Knowledge and Attitude of Women Towards Herbal Medicine Usage During Pregnancy and Associated Factors Among Mothers Who Gave Birth in the Last Twelve Months in Dega Damot District, Northwest Ethiopia

Background

The use of herbal medicine is increasing globally, particularly in developing countries including Ethiopia, yet little is known regarding its effect and safety during pregnancy. Pregnant women prefer herbal medicine due to easy accessibility, traditional and cultural beliefs, and comparatively low cost. This study aimed to assess women’s knowledge and attitude towards the effects of herbal medicine usage during pregnancy and associated factors among women who gave birth in the last twelve months in Dega Damot district.

Methods

A community-based cross-sectional study was conducted from January 1st to February 30th, 2021. A total of 872 women were selected using a stratified cluster sampling technique. Data were collected by face-to-face interviews using a structured, pretested, and interviewer-administered questionnaire. Data were entered into EPI data version 4.6 and exported to SPSS version 25 for analysis. Multivariable logistic regression was done and a p-value of ≤ 0.05 was used to declare the level of significance.

Results

Women’s knowledge and positive attitude towards the effects of herbal medicine usage during pregnancy was 49.1% (95% CI: 46–52) and 57.3% (95% CI: 54–61), respectively. Access to media, had antenatal care visit, being urban dweller, history of herbal medicine usage, and a short distance to reach the nearby health facility were significantly associated with women’s knowledge about effects of herbal medicine usage. Besides, being primiparous and short traveling time to reach the nearby health facility was significantly associated with women’s attitude towards the effects of herbal medicine usage during pregnancy.

Conclusion

Women’s knowledge and positive attitude towards the effects of herbal medicine usage during pregnancy was low. It is important to design strategies to improve the accessibilities of maternal health services, and expand access to media will have a great role in improving women’s knowledge and attitude towards herbal medicine usage during pregnancy.

The Public Health Significance of Religious Imposition: The Experience of Oromo People in Ethiopia

Knowledge and power are intertwined. To validate their illegitimate colonial occupation, the colonizers have imposed their knowledge-as expressed in such things as religion-upon the colonized people. Religions are instrumental in setting values, moralities and influencing the types of sciences, laws and arts developed. They govern human behavior, inform researchers on the questions they ask and foster certain types of knowledge. Religion also guides policymakers where and on what they need to focus. In this paper using a logic model I investigate (a) the theoretical reasons for imposing religion; (b) whether imposing religion widens people choices in life and produces a healthy body and community or limits people's choices and impacts the development of public health in Oromia. Religious impositions are driven by epistemic racism; they twist the paradigm of the thinking of a society. This constitutes a kind of epistemic violence. Epistemic violence discredits the experience and interests of the Oromo people. It denounces Oromo accumulated wisdom, its institutions, and it constitutes the textbook definition of disempowerment. In many ways, it hinders development of critical thinking and limits people's choices in life. Christianity and Islamic religions have been forcefully and methodically imposed upon the Oromo people. Religious impositions are the seeds that colonizers plant to make the colonized people intellectually dependent on the imposers. The imposition is meant to occupy the mental universe of the people. It twists how people perceive their past and present. Occupying and controlling the mind disguises the exploitation of the human and natural world. The imposition of those religions is responsible for many social problems such as an unjust social hierarchy, intolerance and environmental degradation. To promote health, prevent diseases and reduce health disparities, we need to promote the empowerment of people, validate their knowledge and experiences and widen their choices in life. In the efforts we make in preventing diseases and promoting health, we need to take into account the issue of religious imposition as one of the social forces. We cannot transform the world unless we understand what makes it work.

Why medical journalism wins public health journalism: systems thinking recommendations for health-promoting media

Purpose

Health-related issues are widely covered in news agencies by medical and health journalists. The quantity, format and quality of their coverage influence the general public as well as policymakers and professions. Current studies and observations suggest that news agencies are more dominated by medical topics (disease, symptoms, epidemiology, treatment and medicines) than general public health issues (risk prevention, health protection, education and promotion). This study explores the causes of the current situation in Iran and generates solutions for supporting health-promoting media that may also prove beneficial for other countries.

Design/methodology/approach

A qualitative study was conducted to explore the coverage of health-related topics in selected news agencies. Stakeholders, including health journalists, health professionals and public relations staff at the Iranian Ministry of Health and Medical Education were interviewed. Data were collected until data saturation was reached. The transcripts of all the 17 interviews conducted were analyzed using conventional content analysis.

Findings

Four groups of causes were identified, including individual factors, organizational factors, socioeconomic factors and the different nature of medicine and public health. The participants proposed several solutions that were classified into three categories, including the empowerment of stakeholders through capacity development, organizational change and mutual communication and culture change.

Originality/value

Creating health-promoting media is a complex but urgent task, and providing a comprehensive and deep understanding of the dynamic interdependencies of the multiple factors at play in it and developing and implementing the most effective interventions for it requires a systematic approach.