Practice and Perception of Traditional Medicine Practitioners towards Challenges Facing Traditional Medicine Practice in Nigeria: A Pilot Study

J. Ibrahim, I. B. Gegele, Omotayo T. Hamzat, H. Egharevba, Adeola I. Jegede, O. Kunle, O. Adigwe
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Abstract

Aim: This study explores and documents obstacles faced by Traditional Medicine Practitioners (TMPs) in Nigeria. Traditional Medicine (TM) plays a vital role in the healthcare systems of low- and middle-income countries, yet it encounters numerous challenges. Place and Duration of Study: This study was carried out in Nigeria by the Department of Medicinal Plant Research and Traditional Medicine, National Institute for Pharmaceutical Research and Development, Idu – Abuja, Nigeria between December 2021 and January 2022. Methodology: A survey was conducted among Nigerian TMPs using a semi-structured questionnaire to gain insights into their challenges and potential solutions. TMPs were recruited nationwide using purposive and convenient sampling, and descriptive statistics were used to present data gathered. Results: The majority of TMP respondents (67%) were male, with 48% holding graduate degrees and 11% having doctorates. Regarding practice, 87% of TMPs maintain patient records, and 88% keep medicinal recipe records. Most TMPs (81%) engage in general practice alongside other forms. Collaboration willingness was expressed by 89% towards fellow practitioners, 95% towards research institutes, and 89% towards individual researchers. Challenges identified by TMPs include a lack of cooperation from orthodox doctors (25%), absence of standardized products (19%), inadequate policies (19%), and disorganization among TMPs (15%). Product registration revealed that 81% of TMPs had unregistered products, with 49% citing high registration costs and 21% lacking knowledge about the process. Specific challenges mentioned were insufficient financial resources (48%) and a need for training (30%). Conclusion: It is crucial for stakeholders to collaborate and review policies to address the highlighted challenges and gaps as found in this study.
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传统医学从业者对尼日利亚传统医学实践面临的挑战的实践和看法:一项试点研究
目的:本研究探讨并记录了尼日利亚传统医学从业者(TMPs)面临的障碍。传统医学在低收入和中等收入国家的卫生保健系统中发挥着至关重要的作用,但它面临着许多挑战。研究地点和时间:本研究由尼日利亚伊杜-阿布贾国家药物研究与开发研究所药用植物研究和传统医学系于2021年12月至2022年1月在尼日利亚进行。方法:采用半结构化问卷对尼日利亚的管理人员进行了一项调查,以了解他们面临的挑战和潜在的解决方案。在全国范围内采用有目的和方便的抽样方法招募临床医生,并使用描述性统计来呈现收集到的数据。结果:大多数TMP受访者(67%)为男性,其中48%拥有研究生学位,11%拥有博士学位。在实践方面,87%的TMPs保留了患者记录,88%保留了药物处方记录。大多数临床医生(81%)除了从事其他形式的全科医生之外,还从事其他形式的医生。对同行的合作意愿为89%,对研究机构的合作意愿为95%,对研究人员个人的合作意愿为89%。TMPs确定的挑战包括缺乏正统医生的合作(25%),缺乏标准化产品(19%),政策不充分(19%),以及TMPs内部缺乏组织(15%)。产品注册显示,81%的代工厂经营者有未注册的产品,49%的人表示注册成本高,21%的人缺乏对流程的了解。提到的具体挑战是财政资源不足(48%)和需要培训(30%)。结论:对于利益相关者来说,合作和审查政策以解决本研究中发现的突出挑战和差距至关重要。
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