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. 2017 Aug 2;17(1):382.
doi: 10.1186/s12906-017-1886-x.

The use of traditional medicine in maternity care among African women in Africa and the diaspora: a systematic review

Zewdneh Shewamene  1   2 , Tinashe Dune  3   4 , Caroline A Smith  5
Affiliations

The use of traditional medicine in maternity care among African women in Africa and the diaspora: a systematic review

Zewdneh Shewamene et al. BMC Complement Altern Med. .

Abstract

Background: There is a paucity of literature describing traditional health practices and beliefs of African women. The purpose of this study was to undertake a systematic review of the use of traditional medicine (TM) to address maternal and reproductive health complaints and wellbeing by African women in Africa and the diaspora.

Method: A literature search of published articles, grey literature and unpublished studies was conducted using eight medical and social science databases (CINAHL, EMBASE, Infomit, Ovid Medline, ProQuest, PsychINFO, PubMed and SCOPUS) from the inception of each database until 31 December 2016. Critical appraisal was conducted using a quality assessment tool (QAT).

Result: A total of 20 studies conducted in 12 African countries representing 11,858 women were included. No literature was found on African women in the diaspora related to maternal use of TM or complementary and alternative medicine (CAM). The prevalence of TM use among the African women was as high as 80%. The most common TM used was herbal medicine for reasons related to treatment of pregnancy related symptoms. Frequent TM users were pregnant women with no formal education, low income, and living far from public health facilities. Lack of access to the mainstream maternity care was the major determining factor for use of TM.

Conclusion: TM is widely used by African women for maternal and reproductive health issues due to lack of access to the mainstream maternity care. Further research is required to examine the various types of traditional and cultural health practices (other than herbal medicine), the beliefs towards TM, and the health seeking behaviors of African women in Africa and the diaspora.

Keywords: Africa; Diaspora; Maternal health; Traditional medicine; Women.

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Conflict of interest statement

Ethics approval and consent to participate

Not applicable.

Consent for publication

All authors gave consent for the publication of the manuscript.

Competing interests

The authors declare that they have no competing interests.

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Figures

Fig. 1
Fig. 1
PRISMA flow chart of included and excluded studies
Fig. 2
Fig. 2
Prevalence of herbal medicine use among pregnant women in Africa
See this image and copyright information in PMC

References

    1. Lu Y, Hernandez P, Abegunde D, Edejer T. The world medicines situation 2011. Geneva: Medicine expenditures World Health Organization; 2011.
    1. Kasilo OM, Trapsida J-M. Regulation of traditional medicine in the WHO African region. Afr Health Mon. 2010:25–31.
    1. Romero-Daza N. Traditional medicine in Africa. Ann Am Acad Pol Soc Sci. 2002;583(1):173–176. doi: 10.1177/000271620258300111. - DOI
    1. Razak Mohammed G, Asante F, Yeboah JY, Kabila A, Mensah CM, Lawrencia Pokuah S. Pulled in or pushed out? Understanding the complexities of motivation for alternative therapies use in Ghana. Int J Qual Stud Health Well-Being. 2016;11 - PMC - PubMed
    1. Truter I. AFRICAN TRADITIONAL HEALERS: cultural and religious beliefs intertwined in a holistic way. SA Pharm J. 2007;

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