American Journal of Epidemiology and Infectious Disease
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American Journal of Epidemiology and Infectious Disease. 2020, 8(1), 37-47
DOI: 10.12691/ajeid-8-1-6
Open AccessReview Article

The Role of Traditional, Complementary/Alternative Medicine in Primary Healthcare, Adjunct to Universal Health Coverage in Cameroon: A Review of the Literature

Dickson Shey Nsagha1, , Charlotte Wenze Ayima1, Theophile Nana-Njamen2 and Jules Clement Nguedia Assob3

1Department of Public Health and Hygiene, Faculty of Health Sciences, University of Buea, South West Region, PO Box 63, Buea, Cameroon

2Department of Obstetrics & Gynecology, Faculty of Health Sciences, University of Buea, PO Box 63, Buea Cameroon

3Department of Biomedical Sciences, Faculty of Health Sciences, University of Buea, South West Region, PO Box 63, Buea Cameroon

Pub. Date: April 24, 2020

Cite this paper:
Dickson Shey Nsagha, Charlotte Wenze Ayima, Theophile Nana-Njamen and Jules Clement Nguedia Assob. The Role of Traditional, Complementary/Alternative Medicine in Primary Healthcare, Adjunct to Universal Health Coverage in Cameroon: A Review of the Literature. American Journal of Epidemiology and Infectious Disease. 2020; 8(1):37-47. doi: 10.12691/ajeid-8-1-6

Abstract

Background: Traditional medicines are an important part of healthcare in sub-Saharan Africa. Traditional medicine has long been used in Cameroon and the world over in the prevention and treatment of diseases, physical and mental disorders as well as social imbalance. Building successful disease management programs that are sensitive to traditional medicine practices, achieving primary and Universal Health Coverage (UHC), will require an understanding of their current use, and roles as well as the state of regulation. This review was done to identify the role, research gaps, and suggest perspectives for future research as far as traditional medicine is concerned in Cameroon. Methods: Database searches were done through the internet using Google scholar, Google, PubMed, Sci-hub, books, theses, and related websites involving the use of key words in both English and French Languages. Out of the 93 articles only 12 original articles and 3 reviews met the inclusion criteria. Results: Studies show that 4.6% (urban settlement) compared to 94% (semi urban settlements) in Sub-Saharan Africa with Cameroon inclusive use and patronize traditional herbal medicine. One of the priorities of the African Regional Strategy on Promoting the Role of traditional medicine (TM) in Health Systems was found to be the promotion of collaboration between practitioners of traditional and conventional medicine. However, despite the health benefits such collaboration could bring to the populations, decades of disregard of traditional medicine practices and products has created mistrust between the two sectors hampering all the efforts being made to promote this potentially useful partnership. Based on this review, traditional herbal medicine plays a role in oral health, reproductive health and HIV /AIDS in Cameroon. Conclusion: It is undoubtedly evident that traditional medicine plays a role in primary healthcare sector in Cameroon which must be further assessed to see specific roles in achieving UHC, ensure collaboration as stipulated by the WHO as well as hindrances to collaboration and also regulation strategies to ensure quality products, practices and practitioners.

Keywords:
role regulation traditional medicine complementary/alternative medicine primary healthcare UHC Cameroon Africa

Creative CommonsThis work is licensed under a Creative Commons Attribution 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/

References:

[1]  World Health Organization. The World Medicines Situation. Geneva: WHO.)Vol. 5. Geneva: WHO; 2011. WHO. Legal Status of Traditional Medicine and Complementary/Alternative Medicine: A World Wide Review; p. 200.
 
[2]  Gurib-Fakim, A and Mahomoodally M. F., “African flora as potential sources of medicinal plants: towards the chemotherapy of major parasitic and other infectious diseases- a review,” Jordan Journal of Biological Sciences, 2013; 6: 77-84.
 
[3]  Njamen, D., Mvondo M. A., Djiogue S., Ketcha G. J. M. Wanda, MagneNde C. B., and G.Wollmer. Phytotherapy and women’s reproductive health: The Cameroonian perspective. Planta Medica , 2013; 79: 600-611.
 
[4]  Al-Yahia et al.; 2017. ”Prevalence and Public Knowledge, Attitude and Practice of Traditional Medicine in Al-Aziziah, Riyadh, Saudi Arabia” BJMMR, 2017; 20(9): 1-14. Article no.BJMMR. 32749.
 
[5]  James PB, Wardle J, Steel A, et al. “Traditional, complementary and alternative medicine use in sub-Saharan Africa: a systematic review”. BMJ Glob Health. 2018; 3.
 
[6]  Zhang Q. Global situation and who strategy on traditional medicine. Traditional Medicine and Modern Medicine. 2018; 01: 11-13.
 
[7]  World Health Organization: WHO Traditional Medicine Strategy 2014-2023. Geneva, Switzerland, World Health Organization, 2013.
 
[8]  Ezekwesili-Ofili JO and Okaka ANC (2019). Herbal Medicines in African Traditional Medicine, Herbal Medicine, Philip F. Builders, IntechOpen. Available at: https://www.intechopen.com/books/herbal-medicine/herbal-medicines-in-african-traditional-medicine. Assessed on the 10th December, 2019.
 
[9]  Adusi-Poku Y, Okire LKN, Lortsi-Akakpo FK, Fleischer TC, Mensah MLK, Arhin P, et al. Assessing herbal medical practitioners in professional qualifying examination in Ghana, a model. African Journal of Traditional, Complementary, and Alternative Medicines. 2010; 7(1): 85-87.
 
[10]  Kayombo EJ, Mahunnah RL, Uiso FC. Prospects and challenges of medicinal plants conservation and traditional medicine in Tanzania. Anthropol. 2013; 1: 3.
 
[11]  Birhan W, Giday M, Teklehaymanot T. The contribution of traditional healers’ clinics to public health care system in Addis Ababa, Ethiopia: a cross-sectional study. J Ethnobiol Ethnomed. 2011; 7: 39-45. I: 10.
 
[12]  Meissner O. Traditional medicine and its accommodation in the South African National health care system with special attention to possible statutory regulation (Doctoral dissertation).
 
[13]  Otang WM, Grierson DS, Ndip RN. Prevalence, perceived benefits and effectiveness of herbal medicine in the management of symptoms of opportunistic fungal infections in HIV/AIDS patients in the Eastern Cape, South Africa. African Journal of Biotechnology. 2011; 10(83): 19458-63.
 
[14]  Hughes GD, Aboyade OM, Clark BL, Puoane TR. The prevalence of traditional herbal medicine use among hypertensives living in South African communities. BMC complementary and Alternative Medicine. 2013; 13(1): 38.
 
[15]  Mngqundaniso N, Peltzer k. Patients consulting traditional health practitioners in the context of HIV/AIDS in urban areas in Kwazulu-Natal, South Africa. African Journal of Traditional, Complementary and Alternative Medicines. 2008; 5: 370-379.
 
[16]  Peltzer K, Friend-du Preez N, Ramlagan S, Fomundam H, Anderson J, Chanetsa L. Antiretrovirals and the use of traditional, complementary and alternative medicine by HIV patients in Kwazulu-Natal, South Africa: a longitudinal study. African Journal of Traditional, Complementary and Alternative Medicines. 2011; 8(4).
 
[17]  Babb DA, Pemba L, Seatlanyane P, Charalambous S, Churchyard GJ, Grant AD. Use of traditional medicine by HIV-infected individuals in South Africa in the era of antiretroviral therapy. Psychology, Health & Medicine. 2007; 12(3): 314-20.
 
[18]  Raphael E.C .Traditional medicine in Nigeria: Current status and the future. Research Journal of Pharmacology, 2011; 5(6): 90-94.
 
[19]  Declaration of Alma-Ata. International conference on Primary Health Care, Alma-Ata, USSR, 6-12 September 1978. Geneva: World Health Organization; 1978. http://www.who.int/publications/almaata_declaration_ en.pdf, Accessed 23 August 2018.
 
[20]  Nkongmeneck BA, Mapongmetsem PM, Pinta YV, Nkuinkeu R, Tsabang N, Fongnzossie E, Kemeuze V, Jiofack T, Johnson M, Asaha S, Sakwe C, et Mboufack C (2007). Etat des lieux des plantes médicinales importantes à conserver et des jardins de plantes médicinales à promouvoir. Rapport CEN/OMS/MEM. p. 24.
 
[21]  The Critical Appraisal Tools - Checklist for Systematic Reviews and Research synthesis. Joanna Briggs Institute, 2011, 7: 2-6.
 
[22]  Fokunang CN, Ndikum V, Tabi OY, Jiofack, R.B, Ngameni B, Guedje N.M, et al.,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, 2011; 8(3): 284-295.
 
[23]  Stanifer JW, Patel UD, Karia F, et al The determinants of traditional medicine use in northern Tanzania: a mixed-methods study. PLoS One, 2015 ;10: e0122638.
 
[24]  Opara EO KK. Factors affecting utilization of herbal medicine as livelihood alternatives among residents of imo state: the role of social work professionals. J Humanit Soc Sci ,2016; 21: 66-78.
 
[25]  Sarki ZM DM Socio-demographic factors and utilization of traditional medicine in Kazaure Town, Jigawa State, Nigeria. Int Journal of Emerging Knowledge 2015; 3: 9-20.
 
[26]  Agbor M and Naidoo S. Knowledge and practice of traditional healers in oral health in the Bui Division, Cameroon. J Ethnobiol Ethnomed. 2011; 7: 6.
 
[27]  Moshabela M, et al. Patterns and implications of medical pluralism among HIV/AIDS patients in rural South Africa. AIDS Behav. 2011;15(4): 842-52
 
[28]  King R. Collaboration with traditional healers in HIV/AIDS prevention and care in subSaharan Africa: a literature review. UNAIDS Best Practice Collection. Available at: http://data.unaids.org/Publications/IRC-pub01/jc299-tradheal_en.pdf.. Accessed May 12, 2008
 
[29]  The Role of Traditional Healers in Comprehensive HIV/AIDS AIDS AIDS AIDS Prevention and Care in Africa: Untapped Opportunities. Available from: https://www.researchgate.net/publication/236330037_The_Role_o f_Traditional_Healers_in_Comprehensive_HIVAIDS_AIDS_AID S_AIDS_Prevention_and_Care_in_Africa_Untapped_Opportuniti es [accessed on Dec 10 2019].
 
[30]  Abdool Karim Quarraisha. Preventing HIV infection in Women - a Global Health Imperative. Clin Infect Dis. 2010; 50(Suppl 3): S122-S129.
 
[31]  Tsabang N, Ngah N, Estella FT, Agbor GA (2016) Herbal Medicine and Treatment of Diabetes in Africa: Case Study in Cameroon. Diabetes Case Rep 1:112.
 
[32]  Abia, W., Fonchang, GN., Kaoke, MD., Fomboh, RN., Ageh, MT., et al.2015. Interest and perceptions on traditional medicines in Cameroon. Available at https://www.semanticscholar.org/paper/Interest-and-perceptions- on-traditional-medicines-Abia Fonchang/800bc5eea322b50ac7134e772b2382a9fa142050. Assessed on the 18/11/2019
 
[33]  Babungo integrated Mental HealthCare Available at : http://bimehc.org/BIMEHC_Babungo_Integrated_Mental_Health_ Care/traditional_medicines.html, Assessed on the 20th December 2019.
 
[34]  Chinese Traditional Healing Thriving in Cameroon. Available at: https://www.camerounweb.com/CameroonHomePage/NewsArchi ve/Chinese-traditional-healing-thriving-in-Cameroon-369112. Accessed on the 10th December 2019.
 
[35]  Hillenbrand E. Improving Traditional-Conventional Medicine Collaboration: Perspectives from Cameroonian Traditional Practitioners. Nordic J African Studies. 2006; 15: 1-15.
 
[36]  Afungchwi, G.M., Hesseling, P.B. & Ladas, E.J. The role of traditional healers in the diagnosis and management of Burkitt lymphoma in Cameroon: understanding the challenges and moving forward. BMC Complement Altern Med 2017, 209.
 
[37]  Tsobou R., Mapongmetsem P. M., and Van Damme P. Medicinal plants used for treating reproductive health care problems in Cameroon, Central Africa. Economic Botany. 2016; 70(2): 145–159.
 
[38]  Arnold Nyiegwen Muweh. Thesis. Modernity in Traditional Medicine Women’s Experiences and Perceptions in the Kumba Health District, SW Region Cameroon (2011).
 
[39]  Titanji VPK, Zofou D and Ngemeneya MN. The Antimalarial Potential of Medicinal Plants Used for the Treatment of Malaria in Cameroonian Folk Medicine. African Journal of Traditional, Complementary and Alternative Medicines, 2008; 5(3): 302-21.
 
[40]  Orang-Ojong BB, Munyangaju JE, Wei MS, Lin M, Wei FG, Foukunang C and Zhu Y. Impact of natural resources and research on cancer treatment and prevention: A perspective from Cameroon. Mol Clin Oncol. 2013; 1(4): 610-620.
 
[41]  Tsabang N, Ngah N, Estella FT, Agbor GA (2016). Herbal Medicine and Treatment of Diabetes in Africa: Case Study in Cameroon. Diabetes Case Rep 1: 112.
 
[42]  Mutabazi. Should we modernize Traditional medicine? Governing Health systems in Africa, 2008; (17): 7.
 
[43]  Beth MA. Integrated Health Care Systems and Indigenous Medicine: Reflections from the Sub-Sahara African Region, 2017. Available at https://doi.org/10.3389/fsoc.2017.00012. Accessed on the 19th September 2019.
 
[44]  Raynor DK., Dickinson R., Knapp P., Long A. F., Nicolson DJ. Buyer beware? Does the information provided with herbal products available over the counter enable safe use? BMC Med,.2011; 9: 94.
 
[45]  Fokunang CN, Ndikum V, Tabi OY, Jiofack RB, Ngameni B, G et al. 2011. Traditional medicine: past, present and future research and development prospects and integration in the National Health System of Cameroon. Afr J Tradit Complement Altern Med. 2011; 8(3): 284-95.
 
[46]  Asonganyi, T. Relationship between Conventional and Traditional Medicine in Cameroon. Health Sciences and Diseases, 2013; 2(2): Available at: <https://www.hsd-fmsb.org/index.php/hsd/article/view/231>. Date accessed: 09 Jan. 2020.
 
[47]  Clarke TC, Black LI, Stussman BJ. Trends in the use of complementary health approaches among adults: United States, 2002-2012. Natl Health Stat Report 2015; 79: 1.
 
[48]  Homsy J, King R, Balaba D, Kabatesi D. Traditional health practitioners are key to scaling up comprehensive care for HIV/AIDS in sub-Saharan africa. AIDS, 2004; 18: 1723-1725.
 
[49]  Ngilisho LAF, Mosha HJ, Poulsen S. The role of traditional healers in the treatment of toothache in Tanga Region, Tanzania. Community Dent Health. 1994;11:240–242
 
[50]  Rachel M, van Rooyen B, Blanche P., Nomazwi P and Wilma ten HB. Evidence-Based recommendations to facilitate professional collaboration between allopathic and traditional health practitioners. Health SA Gesondheid 2017;22:291–9. 10.1016/j.hsag.2017.05.001.
 
[51]  Kyeyune P, Balaba D JH. The Role of Traditional Health Practitioners in increasing access593 to HIV/AIDS Prevention and Care: The Ugandan Experience. Traditional medicine: Our Culture, Our Future. African Health Monitor, 2003; 4: 31-3.
 
[52]  Mtulu S. Traditional Medicine and HIV/AIDS. The training course on local health practice for MAP project team and NAC’s. Tanga: Tanzania, 2005.
 
[53]  WHO. WHO guidelines on safety monitoring of herbal medicines in pharmacovigilance systems. 2004. Geneva: World Health Organization vii, 2015.
 
[54]  Kasilo OM, Trapsida J-M, régional pour l'Afrique B. Regulation of traditional medicine in the WHO African region. African Health Monitor, 2010: 25-31.
 
[55]  Ntie-Kang, F., Lifongo, LL., Mbaze, LM., Ekwelle, N., Owono, LC.,et al . Cameroonian medicinal plants: a bioactivity versus ethnobotanical survey and chemotaxonomic classification. BMC Complementary and Alternative Medicine, 2013; 13:147.
 
[56]  The Role of Traditional Healers in Comprehensive HIV/AIDS AIDS AIDS AIDS Prevention and Care in Africa: Untapped Opportunities. Available from: https://www.researchgate.net/publication/236330037_The_Role_o f_Traditional_Healers_in_Comprehensive_HIVAIDS_Prevention _and_Care_in_Africa_Untapped_Opportunities [accessed Dec 10 2019].
 
[57]  Fabricant DS., Farnsworth NR. The Value of Plants Used in Traditional Medicine for Drug Discovery. Environ. Health Perspect. 2001; 109: 69-75.
 
[58]  Jabin F. A guiding tool in Unani Tibb for maintenance and preservation of health: A review study. Afr. J. Tradit. Complement. Altern. Med. , 2011; 8:140–143.