Exploring the experiences of traditional practitioners while managing hypertension in Rwanda.

IF 3.3 2区 医学 Q1 INTEGRATIVE & COMPLEMENTARY MEDICINE
Liberee Kubwimana, Marie Immaculee Dusingize, Delphine Mizero, Gislaine Mutatsineza, Fred Nkurunziza, Peace Ingabire, Arsene Hobabagabo, Rex Wong
{"title":"Exploring the experiences of traditional practitioners while managing hypertension in Rwanda.","authors":"Liberee Kubwimana, Marie Immaculee Dusingize, Delphine Mizero, Gislaine Mutatsineza, Fred Nkurunziza, Peace Ingabire, Arsene Hobabagabo, Rex Wong","doi":"10.1186/s12906-024-04688-8","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Hypertension (HTN) is a major global health concern, affecting approximately 1.28 billion adults worldwide. In Rwanda, hypertension contribute to 2.81 of the disability adjusted life years (DALYs) and 1.87% of hypertensive heart disease mortality. Traditional medicine remains popular in Africa with some herbal remedies which have shown antihypertensive properties. However, no study was done to explore traditional Practitioners' approach to hypertension in Rwanda.</p><p><strong>Objective: </strong>To explore the experience of traditional Practitioners while managing hypertension in Rwanda.</p><p><strong>Methodology: </strong>This qualitative study utilized an ethnographic approach to explore the experience of traditional Practitioners (TPs) while managing HTN in Rwanda. Semi- structure interviews were conducted with 20 traditional Practitioners from three districts known for their popular use of traditional medicine in Rwanda. Participants were purposively selected, and interviews were guided by a pretested semi-structured interview guide in local language. Thematic analysis was used to generate the key themes.</p><p><strong>Results: </strong>Three main themes emerged from analysis: first, traditional medicine is often undervalued by modern medical providers, resulting in limited collaboration and communication between traditional Practitioners and modern medical providers. Despite this, TPs are trusted by the community, often receiving referrals from patients dissatisfied with modern treatment. Second, TPs face challenges in diagnosing HTN due to lack of diagnostic tools, often relying on their observation, patients' description of symptoms and patient's response to treatment. TPs expressed desire for collaboration with modern medicine and access to diagnostic tools. Third, lack of legal framework and standardized practices for traditional medicine remains a challenge.</p><p><strong>Conclusion: </strong>The study highlights the need to promote collaboration between traditional and modern medicine in Rwanda. To enhance HTN management, we recommend training of traditional Practitioners, setting standardized practice and legal framework to guide traditional Practitioners in Rwanda as well as improving their access to HTN diagnostic tools.</p>","PeriodicalId":9128,"journal":{"name":"BMC Complementary Medicine and Therapies","volume":"24 1","pages":"387"},"PeriodicalIF":3.3000,"publicationDate":"2024-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11545889/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"BMC Complementary Medicine and Therapies","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1186/s12906-024-04688-8","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"INTEGRATIVE & COMPLEMENTARY MEDICINE","Score":null,"Total":0}
引用次数: 0

Abstract

Background: Hypertension (HTN) is a major global health concern, affecting approximately 1.28 billion adults worldwide. In Rwanda, hypertension contribute to 2.81 of the disability adjusted life years (DALYs) and 1.87% of hypertensive heart disease mortality. Traditional medicine remains popular in Africa with some herbal remedies which have shown antihypertensive properties. However, no study was done to explore traditional Practitioners' approach to hypertension in Rwanda.

Objective: To explore the experience of traditional Practitioners while managing hypertension in Rwanda.

Methodology: This qualitative study utilized an ethnographic approach to explore the experience of traditional Practitioners (TPs) while managing HTN in Rwanda. Semi- structure interviews were conducted with 20 traditional Practitioners from three districts known for their popular use of traditional medicine in Rwanda. Participants were purposively selected, and interviews were guided by a pretested semi-structured interview guide in local language. Thematic analysis was used to generate the key themes.

Results: Three main themes emerged from analysis: first, traditional medicine is often undervalued by modern medical providers, resulting in limited collaboration and communication between traditional Practitioners and modern medical providers. Despite this, TPs are trusted by the community, often receiving referrals from patients dissatisfied with modern treatment. Second, TPs face challenges in diagnosing HTN due to lack of diagnostic tools, often relying on their observation, patients' description of symptoms and patient's response to treatment. TPs expressed desire for collaboration with modern medicine and access to diagnostic tools. Third, lack of legal framework and standardized practices for traditional medicine remains a challenge.

Conclusion: The study highlights the need to promote collaboration between traditional and modern medicine in Rwanda. To enhance HTN management, we recommend training of traditional Practitioners, setting standardized practice and legal framework to guide traditional Practitioners in Rwanda as well as improving their access to HTN diagnostic tools.

探索卢旺达传统医师管理高血压的经验。
背景:高血压(HTN)是全球关注的主要健康问题,影响着全球约 12.8 亿成年人。在卢旺达,高血压导致2.81个残疾调整寿命年(DALYs)和1.87%的高血压心脏病死亡率。传统医学在非洲仍然很流行,其中一些草药具有降压作用。然而,在卢旺达,还没有研究探讨传统医师治疗高血压的方法:探讨卢旺达传统医师治疗高血压的经验:本定性研究采用人种学方法探讨卢旺达传统医师(TPs)管理高血压的经验。研究人员对来自卢旺达三个以普遍使用传统医学而闻名的地区的 20 名传统医师进行了半结构访谈。访谈对象是有目的性地挑选出来的,访谈以经过预先测试的当地语言半结构式访谈指南为指导。结果:分析得出三大主题:第一,传统医学往往被现代医疗提供者低估,导致传统医师与现代医疗提供者之间的合作与交流有限。尽管如此,传统医师仍受到社区的信任,经常接受对现代治疗不满意的病人的转诊。其次,由于缺乏诊断工具,传统中医在诊断高血压方面面临挑战,通常只能依靠自己的观察、患者对症状的描述以及患者对治疗的反应。乡镇卫生院表示希望与现代医学合作,并获得诊断工具。第三,传统医学缺乏法律框架和标准化做法仍然是一项挑战:本研究强调了促进卢旺达传统医学与现代医学合作的必要性。为加强高血压管理,我们建议对传统医师进行培训,制定标准化的实践和法律框架来指导卢旺达的传统医师,并改善他们获得高血压诊断工具的途径。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
BMC Complementary Medicine and Therapies
BMC Complementary Medicine and Therapies INTEGRATIVE & COMPLEMENTARY MEDICINE-
CiteScore
6.10
自引率
2.60%
发文量
300
审稿时长
19 weeks
期刊介绍:
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信