A qualitative exploration of traditional medicine use in maternal health: experiences of healthcare providers in selected health care facilities in Zambia
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20254414Keywords:
Experiences, Labour and child birth, Traditional medicineAbstract
Background: Traditional medicine (TM) remains widely used by women in Zambia, especially during pregnancy and childbirth. Over the past years, researchers have tried to address the safe integration of TM in maternal health. Use of traditional medicine remains a dilemma to the Health Care Workers (HCWs) who have limited or no knowledge on the effects. This study explored the experiences of healthcare workers regarding use of traditional medicine among women during maternal healthcare.
Methods: A phenomenological design was conducted in Lusaka, Solwezi and Kaoma districts of Zambia between November 2020 and February 2021. In-depth interview (IDI) guide was used to collect data. A total of 80 HCWs participated in the study, of which majority (n=62) were Front line HCWs working in the Maternal health units and the remainder were Policy makers and programme coordinators serving at district, provincial and national level (n=18). Thematic analysis was used to identify key themes.
Results: HCWs reported mixed experiences. While some acknowledged the cultural significance of traditional practices, many raised concerns about their harmful effects, particularly during labor and delivery.
Conclusions: Observed a multifaceted mixture of cultural, personal and systemic constraints regarding use of traditional medicines in general. These findings confirm presence of a complex, tension-filled terrain shaped by systemic gaps, cultural beliefs and professional vulnerabilities spread across rural urban contexts in this population.
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References
Gamberini C, Angeli F, Ambrosino E. Exploring solutions to improve antenatal care in resource-limited settings: an expert consultation. BMC Pregn Childbirth. 2022;22(1):449. DOI: https://doi.org/10.1186/s12884-022-04778-w
Mponda JS, Muula AS, Choko A, Ajuwon AJ, Moody JO. Traditional medicine regulation status and challenges in Malawi and Nigeria. BMC Complement Med Ther. 2025;25(1):53. DOI: https://doi.org/10.1186/s12906-025-04812-2
Mutombo PN, Kasilo OMJ, James PB, Wardle J, Kunle O, Katerere D, et al. Experiences and challenges of African traditional medicine: lessons from COVID-19 pandemic. BMJ Glob Health. 2023;8(8):10813. DOI: https://doi.org/10.1136/bmjgh-2022-010813
WHO. Traditional medicine. 2023. Available at: https://www.who.int/news-room/questions-and-answers/item/traditional-medicine. Accessed on 21 August 2025.
Mweemba C, Mapulanga M, Jacobs C, Katowa-Mukwato P, Maimbolwa M. Access barriers to maternal healthcare services in selected hard-to-reach areas of Zambia: a mixed methods design. Pan Afr Med J. 2021;40:4. DOI: https://doi.org/10.11604/pamj.2021.40.4.28423
El Hajj M, Sitali DC, Vwalika B, Holst L. ‘Back to Eden’: An explorative qualitative study on traditional medicine use during pregnancy among selected women in Lusaka Province, Zambia. Complement Ther Clin Pract. 2020;40:101225. DOI: https://doi.org/10.1016/j.ctcp.2020.101225
Makombe D, Thombozi E, Chilemba W, Mboma A, Banda KJ, Mwakilama E. Herbal medicine use during pregnancy and childbirth: perceptions of women living in Lilongwe rural, Malawi – a qualitative study. BMC Womens Health. 2023;23(1):228. DOI: https://doi.org/10.1186/s12905-023-02387-z
Shewamene Z, Dune T, Smith CA. The use of traditional medicine in maternity care among African women in Africa and the diaspora: a systematic review. BMC Complement Altern Med. 2017;17:382. DOI: https://doi.org/10.1186/s12906-017-1886-x
Akbar S. Handbook of 200 medicinal plants: a comprehensive review of their traditional medical uses and scientific justifications. 2020. DOI: https://doi.org/10.1007/978-3-030-16807-0
Ghayebie Motlagh E, Davoudi N, Bakhshi M, Ghasemi A, Karimi Moonaghi H. The conflict between the beliefs of the health care providers and family caregivers in the use of traditional medicine in pediatric oncology: an ethnographic study. J Caring Sci. 2022;12(1):64–72. DOI: https://doi.org/10.34172/jcs.2023.31790
Backes EP, Scrimshaw SC, National Academies of Sciences, Engineering, and Medicine. Maternal and newborn outcomes by birth setting. In Birth settings in America: Outcomes, quality, access, and choice. 2020. DOI: https://doi.org/10.17226/25636