroviral therapy (ART) clinics, therefore, need to inquire information related to the use of herbal medicines and accordingly advise the patients. Keywords: HIV/AIDS, medicinal plant, cross-sectional study, concomitant use, Ethiopia  


2018 ◽  
Vol 2018 ◽  
pp. 1-11 ◽  
Author(s):  
Peter Bai James ◽  
Lexina Taidy-Leigh ◽  
Abdulai Jawo Bah ◽  
Joseph Sam Kanu ◽  
Jia Bainga Kangbai ◽  
...  

In resource-poor countries where access to infertility care is limited, women may turn to traditional medicine to achieve motherhood. It is unknown whether Sierra Leonean women with such condition use herbal medicine. This study investigates the prevalence and factors associated with herbal medicine use among women seeking care for infertility. This was a questionnaire-based cross-sectional study conducted among women seeking care for infertility at various clinics within Freetown, Sierra Leone. Data analysis included Chi-square tests and logistic regression. Out of the 167 women that participated, 36.5% used herbal medicine for infertility treatment. Women with no formal (AOR 4.03, CL: 1.38–11.76, p=0.011), primary education (AOR: 6.23, CL: 2.02–19.23, p=0.001) and those that visited a traditional medicine practitioner (AOR: 20.05, CL: 2.10–192.28, p=0.009) as well as women suffering from other reproductive health problems (AOR: 2.57, CL: 1.13–5.83, p=0.024) were more likely to use herbal medicines. Friends and family (n=57, 96.7%) were the main influencers of herbal medicine use. Only (n=12) 19.7% of users disclosed their status to their healthcare provider. Over half (n=32, 52.5%) could not remember the name of the herb they used. Luffa acutangula (n=29, 100%) was the herbal medicinal plant users could recall. Herbal medicine use among women seeking care for infertility in Freetown is common. Healthcare providers should be aware of the potential dyadic use of herbal and allopathic medicines by their patients and be knowledgeable about commonly used herbal remedies as well as being proactive in communicating the potential risks and benefits associated with their use.


2021 ◽  
Vol 9 (1) ◽  
pp. 25-39
Author(s):  
Syed Faisal Zaidi ◽  
Muhammad Anwar Khan ◽  
Sheikh Abdul Saeed ◽  
Khalid Al Zahrani ◽  
Adel Al Ahmadi ◽  
...  

Background: Herbal medicine is becoming increasingly popular among the general population.  Before consulting a medical practitioner, patients already try home remedies. Therefore, it becomes more pertinent that the medical students as future doctors, must possess some knowledge of the herbal medicine. In Saudi Arabia, no study has yet evaluated this aspect in medical students. Methods: A cross-sectional study was performed with 240 medical students at a Health Sciences University. The survey questionnaire was validated, and descriptive/inferential statistics analyses were conducted by SPSS. Results: Data showed 50/240 students (20.8 %) used herbal medicines and majority 36 (72%) used it without consultation with doctors. Moreover, male understanding of the sources of herbal medicine was less compared to females' (p < 0.05). In terms of attitude, majority agreed with the benefits of herbal medicines in the maintenance and promotion of health (123, 51.3%) and to treat illness (127, 52.9%). However, medical students did not want to use herbal medicines (122, 50.8%) or recommend it to their families (161, 67.1%). A significant number of the respondents (160, 66.7%) opined that the herbal medicines could be taken with conventional or allopathic medications. Male students were significantly more inclined towards use of herbal medicine than their female counterparts (p < 0.05). Conclusion: Medical students were found to be unaware of some important aspects regarding herbal medicines, like use of herbs with drugs without consultation. Inclusion of proper courses on alternative medicine in medical curriculum can fill this gap and clarify the misconceptions among medical students.


2014 ◽  
Vol 2014 ◽  
pp. 1-11 ◽  
Author(s):  
Kumlachew Geremew ◽  
Molla Gedefaw ◽  
Zewdu Dagnew ◽  
Dube Jara

Background.Traditional biomass has been the major source of cooking energy for major segment of Ethiopian population for thousands of years. Cognizant of this energy poverty, the Government of Ethiopia has been spending huge sum of money to increase hydroelectric power generating stations.Objective.To assess current levels and correlates of traditional cooking energy sources utilization.Methods.A community based cross-sectional study was conducted employing both quantitative and qualitative approaches on systematically selected 423 households for quantitative and purposively selected 20 people for qualitative parts. SPSS version 16 for windows was used to analyze the quantitative data. Logistic regression was fitted to assess possible associations and its strength was measured using odds ratio at 95% CI. Qualitative data were analyzed thematically.Result.The study indicated that 95% of households still use traditional biomass for cooking. Those who were less knowledgeable about negative health and environmental effects of traditional cooking energy sources were seven and six times more likely to utilize them compared with those who were knowledgeable (AOR (95% CI) = 7.56 (1.635, 34.926), AOR (95% CI) = 6.68 (1.80, 24.385), resp.). The most outstanding finding of this study was that people use traditional energy for cooking mainly due to lack of the knowledge and their beliefs about food prepared using traditional energy. That means“…people still believe that food cooked with charcoal is believed to taste delicious than cooked with other means.” Conclusion.The majority of households use traditional biomass for cooking due to lack of knowledge and belief. Therefore, mechanisms should be designed to promote electric energy and to teach the public about health effects of traditional cooking energy source.


2017 ◽  
Vol 2017 ◽  
pp. 1-9
Author(s):  
Dessalegn Asmelashe Gelayee ◽  
Gashaw Binega Mekonnen

Background. Dispensing errors are inevitable occurrences in community pharmacies across the world. Objective. This study aimed to identify the community pharmacists’ perception towards dispensing errors in the community pharmacies in Gondar town, Northwest Ethiopia. Methods. A cross-sectional study was conducted among 47 community pharmacists selected through convenience sampling. Data were analyzed using SPSS version 20. Descriptive statistics, Mann–Whitney U test, and Pearson’s Chi-square test of independence were conducted with P≤0.05 considered statistically significant. Result. The majority of respondents were in the 23–28-year age group (N=26, 55.3%) and with at least B.Pharm degree (N=25, 53.2%). Poor prescription handwriting and similar/confusing names were perceived to be the main contributing factors while all the strategies and types of dispensing errors were highly acknowledged by the respondents. Group differences (P<0.05) in opinions were largely due to educational level and age. Conclusion. Dispensing errors were associated with prescribing quality and design of dispensary as well as dispensing procedures. Opinion differences relate to age and educational status of the respondents.


Author(s):  
Aneisha Moore ◽  
Tamica Daniels-Williams

Objective: To investigative the prevalence of herbal products used among Diabetic patients of Enmore Polyclinic and correlate with socio - demographic data and to find out the various types of herbal medicines used. Methods: A cross sectional study conducted at Enmore Polyclinic from April to June, 2019. Data were collected using a preset data collection sheet and analyzed using Microsoft Excel. Results: From a sample size of three hundred and eleven (311) participants, two hundred and thirty (230) - 74.2% used herbal medicine to control Diabetes; which was used predominantly by females. East Indians used more herbal products. The 51 – 60 years age group recorded the highest use of herbal medicine, with corilla being the most widely used herbal product was corilla. Conclusion: The Use of Herbal Medicine in the control of Diabetic patients at Enmore Polyclinic is similar to that of the United States and Dubai, but slightly higher than that of tropical Sub-Saharan Africa and Trinidad. Recommendation: Similar studies should be carried out in other areas of Guyana so as to ascertain the country’s prevalence of the use of Herbal Medicine in the control of Diabetes. Additionally, the adherence to prescribed medication should be enforced: while the effects of these herbal products should be investigated.


Author(s):  
Richard C. Ikeagwulonu ◽  
Chinedum C. Onyenekwe ◽  
Ifeanyi O. Oshim ◽  
Nkechi A. Olise ◽  
Oluwayemisi Odeyemi ◽  
...  

Aim: To investigate the levels of total aflatoxin (AF) in herbal medicines from selected vendors in South- Eastern Nigeria. Study Design: This is a cross-sectional study designed to investigate the levels of aflatoxin (AF) mycotoxin in herbal traditional medicines selected randomly from vendor dealers in Ebonyi State of  Nigeria. Fifty-seven (57) herbal medicine samples were obtained from local markets and stores in Ebonyi state, Nigeria. Place and Duration of Study: This study was carried out at Abakaliki, Ezza-North, Afikpo North, Ohaukwu, Ikwo in Ebonyi State, Nigeria. This study covered a period of one year from April, 2018 to April, 2019. Methodology:  Fifty-seven (57) herbal medicine samples were analyzed to detect the level of aflatoxin (AF) mycotoxins with the controls. They were selected with self-administered questionnaire using a multistage random sampling technique. Wet extraction was performed on the liquid herbal samples whereas aflatoxin occurrence and levels were evaluated using lateral flow immunoassay technique. Data were analyzed using One sample t-test and descriptive statistics and statistical significance was set at P ≤ 0.05. Results: The incidence of Aflatoxin contamination in the samples were 48(84.21%) out of 57 herbal medicines examined with the highest level seen in African Iba herbal (20.00±2.00 ppb)  and the lowest level seen in Dunamis and Divine roots herbals (0.00 ± 0.00). Data from the analysis of herbal medicine samples showed different concentration range of mycotoxins AFs (0-20 ppb). Conclusion: Although aflatoxins concentration observed in the herbal samples were below Nigerian and European Union (EU) upper limits of 20 ppb, the high incidence rate observed in the study should be of concern to public health. The policy makers in the Nigerian agricultural and health sectors have been provided with research evidence as contained in this study on the dangers posed by consumption of some herbal medicines as a result of their aflatoxin contamination.


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