Traditional Medicine Usage for Cutaneous Leishmaniasis in Kallu District, South Wollo, Ethiopia

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Date

2023-01

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Addis Ababa University

Abstract

Background: Cutaneous leishmaniasis is neglected tropical disease that is endemic in many parts of the world, including Ethiopia. In Ethiopia, diagnostic and treatment facilities for cutaneous leishmaniasis are limited. As a result, traditional healthcare is a locally available resource that patients turn to. However, there is limited evidence on the use of traditional medicine and resources in Kallu district of the Amhara region. Objective: The aim of this study was to explore traditional medicine use and sources for treatment of cutaneous leishmaniasis in Kallu district, South Wollo, Ethiopia. Methods: A qualitative study using phenomenological study approach was conducted in Kallu district, Ethiopia. The data collection was through in-depth interviews, key informant interviews and participatory observation. Purposive sampling using maximum variation was used to recruit participants for in-depth interview with cutaneous leishmaniasis patients, snowball sampling for key-informant interviews with traditional healers and criterion sampling for community leaders. The data was analyzed thematically using MAXQDA 2022 software. Results: Participants reported using local treatment options first, usually from traditional healers, to treat cutaneous leishmaniasis. Plant-based medicines are the main source of traditional medicine. Several reasons led participants to use local treatments, including limited access to and duration of modern treatment, lack of awareness, high cost of modern healthcare, belief in traditional healers' expertise and traditional medicine, and recommendations from their social circle. Conclusion: The findings of this study indicated the use of traditional medicines, which are primarily derived from plant sources, as a first treatment option for cutaneous leishmaniasis. This choice is primarily driven by factors such as awareness, accessibility, affordability, personal beliefs, and recommendations from trusted individuals. To promote the adoption of modern healthcare, efforts should focus on enhancing awareness, improving accessibility, and reducing costs. Collaboration with community leaders, former patients, and local healers is also crucial.

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Keywords

Traditional medicine, Traditional healer, cutaneous leishmaniasis, local treatment, pattern of resort, sources of traditional medicine, Kallu district, Ethiopia

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