scholarly journals The Governance of Traditional Medicine and Herbal Remedies in the Selected Local Markets of Western Kenya.

2020 ◽  
Author(s):  
Willy Kibet Chebii ◽  
John Kaunga Muthee ◽  
Karatu Kiemo

Abstract Background A lot of emphasis is often placed on modern governance systems and little or no attention is given to traditional governance practices which remain largely undocumented. The study aimed at finding out important traditional and modern governance practices that regulate traditional medicine sector in the Western Kenya. Materials and Methods The study was carried out in selected market centres of Western Kenya where the identified Traditional Medicine Practitioners (TMPs) sell their traditional medicine. All consenting TMPs and Professional Experts were interviewed with the aid of a semi-structured questionnaire. Purposive sampling design with elements of snow ball techniques was employed in tracing competent traditional medicine (TM) experts and relevant professional experts. The data collected was processed in Microsoft Excel and descriptive statistics performed. The Pearson’s Chi square statistics was carried out to determine the significance of the traditional and modern governance data sets using the STATA software. Results Modern governance practices were not significantly different in all the market centres surveyed (p=0.080). Equally, the traditional governance practices were also not significantly different in all the selected market centres (p=1.000). Conclusions Traditional governance practices play an important role in the governance of traditional medicine, and are shaped by the socio-cultural beliefs of the local communities. Modern governance practices, on the other hand, are widely perceived as top down regulation of the traditional medicine growing industry.

2020 ◽  
Author(s):  
Willy Kibet Chebii ◽  
John Kaunga Muthee ◽  
Karatu Kiemo

Abstract BackgroundA lot of emphasis has always been placed on modern governance systems and little or no attention is given to traditional governance practices which remain largely undocumented. This study aimed at finding out important traditional and modern governance practices that regulate traditional medicine sector. There is a growing demand for traditional medicine in urban settings in spite of its proximity to conventional health care centres and access to modern medicine. However, questions about their safety and efficacy still remain to be adequately addressed Materials and Methods The study was carried out in selected market centres in the Western part of Kenya where the identified traditional medicine practitioners sell their traditional medicine and treat patients who come for medication. All the identified Professional Experts upon attaining an oral prior informed consent were interviewed at their offices in Nairobi, Kenya. The market centres were located at Eldoret, Kitale, Moi’s Bridge, Makutano, Arror, Kakamega, Luanda and Yala which are actually spread out in eight different administrative counties. Purposive sampling design with elements of snow ball techniques were employed in tracing competent traditional medicine ‘experts’ and relevant professional experts. Interviews were conducted upon obtaining prior oral informed consents using semi structured questionnaires. The data collected was entered in Microsoft Excel where descriptive statistics namely, averages/mean, frequencies and percentage descriptive statistics were conducted. The Pearson’s Chi square statistics was performed on the traditional and modern governance data sets using the STATA software and data presented using tables, bar and column graphs. Results Modern governance practices were not significantly different in all the market centres surveyed (p=0.080). Equally, the traditional governance practices were also not significantly different in all the selected market centres (p=1.000). Most traditional medicine practitioners (65%) purely survived on traditional medicine as a source of livelihood with few practitioners (35%) selling beads, calabashes, tobacco and even sweets/candy alongside traditional medicine. There was low level of (27%) awareness on the existing laws and policies despite having high levels of compliance on county by-laws (100%) and payment of charged market fees (96%). Conclusions Traditional governance practices are as important as the modern governance practices and should receive heightened attention and interest both by the national and county systems of government. In most cases, the traditional governance practitioners determine eligibility for traditional medicine practice even before the practitioner acquires a formal certificate of recognition or registration. The traditional governance practices are closely guided by the socio-cultural beliefs of the local communities. Modern governance practices are often seen as top down regulation of the traditional medicine sector where the traditional medicine practitioners feel alienated from the making of laws that affect them directly. Good laws and policies are not enough, education awareness campaigns to increase awareness among the traditional medicine practitioners and gather feedback is much needed in order to meet their needs and aspirations and ultimately grow the traditional medicine sector.


2018 ◽  
Vol 2018 ◽  
pp. 1-11 ◽  
Author(s):  
Peter Bai James ◽  
Lexina Taidy-Leigh ◽  
Abdulai Jawo Bah ◽  
Joseph Sam Kanu ◽  
Jia Bainga Kangbai ◽  
...  

In resource-poor countries where access to infertility care is limited, women may turn to traditional medicine to achieve motherhood. It is unknown whether Sierra Leonean women with such condition use herbal medicine. This study investigates the prevalence and factors associated with herbal medicine use among women seeking care for infertility. This was a questionnaire-based cross-sectional study conducted among women seeking care for infertility at various clinics within Freetown, Sierra Leone. Data analysis included Chi-square tests and logistic regression. Out of the 167 women that participated, 36.5% used herbal medicine for infertility treatment. Women with no formal (AOR 4.03, CL: 1.38–11.76, p=0.011), primary education (AOR: 6.23, CL: 2.02–19.23, p=0.001) and those that visited a traditional medicine practitioner (AOR: 20.05, CL: 2.10–192.28, p=0.009) as well as women suffering from other reproductive health problems (AOR: 2.57, CL: 1.13–5.83, p=0.024) were more likely to use herbal medicines. Friends and family (n=57, 96.7%) were the main influencers of herbal medicine use. Only (n=12) 19.7% of users disclosed their status to their healthcare provider. Over half (n=32, 52.5%) could not remember the name of the herb they used. Luffa acutangula (n=29, 100%) was the herbal medicinal plant users could recall. Herbal medicine use among women seeking care for infertility in Freetown is common. Healthcare providers should be aware of the potential dyadic use of herbal and allopathic medicines by their patients and be knowledgeable about commonly used herbal remedies as well as being proactive in communicating the potential risks and benefits associated with their use.


2020 ◽  
Vol 4 (1) ◽  
pp. 15-29
Author(s):  
Nour El Houda Yahiaoui ◽  
Abdelmadjid Ezzine

Corporate governance systems are developed to govern corporations, build trust and create sustainable value for all stakeholders. Paradoxically, in spite of massive efforts in developing governance systems, corporate scandals are persisting. Different studies have strongly recommended business ethics as a solution to this paradox. Thus, this study explores if business ethics supports corporate governance practices in a sample of Algerian corporations. The study used a mixed methodology; qualitative: since this subject is poorly addressed in the Algerian context that requires an exploratory study. Quantitative by developing a structural model demonstrating the relationship between business ethics and corporate governance, Data for the study were collected by means of a questionnaire distributed on an anonymous basis to corporations’ senior managers in Sidi Bel Abbes district. Treatment of collected data is done using two types of analysis: the structural equations modeling approach by using the PLS Path approach (PLS Path Modeling) and linear regression. The study finds out that business ethics leads to better levels of corporate governance and supports its practices; and the reason is mainly due to an implicit involuntary commitment to laws as a minimum required level of compliance, and that the protection of stakeholders’ rights are the most important corporate governance’s dimension affected by business ethics.


2021 ◽  
Vol 115 (3) ◽  
pp. 204-214
Author(s):  
Michele C. McDonnall ◽  
Zhen S. McKnight

Introduction: The purpose of this study was to investigate the effect of visual impairment and correctable visual impairment (i.e., uncorrected refractive errors) on being out of the labor force and on unemployment. The effect of health on labor force status was also investigated. Method: National Health and Nutrition Examination Survey (NHANES) data from 1999 to 2008 ( N = 15,650) was used for this study. Participants were classified into three vision status groups: normal, correctable visual impairment, and visual impairment. Statistical analyses utilized were chi-square and logistic regression. Results: Having a visual impairment was significantly associated with being out of the labor force, while having a correctable visual impairment was not. Conversely, having a correctable visual impairment was associated with unemployment, while having a visual impairment was not. Being out of the labor force was not significantly associated with health for those with a visual impairment, although it was for those with correctable visual impairments and normal vision. Discussion: Given previous research, it was surprising to find that health was not associated with being out of the labor force for those with visual impairments. Perhaps other disadvantages for the people with visual impairments identified in this study contributed to their higher out-of-the-labor-force rates regardless of health. Implications for practitioners: Researchers utilizing national data sets that rely on self-reports to identify visual impairments should realize that some of those who self-identify as being visually impaired may actually have correctable visual impairments. Current research is needed to understand why a majority of people with visual impairments are not seeking employment and have removed themselves from the labor force.


Symmetry ◽  
2021 ◽  
Vol 13 (7) ◽  
pp. 1226
Author(s):  
Inmaculada Barranco-Chamorro ◽  
Yuri A. Iriarte ◽  
Yolanda M. Gómez ◽  
Juan M. Astorga ◽  
Héctor W. Gómez

Specifying a proper statistical model to represent asymmetric lifetime data with high kurtosis is an open problem. In this paper, the three-parameter, modified, slashed, generalized Rayleigh family of distributions is proposed. Its structural properties are studied: stochastic representation, probability density function, hazard rate function, moments and estimation of parameters via maximum likelihood methods. As merits of our proposal, we highlight as particular cases a plethora of lifetime models, such as Rayleigh, Maxwell, half-normal and chi-square, among others, which are able to accommodate heavy tails. A simulation study and applications to real data sets are included to illustrate the use of our results.


Ethnohistory ◽  
2021 ◽  
Vol 68 (2) ◽  
pp. 191-213
Author(s):  
Raymond I. Orr ◽  
Yancey A. Orr

Abstract American Indian tribal power has typically expanded since the 1960s. During this period, often referred to as the Self-Determination Era, tribes have regained much of their earlier political centrality. One rarely addressed limitation during this period is the inability of tribal polities to break into smaller units while maintaining recognition as legitimate. This essay identifies the inability of tribes to exercise what the authors call compositional flexibility and fracture to form new polities discrete of the previous tribe. The authors argue the absence of compositional flexibility shapes tribal politics and is at odds with many forms of traditional governance systems.


2019 ◽  
Author(s):  
Maizatul Akmar Khalid ◽  
Md. Mahmudul Alam ◽  
Jamaliah Said

To improve the trust of citizens and delivery of services, employing good governance principles in the public sector is very crucial. Despite efforts to improve service delivery, criticisms and complains toward public services remain evident. This study aims to assess the status of good governance practices in the public sector of Malaysia. Primary data were collected from the responses of 109 department heads under 24 federal ministries to a survey questionnaire. Respondent perception of good governance practices was measured using a seven-point Likert scale and analyzed by descriptive statistics and path measurement modeling. Standard diagnostic tests were also conducted to check the reliability of the data and model. Results indicated that nine factors were significant in the measurement of good governance practices. However, very few people in the public sector of Malaysia practice fraud control, which is at the lowest intensity. Among the service groups, the engineer group practiced good governance at the highest level, whereas the health service group practiced good governance at the lowest level. Therefore, still there are scopes available to improve good governance systems to become more reliable and efficient public sector in Malaysia. Findings of the study will help policy makers improve the efficiency of the public sector of Malaysia and other countries.


2021 ◽  
Author(s):  
Thomas Andale ◽  
Vitalis A. Orango ◽  
Gerald Omondi Lwande ◽  
Grace W Mwaura ◽  
Richard Mugo Ngari ◽  
...  

Emerging data suggest a rise in the incidence rate of hypertension in many countries within Sub-Saharan Africa. This has been attributed to socioeconomic factors that have influenced diet and reduced physical activity further deranging anthropometric measurements. We assessed the predictive power of three anthropometric indicators namely: waist circumference (WC), waist to height ratio (WHtR) and body mass index (BMI) in detecting hypertension. This cross-sectional community survey was conducted in four counties within Western Kenya between October 2018 to April 2019 among 3594 adults. The participants sociodemographic data were collected using an interviewer-administered questionnaire and anthropometric measurements taken. We used the R-software for descriptive and inferential statistical analysis. Pearson chi-square test was used to assess the association between anthropometric measurements and hypertension while logistic regressions estimated the likelihood of hypertension. Youden method was used to identify optimal anthropometric cut-offs for sensitivity, specificity and area under the receiver operating characteristics (ROC) curve computation. The crude prevalence of hypertension was 23.3%, however it rose with advancement in age. Furthermore, obese individuals had a three-fold (AOR=2.64; 95% CI: 2.09, 3.35) increased likelihood of hypertension compared to those with a normal BMI. The optimal WC cut-off was 82.5cm for men and 87cm for women, an optimal WHtR of 0.47 for men and 0.55 for women; while the optimal BMI cut-off was 23.7 kg/m2 and 22.6 kg/m2 for men and women respectively. The sensitivity of WC, WHtR and BMI for men was 0.60, 0.65 and 0.39 respectively and 0.71, 0.65 and 0.78 respectively for women. BMI is the best predictor for hypertension among women but a poor predictor for men; WC had a high hypertension predictive power for both gender while WHtR is the best hypertension predictor for men.


Author(s):  
Ihsan Khan ◽  
Ashfaq Rehman ◽  
Niaz Muhammad

This study examines the outcomes of frequent relations between juvenile and adult prisoners at the populous prisons of Khyber Pakhtunkhwa, Pakistan in districts Mansehra, Dera Ismail Khan, Peshawar, Swabi and Mardan. According to SPARC (2015), there were total of 199 juvenile prisoners out of them 132 were taken as a sample size through Sekaran (2010) sample size table. The primary data was collected through interview schedule, with major aim to see association of joint dwelling of adult prisoners and juvenile inmates in the selected prisons. For measuring the association between adult and juvenile inmates, a Chi-square test was applied by using Microsoft Excel. It was found that there exist a strong association of adult with juvenile inmates; which resulted in reinforcing the delinquent behaviour of juvenile by supporting them financially, providing them with various kinds of drugs and persuading them to join their networks after they were released. Such situation was directly contradictory to the well-being of juvenile inmates at jails, where they were supposed to rehabilitate their offending behaviour. The study recommends establishment of separate jails for juvenile inmates, being inclusive part of the JJSO-2000.


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