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Buor D, Agyemang S, Awuku P. The Determinants of Utilisation of Herbal Medicine Among Pregnant Women in the Asante Akim North District, Ghana. Matern Child Health J 2023; 27:1886-1896. [PMID: 37209378 DOI: 10.1007/s10995-023-03676-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/10/2023] [Indexed: 05/22/2023]
Abstract
BACKGROUND Pregnant women especially in the developing countries resort to herbal medicines to manage their unpleasant conditions in pregnancy. The study examined the utilization of herbal medicine among pregnant women in Asante Akim North District of Ghana. METHODS Purposive, random and convenient sampling techniques were used to select pregnant women visiting antenatal clinics in the selected health institutions. The theoretical underpinning of the study was the theory of planned behaviour. The sequential mixed method approach was used to draw data from the respondents. The research was a cross-sectional study and instruments used for data collection were structured questionnaire and interview guide. Data were analysed using statistical tools such as frequencies, percentages and chi-square test of independence. RESULTS Results indicate that over 82% of respondents had ever used herbal medicine during pregnancy and they derived greater part of their medication from herbalists. Ginger and leaves of the neem tree were the herbs regularly used and the major health problems they faced during pregnancy were waist pains, malaria and anaemia. The factors that exhibited a statistically significant association with the use of herbal medicine were income (X2 =41.601; p=0.014) and religion (X2=9.422; p=0.045). CONCLUSIONS The rate of use of herbal medicine by pregnant women is high in the district. The theoretical underpinning of the study has been vindicated. The findings have implications for global health given that maternal health issues engage serious attention of international donor organisations. Recommendations have been made to improve the efficacy of herbal medicine and to integrate herbal medicine into orthodox medicine.
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Affiliation(s)
- D Buor
- Department of Geography and Rural Development, KNUST, Kumasi, Ghana.
| | - Seth Agyemang
- Department of Geography and Rural Development, KNUST, Kumasi, Ghana
| | - P Awuku
- Wesley Girls High School, P.O. Box KS8481, Kumasi, Ghana
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Romero NG, Gutierrez G, Teixidó E, Li L, Klose J, Leung PC, Cañigueral S, Fritsche E, Barenys M. Developmental neurotoxicity evaluation of three Chinese herbal medicines in zebrafish larvae by means of two behavioral assays: Touch-evoked response and light/dark transition. Reprod Toxicol 2023; 121:108469. [PMID: 37673194 DOI: 10.1016/j.reprotox.2023.108469] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/12/2023] [Revised: 07/28/2023] [Accepted: 09/01/2023] [Indexed: 09/08/2023]
Abstract
Chinese herbal medicine (CHM) is used among pregnant women. However, the question of its safety during pregnancy remains unclear. The use of these products relies on history of use data but there are specific toxicities like developmental neurotoxicity that are clearly understudied. Here we use the zebfrafish embryo developmental toxicity assay (ZEDTA) in combination with two behavioral assays: touch-evoked response and Light/Dark (L/D) transition assay to evaluate the neuro/developmental toxicity of three herbal products commonly used in CHM [Chinese name (abbreviation; part of the plant and Scientific name]: tian ma (TM; tuber form Gastrodia elata Blume), lei gong teng (LGT; root and rhizome of Tripterygium wilfordii Hook.f) and cha ye (green tea, leaves from Camellia sinensis (L.) Kuntze). In case significant alterations were detected, single components with potential exposure during pregnancy were identified in the literature and further tested. TM had no neurodevelopmental toxic potential in zebrafish embryos, while LGT and its main compounds triptolide and celastrol induced significant alterations in behavior. Developmental exposure to EGCG, the main catechin of green tea, also produced significant alterations in zebrafish embryos behavior after developmental exposure. A combination of ZEDTA with L/D Transition assay is proposed as a useful combination of alternative methods for DNT assessment of CHM products together with other New Approach Methodologies (NAMs).
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Affiliation(s)
- Noelia G Romero
- GRET and Toxicology Unit, Department of Pharmacology, Toxicology and Therapeutic Chemistry, Faculty of Pharmacy and Food Sciences, University of Barcelona, 08028 Barcelona, Spain; Institute of Nutrition and Food Safety of the University of Barcelona (INSA-UB), Spain
| | - Gerard Gutierrez
- GRET and Toxicology Unit, Department of Pharmacology, Toxicology and Therapeutic Chemistry, Faculty of Pharmacy and Food Sciences, University of Barcelona, 08028 Barcelona, Spain
| | - Elisabet Teixidó
- GRET and Toxicology Unit, Department of Pharmacology, Toxicology and Therapeutic Chemistry, Faculty of Pharmacy and Food Sciences, University of Barcelona, 08028 Barcelona, Spain; Institute of Nutrition and Food Safety of the University of Barcelona (INSA-UB), Spain
| | - Lu Li
- College of Pharmaceutical Sciences, Zhejiang University, Hangzhou, China; Department of Obstetrics & Gynaecology, Li Ka Shing Institute of Health Sciences, School of Biomedical Sciences, The Chinese University of Hong Kong, Shatin, N.T., Hong Kong; National Key Laboratory of Chinese Medicine Modernization, Innovation Center of Yangtze River Delta, Zhejiang University, 314100, Jiaxing, China
| | - Jördis Klose
- IUF - Leibniz Research Institute for Environmental Medicine, Düsseldorf, Germany
| | - Ping Chung Leung
- Institute of Chinese Medicine, The Chinese University of Hong Kong, Shatin, N.T., Hong Kong
| | - Salvador Cañigueral
- Unitat de Farmacologia, Farmacognòsia, i Terapèutica, Facultat de Farmàcia, i Ciències de l'Alimentació, Universitat de Barcelona, Av. Joan XXIII 27-31, 08028 Barcelona, Spain
| | - Ellen Fritsche
- IUF - Leibniz Research Institute for Environmental Medicine, Düsseldorf, Germany; Medical Faculty, University of Düsseldorf, 40225 Düsseldorf, Germany; DNTOX GmbH, 40223 Düsseldorf, Germany
| | - Marta Barenys
- GRET and Toxicology Unit, Department of Pharmacology, Toxicology and Therapeutic Chemistry, Faculty of Pharmacy and Food Sciences, University of Barcelona, 08028 Barcelona, Spain; Institute of Nutrition and Food Safety of the University of Barcelona (INSA-UB), Spain; German Centre for the Protection of Laboratory Animals (Bf3R), German Federal Institute for Risk Assessment (BfR), Berlin, Germany.
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Nyagumbo E, Pote W, Shopo B, Nyirenda T, Chagonda I, Mapaya RJ, Maunganidze F, Mavengere WN, Mawere C, Mutasa I, Kademeteme E, Maroyi A, Taderera T, Bhebhe M. Medicinal plants used for the management of respiratory diseases in Zimbabwe: Review and perspectives potential management of COVID-19. PHYSICS AND CHEMISTRY OF THE EARTH (2002) 2022; 128:103232. [PMID: 36161239 PMCID: PMC9489988 DOI: 10.1016/j.pce.2022.103232] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 12/22/2021] [Revised: 08/17/2022] [Accepted: 08/23/2022] [Indexed: 06/16/2023]
Abstract
Respiratory diseases have in the recent past become a health concern globally. More than 523 million cases of coronavirus disease (COVID19), a recent respiratory diseases have been reported, leaving more than 6 million deaths worldwide since the start of the pandemic. In Zimbabwe, respiratory infections have largely been managed using traditional (herbal) medicines, due to their low cost and ease of accessibility. This review highlights the plants' toxicological and pharmacological evaluation studies explored. It seeks to document plants that have been traditionally used in Zimbabwe to treat respiratory ailments within and beyond the past four decades. Extensive literature review based on published papers and abstracts retrieved from the online bibliographic databases, books, book chapters, scientific reports and theses available at Universities in Zimbabwe, were used in this study. From the study, there were at least 58 plant families comprising 160 medicinal plants widely distributed throughout the country. The Fabaceae family had the highest number of medicinal plant species, with a total of 21 species. A total of 12 respiratory ailments were reportedly treatable using the identified plants. From a total of 160 plants, colds were reportedly treatable with 56, pneumonia 53, coughs 34, chest pain and related conditions 29, asthma 25, tuberculosis and spots in lungs 22, unspecified respiratory conditions 20, influenza 13, bronchial problems 12, dyspnoea 7, sore throat and infections 5 and sinus clearing 1 plant. The study identified potential medicinal plants that can be utilised in future to manage respiratory infections.
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Affiliation(s)
- Elliot Nyagumbo
- Department of Biochemistry, Faculty of Medicine and Health Sciences, Midlands State University, Gweru, Zimbabwe
| | - William Pote
- Ethnobiology-based Drug discovery, Research and Development Trust, Gweru, Zimbabwe
- Department of Physiology, School of Medicine and Health Sciences, Great Zimbabwe University, Masvingo, Zimbabwe
| | - Bridgett Shopo
- Department of Applied Bioscience and Biotechnology, Faculty of Science and Technology, Midlands State University, Gweru, Zimbabwe
- Ethnobiology-based Drug discovery, Research and Development Trust, Gweru, Zimbabwe
| | - Trust Nyirenda
- Department of Physiology, Faculty of Medicine and Health Sciences, Midlands State University, Gweru, Zimbabwe
- Department of Anatomy and Physiology, Faculty of Medicine, National University of Science and Technology, Bulawayo, Zimbabwe
| | - Ignatius Chagonda
- Department of Agriculture Practice, Faculty of Agriculture, Midlands State University, Gweru, Zimbabwe
| | - Ruvimbo J Mapaya
- Department of Applied Bioscience and Biotechnology, Faculty of Science and Technology, Midlands State University, Gweru, Zimbabwe
| | - Fabian Maunganidze
- Ethnobiology-based Drug discovery, Research and Development Trust, Gweru, Zimbabwe
- Department of Physiology, Faculty of Medicine and Health Sciences, Midlands State University, Gweru, Zimbabwe
| | - William N Mavengere
- Ethnobiology-based Drug discovery, Research and Development Trust, Gweru, Zimbabwe
- Department of Biotechnology, School of Industrial Sciences and Technology, Harare Institute of Technology, Harare, Zimbabwe
| | - Cephas Mawere
- Department of Biotechnology, School of Industrial Sciences and Technology, Harare Institute of Technology, Harare, Zimbabwe
| | - Ian Mutasa
- Ethnobiology-based Drug discovery, Research and Development Trust, Gweru, Zimbabwe
- Department of Physiology, School of Medicine and Health Sciences, Great Zimbabwe University, Masvingo, Zimbabwe
| | - Emmanuel Kademeteme
- Department of Physiology, School of Medicine and Health Sciences, Great Zimbabwe University, Masvingo, Zimbabwe
| | - Alfred Maroyi
- Department of Botany, University of Fort Hare, Alice, South Africa
| | - Tafadzwa Taderera
- Department of Biomedical Sciences, Physiology Unit, University of Zimbabwe, P.O. Box MP167, Mt Pleasant, Harare, Zimbabwe
| | - Michael Bhebhe
- Department of Biochemistry, Faculty of Medicine and Health Sciences, Midlands State University, Gweru, Zimbabwe
- Ethnobiology-based Drug discovery, Research and Development Trust, Gweru, Zimbabwe
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Mudonhi N, Nunu WN, Sibanda N, Khumalo N. Exploring traditional medicine utilisation during antenatal care among women in Bulilima District of Plumtree in Zimbabwe. Sci Rep 2021; 11:6822. [PMID: 33767247 PMCID: PMC7994401 DOI: 10.1038/s41598-021-86282-3] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/14/2020] [Accepted: 03/12/2021] [Indexed: 01/27/2023] Open
Abstract
Traditional medicine utilisation during antenatal care has been on the increase in several countries. Therefore, addressing and reinforcing the Sustainable Development Goal of maternal mortality reduction, there is a need to take traditional medicine utilisation during pregnancy into consideration. This paper explores traditional medicine utilisation during antenatal care among women in Bulilima District of Plumtree in Zimbabwe. A cross-sectional survey was conducted on 177 randomly selected women using a semi-structured questionnaire. Fisher's Exact Test, Odds Ratios, and Multiple Logistic Regression were utilised to determine any associations between different demographic characteristics and traditional medicine utilisation patterns using STATA SE Version 13. The prevalence of Traditional Medicine utilisation among pregnant women was estimated to be 28%. Most traditional remedies were used in the third trimester to quicken delivery. The majority of women used holy water and unknown Traditional Medicine during pregnancy. There was a strong association between age and Traditional Medicine utilisation as older women are 13 times more likely to use Traditional Medicine than younger ones. Women use traditional medicine for different purposes during pregnancy, and older women's likelihood to use Traditional Medicine is higher than their counterparts. The traditional system plays an essential role in antenatal care; therefore, there is a need to conduct further studies on the efficacy and safety of utilising Traditional Medicines.
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Affiliation(s)
- Nicholas Mudonhi
- Department of Environmental Science and Health, Faculty of Applied Sciences, National University of Science and Technology, Corner Gwanda Road and Cecil Avenue, P O Box AC 939, Ascot, Bulawayo, Zimbabwe.
| | - Wilfred Njabulo Nunu
- Department of Environmental Science and Health, Faculty of Applied Sciences, National University of Science and Technology, Corner Gwanda Road and Cecil Avenue, P O Box AC 939, Ascot, Bulawayo, Zimbabwe
- Scientific Agriculture and Environment Development Institute, Bulawayo, Zimbabwe
| | - Nomathemba Sibanda
- Department of Environmental Science and Health, Faculty of Applied Sciences, National University of Science and Technology, Corner Gwanda Road and Cecil Avenue, P O Box AC 939, Ascot, Bulawayo, Zimbabwe
| | - Nkosana Khumalo
- Department of Environmental Science and Health, Faculty of Applied Sciences, National University of Science and Technology, Corner Gwanda Road and Cecil Avenue, P O Box AC 939, Ascot, Bulawayo, Zimbabwe
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