scholarly journals Herbalists and their Mode of Health Care Service Delivery in Debre Markos Town, Northwest Ethiopia

2019 ◽  
Vol 6 (1) ◽  
pp. 122-137
Author(s):  
Eliyas Taha ◽  
Mindaye Shimekit Woldeyohannes

The administration of medicinal plants for treating human ailments is an age-old practice. Although several studies have been conducted, most of them focused on documentation of the medicinal plants and herbal knowledge. This study investigated why people use herbal medicine, from what conviction, and explains how the plants are collected, prepared and put to purpose. In order to get deeper information about the issue, both primary and secondary sources are consulted. Observation, semi structured interviews, and key informant interviews were used to collect the primary data.15 herbalists were used as informants to obtain information on knowledge acquisition, plant collection, drug preparation, preservation and administration. The study found that healers got the wisdom of herbal medicine from family; friends or relatives; as gift of God; and religious books. The study also uncovered that people visit herbal healers because of cost, cultural acceptability, easy accessibility, and dissatisfaction with modern medicine. Herbal healers are providing health services for a huge segment of the populations’ in spite of several challenges. Dominance of biomedicine, proliferation of quack healers, inheritance problems, absence of support from government authorities, and deforestation stand out as the major challenges for the progress and the very existence of indigenous medicine in general and herbal healers in particular.

2017 ◽  
Vol 10 (3) ◽  
pp. 19 ◽  
Author(s):  
Miki Toda ◽  
Misa Masuda ◽  
Elsa L. Rengifo

Medicinal plants, as a type of non-timber forests (NTFP), have been expected to support the livelihoods of people globally, especially in rural and forest areas in developing nations. As medicinal plants occupy a unique position, with direct repercussions for people’s health and as a potential income resource, it is necessary to take the interaction with, and influence of, modern medicine into account when they are considered as a NTFP. This study pursued the influence of the health care service on medicinal plant utilization in mestizo and indigenous villages near secondary population agglomerations in the Peruvian Amazon. The study found some influence of the health care services on medicinal plant use in the study site, indicating that 1) medicinal plants are not necessarily a highly dependable approach for health care, 2) there are insufficient conditions for the development of a commercial market for medicinal plants, and 3) mestizo and indigenous households have similar health care utilization behaviours, although indigenous households are more affected by modern medicine, especially health care insurance, than the mestizo households. The health care service is an important factor for medicinal plant use for both health and livelihood. Without considering this factor, the potential of medicinal plants as NTFP cannot be fully understood.


Author(s):  
Partha Pradip Adhikari ◽  
Satya Bhusan Paul

 Objective: Indian Traditional Medicine, the foundation of age-old practice of medicine in the world, has played an essential role in human health care service and welfare from its inception. Likewise, all traditional medicines are of its own regional effects and dominant in the West Asian nations; India, Pakistan, Tibet, and so forth, East Asian nations; China, Korea, Japan, Vietnam, and so forth, Africa, South and Central America. This article is an attempt to illuminate Indian traditional medical service and its importance, based on recent methodical reviews.Methods: Web search engines for example; Google, Science Direct and Google Scholar were employed for reviews as well as for meta-analysis.Results: There is a long running debate between individuals, who utilize Indian Traditional Medicines for different ailments and disorders, and the individuals who depend on the present day; modern medicine for cure. The civil argument between modern medicine and traditional medicines comes down to a basic truth; each person, regardless of education or sickness, ought to be educated about the actualities concerning their illness and the associated side effects of medicines. Therapeutic knowledge of Indian traditional medicine has propelled various traditional approaches with similar or different theories and methodologies, which are of regional significance.Conclusion: To extend research exercises on Indian Traditional Medicine, in near future, and to explore the phytochemicals; the current review will help the investigators involved in traditional medicinal pursuit.


2020 ◽  
Author(s):  
M Mandlik ◽  
JG Oetzel ◽  
Djavlonbek Kadirov

© 2020 Australian Health Promotion Association Issue addressed: One of the biggest concerns for human health in the 21st century is the ever-increasing rate of obesity and its associated budgetary implications for publicly funded health care service provisioning. This study at the outset explores the multifaceted nature of food-related consumption choices and outcomes of obesity, and later offers suggestions to improve the existing interventional strategies to curtail the epidemic. Methods: A total of 24 participants were recruited through poster invitations placed around the greater metropolitan area of Auckland, New Zealand. Participants shared their health care intervention program experiences through in-depth, semi-structured interviews. Data were analysed in keeping with traditions of constructivist grounded theory. Findings: Analysis revealed various concurrent individually acting and ecologically mediated processes which led to obesogenic outcomes as a result of social actors’ (participants) engagement in acts of (food-related) consumption practices. Conclusions: This study helps to illustrate the underlying, multifaceted processes that lead to obese individuals feeling defeated or disempowered and categorically willing, yet unable to bring about healthy changes in their lives. We hope this study will prompt health care practitioners to take a holistic approach while conceiving and deploying health care intervention programs. So what?: Current health care interventional programs are not achieving optimum solutions for those in need. All future programs need to acknowledge the roles played by an individual, as well as ecological factors, while deploying client-centric intervention solutions. Perhaps these programs are in need of a team-based approach to offer a truly “wrap-around” service provisioning strategy, rather than the traditional one-on-one consultative approaches in use at current times.


2020 ◽  
Vol 8 (2) ◽  
pp. 47-61
Author(s):  
Norvy Paul ◽  
Elsa Mary Jacob ◽  
Sheena Rajan Philip

Kerala, a state with high development indices distinguished with its Kerala Model of Development (UN, 1975), is also affected by recent Pandemic COVID'19 as other states and nations worldwide.  The existing socio-economic analysis of the State reveals that the land reforms, promotion of education, and early introduction of participatory governance through Panchayati Raj Institutions (PRIs) have contributed to the State's socio-economic and political advancement. These factors played a significant role in the fight against the pandemic. This study is an attempt to answer what are the future economic and health challenges as the State, Kerala Model of Development, is faced with COVID'19? The specific objectives further guide this— to study the economic challenges ahead of the State as the tertiary sector is faced with challenges to contribute to the economy and attempted to study the possible ways to address health issues in the State. The researchers conducted an in-depth interview among 10 social scientists and economists of Kerala using purposive sampling to obtain primary data, which has been supported by secondary resources. The researchers did a thematic analysis of the primary data collected, further corroborated by secondary data. The study reveals that the State's current scenario during the pandemic, the grass-root empowerment in all spheres of life clubbed with administrative guidance, resulted in well-equipped public health care service delivery. The fall in the tertiary sector's income has decisively affected the State's economy, especially in agriculture, health, IT, tourism, labour, and foreign remittance. The State's economic and social equilibrium will face challenges in addressing issues in the post-COVID era. Even though the State suffered some increased Covid-19 cases recently, after expatriates' return, the dimensions mentioned above assisted the State in its fight against COVID'19. To address the challenges to the Kerala Model of Development, especially the post-COVID-19 requirements of the State demands interrogation, introspection, and integration of the current policies that majorly depend on the tertiary sector and initiate policies, plans, and programmes to strike a balance between all sectors, especially providing impetus to the primary sector so that a failure in one sector can be compensated by the other.


2021 ◽  
Author(s):  
◽  
Gui Lohmann

<p>This thesis discusses the relationship between transport and tourism with a particular focus on how to improve the destination function of gateways. The case study chosen for this research is the Cook Strait ferries and the ferry ports of Wellington and Picton, in New Zealand. With the absence of academic literature dealing with the impacts of tourism in gateways and the fact that the concept of gateway has not been operationalised yet, the thesis proposes, via empirical analysis, a classification of ferry passengers according to four different functions: gateway tourists; overnight gateway visitors; stopover visitors and destination tourists. These nodal classifications basically comprise two variables: the absolute and relative length of stay in the nodes and the main reason for going there. The analytical framework also takes into consideration the passengers' place of origin: those living within the gateways' catchment areas (the Centre Stage of New Zealand Region - CSNZ); those living in New Zealand but outside the catchment areas; and passengers living overseas. Apart from secondary sources, on-board surveys with ferry passengers and semi-structured interviews with operators in Wellington and Picton are used to collect primary data. What the results show is that some segments of passengers are interested in extending their stay in Wellington and Picton if they had been offered more information about these two nodes or a special deal including the ferry crossing and accommodation in one of the gateways. International passengers are the group of passengers most likely to take advantage of these opportunities as those living in New Zealand are more interested to reach their final destinations and perhaps more familiarised with both nodes, so the incentives would not be very appealing to them. However, local operators were not able to suggest offers/arrangements to engage passing travellers to stop and visit these gateways. This can be attributed to lack of funds and relationship issues between tourism operators, particularly in Picton, and one of the ferry operators. In comparison to Picton that has a smaller destination function, results from this research suggested that gateways with a more developed destination function, such as the case of Wellington, are better prepared to convince traffic passing by to stop and visit them as tourist destination. The existence of more tourist attractions and activities is certainly an incentive to persuade travellers to stay longer in gateways. From the operationalisation of the concepts proposed in this thesis and the results obtained from the questionnaires and interviews, this research concludes that not only nodal functions vary from place to place (e.g. Picton as a small resort town and Wellington as a capital city), but also that these functions evolve throughout time, with seasonal variations also occurring (high vs. low seasons). With regards to the direction passengers are travelling and the influence on travellers' functions, variations are identified only among overnight gateway visitors, with the common pattern being passengers staying overnight before catching up the ferry the following day.</p>


2020 ◽  
Author(s):  
M Mandlik ◽  
JG Oetzel ◽  
Djavlonbek Kadirov

© 2020 Australian Health Promotion Association Issue addressed: One of the biggest concerns for human health in the 21st century is the ever-increasing rate of obesity and its associated budgetary implications for publicly funded health care service provisioning. This study at the outset explores the multifaceted nature of food-related consumption choices and outcomes of obesity, and later offers suggestions to improve the existing interventional strategies to curtail the epidemic. Methods: A total of 24 participants were recruited through poster invitations placed around the greater metropolitan area of Auckland, New Zealand. Participants shared their health care intervention program experiences through in-depth, semi-structured interviews. Data were analysed in keeping with traditions of constructivist grounded theory. Findings: Analysis revealed various concurrent individually acting and ecologically mediated processes which led to obesogenic outcomes as a result of social actors’ (participants) engagement in acts of (food-related) consumption practices. Conclusions: This study helps to illustrate the underlying, multifaceted processes that lead to obese individuals feeling defeated or disempowered and categorically willing, yet unable to bring about healthy changes in their lives. We hope this study will prompt health care practitioners to take a holistic approach while conceiving and deploying health care intervention programs. So what?: Current health care interventional programs are not achieving optimum solutions for those in need. All future programs need to acknowledge the roles played by an individual, as well as ecological factors, while deploying client-centric intervention solutions. Perhaps these programs are in need of a team-based approach to offer a truly “wrap-around” service provisioning strategy, rather than the traditional one-on-one consultative approaches in use at current times.


2019 ◽  
Vol 12 (1) ◽  
Author(s):  
Muhabaw Shumye Mihret

Abstract Objective Obstetric violence is an often overlooked obstacle to quality maternal health care service utilization. In the study setting, there was limited evidence on obstetric violence. Hence, this study aimed at assessing the prevalence and associated factors of obstetric violence among women who gave birth in Gondar University Specialized Comprehensive Hospital, Northwest Ethiopia. Results A total of 409 women had been participated in the study with a response rate of 100%. Three in four (75.1%) women reported that they had been subjected to at least one form of obstetric violence during labor and delivery with 95% CI (70.9–79.0). The reported forms of obstetric violence include non-consented care—260 (63.6%), non-dignified care—226 (55.3%), physical abuse—192 (46.9%), non-confidential care—132 (32.3%, neglected care—52 (12.7%) and discriminated care—38 (9.3%). On the contrary, none of the respondent had reported detention for failure to pay in the hospital. The multivariable logistic regression analysis demonstrated that urban residents (AOR = 1.89; 95% CI 1.11, 3.22) and primary school attendants (AOR = 0.49; 95% CI 0.27, 0.91) were significantly associated with experiencing obstetric violence. This study indicated the high prevalence of obstetric violence. Thus, interventions need to be undertaken by taking the reported forms of obstetric violence and participants’ sociodemographic status in to account.


2015 ◽  
Vol 24 (4) ◽  
pp. 976-983 ◽  
Author(s):  
Cláudia Fabiane Gomes Gonçalves ◽  
Lygia Maria Pereira da Silva ◽  
Ana Carolina Rodarti Pitangui ◽  
Cintia Cibele da Silva ◽  
Marcela Virgínia de Santana

The aim of the present study was to investigate the perception of health care service managers about the network action for the care of adolescent victims of violence. A qualitative, exploratory, descriptive study conducted from May to July of 2013. The subjects were 15 managers of a hospital that is a referral center for cases of violence in the Brazilian State of Pernambuco. Data were collected through semi-structured interviews and explored using content analysis. The results indicate that social work plays an aggregating and interconnecting role as required by the network action. The health care network is appreciated, but regarded as providing insufficient actions, with lack of standardization of care and service flow. We conclude that the subjects show a positive perception of the role of the studied service, but they point out a lack of specific technical standards in the health care sector aimed at high quality care for adolescents.


Author(s):  
Partha Pradip Adhikari ◽  
Satya Bhusan Paul

 Objective: Indian Traditional Medicine, the foundation of age-old practice of medicine in the world, has played an essential role in human health care service and welfare from its inception. Likewise, all traditional medicines are of its own regional effects and dominant in the West Asian nations; India, Pakistan, Tibet, and so forth, East Asian nations; China, Korea, Japan, Vietnam, and so forth, Africa, South and Central America. This article is an attempt to illuminate Indian traditional medical service and its importance, based on recent methodical reviews.Methods: Web search engines for example; Google, Science Direct and Google Scholar were employed for reviews as well as for meta-analysis.Results: There is a long running debate between individuals, who utilize Indian Traditional Medicines for different ailments and disorders, and the individuals who depend on the present day; modern medicine for cure. The civil argument between modern medicine and traditional medicines comes down to a basic truth; each person, regardless of education or sickness, ought to be educated about the actualities concerning their illness and the associated side effects of medicines. Therapeutic knowledge of Indian traditional medicine has propelled various traditional approaches with similar or different theories and methodologies, which are of regional significance.Conclusion: To extend research exercises on Indian Traditional Medicine, in near future, and to explore the phytochemicals; the current review will help the investigators involved in traditional medicinal pursuit.


2017 ◽  
Vol 24 (4) ◽  
pp. 1082-1098 ◽  
Author(s):  
Sabita Mahapatra

Purpose The purpose of this paper is to examine the effect of patient participation on patient satisfaction and the subsequent effect on patient behavior outcomes Design/methodology/approach The research employs self-administered survey method to test hypotheses. The convenience sampling approach is used to collected data from 410 patients in metropolitan cities of India. The data are analyzed using SmartPLS to test the proposed model. Findings The results shows patient participation is positively related to behaviour outcomes and patient confidence and satisfaction mediate the effect of patient participation on adherence. Research limitations/implications The study was limited to a small sample which may somewhat limit generalization of the findings. However, the findings, based on primary data, are insightful. Second, the current study was cross-sectional in nature, whereas a longitudinal study could had measured changes in perceptions over an extended time period. Practical implications The results provide interesting insights about the significance of patient participation in positive behavior outcome. These insights will enable health care professionals and government to formulate a suitable policy through which to encourage patient participation in health treatment regimes. Originality/value The paper demonstrates the influence of patient participation on behavior. There has been little research on this aspect in the Indian context to date, so this study offers an important guideline to the health care industry in relation to introducing customer empowerment into health care regimes.


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