Ethno-medicinal plants and traditional knowledge linked to primary health care among the indigenous communities living in western hilly slopes of Dera Ghazi Khan, Pakistan

2019 ◽  
Vol 52 (2) ◽  
Author(s):  
Shafiq Ahmad ◽  
Muhammad Zafar ◽  
Shehla Shinwari ◽  
Mushtaq Ahmad ◽  
Zabta Khan Shinwari ◽  
...  
Crisis ◽  
2019 ◽  
Vol 40 (6) ◽  
pp. 422-428 ◽  
Author(s):  
Chris Rouen ◽  
Alan R. Clough ◽  
Caryn West

Abstract. Background: Indigenous Australians experience a suicide rate over twice that of the general population. With nonfatal deliberate self-harm (DSH) being the single most important risk factor for suicide, characterizing the incidence and repetition of DSH in this population is essential. Aims: To investigate the incidence and repetition of DSH in three remote Indigenous communities in Far North Queensland, Australia. Method: DSH presentation data at a primary health-care center in each community were analyzed over a 6-year period from January 1, 2006 to December 31, 2011. Results: A DSH presentation rate of 1,638 per 100,000 population was found within the communities. Rates were higher in age groups 15–24 and 25–34, varied between communities, and were not significantly different between genders; 60% of DSH repetitions occurred within 6 months of an earlier episode. Of the 227 DSH presentations, 32% involved hanging. Limitations: This study was based on a subset of a larger dataset not specifically designed for DSH data collection and assesses the subset of the communities that presented to the primary health-care centers. Conclusion: A dedicated DSH monitoring study is required to provide a better understanding of DSH in these communities and to inform early intervention strategies.


2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
M Limam ◽  
J Sahli ◽  
I Khalfallah ◽  
M Mellouli ◽  
M Ghardallou ◽  
...  

Abstract Background Patients use medicinal plants as the first-line treatment for many chronic and acute medical conditions. The lack of access to conventional health care, historical, cultural and economic considerations contributes to the important use of these plants. The purpose was to identify medicinal plants used by primary Health Care Centers' visitors in the region of Sousse (Tunisia) and to assess its associated factors. Methods A cross-sectional descriptive study was conducted among Primary health care centers' visitors of the region of Sousse (Tunisia) in 2018. We randomly selected 18 primary health centers and 50 participants were chosen from each center. Data were collected using a pre-tested questionnaire, filled through a direct interview with participants which explores: socio-demographic variables and medicinal plants' use (name of plants, symptoms, methods of preparation, routes of administration, plant source, tolerance and side effects). Results 900 persons were included with a female predominance (72.4%). The median age of participants was 48 years ranging from 18 to 93. 65.2% (n = 587) of them report using medicinal plants to heal. The most common sources of information were family (90.5%), beliefs and traditions (56.4%). Fifty-three (53) plants were used to treat different disorders. The most used plants are: verbena (81.6%), rosemary (53.3%), mint (52%) and thyme (45.1%). The most reported treated symptoms were: flu and gastro-intestinal disorders. Plants utilization was associated to: lower age, female gender, marital status, high level of education and social existence of protection coverage. Conclusions Plants use should be based on well-conducted scientific results specifying the mechanism of action of plants, the therapeutic and toxic dose through researches on local plants samples and extracts. Key messages It seems essential to train health professionals on herbal therapy during their studies and practice. The further step after this picture of the herbal medicine use in the Region of Sousse, is to evaluate the safety and the efficacy of their use.


2018 ◽  
Vol 7 (6) ◽  
pp. 483-494
Author(s):  
Andriamalala Rakotondrafara ◽  
◽  
Roland Rakotondrajaona ◽  
Marrino Rakotoarisoa ◽  
Michel Ratsimbason ◽  
...  

During an ethnobotanical survey conducted among the Zafimaniry clan in the Amoron'i Mania region of Madagascar, 164 medicinal plants species from 138 genera and 73 families are recorded to be used by local people to treat 65 different types of human diseases. The most prescribed species belong to Asteraceae (30 species), Fabaceae (8 species), Rubiaceae (7 species) Poaceae (6 species) and Solanaceae (7 species) botanical families. Helichrysum was the most cited genus with 6 species. The main pathologies treated with medicinal plants are abdominal colic (10.5%) using 25 species, cough (7.2%, 23 species), intestinal parasites (6.3%, 20 species) and diarrhea (5.8%, 25 species). The vernacular names and the recipes of used plants are also reported. Data are collected by interviewing 191 informants aged between 16 and 100 using standardized questionnaires. The present study shows that the Zafimaniry people use a large number of medicinal plants for their primary health care. Some of the recorded plants are new in the Malagasy ethnopharmacopoeia


2005 ◽  
Vol 11 (2) ◽  
pp. 62 ◽  
Author(s):  
Melissa Haswell-Elkins ◽  
Ernest Hunter ◽  
Tricia Nagel ◽  
Carolyn Thompson ◽  
Brenda Hall ◽  
...  

At present, there is a perceived and functional separation of mental health services from the general delivery of primary health care services in remote Indigenous communities in most places in the country. There are a range of issues underlying this separation; many are historical but continue to influence patterns of thinking about mental and physical health. With the increasing shift of focus of care at primary level from being largely reactive to presentations of acute illnesses towards proactive and strategically guided approaches to the management of chronic diseases, coupled with similar national strategic documents guiding mental health care into a primary health care format, the opportunity to integrate the provision of mental and physical health care has never been better. Accompanying this integration should be a reflection and improvement on models of care that address needs of Indigenous people in a more culturally and contextually appropriate manner, as is clearly defined in an increasing range of Indigenous health policy documents. This paper will begin with a summary of the link between mental and physical health supported by key references. It will then briefly reflect on the current organisation of mental and physical health services in remote Indigenous settings of Far North Queensland and the Northern Territory, identifying some of the major disadvantages being experienced. The paper will close with a description of the approach and some early outcomes to address these issues by the Indigenous Stream of the AIMhi project (Australian Integrated Mental Health Initiative), which is a major National Health & Medical Research Council (NH&MRC) Strategic Partnership initiative that began implementing a framework of research activities in mid-2003.


2020 ◽  
Author(s):  
S. N. Ojha ◽  
Deepti Tiwari ◽  
Aryan Anand ◽  
R.C. Sundriyal

Abstract Background Indigenous communities use wild plants to cure human ailments since ancient times, such knowledge has significant potential for formulating new drugs and administering future health care. Considering this the present study was undertaken to assess use value, diversity, and conservation concerns of medicinal plants used in traditional herbal care system of a marginal hill community in Bageshwar district of Uttarakhand in the Central Himalayan region of India. Methodology Extensive surveys were made in 73 villages to gather information on ethnomedicinal use of plant species used in traditional herbal healing system. A total of 100 respondents were identified (30 herbal healers called ‘ Vaidyas’ and 70 non-healers/natives) and interviewed using semi-structured questionnaires, target interviews and group discussion. Some important indices such as the use value index (UV), relative frequency citation (RFC), cultural importance index (CI), and informant consensus factor (F ic ) were calculated for the medicinal plants included in the present study. Result It was recorded that the community use a total of 70 species with 64 genera and 35 families for curing various ailments. Family Lamiaceae recorded maximum number of medicinal plants. 21 species used most extensively in traditional health care system. The major parts of the identified plants used for treatment of various ailments were root/rhizome and leaf. The most common methods used for preparation of these plants were decoction and infusion. Ocimum basilicum L., Cannabis sativa L., Citrus aurantifolia (Christm) Sw., Curcuma longa L.and Setaria italic L. had the highest rate of use report. RFC value ranged between 0.03 to 0.91 with highest values for Setaria italica, Zingiber officinale, Ocimum basilicum, and Rephanus sativus . The traditional knowledge is passed verbally to generations and needs to be preserved for the future bio-prospecting of plants that could be a potential cure to any future disease. Conclusion In recent years the community has access to modern hospitals and medicinal facilities, although a considerable number still prefer medicinal plants for curing select ailments. It is suggested that these ethnomedicial species need to be screened and evaluated further for their effectiveness for pharmacological activity. Also, significant efforts are required to conserve traditional knowledge and natural habitats of wild medicinal plants.


2018 ◽  
Vol 28 (1) ◽  
Author(s):  
Kofi P. Quan-Baffour

Ghana was colonised in 1482 when Europeans, accompanied by a number of missionaries, arrived at a small coastal town called Edina in the present day Central Region. Colonialism brought with it Western education, religious values, and medical care. The missionaries opened schools, clinics, and hospitals in several parts of the country but these facilities were not available in many remote areas. Before colonisation Ghanaians made medicines from plants to cure sicknesses and diseases. Although the missionaries and the colonisers regarded African medicine as fetish and attempted to annihilate it—Ghanaians—especially those living in areas without hospital facilities, continued to rely on local medicines for curing illnesses. Medicinal plants such as the neem tree, lemon, moringa, ginger etc., are used as concoctions to alleviate the symptoms of malaria, headaches, boils, diabetes, high blood pressure, and stomach pains. When the government recently introduced primary health care, indigenous medicines became a de facto partner in health care delivery, particularly in the rural areas where hospitals and medical facilities are inadequate. This study employed qualitative methods to explore the value of indigenous medicinal plants in the country’s primary health care programme. The study found that indigenous medicine plays an important role in health care delivery because it is accessible and affordable. Even people who visit hospitals still use indigenous medicines side by side with the pharmaceutical drugs offered by medical practitioners.


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