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Pattern and Practice of Complimentary and Alternative Medication amongst Patients in a Tertiary Hospital in Nigeria

Received: 31 January 2015     Accepted: 17 March 2015     Published: 7 April 2015
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Abstract

Background: Attention and interest in the use of Complementary and Alternative Medicine (CAM) has been reawakened globally. Evidence from studies carried out in different parts of the world has established that CAM use is very common and varies among populations. It has been observed that many adults use different health products or measures under the umbrella of CAM. Reason for use could either be that they are imported or approved by National Agency for Food, Drug Administration and Control (NAFDAC), or they are believed to promote health, with little or no knowledge about the compositions, uses and side effects. Alternative medical treatments are believed to be prevalent in the indexed community and environs. However, reliable prevalence rates do not exist because a majority of the studies conducted to evaluate this topic cannot be generalized as they were conducted in other communities with their attendant influencing factors such as culture, religion etcetera. This study has therefore made an attempt to determine the prevalence, pattern, practice and factors associated with use of alternative medication amongst patients presenting at the NnamdiAzikiwe University Teaching Hospital (NAUTH).Objectives: The aim of this study was to determine the pattern and practice of Complementary and alternative medication amongst patients presenting at the NnamdiAzikiwe University Teaching Hospital, Nnewi.Method: This was a Cross-sectional descriptive study. Multi-staged sampling technique was used. Data was collected using interviewer -administered, semi-structured questionnaires. Data was analysed manually, with the aid of a scientific calculator.Results: A total of 128 respondents participated in the study. The mean age was 38.4 years (+ 3.04). 70% of the study population fell into the low income category, 96.1% had some knowledge of CAM remedies with a majority (79.69%) of the study population obtaining their knowledge from friends and peers. The study population had a CAM usage prevalence of 89.9%, with women making up majority of this percentage (48% of the study population). 56.52% of the study population used and were using 1 – 5 different types of CAM remedies with 64% being occasional users, 19% never used again after the first usage, while 17% of the study population were regular users. The most commonly practiced method of CAM was the biological products followed by spiritual therapy and mind body systems. Major reasons for using CAM remedies among the study population include: the need to promote and maintain their health, the availability of CAM remedies and the expensive cost of conventional medicine.Conclusion: Bearing in mind the high prevalence of CAM usage in the index community, there is need for adequate policy formulation and regulation to ensure safety and efficacy of CAM products. Measures to ensure rational use of CAM should be instituted.

Published in European Journal of Preventive Medicine (Volume 3, Issue 3)
DOI 10.11648/j.ejpm.20150303.12
Page(s) 44-48
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2015. Published by Science Publishing Group

Keywords

Complimentary Medicine, Patients, Tertiary Hospital

References
[1] New Zealand. Parliament of New Zealand. Ministry of health.Health Practitioners Competence Assurance Act.The Ministry of Health; 2003.
[2] O’Conner BB, Calabrese C, Cardeña E, Eisenberg D, Fincher J, Hufford DJ et al.Defining and describing complementary and alternative medicine. Alternative Therapies. 1997 Mar; 3(2):49-57.
[3] World Health Organization(WHO): Guidelines on developing Consumer information on proper use of traditional, complementary and alternative medicine. Geneva: WHO; 2004. P. XIII.
[4] Jane-lovena EO, Okoronkwo IL, Ogbonnaya NP. Complementary and Alternative medicine use among Adults in Enugu, Nigeria. BioMed Central Complementary and Alternative Medicine 2011 Mar 4; 11(19). Available at http://www.biomedcentral.com/1472-6882-11-19
[5] Barnes PM, Bloom MPA: Complementary and Alternative Medicine use among Adults and Children. United States, 2008. [http://nccam.nih.gov/news/2008/nhsrR.pdf], Retrieved February 26, 2013.
[6] Barnes PM, Powell-Griner E, McFann K, Nahin RL. Complementary andAlternative Medicine use among adults. United States, 2002, Advanceddata. 2004, 27(343):1-19.
[7] Ezeome ER, Anarado AN: Use of Complementary and AlternativeMedicine by Cancer Patients at the University of Nigeria TeachingHospital, Enugu, Nigeria. BMC 2007 [http://www.biomedcentral.com/1472-6882/7/28], Retrieved February 26, 2013.
[8] WFB Del Mundo,Shepherd WC, Marose TD. Use of Alternative Medicine by Patients in a Rural Family Practice Clinic. Fam Med. 2002; 34(3):206-12.
[9] Singh V, Raidoo DM, Harris CS: The Prevalence, Pattern of Usage and People’s Attitude towards Complementary and Alternative Medicine (CAM) among the Indian Community in Chatsworth, South Africa. BMC Complementary and Alternative Medicine. 2004 Feb 4; 4(3). [http://www.biomedcentral.com/1472-6882/4/3], Retrieved February 26, 2013.
[10] Bahhotmah BA, Alzahrani HA. Self-reported use of CAM products in topical treatment of diabetic foot disorders by diabetic patients in Jeddah, Western Saudi Arabia. BMC Research Notes. 2010 Oct 6; 3(254). Available from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2958887/, Retrieved February 26, 2013.
[11] Araoye MO. Research methodology with statistics for health and social sciences. Ilorin: Nathadex Publishers, 2003: 120.
[12] World Health Organization (WHO): Traditional Medicine Strategy 2002 -2005. Geneva: WHO; 2002.
[13] Molassiotis A, Fernandez-Ortega P, Puel D, Ozden G, Scot JA, PanteliV,et al: Use of complementary and alternative medicine in cancerpatients: A European Survey. Ann Oncol. 2005 Feb 2, 16(4):655-663.
[14] Kazeem AO, Idowu OS, Olisamedua FN, Ayo S. Use of Complementary andAlternative Medicine for Children with Chronic Health Conditions inLagos, Nigeria. BMC Complementary and Alternative Medicine2008. Retrieved May 8, 2009.
[15] Barnett MC, Cotroneo M, Purnell J, Martin D, Mackenzie E, Fishman A. Use of CAM in African-American Communities: Community partnered research. J Natl Med Assoc. 2003 Oct; 95(10):943-50.
[16] Human Development Report Nigeria 2008-2009: Achieving growth with equity, Nigeria: UNDP. [http://www.ng.undp.org/documents/NHDR2009/NHDR_MAIN-REPORT_2008-2009.pdf].
[17] Wolsko PM, Eisenberg DM, Davis RB, Ettner S, Phillips RS. InsuranceCoverage, Medical Conditions, and Visits to Alternative MedicineProviders: Results of a National Survey. Arch Intern Med. 2002;162(3):281-7.
[18] Kiang LC, Chiang J, Shih V, Clan A: Prevalence of Complementary andAlternative Medicine in Singaporean Breast cancer patients. Europeanjournal of clinical and medical oncology. Available at http://www.slm-oncology.com, Retrieved February 26, 2013.
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  • APA Style

    Adinma E. D., Azuike E. C., Okafor-Udah C. O., Azuike E. D., Ohameme M. C., et al. (2015). Pattern and Practice of Complimentary and Alternative Medication amongst Patients in a Tertiary Hospital in Nigeria. European Journal of Preventive Medicine, 3(3), 44-48. https://doi.org/10.11648/j.ejpm.20150303.12

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    ACS Style

    Adinma E. D.; Azuike E. C.; Okafor-Udah C. O.; Azuike E. D.; Ohameme M. C., et al. Pattern and Practice of Complimentary and Alternative Medication amongst Patients in a Tertiary Hospital in Nigeria. Eur. J. Prev. Med. 2015, 3(3), 44-48. doi: 10.11648/j.ejpm.20150303.12

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    AMA Style

    Adinma E. D., Azuike E. C., Okafor-Udah C. O., Azuike E. D., Ohameme M. C., et al. Pattern and Practice of Complimentary and Alternative Medication amongst Patients in a Tertiary Hospital in Nigeria. Eur J Prev Med. 2015;3(3):44-48. doi: 10.11648/j.ejpm.20150303.12

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  • @article{10.11648/j.ejpm.20150303.12,
      author = {Adinma E. D. and Azuike E. C. and Okafor-Udah C. O. and Azuike E. D. and Ohameme M. C. and Aniemena C. R. and Enwonwu K. G. and Obi K. M. and Onebunne E. M. and Obi D. C.},
      title = {Pattern and Practice of Complimentary and Alternative Medication amongst Patients in a Tertiary Hospital in Nigeria},
      journal = {European Journal of Preventive Medicine},
      volume = {3},
      number = {3},
      pages = {44-48},
      doi = {10.11648/j.ejpm.20150303.12},
      url = {https://doi.org/10.11648/j.ejpm.20150303.12},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ejpm.20150303.12},
      abstract = {Background: Attention and interest in the use of Complementary and Alternative Medicine (CAM) has been reawakened globally. Evidence from studies carried out in different parts of the world has established that CAM use is very common and varies among populations. It has been observed that many adults use different health products or measures under the umbrella of CAM. Reason for use could either be that they are imported or approved by National Agency for Food, Drug Administration and Control (NAFDAC), or they are believed to promote health, with little or no knowledge about the compositions, uses and side effects. Alternative medical treatments are believed to be prevalent in the indexed community and environs. However, reliable prevalence rates do not exist because a majority of the studies conducted to evaluate this topic cannot be generalized as they were conducted in other communities with their attendant influencing factors such as culture, religion etcetera. This study has therefore made an attempt to determine the prevalence, pattern, practice and factors associated with use of alternative medication amongst patients presenting at the NnamdiAzikiwe University Teaching Hospital (NAUTH).Objectives: The aim of this study was to determine the pattern and practice of Complementary and alternative medication amongst patients presenting at the NnamdiAzikiwe University Teaching Hospital, Nnewi.Method: This was a Cross-sectional descriptive study. Multi-staged sampling technique was used. Data was collected using interviewer -administered, semi-structured questionnaires. Data was analysed manually, with the aid of a scientific calculator.Results: A total of 128 respondents participated in the study. The mean age was 38.4 years (+ 3.04). 70% of the study population fell into the low income category, 96.1% had some knowledge of CAM remedies with a majority (79.69%) of the study population obtaining their knowledge from friends and peers. The study population had a CAM usage prevalence of 89.9%, with women making up majority of this percentage (48% of the study population). 56.52% of the study population used and were using 1 – 5 different types of CAM remedies with 64% being occasional users, 19% never used again after the first usage, while 17% of the study population were regular users. The most commonly practiced method of CAM was the biological products followed by spiritual therapy and mind body systems. Major reasons for using CAM remedies among the study population include: the need to promote and maintain their health, the availability of CAM remedies and the expensive cost of conventional medicine.Conclusion: Bearing in mind the high prevalence of CAM usage in the index community, there is need for adequate policy formulation and regulation to ensure safety and efficacy of CAM products. Measures to ensure rational use of CAM should be instituted.},
     year = {2015}
    }
    

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  • TY  - JOUR
    T1  - Pattern and Practice of Complimentary and Alternative Medication amongst Patients in a Tertiary Hospital in Nigeria
    AU  - Adinma E. D.
    AU  - Azuike E. C.
    AU  - Okafor-Udah C. O.
    AU  - Azuike E. D.
    AU  - Ohameme M. C.
    AU  - Aniemena C. R.
    AU  - Enwonwu K. G.
    AU  - Obi K. M.
    AU  - Onebunne E. M.
    AU  - Obi D. C.
    Y1  - 2015/04/07
    PY  - 2015
    N1  - https://doi.org/10.11648/j.ejpm.20150303.12
    DO  - 10.11648/j.ejpm.20150303.12
    T2  - European Journal of Preventive Medicine
    JF  - European Journal of Preventive Medicine
    JO  - European Journal of Preventive Medicine
    SP  - 44
    EP  - 48
    PB  - Science Publishing Group
    SN  - 2330-8230
    UR  - https://doi.org/10.11648/j.ejpm.20150303.12
    AB  - Background: Attention and interest in the use of Complementary and Alternative Medicine (CAM) has been reawakened globally. Evidence from studies carried out in different parts of the world has established that CAM use is very common and varies among populations. It has been observed that many adults use different health products or measures under the umbrella of CAM. Reason for use could either be that they are imported or approved by National Agency for Food, Drug Administration and Control (NAFDAC), or they are believed to promote health, with little or no knowledge about the compositions, uses and side effects. Alternative medical treatments are believed to be prevalent in the indexed community and environs. However, reliable prevalence rates do not exist because a majority of the studies conducted to evaluate this topic cannot be generalized as they were conducted in other communities with their attendant influencing factors such as culture, religion etcetera. This study has therefore made an attempt to determine the prevalence, pattern, practice and factors associated with use of alternative medication amongst patients presenting at the NnamdiAzikiwe University Teaching Hospital (NAUTH).Objectives: The aim of this study was to determine the pattern and practice of Complementary and alternative medication amongst patients presenting at the NnamdiAzikiwe University Teaching Hospital, Nnewi.Method: This was a Cross-sectional descriptive study. Multi-staged sampling technique was used. Data was collected using interviewer -administered, semi-structured questionnaires. Data was analysed manually, with the aid of a scientific calculator.Results: A total of 128 respondents participated in the study. The mean age was 38.4 years (+ 3.04). 70% of the study population fell into the low income category, 96.1% had some knowledge of CAM remedies with a majority (79.69%) of the study population obtaining their knowledge from friends and peers. The study population had a CAM usage prevalence of 89.9%, with women making up majority of this percentage (48% of the study population). 56.52% of the study population used and were using 1 – 5 different types of CAM remedies with 64% being occasional users, 19% never used again after the first usage, while 17% of the study population were regular users. The most commonly practiced method of CAM was the biological products followed by spiritual therapy and mind body systems. Major reasons for using CAM remedies among the study population include: the need to promote and maintain their health, the availability of CAM remedies and the expensive cost of conventional medicine.Conclusion: Bearing in mind the high prevalence of CAM usage in the index community, there is need for adequate policy formulation and regulation to ensure safety and efficacy of CAM products. Measures to ensure rational use of CAM should be instituted.
    VL  - 3
    IS  - 3
    ER  - 

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Author Information
  • Department of Community Medicine, NnamdiAzikiwe University Teaching Hospital, Nnewi, Anambra State, Nigeria

  • Department of Community Medicine, NnamdiAzikiwe University Teaching Hospital, Nnewi, Anambra State, Nigeria

  • Department of Community Medicine, NnamdiAzikiwe University Teaching Hospital, Nnewi, Anambra State, Nigeria

  • Department of Nursing Sciences, NnamdiAzikiwe University, Awka, Anambra State, Nigeria

  • Department of Community Medicine, NnamdiAzikiwe University Teaching Hospital, Nnewi, Anambra State, Nigeria

  • Department of Community Medicine, NnamdiAzikiwe University Teaching Hospital, Nnewi, Anambra State, Nigeria

  • Department of Community Medicine, NnamdiAzikiwe University Teaching Hospital, Nnewi, Anambra State, Nigeria

  • Department of Community Medicine, NnamdiAzikiwe University Teaching Hospital, Nnewi, Anambra State, Nigeria

  • Department of Community Medicine, NnamdiAzikiwe University Teaching Hospital, Nnewi, Anambra State, Nigeria

  • Department of Community Medicine, NnamdiAzikiwe University Teaching Hospital, Nnewi, Anambra State, Nigeria

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