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Traditional medicine used in childbirth and for childhood diarrhoea in Nigeria's Cross River State: Interviews with traditional practitioners and a statewide cross-sectional study

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dc.creatorSarmiento, Iván
dc.creatorZuluaga, Germán
dc.creatorAndersson, Neil
dc.creator.googleSarmiento, Ivánspa
dc.creator.googleZuluaga, Germánspa
dc.creator.googleAndersson, Nelispa
dc.date.accessioned2020-04-02T20:26:04Z
dc.date.available2020-04-02T20:26:04Z
dc.date.created2016
dc.date.issued2016
dc.description.abstractObjectives: Examine factors associated with use of traditional medicine during childbirth and in management of childhood diarrhoea. Design: Cross-sectional cluster survey, household interviews in a stratified last stage random sample of 90 census enumeration areas; unstructured interviews with traditional doctors. Setting: Oil-rich Cross River State in south-eastern Nigeria has 3.5 million residents, most of whom depend on a subsistence agriculture economy. Participants: 8089 women aged 15-49 years in 7685 households reported on the health of 11 305 children aged 0-36 months in July-August 2011. Primary and secondary outcome measures: Traditional medicine used at childbirth and for management of childhood diarrhoea; covariates included access to Western medicine and education, economic conditions, engagement with the modern state and family relations. Cluster-adjusted analysis relied on the Mantel-Haenszel procedure and Mantel extension. Results: 24.1% (1371/5686) of women reported using traditional medicine at childbirth; these women had less education, accessed antenatal care less, experienced more family violence and were less likely to have birth certificates for their children. 11.3% (615/ 5425) of young children with diarrhoea were taken to traditional medical practitioners; these children were less likely to receive BCG, to have birth certificates, to live in households with a more educated head, or to use fuel other than charcoal for cooking. Education showed a gradient with decreasing use of traditional medicine for childbirth (χ2 135.2) and for childhood diarrhoea (χ2 77.2). Conclusions: Use of traditional medicine is associated with several factors related to cultural transition and to health status, with formal education playing a prominent role. Any assessment of the effectiveness of traditional medicine should anticipate confounding by these factors, which are widely recognised to affect health in their own right.eng
dc.format.mimetypeapplication/pdf
dc.identifier.doihttps://doi.org/10.1136/bmjopen-2015-010417
dc.identifier.issn2044-6055
dc.identifier.urihttps://repository.urosario.edu.co/handle/10336/21435
dc.language.isoengspa
dc.relation.citationIssueNo. 4
dc.relation.citationTitleBMJ Open
dc.relation.citationVolumeVol. 6
dc.relation.ispartofBMJ Open, ISSN: 2044-6055 Vol. 6, No. 4 (2016)spa
dc.relation.urihttps://bmjopen.bmj.com/content/bmjopen/6/4/e010417.full.pdfspa
dc.rights.accesRightsinfo:eu-repo/semantics/openAccess
dc.rights.accesoAbierto (Texto Completo)spa
dc.source.instnameinstname:Universidad del Rosario
dc.source.reponamereponame:Repositorio Institucional EdocUR
dc.subjectadolescentspa
dc.subjectbirth certificatespa
dc.subjectchildbirthspa
dc.subjectchildhood diseasespa
dc.subjectdiarrheaspa
dc.subjectfamily relationspa
dc.subjecthealth educationspa
dc.subjecthealth statusspa
dc.subjecthealth surveyspa
dc.subjecthouseholdspa
dc.subjectinfantspa
dc.subjectmajor clinical studyspa
dc.subjectnewbornspa
dc.subjectphysicianspa
dc.subjectprenatal carespa
dc.subjecttraditional birth attendantspa
dc.subjecttraditional medicinespa
dc.subjectwestern medicinespa
dc.subjectbirthspa
dc.subjectdiarrheaspa
dc.subjectmultivariate analysisspa
dc.subjectNigeriaspa
dc.subjectpregnancyspa
dc.subjectproceduresspa
dc.subjectself reportspa
dc.subjectsocioeconomicsspa
dc.subjectstandardsspa
dc.subjecttraditional medicinespa
dc.subjectyoung adultspa
dc.subjectAdolescentspa
dc.subjectCross-Sectional Studiesspa
dc.subjectDiarrheaspa
dc.subjectMultivariate Analysisspa
dc.subjectNigeriaspa
dc.subjectParturitionspa
dc.subjectPregnancyspa
dc.subjectPrenatal Carespa
dc.subjectSelf Reportspa
dc.subjectSocioeconomic Factorsspa
dc.subjectYoung Adultspa
dc.subject.ddcFarmacología & terapéuticaspa
dc.subject.keywordTraditionaleng
dc.subject.keywordArticlespa
dc.subject.keywordchildspa
dc.subject.keywordcross-sectional studyspa
dc.subject.keywordfemalespa
dc.subject.keywordhumanspa
dc.subject.keywordoutcome assessmentspa
dc.subject.keywordmiddle agedspa
dc.subject.keywordrisk factorspa
dc.subject.keywordAdultspa
dc.subject.keywordFemalespa
dc.subject.keywordHumansspa
dc.subject.keywordMedicineeng
dc.subject.keywordMiddle Agedspa
dc.subject.keywordRisk Factorsspa
dc.subject.lembMedicina tradicionalspa
dc.subject.lembPartospa
dc.subject.lembDiarrea infantilspa
dc.titleTraditional medicine used in childbirth and for childhood diarrhoea in Nigeria's Cross River State: Interviews with traditional practitioners and a statewide cross-sectional studyspa
dc.typearticleeng
dc.type.hasVersioninfo:eu-repo/semantics/publishedVersion
dc.type.spaArtículospa
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