#PAGE_PARAMS# #ADS_HEAD_SCRIPTS# #MICRODATA#

Facilitators and barriers to traditional medicine use among cancer patients in Malawi


Autoři: Jacob Hill aff001;  Ryan Seguin aff002;  Twambilile Phanga aff002;  Agness Manda aff002;  Maria Chikasema aff002;  Satish Gopal aff001;  Jennifer S. Smith aff001
Působiště autorů: University of North Carolina, Chapel Hill, North Carolina, United States of America aff001;  Malawi Cancer Consortium and Regional Center of Research Excellence for non-Communicable Diseases, Lilongwe, Malawi aff002;  University of Malawi College of Medicine, Blantyre, Malawi aff003
Vyšlo v časopise: PLoS ONE 14(10)
Kategorie: Research Article
doi: https://doi.org/10.1371/journal.pone.0223853

Souhrn

Background

Increasing access to conventional cancer treatment (CT) in low-income countries (LICs) is an important public health initiative to address the global burden of cancer. However, LICs have a high prevalence of use of traditional and complementary medicine (T&CM). It is important to consider the factors that influence a patient’s choice to use T&CM, CT, or both for their cancer treatment.

Methods

We conducted focus groups among adult cancer patients in Lilongwe, Malawi to identify facilitators and barriers of T&CM use. Focus groups were recorded, transcribed, translated, and underwent thematic content analysis.

Results

Cultural norms, T&CM access, T&CM success, and CT failure were all identified as facilitators to T&CM use. CT success and T&CM failure were identified as barriers. Access and norms appear to determine initial treatment selection, while treatment outcomes dictate continued use of T&CM or CT.

Conclusion

This study identified a pragmatic and experience-based treatment selection process that aligns with the social cognitive theory of behavior and assists in comprehending the factors that influence T&CM use among cancer patients in a low resource setting.

Klíčová slova:

Behavior – Cancer detection and diagnosis – Cancer treatment – Culture – Health care facilities – Health care policy – Malawi – Traditional medicine


Zdroje

1. Bodeker G, Kronenberg F. A public health agenda for traditional, complementary, and alternative medicine. Am J Public Health [Internet]. 2002 Oct [cited 2019 Apr 2];92(10):1582–91. Available from: http://www.ncbi.nlm.nih.gov/pubmed/12356597%0Ahttp://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=PMC3221447 doi: 10.2105/ajph.92.10.1582 12356597

2. Bannerman R, Burton J, Chien W. Traditional Medicine and Healthcare Coverage. Geneva, Switzerland; 1993.

3. World Health Organization. WHO Traditional Medicine Strategy 2002–2005. WHO Tradit Med Strateg World Heal Organ Geneva [Internet]. 2002 [cited 2019 Apr 2]; Available from: http://www.wpro.who.int/health_technology/book_who_traditional_medicine_strategy_2002_2005.pdf

4. World Health Organization. WHO Traditional Medicine Strategy 2014–2023. 2013; Available from: http://apps.who.int/iris/bitstream/10665/92455/1/9789241506090_eng.pdf

5. James PB, Wardle J, Steel A, Adams J. Traditional, complementary and alternative medicine use in Sub-Saharan Africa: a systematic review. BMJ Glob Heal [Internet]. 2018 [cited 2019 Jul 12];3 : 895. Available from: http://gh.bmj.com/

6. Hill J, Mills C, Li Q, Smith JS. Prevalence of traditional, complementary, and alternative medicine use by cancer patients in low income and lower-middle income countries. Glob Public Health [Internet]. 2018 Oct 16 [cited 2019 Apr 2];1–13. Available from: https://www.tandfonline.com/doi/full/10.1080/17441692.2018.1534254

7. Block KI, Gyllenhaal C. Clinical corner: herb-drug interactions in cancer chemotherapy: theoretical concerns regarding drug metabolizing enzymes. Integr Cancer Ther [Internet]. 2002;1(1):83–9. Available from: http://ict.sagepub.com/content/1/1/83.full.pdf doi: 10.1177/153473540200100118 14664751

8. Davis EL, Oh B, Butow PN, Mullan BA, Clarke S. Cancer Patient Disclosure and Patient-Doctor Communication of Complementary and Alternative Medicine Use: A Systematic Review. Oncologist [Internet]. 2012 Nov [cited 2019 Apr 2];17(11):1475–81. Available from: http://www.ncbi.nlm.nih.gov/pubmed/22933591 doi: 10.1634/theoncologist.2012-0223 22933591

9. Obrist M, Osei-Bonsu E, Awuah B, Watanabe-Galloway S, Merajver SD, Schmid K, et al. Factors related to incomplete treatment of breast cancer in Kumasi, Ghana. The Breast. 2014;23(6):821–8. doi: 10.1016/j.breast.2014.08.014 25282667

10. Dunyo SK, Ahorlu CK, Simonsen PE. Scarification as a risk factor for rapid progression of filarial elephantiasis. Trans R Soc Trop Med Hyg [Internet]. [cited 2019 Apr 2];91(4):446. Available from: http://www.ncbi.nlm.nih.gov/pubmed/9373650

11. Letsyo E, Jerz G, Winterhalter P, Beuerle T. Toxic pyrrolizidine alkaloids in herbal medicines commonly used in Ghana. J Ethnopharmacol [Internet]. 2017 Apr 18 [cited 2019 Apr 2];202 : 154–61. Available from: https://www.sciencedirect.com/science/article/pii/S037887411730154X?via%3Dihub doi: 10.1016/j.jep.2017.03.008 28284793

12. De Boer C, Niyonzima N, Orem J, Bartlett J, Zafar SY. Prognosis and delay of diagnosis among Kaposi’s sarcoma patients in Uganda: a cross-sectional study. Infect Agent Cancer [Internet]. 2014 [cited 2019 Apr 2];9 : 17. Available from: http://www.ncbi.nlm.nih.gov/pubmed/24904686 doi: 10.1186/1750-9378-9-17 24904686

13. Malawi Ministry of Health. Health Sector Strategic Plan II (2017–2022). Gov Repub Malawi. 2017;

14. Ministry of Health Malawi. Health Sector Strategic Plan I 2011–2016. 2012;170.

15. Hillenbrand E. Improving Traditional-Conventional Medicine Collaboration: Perspectives from Cameroonian Traditional Practitioners. Nord J African Stud. 2006;15(1):1–15.

16. Bandura A. Social Cognitive Theory [Internet]. Vol. 6, Annals of child development. JAI Press; 1989 [cited 2019 Apr 2]. Available from: https://www.uky.edu/~eushe2/Bandura/Bandura1989ACD.pdf

17. Glanz K, Rimer BK, Viswanath K (Kasisomayajula). Health behavior: theory, research, and practice [Internet]. [cited 2019 Apr 2]. 485 p. Available from: https://www.wiley.com/en-us/Health+Behavior%3A+Theory%2C+Research%2C+and+Practice%2C+5th+Edition-p-9781118628980

18. Wang Q, Fu AZ, Brenner S, Kalmus O, Banda HT, De Allegri M. Out-of-Pocket Expenditure on Chronic Non-Communicable Diseases in Sub-Saharan Africa: The Case of Rural Malawi. Catapano A, editor. PLoS One [Internet]. 2015 Jan 13 [cited 2019 Apr 2];10(1):e0116897. Available from: doi: 10.1371/journal.pone.0116897 25584960

19. Fisher E, Lazarus R, Asgary R. Attitudes and Perceptions Towards Access and Use of the Formal Healthcare Sector in Northern Malawi. J Health Care Poor Underserved [Internet]. 2017 [cited 2019 Apr 2];28(3):1104–15. Available from: https://muse.jhu.edu/article/666601 doi: 10.1353/hpu.2017.0100 28804081

20. Chibwana AI, Mathanga DP, Chinkhumba J, Campbell CH. Socio-cultural predictors of health-seeking behaviour for febrile under-five children in Mwanza-Neno district, Malawi. Malar J [Internet]. 2009 Dec 24 [cited 2019 Mar 5];8(1):219. Available from: https://malariajournal.biomedcentral.com/articles/10.1186/1475-2875-8-219

21. Moshabela M, Bukenya D, Wamoyi J, Hosegood V, Bonnington O, Ondeng’e K, et al. Traditional healers, faith healers and medical practitioners: the contribution of medical pluralism to bottlenecks along the cascade of care for HIV/AIDS in Eastern and Southern Africa. Sex Transm Infect. 2017;93(Suppl 3):e052974. doi: 10.1136/sextrans-2016-052974 28736393

22. WHO global report on traditional and complementary medicine 2019 [Internet]. World Health Organization; 2019 [cited 2019 Jul 13]. Available from: http://apps.who.int/bookorders.


Článek vyšel v časopise

PLOS One


2019 Číslo 10
Nejčtenější tento týden
Nejčtenější v tomto čísle
Kurzy

Zvyšte si kvalifikaci online z pohodlí domova

Čelistně-ortodontické kazuistiky od A do Z
nový kurz
Autoři: MDDr. Eleonóra Ivančová, PhD., MHA

Mepolizumab v reálné klinické praxi
Autoři: MUDr. Eva Voláková, Ph.D.

BONE ACADEMY 2025
Autoři: prof. MUDr. Pavel Horák, CSc., doc. MUDr. Ludmila Brunerová, Ph.D., doc. MUDr. Václav Vyskočil, Ph.D., prim. MUDr. Richard Pikner, Ph.D., MUDr. Olga Růžičková, MUDr. Jan Rosa, prof. MUDr. Vladimír Palička, CSc., Dr.h.c.

Cesta pacienta nejen s SMA do nervosvalového centra
Autoři: MUDr. Jana Junkerová, MUDr. Lenka Juříková

Svět praktické medicíny 2/2025 (znalostní test z časopisu)

Všechny kurzy
Kurzy Podcasty Doporučená témata Časopisy
Přihlášení
Zapomenuté heslo

Zadejte e-mailovou adresu, se kterou jste vytvářel(a) účet, budou Vám na ni zaslány informace k nastavení nového hesla.

Přihlášení

Nemáte účet?  Registrujte se

#ADS_BOTTOM_SCRIPTS#