Facilitators and barriers of herbal medicine use in Accra, Ghana: an inductive exploratory study.

Facilitators and barriers of herbal medicine use in Accra, Ghana: an inductive exploratory study.
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DOI:
10.1186/s12906-016-1124-y
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发表时间:
2016-05-26
影响因子:
--
通讯作者:
Antwi HO
Antwi HO
中科院分区:
医学3区
文献类型:
--
作者:
Aziato L;Antwi HO

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在包括加纳在内的许多国家,包括草药在内的补充和替代医学的使用正在增加。然而,关于草药顾客对草药使用的促进者和障碍的观点的研究很少。本研究旨在调查加纳成年人使用一种草药或其他草药的促进者和障碍。本研究采用归纳探索性质性研究方法。研究在阿克拉的一家私人草药诊所进行。本研究采立意取样法,招募16位研究对象。通过个人面对面访谈收集数据,并使用内容分析程序进行转录和分析。研究发现,促进使用草药的因素包括使用令人信服的信息,以提高草药使用的启动,草药的有效性,对草药的个人偏好,认为西医无效和草药的灵性整合。阻碍草药使用的因素包括对草药的负面看法和态度,不良的销售环境,供应商的知识不足,在可信的草药诊所草药产品的成本高,以及一些草药产品的有效性不一致。与会者希望国家健康保险计划将支付草药的费用,以减轻与草药使用有关的经济负担。虽然一些加纳人光顾草药,但欺骗性的生产商和销售商对草药产生的负面看法要求加强教育和监测,以确保使用有效的草药产品。
The use of complementary and alternative medicine including herbal medicine is increasing in many countries including Ghana. However, there is paucity of research on the perspectives of patrons of herbal medicine regarding the facilitators and barriers of herbal medicine use. This study sought to investigate the facilitators and barriers of herbal medicine among Ghanaian adults who use one form of herbal medicine or the other. The study employed an inductive exploratory qualitative approach. It was conducted at a private herbal clinic in Accra. Purposive sampling was employed to recruit 16 participants. Data collection was through individual face-to-face interviews and these were transcribed and analysed using content analysis procedures. It was realized that the factors that enhanced the use of herbal medicine included use of convincing information to enhance the initiation of herbal medicine use, effectiveness of herbal medicine, personal preference for herbal medicine, perceived ineffectiveness of western medicine and integration of spirituality in herbal medicine. The factors that hindered herbal medicine use included negative perceptions and attitudes about herbal medicine, poor vending environment, poor knowledge of vendors, high cost of herbal products at credible herbal clinics and inconsistent effectiveness of some herbal products. Participants desired that the national health insurance scheme will cover the cost of herbal medicine to alleviate the financial burden associated with herbal medicine use. Although some Ghanaians patronize herbal medicine, the negative perceptions about herbal medicine resulting from deceitful producers and vendors call for enhanced education and monitoring to ensure that effective herbal products are used.