Use of Traditional Herbal Medicines during Pregnancy in Rwanda: Perspectives from Community Health Workers and Traditional Healers.

Background: The use of traditional herbal medicines during pregnancy is rising in African countries, including Rwanda, but their safety is questioned due to the lack of scientific development processes. Adverse outcomes have been reported, and literature generally advises against their use. Despite these concerns, many pregnant women continue to use them, and no specific study has examined their use in Rwanda. Objective: This study aimed to explore the perspectives of community health workers (CHWs) and traditional healers regarding the use of traditional herbal medicines during pregnancy in Rwanda. Methods: A qualitative exploratory design was used, with data collected through in-depth interviews among 30 CHWs and traditional healers from five Rwandan districts. Participants were purposively selected and consented to the study. The interviews were transcribed and analyzed thematically using Atlas.ti software version 23. Results: Most participants acknowledged the use of traditional herbal medicines during pregnancy. However, their perspectives on the safety and potential adverse outcomes were contradictory. CHWs recommended against their use while traditional healers argued that these medicines are safe. Conclusions: This study found that traditional herbal medicines are commonly used during pregnancy in Rwanda. Due to conflicting perspectives among participants, further research is needed to assess their safety and efficacy.