The Contribution of Traditional Herbal Medicine Practitioners to Kenyan Health Care Delivery : Results from Community Health-seeking Behavior Vignettes and a Traditional Herbal Medicine Practitioner Survey
This study examines the role that Traditional Herbal Medicine Practitioners (THMPs) play in Kenya in the context of its human resources for health crisis. Two surveys were carried out to obtain evidence. The first documented the choices and percept...
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| Format: | Working Paper |
| Language: | English en_US |
| Published: |
World Bank, Washington, DC
2013
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| Subjects: | |
| Online Access: | http://documents.worldbank.org/curated/en/2011/09/15433729/contribution-traditional-herbal-medicine-practitioners-kenyan-health-care-delivery-results-community-health-seeking-behavior-vignettes-traditional-herbal-medicine-practitioner-survey http://hdl.handle.net/10986/13588 |
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okr-10986-13588 |
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| recordtype |
oai_dc |
| repository_type |
Digital Repository |
| institution_category |
Foreign Institution |
| institution |
Digital Repositories |
| building |
World Bank Open Knowledge Repository |
| collection |
World Bank |
| language |
English en_US |
| topic |
AGED AIDS PATIENTS AILMENTS ALTERNATIVE MEDICINE AMOEBIASIS ANEMIA ANTENATAL CARE ARTHRITIS ASTHMA BIRTH ATTENDANT BIRTH ATTENDANTS BIRTHS BURNS CANCERS CAPACITY BUILDING CHILDBIRTH CHLAMYDIA CHOLESTEROL CLINICS COLDS COMMUNITY ACTION COMMUNITY HEALTH COMPLEMENTARY MEDICINE CONJUNCTIVITIS CONVENTIONAL MEDICINE DENTAL CARE DENTIST DENTISTS DEPRESSION DEVELOPING COUNTRIES DIABETES DIAGNOSES DIAGNOSIS DIARRHEA DIARRHOEA DISCRIMINATION DOCTOR DOCTORS DRUGS DYSENTERY ECLAMPSIA EPILEPSY EYE DISEASES FAMILIES FEMALE FEVER FORMAL EDUCATION GOVERNMENT SUPPORT HEADACHE HEALTH CARE HEALTH CARE DELIVERY HEALTH CARE FACILITIES HEALTH CARE PROVIDER HEALTH CARE PROVIDERS HEALTH CARE SERVICES HEALTH CAREDELIVERY HEALTH CENTERS HEALTH EDUCATION HEALTH FACILITIES HEALTH INDICATORS HEALTH POLICY HEALTH POSTS HEALTH PROFESSIONALS HEALTH PROVIDERS HEALTH SECTOR HEALTH SERVICE HEALTH SERVICE DELIVERY HEALTH SERVICE PROVISION HEALTH SERVICES HEALTH SPECIALIST HEALTH SYSTEM HEALTH SYSTEMS HEALTH WORKERS HEALTH WORKFORCE HEALTH- SEEKING BEHAVIOR HEALTH-SEEKING BEHAVIOR HEMORRHAGE HEMORRHOIDS HERBAL REMEDIES HIV HIV/AIDS HOSPITAL HOSPITALS HOUSEHOLD LEVEL HUMAN BEINGS HUMAN DEVELOPMENT HUMAN RESOURCES HYGIENE HYPERTENSION ILLNESS ILLNESSES IMMUNODEFICIENCY INCOME INFANT INFECTION INFLAMMATION INJURIES INSECTICIDAL PROPERTIES INTEGRATION INTERNATIONAL TRADE INTESTINAL PARASITES LEVEL OF EDUCATION LIVER MALARIA MALES MARKETING MATERNAL MORTALITY MATERNAL MORTALITY RATES MEASLES MEDICAL ASSISTANCE MEDICAL ASSOCIATIONS MEDICAL CARE MEDICAL FACILITIES MEDICAL PRACTICE MEDICAL PRACTITIONERS MEDICAL RESEARCH MEDICAL SERVICES MEDICINES MENOPAUSE MENSTRUATION MENTAL MIDWIFERY MIDWIVES MINISTRY OF HEALTH MODERN HEALTH CARE MODERN MEDICINE MORTALITY MOTHER NATIONAL COUNCIL NATIONAL GOVERNMENT NATIONAL POLICY NUMBER OF PEOPLE NURSE NURSES NUTRITION OLDER WOMEN PAINS PARASITIC INFECTIONS PATIENT PATIENTS PEPTIC ULCERS PHARMACEUTICAL COMPANIES PHARMACIES PHARMACY PHYSICIANS PNEUMONIA POSTNATAL CARE PREGNANCY PREVALENCE PRIMARY HEALTH CARE PRIMARY SCHOOL PROSTAGLANDINS PROSTATE PROVISION OF SERVICES PSYCHOLOGISTS PUBLIC HEALTH PUBLIC HEALTH SERVICES PUBLIC HEALTH WORKERS QUALITY CARE QUALITY CONTROL QUALITY OF CARE REPRODUCTIVE HEALTH REPRODUCTIVE HEALTH CARE REPRODUCTIVE HEALTH POLICY REPRODUCTIVE HEALTH SERVICES RESPIRATORY INFECTIONS RESPIRATORY TRACT INFECTIONS ROOMS RURAL AREAS RURAL COMMUNITIES RURAL POPULATIONS RURAL RESIDENTS RURAL WOMEN SAFE MOTHERHOOD SANITATION SANITATION FACILITIES SCHISTOSOMIASIS SECONDARY EDUCATION SECONDARY SCHOOL SELF CARE SERVICE DELIVERY SERVICE PROVISION SEXUALLY TRANSMITTED DISEASE SKIN DISEASES SOCIAL DEVELOPMENT SOCIAL SCIENCE SPECIALISTS SPECIES STD STDS STOMACH SURGERY SYMPTOMS SYNDROME SYPHILIS TB TERTIARY LEVEL THERAPIES TRACHOMA TRADITIONAL BIRTH ATTENDANT TRADITIONAL BIRTH ATTENDANTS TRADITIONAL HEALERS TRADITIONAL HEALTH CARE TRADITIONAL MEDICINE TRANSPORTATION TREATMENT TUBERCULOSIS TYPHOID ULCERS URBAN AREAS VENEREAL DISEASES VIRAL INFECTIONS VIRUS VOMITING WATER BORNE DISEASES WOMAN WORKERS WORLD HEALTH ORGANIZATION WOUNDS YOUNG CHILDREN YOUTH |
| spellingShingle |
AGED AIDS PATIENTS AILMENTS ALTERNATIVE MEDICINE AMOEBIASIS ANEMIA ANTENATAL CARE ARTHRITIS ASTHMA BIRTH ATTENDANT BIRTH ATTENDANTS BIRTHS BURNS CANCERS CAPACITY BUILDING CHILDBIRTH CHLAMYDIA CHOLESTEROL CLINICS COLDS COMMUNITY ACTION COMMUNITY HEALTH COMPLEMENTARY MEDICINE CONJUNCTIVITIS CONVENTIONAL MEDICINE DENTAL CARE DENTIST DENTISTS DEPRESSION DEVELOPING COUNTRIES DIABETES DIAGNOSES DIAGNOSIS DIARRHEA DIARRHOEA DISCRIMINATION DOCTOR DOCTORS DRUGS DYSENTERY ECLAMPSIA EPILEPSY EYE DISEASES FAMILIES FEMALE FEVER FORMAL EDUCATION GOVERNMENT SUPPORT HEADACHE HEALTH CARE HEALTH CARE DELIVERY HEALTH CARE FACILITIES HEALTH CARE PROVIDER HEALTH CARE PROVIDERS HEALTH CARE SERVICES HEALTH CAREDELIVERY HEALTH CENTERS HEALTH EDUCATION HEALTH FACILITIES HEALTH INDICATORS HEALTH POLICY HEALTH POSTS HEALTH PROFESSIONALS HEALTH PROVIDERS HEALTH SECTOR HEALTH SERVICE HEALTH SERVICE DELIVERY HEALTH SERVICE PROVISION HEALTH SERVICES HEALTH SPECIALIST HEALTH SYSTEM HEALTH SYSTEMS HEALTH WORKERS HEALTH WORKFORCE HEALTH- SEEKING BEHAVIOR HEALTH-SEEKING BEHAVIOR HEMORRHAGE HEMORRHOIDS HERBAL REMEDIES HIV HIV/AIDS HOSPITAL HOSPITALS HOUSEHOLD LEVEL HUMAN BEINGS HUMAN DEVELOPMENT HUMAN RESOURCES HYGIENE HYPERTENSION ILLNESS ILLNESSES IMMUNODEFICIENCY INCOME INFANT INFECTION INFLAMMATION INJURIES INSECTICIDAL PROPERTIES INTEGRATION INTERNATIONAL TRADE INTESTINAL PARASITES LEVEL OF EDUCATION LIVER MALARIA MALES MARKETING MATERNAL MORTALITY MATERNAL MORTALITY RATES MEASLES MEDICAL ASSISTANCE MEDICAL ASSOCIATIONS MEDICAL CARE MEDICAL FACILITIES MEDICAL PRACTICE MEDICAL PRACTITIONERS MEDICAL RESEARCH MEDICAL SERVICES MEDICINES MENOPAUSE MENSTRUATION MENTAL MIDWIFERY MIDWIVES MINISTRY OF HEALTH MODERN HEALTH CARE MODERN MEDICINE MORTALITY MOTHER NATIONAL COUNCIL NATIONAL GOVERNMENT NATIONAL POLICY NUMBER OF PEOPLE NURSE NURSES NUTRITION OLDER WOMEN PAINS PARASITIC INFECTIONS PATIENT PATIENTS PEPTIC ULCERS PHARMACEUTICAL COMPANIES PHARMACIES PHARMACY PHYSICIANS PNEUMONIA POSTNATAL CARE PREGNANCY PREVALENCE PRIMARY HEALTH CARE PRIMARY SCHOOL PROSTAGLANDINS PROSTATE PROVISION OF SERVICES PSYCHOLOGISTS PUBLIC HEALTH PUBLIC HEALTH SERVICES PUBLIC HEALTH WORKERS QUALITY CARE QUALITY CONTROL QUALITY OF CARE REPRODUCTIVE HEALTH REPRODUCTIVE HEALTH CARE REPRODUCTIVE HEALTH POLICY REPRODUCTIVE HEALTH SERVICES RESPIRATORY INFECTIONS RESPIRATORY TRACT INFECTIONS ROOMS RURAL AREAS RURAL COMMUNITIES RURAL POPULATIONS RURAL RESIDENTS RURAL WOMEN SAFE MOTHERHOOD SANITATION SANITATION FACILITIES SCHISTOSOMIASIS SECONDARY EDUCATION SECONDARY SCHOOL SELF CARE SERVICE DELIVERY SERVICE PROVISION SEXUALLY TRANSMITTED DISEASE SKIN DISEASES SOCIAL DEVELOPMENT SOCIAL SCIENCE SPECIALISTS SPECIES STD STDS STOMACH SURGERY SYMPTOMS SYNDROME SYPHILIS TB TERTIARY LEVEL THERAPIES TRACHOMA TRADITIONAL BIRTH ATTENDANT TRADITIONAL BIRTH ATTENDANTS TRADITIONAL HEALERS TRADITIONAL HEALTH CARE TRADITIONAL MEDICINE TRANSPORTATION TREATMENT TUBERCULOSIS TYPHOID ULCERS URBAN AREAS VENEREAL DISEASES VIRAL INFECTIONS VIRUS VOMITING WATER BORNE DISEASES WOMAN WORKERS WORLD HEALTH ORGANIZATION WOUNDS YOUNG CHILDREN YOUTH Lambert, John Leonard, Kenneth Mungai, Geoffrey Omindi-Ogaja, Elizabeth Gatheru, Gladys Mirangi, Mirangi Owara, Jennifer Herbst, Christopher H. Ramana, GNV Lemiere, Christophe The Contribution of Traditional Herbal Medicine Practitioners to Kenyan Health Care Delivery : Results from Community Health-seeking Behavior Vignettes and a Traditional Herbal Medicine Practitioner Survey |
| geographic_facet |
Africa Africa Kenya |
| relation |
Health, Nutrition and Population (HNP)
discussion paper; |
| description |
This study examines the role that
Traditional Herbal Medicine Practitioners (THMPs) play in
Kenya in the context of its human resources for health
crisis. Two surveys were carried out to obtain evidence. The
first documented the choices and perceptions of households
in 36 communities on seeking medical assistance for eight
common illnesses. The second survey asked 258 THMPs in five
provinces to identify their knowledge sources, training,
common illnesses treated, forms of payment, challenges, and
concerns. Community-derived data show that households make
reasonable decisions when faced with difficult
circumstances: they prefer hospitals when these are
affordable and seek care at clinics and health centers when
hospitals are too far away. There is significant self-care
and use of pharmacies, although THMPs are preferred for
worms and lower respiratory problems. In general, THMPs
provide an important though diminishing role in the
provision of health care; they are not sought out in
situations when inadequate care is dangerous, specifically
infant diarrhoea and potential TB. Whilst Human Resources
for Health (HRH) policies are urgently required to
strengthen the conventional health workforce and increase
their accessibility for the poor, policies should not ignore
the findings from this study: many of the rural poor
currently receive services from a traditional health
workforce not linked to, or regulated by, the national
government. This paper argues that formal recognition of
their role by the government and by the conventional medical
associations, and a targeted strategy to strengthen and
build on the positive qualities evident in many traditional
medicine practices may be beneficial to safeguarding the
well-being of the poor. |
| format |
Publications & Research :: Working Paper |
| author |
Lambert, John Leonard, Kenneth Mungai, Geoffrey Omindi-Ogaja, Elizabeth Gatheru, Gladys Mirangi, Mirangi Owara, Jennifer Herbst, Christopher H. Ramana, GNV Lemiere, Christophe |
| author_facet |
Lambert, John Leonard, Kenneth Mungai, Geoffrey Omindi-Ogaja, Elizabeth Gatheru, Gladys Mirangi, Mirangi Owara, Jennifer Herbst, Christopher H. Ramana, GNV Lemiere, Christophe |
| author_sort |
Lambert, John |
| title |
The Contribution of Traditional Herbal Medicine Practitioners to Kenyan Health Care Delivery : Results from Community Health-seeking Behavior Vignettes and a Traditional Herbal Medicine Practitioner Survey |
| title_short |
The Contribution of Traditional Herbal Medicine Practitioners to Kenyan Health Care Delivery : Results from Community Health-seeking Behavior Vignettes and a Traditional Herbal Medicine Practitioner Survey |
| title_full |
The Contribution of Traditional Herbal Medicine Practitioners to Kenyan Health Care Delivery : Results from Community Health-seeking Behavior Vignettes and a Traditional Herbal Medicine Practitioner Survey |
| title_fullStr |
The Contribution of Traditional Herbal Medicine Practitioners to Kenyan Health Care Delivery : Results from Community Health-seeking Behavior Vignettes and a Traditional Herbal Medicine Practitioner Survey |
| title_full_unstemmed |
The Contribution of Traditional Herbal Medicine Practitioners to Kenyan Health Care Delivery : Results from Community Health-seeking Behavior Vignettes and a Traditional Herbal Medicine Practitioner Survey |
| title_sort |
contribution of traditional herbal medicine practitioners to kenyan health care delivery : results from community health-seeking behavior vignettes and a traditional herbal medicine practitioner survey |
| publisher |
World Bank, Washington, DC |
| publishDate |
2013 |
| url |
http://documents.worldbank.org/curated/en/2011/09/15433729/contribution-traditional-herbal-medicine-practitioners-kenyan-health-care-delivery-results-community-health-seeking-behavior-vignettes-traditional-herbal-medicine-practitioner-survey http://hdl.handle.net/10986/13588 |
| _version_ |
1764423829798518784 |
| spelling |
okr-10986-135882021-04-23T14:03:08Z The Contribution of Traditional Herbal Medicine Practitioners to Kenyan Health Care Delivery : Results from Community Health-seeking Behavior Vignettes and a Traditional Herbal Medicine Practitioner Survey Lambert, John Leonard, Kenneth Mungai, Geoffrey Omindi-Ogaja, Elizabeth Gatheru, Gladys Mirangi, Mirangi Owara, Jennifer Herbst, Christopher H. Ramana, GNV Lemiere, Christophe AGED AIDS PATIENTS AILMENTS ALTERNATIVE MEDICINE AMOEBIASIS ANEMIA ANTENATAL CARE ARTHRITIS ASTHMA BIRTH ATTENDANT BIRTH ATTENDANTS BIRTHS BURNS CANCERS CAPACITY BUILDING CHILDBIRTH CHLAMYDIA CHOLESTEROL CLINICS COLDS COMMUNITY ACTION COMMUNITY HEALTH COMPLEMENTARY MEDICINE CONJUNCTIVITIS CONVENTIONAL MEDICINE DENTAL CARE DENTIST DENTISTS DEPRESSION DEVELOPING COUNTRIES DIABETES DIAGNOSES DIAGNOSIS DIARRHEA DIARRHOEA DISCRIMINATION DOCTOR DOCTORS DRUGS DYSENTERY ECLAMPSIA EPILEPSY EYE DISEASES FAMILIES FEMALE FEVER FORMAL EDUCATION GOVERNMENT SUPPORT HEADACHE HEALTH CARE HEALTH CARE DELIVERY HEALTH CARE FACILITIES HEALTH CARE PROVIDER HEALTH CARE PROVIDERS HEALTH CARE SERVICES HEALTH CAREDELIVERY HEALTH CENTERS HEALTH EDUCATION HEALTH FACILITIES HEALTH INDICATORS HEALTH POLICY HEALTH POSTS HEALTH PROFESSIONALS HEALTH PROVIDERS HEALTH SECTOR HEALTH SERVICE HEALTH SERVICE DELIVERY HEALTH SERVICE PROVISION HEALTH SERVICES HEALTH SPECIALIST HEALTH SYSTEM HEALTH SYSTEMS HEALTH WORKERS HEALTH WORKFORCE HEALTH- SEEKING BEHAVIOR HEALTH-SEEKING BEHAVIOR HEMORRHAGE HEMORRHOIDS HERBAL REMEDIES HIV HIV/AIDS HOSPITAL HOSPITALS HOUSEHOLD LEVEL HUMAN BEINGS HUMAN DEVELOPMENT HUMAN RESOURCES HYGIENE HYPERTENSION ILLNESS ILLNESSES IMMUNODEFICIENCY INCOME INFANT INFECTION INFLAMMATION INJURIES INSECTICIDAL PROPERTIES INTEGRATION INTERNATIONAL TRADE INTESTINAL PARASITES LEVEL OF EDUCATION LIVER MALARIA MALES MARKETING MATERNAL MORTALITY MATERNAL MORTALITY RATES MEASLES MEDICAL ASSISTANCE MEDICAL ASSOCIATIONS MEDICAL CARE MEDICAL FACILITIES MEDICAL PRACTICE MEDICAL PRACTITIONERS MEDICAL RESEARCH MEDICAL SERVICES MEDICINES MENOPAUSE MENSTRUATION MENTAL MIDWIFERY MIDWIVES MINISTRY OF HEALTH MODERN HEALTH CARE MODERN MEDICINE MORTALITY MOTHER NATIONAL COUNCIL NATIONAL GOVERNMENT NATIONAL POLICY NUMBER OF PEOPLE NURSE NURSES NUTRITION OLDER WOMEN PAINS PARASITIC INFECTIONS PATIENT PATIENTS PEPTIC ULCERS PHARMACEUTICAL COMPANIES PHARMACIES PHARMACY PHYSICIANS PNEUMONIA POSTNATAL CARE PREGNANCY PREVALENCE PRIMARY HEALTH CARE PRIMARY SCHOOL PROSTAGLANDINS PROSTATE PROVISION OF SERVICES PSYCHOLOGISTS PUBLIC HEALTH PUBLIC HEALTH SERVICES PUBLIC HEALTH WORKERS QUALITY CARE QUALITY CONTROL QUALITY OF CARE REPRODUCTIVE HEALTH REPRODUCTIVE HEALTH CARE REPRODUCTIVE HEALTH POLICY REPRODUCTIVE HEALTH SERVICES RESPIRATORY INFECTIONS RESPIRATORY TRACT INFECTIONS ROOMS RURAL AREAS RURAL COMMUNITIES RURAL POPULATIONS RURAL RESIDENTS RURAL WOMEN SAFE MOTHERHOOD SANITATION SANITATION FACILITIES SCHISTOSOMIASIS SECONDARY EDUCATION SECONDARY SCHOOL SELF CARE SERVICE DELIVERY SERVICE PROVISION SEXUALLY TRANSMITTED DISEASE SKIN DISEASES SOCIAL DEVELOPMENT SOCIAL SCIENCE SPECIALISTS SPECIES STD STDS STOMACH SURGERY SYMPTOMS SYNDROME SYPHILIS TB TERTIARY LEVEL THERAPIES TRACHOMA TRADITIONAL BIRTH ATTENDANT TRADITIONAL BIRTH ATTENDANTS TRADITIONAL HEALERS TRADITIONAL HEALTH CARE TRADITIONAL MEDICINE TRANSPORTATION TREATMENT TUBERCULOSIS TYPHOID ULCERS URBAN AREAS VENEREAL DISEASES VIRAL INFECTIONS VIRUS VOMITING WATER BORNE DISEASES WOMAN WORKERS WORLD HEALTH ORGANIZATION WOUNDS YOUNG CHILDREN YOUTH This study examines the role that Traditional Herbal Medicine Practitioners (THMPs) play in Kenya in the context of its human resources for health crisis. Two surveys were carried out to obtain evidence. The first documented the choices and perceptions of households in 36 communities on seeking medical assistance for eight common illnesses. The second survey asked 258 THMPs in five provinces to identify their knowledge sources, training, common illnesses treated, forms of payment, challenges, and concerns. Community-derived data show that households make reasonable decisions when faced with difficult circumstances: they prefer hospitals when these are affordable and seek care at clinics and health centers when hospitals are too far away. There is significant self-care and use of pharmacies, although THMPs are preferred for worms and lower respiratory problems. In general, THMPs provide an important though diminishing role in the provision of health care; they are not sought out in situations when inadequate care is dangerous, specifically infant diarrhoea and potential TB. Whilst Human Resources for Health (HRH) policies are urgently required to strengthen the conventional health workforce and increase their accessibility for the poor, policies should not ignore the findings from this study: many of the rural poor currently receive services from a traditional health workforce not linked to, or regulated by, the national government. This paper argues that formal recognition of their role by the government and by the conventional medical associations, and a targeted strategy to strengthen and build on the positive qualities evident in many traditional medicine practices may be beneficial to safeguarding the well-being of the poor. 2013-05-28T21:40:00Z 2013-05-28T21:40:00Z 2011-09 http://documents.worldbank.org/curated/en/2011/09/15433729/contribution-traditional-herbal-medicine-practitioners-kenyan-health-care-delivery-results-community-health-seeking-behavior-vignettes-traditional-herbal-medicine-practitioner-survey http://hdl.handle.net/10986/13588 English en_US Health, Nutrition and Population (HNP) discussion paper; CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo/ World Bank World Bank, Washington, DC Publications & Research :: Working Paper Publications & Research Africa Africa Kenya |