Examining Users’ Assessment of Indigenous Beliefs and Practices of Alternative Medicine in Nde Division, Cameroon
Abstract
Despite the prevalence of conventional medical services, alternative medicine (AM) remains a vital component of healthcare-seeking choices in many communities across Africa. The persistence of indigenous beliefs and practices in healthcare decisions among the population of Nde Division, Cameroon, despite the availability of conventional Western medicine, poses a complex challenge for healthcare providers seeking to deliver effective and culturally sensitive care. This study addresses this phenomenon by exploring the role of indigenous beliefs and practices in shaping healthcare choices, using a mixed-methods approach that combines questionnaires and semistructured interviews. Questionnaire findings reveal a significant reliance on alternative medicine, with 79.59% of participants believing in the efficacy of indigenous healing traditions and 80% from the semi-structured interviews, using alternative medicine due to cultural and spiritual beliefs. Also, the strong reliance on AM is influenced by economic, social, cultural, and individual factors. Concerns around the safety and efficacy of AM highlight the need for more education, regulation, and integration with conventional healthcare, ultimately informing the development of culturally sensitive healthcare approaches.
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2. Agbor, A. M., & Naidoo, S. (2011). Knowledge and practice of traditional healers in oral health in the Bui Division, Cameroon. Journal of Ethnobiology and Ethnomedicine, 7(6). https://doi.org/10.1186/1746-4269-7-6
3. Arabiat, D., Whitehead, L., Al Jabery, M., Hamdan-Mansour, A., Shaheen, A., & Abu Sabbah, E. (2021). Beliefs About Illness and Treatment Decision Modelling During Ill-Health in Arabic Families. Journal of multidisciplinary healthcare, 14, 1755–1768. https://doi.org/10.2147/JMDH.S311900
4. Asase, A., Akwetey, G. A., & Achel, D. G. (2010). Ethnopharmacological use of herbal remedies for the treatment of malaria in the Dangme West District of Ghana. Journal of ethnopharmacology, 129(3), 367–376. https://doi.org/10.1016/j.jep.2010.04.001
5. Asonganyi, T. (2013). Relationship between Conventional and Alternative medicine in Cameroon. HEALTH SCIENCES AND DISEASE, 12(2). https://doi.org/10.5281/hsd.v12i2.231
6. Bell, J. M., & Wright, L. M. (2015). The Illness Beliefs Model: advancing practice knowledge about illness beliefs, family healing, and family interventions. Journal of Family Nursing, 21(2), 179-185. https://doi.org/10.1177/1074840715586889
7. Elfil, M., & Negida, A. (2017). Sampling methods in Clinical Research; an Educational Review. Emergency (Tehran, Iran), 5(1), e52
8. ENANG Adna Ebude (2019). An Appraisal on the Evolution of Medicine in Cameroon, University of Yaounde II, Cameroon, Second International Conference in Research on Social Science. 83-95. https://www.rssconf.org/abstract-2nd-round/8054/
9. Fokunang, C. N., Ndikum, V., Tabi, O. Y., Jiofack, R. B., Ngameni, B., Guedje, N. M., Tembe-Fokunang, E. A., Tomkins, P., Barkwan, S., Kechia, F., Asongalem, E., Ngoupayou, J., Torimiro, N. J., Gonsu, K. H., Sielinou, V., Ngadjui, B. T., Angwafor, F., 3rd, Nkongmeneck, A., Abena, O. M., Ngogang, J., … Kamsu-Kom (2011). Traditional medicine: past, present and future research and development prospects and integration in the National Health System of Cameroon. African journal of traditional, complementary, and alternative medicines : AJTCAM, 8(3), 284–295. https://doi.org/10.4314/ajtcam.v8i3.65276
10. Foncham, P. B. (2022). Indigenous Cultural Beliefs and Health-Seeking Behaviours of the Mbororo Community in Mezam Division of North West Cameroon. International Journal of Trend in Scientific Research and Development, 6(5), 1232-1238. www.ijtsrd.com/papers/ijtsrd50613.pdf
11. Gyasi, R. M., Phillips, D. R., & Amoah, P. A. (2020). Multidimensional Social Support and Health Services Utilization Among Noninstitutionalized Older Persons in Ghana. Journal of aging and health, 32(3-4), 227–239. https://doi.org/10.1177/
12. Hunter, E., Rogathi, J., Chigudu, S., Jusabani, A., Jackson, M., Whittaker, R. G., Gray, W., McNally, R. J. Q., Aris, E., Mushi, D., & Walker, R. (2016). The epilepsy treatment gap in rural Tanzania: A community-based study in adults. Seizure, 36, 49–56. https://doi.org/10.1016/j.seizure.2016.02.008
13. Isaac, G., Finn, S., Joe, J. R., Hoover, E., Gone, J. P., Lefthand-Begay, C., & Hill, S. (2018). Native American Perspectives on Health and Traditional Ecological Knowledge. Environmental health perspectives, 126(12), 125002. https://doi.org/10.1289/EHP1944
14. Kabir, M., Iliyasu, Z., Abubakar, I. S., & Aliyu, M. H. (2004). Perception and beliefs about mental illness among adults in Karfi village, northern Nigeria. BMC international health and human rights, 4(1), 3. https://doi.org/10.1186/1472-698X-4-3
15. Kuete, V., & Efferth, T. (2010). Cameroonian medicinal plants: pharmacology and derived natural products. Frontiers in pharmacology, 1, 123. https://doi.org/10.3389/fphar.2010.00123
16. Latunji, O. O., & Akinyemi, O. O. (2018). FACTORS INFLUENCING HEALTH-SEEKING BEHAVIOUR AMONG CIVIL SERVANTS IN IBADAN, NIGERIA. Annals of Ibadan postgraduate medicine, 16(1), 52–60.
17. Low, L. L., Tong, S. F., & Low, W. Y. (2016). Social Influences of Help-Seeking Behaviour Among Patients with Type 2 Diabetes Mellitus in Malaysia. Asia-Pacific journal of public health, 28(1 Suppl), 17S–25S. DOI: 10.1177/1010539515596807
18. Liddell, C., et al. (2005). Indigenous representations of illness and AIDS in Sub-Saharan Africa. Social Science & Medicine, 60(4), 691-700. DOI: 10.1016/j.socscimed.2004.06.020
19. Lizama, T. A. (2010). How Are Traditional Chamoru Healing Practices Being Perpetuated And Preserved In Modern Guam: A Phenomenological Study. Capella University. http://gateway.proquest.com/openurl?url_ver=Z39.882004&rft_val_fmt=info:ofi/fmt:kev:mtx:dissertation&res_dat=xri:pqdiss&rft_dat=xri:pqdiss:3444162
20. Makoge, V., Maat, H., Vaandrager, L., & Koelen, M. (2017). Health-Seeking Behaviour towards Poverty-Related Disease (PRDs): A Qualitative Study of People Living in Camps and on Campuses in Cameroon. PLoS neglected tropical diseases, 11(1), e0005218. https://doi.org/10.1371/journal.pntd.0005218
21. Mander, M., et al. (2007). Economics of the Alternative Medicine Trade in South Africa: Health Care Delivery. South African Health Review. https://api.semanticscholar.org/CorpusID:13960760
22. Mahomoodally M. F. (2013). Traditional medicines in Africa: an appraisal of ten potent african medicinal plants. Evidence-based complementary and alternative medicine: eCAM, 2013, 617459. https://doi.org/10.1155/2013/617459
23. Mokgobi, M. G. (2014). Understanding traditional African healing. African Journal for Physical Health Education, Recreation, and Dance, 20(Suppl 2), 24–34.
24. Namboze, J. M. (1983). Health and culture in an African society. Social Science & Medicine, 17(24). https://doi.org/10.1016/0277-9536(83)90146-6
25. Ngarac, F. W. (2014). Applying Pierre Bourdieu’s concepts of habitus and field to the study of ethnicity in Kenya. Journal of Language, Technology & Entrepreneurship in Africa, 5(1). https://doi.org/10.4314/JOLTE.V5I1
26. Ntembe, A., Tawah, R., & Faux, E. (2021). Redistributive effects of health care out-of-pocket payments in Cameroon. International journal for equity in health, 20(1), 227. https://doi.org/10.1186/s12939-021-01562-8
27. Olagbemide, O. J., et al. (2021). Family support and medication adherence among adult type 2 diabetes: Any meeting point? Annals of African Medicine, 20(4). DOI: 10.4103/aam.aam_62_20
28. Ozioma, E. J. & Chinwe, O. A. N. (2019). Herbal medicines in African traditional medicine. In Builders, P. F. (Edited). Herbal medicine. IntechOpen. doi: 10.5772/intechopen.80348
29. Ozioma, J., Ezekwesili-Ofili, J., & Okaka, A. N. C. (2019). Herbal Medicines in Alternative Medicine. Herbal Medicine, IntechOpen. DOI: 10.5772/intechopen.80348
30. Bourdieu, P. (1990). The logic of practice. Polity.
31. Scambler, G.(2015).Sociological Theorists: Pierre Bourdieu. https://www.grahamscambler.com/sociological-theorists-pierre-bourdieu/
32. Tuncel, T., Şen, V., Kelekçi, S., Karabel, M., Şahin, C., Uluca, Ü., Karabel, D., & Haspolat, Y. K. (2014). Use of complementary and alternative medicine in children who have no chronic disease. Turk pediatri arsivi, 49(2), 148–153. https://doi.org/10.5152/tpa.2014.1498
33. Vinker. S. (2023). The benefits and drawbacks of alternative medicine. Journal of Family Medicine & Medical Science Research, 12 (1). 1-2. DOI: 10.37532/2327-4972.23.12.144
34. Wasti, S. P., Simkhada, P., van Teijlingen, E. R., Sathian, B., & Banerjee, I. (2022). The Growing Importance of Mixed-Methods Research in Health. Nepal journal of epidemiology, 12(1), 1175–1178. https://doi.org/10.3126/nje.v12i1.43633
35. World Health Organization. (2002). Traditional medicine strategy 2002-2005 (WHO/EDM/TRM/2002.1). Geneva, Switzerland: Author.
36. World Health Organization. (2008). Traditional medicines.
37. World Health Organization. (2013). Traditional medicine strategy 2014-2023. Geneva, Switzerland: World Health Organization. Retrieved from https://www.who.int/publications/i/item/traditional-medicine-strategy-2014-2023.
38. WHO (2008). Fact sheet N° 134. WHO, http://www.who.int/mediacentre/ factsheets/2003/fs134/en/
39. WHO. (2019) consolidated guidelines on drug-resistant tuberculosis treatment. Geneva: World Health Organization; Licence: CC BY-NC-SA 3.0 IGO.
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