Evidence map›Paper›PMID 34389011›Full record

ArticleBMC complementary medicine and therapies2021

Local experience of using traditional medicine in northern Rwanda: a qualitative study.

Mengxin Tan, Yuko Otake, Teisi Tamming, Valerie Akuredusenge, Beatha Uwinama, Fabien Hagenimana

Abstract read
In one paragraph

Article in BMC complementary medicine and therapies, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Mengxin TanLondon School of Hygiene and Tropical Medicine, London, UK. mengxintan@outlook.com.ORCID http://orcid.org/0000-0002-0985-3013
Yuko OtakeUniversity of Oxford, School of Anthropology and Museum Ethnography, Oxford, UK.
Teisi TammingLondon School of Hygiene and Tropical Medicine, London, UK.
Valerie AkuredusengeConservation Heritage-Turambe, Ruhengeri, Rwanda.
Beatha UwinamaAbavuzi Gakondo Rwanda Network - Rwandan Traditional Healers Association, Ruhengeri, Rwanda.
Fabien HagenimanaInstitut d'Enseignement Superieur (INES-Ruhengeri), Ruhengeri, Rwanda.

Funding

Institute of Psychiatry, Psychology and Neuroscience, King's College London King's Global Mental Health Travel FundLondon School of Hygiene and Tropical Medicine MSc scholarship Trust Fund
6 · The paper itself

Abstract

backgroundThe popular use of traditional medicine in low-income settings has previously been attributed to poverty, lack of education, and insufficient accessibility to conventional health service. However, in many countries, including in Rwanda, the use of traditional medicine is still popular despite the good accessibility and availability of conventional health services. This study aims to explore why traditional medicine is popularly used in Rwanda where it has achieved universal health coverage.

methodsThe qualitative study, which included in-depth interviews and participant observations, investigated the experience of using traditional medicine as well as the perceived needs and reasons for its use in the Musanze district of northern Rwanda. We recruited 21 participants (15 community members and 6 traditional healers) for in-depth interviews. Thematic analysis was conducted to generate common themes and coding schemes.

resultsOur findings suggest that the characteristics of traditional medicine are responding to community members' health, social and financial needs which are insufficiently met by the current conventional health services. Participants used traditional medicine particularly to deal with culture-specific illness - uburozi. To treat uburozi appropriately, referrals from hospitals to traditional healers took place spontaneously.

conclusionsIn Rwanda, conventional health services universally cover diseases that are diagnosed by the standard of conventional medicine. However, this universal health coverage may not sufficiently respond patients' social and financial needs arising from the health needs. Given this, integrating traditional medicine into national health systems, with adequate regulatory framework for quality control, would be beneficial to meet patients' needs.

Indexed as

Medicine, TraditionalAdultAgedAged, 80 and overFemaleHumansInterviews as TopicMaleMiddle AgedObservationPatient Acceptance of Health CareQualitative ResearchRwandaUniversal Health InsuranceCommunity membersIllnessTraditional healerTraditional medicine

Identifiers

PMID34389011
PMCPMC8362288

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.