Current Status and Future of Traditional, Complementary and Integrative Medicine in Nigeria

http://www.doi.org/10.26538/tjnpr/v7i12.5

Authors

  • Sanjoy K. Pal Department of Biological Sciences, School of SSIT, #2 Zaria Road, Skyline University Nigeria, Kano, Nigeria
  • Isa U. Lawal School of Basic Medical Sciences, #2 Zaria Road, Skyline University Nigeria, Kano, Nigeria

Keywords:

Alternative Medicine, Nigeria, Africa, traditional Medicine, CAM

Abstract

Globally a large proportion of people use some form of Complementary and Alternative Medicine (CAM). In Africa and especially in Nigeria herbal and traditional medicine is very popular probably because of its holistic nature blending it with the cultural milieu. Despite the remarkable efforts made by the Nigerian government in promoting traditional therapies it has still not moved to a comfortable position. In primary healthcare of the marginalized people CAM can play an important role in developing countries such as Nigeria. However, many CAM practices do not have sufficient scientific data to prove its efficacy, hence still considered as quackery. Moreover, to produce good CAM practitioners it is essential for the students to get adequate training and education. Very few Nigerian universities offer course on CAM or traditional African medicine. Recently, National Universities Commission has revamped the undergraduate curriculum for Nigerian universities i.e., Core Curriculum and Minimum Academic Standards (CCMAS) for the Nigerian University System. Complementary and Alternative Medicine studies is now included under the Allied Health Sciences as an independent degree program. This may encourage many universities to start CAM studies in Nigeria. Various established CAM practices like Ayurveda, homeopathy, naturopathy, herbal medicine, traditional Chinese medicine, etc., has now been successfully integrated with conventional medical care in countries like India, China and Ghana. Efforts should be made so that useful CAM practices can be integrated into the standard medical care in Nigeria in the future.

References

World Health Organism. Traditional, complementary and integrative medicine. https://tinyurl.com/4c9c65ks

Powell SK. Integrative Medicine and Case Management. Prof Case Manag. 2016; 21(3): 111 - 113.

Rayner JA, Willis K, Pirotta M. What’s in a name: integrative medicine or simply good medical practice? Fam Pract. 2011; 28: 655-660.

Pirotta M, Kotsirilos V, Brown J, Adams J, Morgan T, Williamson M. Complementary medicine in general practice: a national survey of GP attitudes and knowledge. Aust Fam Physician. 2010; 39 (12): 946-950.

Academic Consortium for Integrative Medicine & Health. https://imconsortium.org/about/history/

Deng G. Integrative medicine therapies for pain management in cancer patients. Cancer J. 2019; 25(5): 343-348.

Cukaci C, Freissmuth M, Mann C, Marti J, Sperl V. Against all odds-the persistent popularity of homeopathy. Wien Klin Wochenschr. 2020; 132(9): 232-242.

Ragozin BV. The history of the development of Ayurvedic medicine in Russia. Anc Sci Life. 2016; 35(3): 143 - 149.

Anon. The World Health Organization gives the nod to traditional Chinese medicine. Bad idea. Sci American 320, 4, 6 (April 2019). doi:10.1038/scientificamerican0419-6

Fu M, Meng X, Li Z. Analysis the characteristics of traditional Chinese medicine in English literature development in modern history. Ann Palliat Med. 2021; 10(8): 9251-9258.

Okpako DT. Traditional African medicine: theory and pharmacology explored. Trends Pharmacol Sci. 1999; 20(12): 482-485. doi: 10.1016/s0165-6147(99)01406-6.

Fokunang CN, Ndikum V, Tabi OY, Jiofack RB, Ngameni B, Guedje NM, Tembe-Fokunang EA, Tomkins P, Barkwan S, Kechia F, Asongalem E, Ngoupayou J, Torimiro NJ, Gonsu KH, Sielinou V, Ngadjui BT, Angwafor III, F, Nkongmeneck A, Abena OM, J Ngogang J, Asonganyi T, Clizzi V, Lohoue J, Kamsu-Kom. Traditional medicine: past, present and future research and development prospects and integration in the National Health System of Cameroon. Afr J Tradit Complement Altern Med. 2011; 8(3): 284-295.

James PB, Wardle J, Steel A, Adams J. Traditional, Complementary and Alternative Medicine use in Sub-Saharan Africa: a systematic review. BMJ Glob Health. 2018; 3(5):e000895. doi:10.1136/bmjgh-2018-000895

Pal SK. Complementary and alternative medicine: an overview. Cur Sci. 2002; 82(5): 518 - 524.

Cohen MH. Complementary and integrative medical therapies, the FDA, and the NIH: definitions and regulation. Dermat Ther. 2003; 16: 77 - 84.

Eisenberg DM, Davis RB, Ettner SL, Appel S, Wilkey S, Van Rompay M, Kessler RC. Trends in alternative medicine use in the United States, 1990–1997: results of a follow-up national survey. JAMA. 1998; 280: 1569 -1575.

Fjær EL, Landet ER, McNamara CL, Eikemo TA. The use of complementary and alternative medicine (CAM) in Europe. BMC Complement Med Ther. 2020; 20(1): 108. doi: 10.1186/s12906-020-02903-w.

Warriner S, Bryan K, Brown AM. Women's attitude towards the use of complementary and alternative medicines (CAM) in pregnancy. Midwifery. 2014; 30(1): 138-143.

Corp N, Jordan J L, Croft PR. Justifications for using complementary and alternative medicine reported by persons with musculoskeletal conditions: A narrative literature synthesis. PLoS One 2018. eCollection https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6053199/

Baig S, DiRenzo DD. Complementary and alternative medicine use in rheumatoid arthritis. Curr Rheumatol Rep. 2020; 22(10): 61. doi: 10.1007/s11926-020-00938-z.

Jones VA, Patel PM, Wilson C, Wang H, Ashack KA. Complementary and alternative medicine treatments for common skin diseases: A systematic review and meta-analysis. JAAD Int. 2020; 26(2): 76-93.

Busari AA, Mufutau MA. High prevalence of complementary and alternative medicine use among patients with sickle cell disease in a tertiary hospital in Lagos, South West, Nigeria. BMC Complement Altern Med. 2017; 17(1): 299. doi: 10.1186/s12906-017-1812-2.

Wells RE, Beuthin J, Granetzke L. Complementary and Integrative Medicine for episodic migraine: an update of evidence from the last 3 years. Curr Pain Headache Rep. 2019; 23(2): 10. doi: 10.1007/s11916-019-0750-8.

Knecht K, Kinder D, Stockert A. Biologically-based complementary and alternative medicine (CAM) use in cancer patients: the good, the bad, the misunderstood. Front Nut. 2020; 6: (196) doi: 10.3389/fnut.2019.00196.

Alhazmi LSS, Bawadood MAA, Aljohani AMS, Alzahrani AAR, Moshref L, Trabulsi N, Moshref R. Pain Management in Breast Cancer Patients: A Multidisciplinary Approach. Cureus. 2021; 13(6): e15994. doi: 10.7759/cureus.15994.

Littlewood RA, Vanable PA. A global perspective on complementary and alternative medicine use among people living with HIV/AIDS in the era of antiretroviral treatment. Curr HIV/AIDS Rep. 2011; 8(4): 257-268.

Ilori T, Akintayo AD, Adewale BA, Oyetola EO. Knowledge, attitude and practice of Nigerian medical students towards complementary and alternative medicine in covid-19 management. Ann Ibd Pg Med. 2021; 19 (Suppl 1): S22 - S30.

Laksemi DAAS, Sukrama DM, Sudarmaja M, Damayanti PAA, Swastika K, Diarthini NLPE, Astawa NM, Tunas K. Medicinal plants as recent complementary and alternative therapy for COVID-19: A review. Trop J Nat Prod Res. 2020; 4(12):1025-1032.

Akinola OB. Should complementary and alternative medicine familiarization modules be taught in African medical schools? Zhong Xi Yi Jie He Xue Bao. 2011; 9(11): 1165-1169.

Onyiapat JLE, Okoronkwo IL, Ogbonnaya NP. Complementary and alternative medicine use among adults in Enugu, Nigeria. BMC Complement Altern Med. 2011; 11 (19): doi: 10.1186/1472-6882-11-19.

Aliyu UM, Awosan KJ, Oche MO, Taiwo AO, Jimoh AO, Okuofo EC. Prevalence and correlates of complementary and alternative medicine use among cancer patients in Usmanu Danfodiyo university teaching hospital, Sokoto, Nigeria. Niger J Clin Pract. 2017; 20(12): 1576-1583.

Ala AO, Ojo OA, Enikuomehin CA, Ajani GO, Olamoyegun MA, Akinlade AT, Olabode OR. Prevalence and determinants of complementary and alternative medicine (CAM) use among diabetes patients in Southwestern Nigeria. West Afr J Med. 2020; 37(5): 528-536.

Ogbera AO, Dada O, Adeyeye F, Jewo PI. Complementary and alternative medicine use in diabetes mellitus. West Afr J Med. 2010; 29(3): 158-162.

Osamor PE, Owumi BE. Complementary and alternative medicine in the management of hypertension in an urban Nigerian community. BMC Complement Altern Med. 2010; 10 (36): doi: 10.1186/1472-6882-10-36.

Amira OC, Okubadejo NU. Frequency of complementary and alternative medicine utilization in hypertensive patients attending an urban tertiary care centre in Nigeria. BMC Complement Altern Med. 2007; 7(30): doi: 10.1186/1472-6882-7-30.

Busari AA, Mufutau MA. High prevalence of complementary and alternative medicine use among patients with sickle cell disease in a tertiary hospital in Lagos, South West, Nigeria. BMC Complement Altern Med. 2017; 17(1): 299.

Oshikoya KA, Senbanjo IO, Njokanma OF, Soipe A. Use of complementary and alternative medicines for children with chronic health conditions in Lagos, Nigeria. BMC Complement Altern Med. 2008; 8(66): doi: 10.1186/1472-6882-8-66.

Ahwinahwi US, Odili VU, Ogubere J. Benefits and extent of CAM use among persons living with HIV attending an antiretroviral therapy clinic in Warri, Nigeria. Int J Pharm Pract. 2018; 26(4): 351-355.

Ekwunife OI, Oreh C, Ubaka CM. Concurrent use of complementary and alternative medicine with antiretroviral therapy reduces adherence to HIV medications. Int J Pharm Pract. 2012; 20(5): 340-343.

Mbada CE, Adeyemi TL, Adedoyin RA, Badmus HD, Awotidebe TO, Arije OO, Omotosho OS. Prevalence and modes of complementary and alternative medicine use among peasant farmers with musculoskeletal pain in a rural community in South-Western Nigeria. BMC Complement Altern Med. 2015; 15(164): doi: 10.1186/s12906-015-0695-3.

Adebisi IM, Bakare, UA, Umaru, ML. Medicinal plants used in the treatment of pregnancy related problems in Sokoto State, Nigeria. Trop J Nat Prod Res. 2018; 2(11): 466–470.

Obalum DC, Ogo CN. Usage of Complementary and Alternative Medicine (CAM) among osteoarthritis patients attending an urban multi-specialist hospital in Lagos, Nigeria. Niger Postgrad Med J. 2011; 18(1): 44-47.

Ezeome ER, Anarado AN. Use of complementary and alternative medicine by cancer patients at the university of Nigeria teaching hospital, Enugu, Nigeria. BMC Complement Altern Med. 2007; 7(28): doi: 10.1186/1472-6882-7-28.

Ajah LO, Ezegwui HU, Ajah MI, Iyoke CA, Dim CC, Nwankwo TO, Umeh AU, Iketuonye A. The outcome of complementary and alternative medicine use among pregnant women in South-East Nigeria: a multi-centre prospective study. J Obstet Gynaecol. 2021; 42(4): 557-562.

Cohen MH. Complementary and alternative medicine: legal boundaries and regulatory perspectives. Baltimore: Johns Hopkins University Press, 1998.

Shriram S. The untold story of plight of Ayurveda in pre and post-independent India. J Health Adm Ethics. 2020; 6(1): 26-34.

Halpern M. A review of the evolution of Ayurveda in the United States. Altern Ther Health Med. 2018; 24(1): 12-14.

Samal J. Role of AYUSH workforce, therapeutics, and principles in health care delivery with special reference to National Rural Health Mission. Ayu. 2015; 36(1): 5-8.

National Center for Complementary and Integrative Health (NCCIH). https://tinyurl.com/2p89y5ew

Ng JY. The regulation of complementary and alternative medicine professions in Ontario, Canada. Integr Med Res. 2020; 9(1): 12-16.

Wang S, Long S, Wu W. Application of Traditional Chinese Medicines as personalized therapy in human Cancers. Am J Chin Med 2018; 6(5): 953-970.

Nambiar D, Narayan VV, Josyula LK, Porter JD, Sathyanarayana TN, Sheikh K. Experiences and meanings of integration of TCAM (Traditional, Complementary and Alternative Medical) providers in three Indian states: results from a cross-sectional, qualitative implementation research study. BMJ Open. 2014; 4:11 e005203. doi: 10.1136/bmjopen-2014-005203.

Kaur J, Hamajima N, Yamamoto E, Saw YM, Kariya T, Soon GC, Amin A, Halim AN, Aziz FA, Sharon SH. Patient satisfaction on the utilization of traditional and complementary medicine services at public hospitals in Malaysia. Complement Ther Med. 2019; (42): 422-428.

Ong SC, Yeong SW, Azman N, Tan BY, Shafie AA, Ooi GS, Harun SN. Factors predicting traditional and complementary medicine use among the general public in Malaysia. Trop J Nat Prod Res. 2022; 6(7): 1165-1173.

Caballero-Hernández CI, González-Chávez SA, Urenda-Quezada A, Reyes-Cordero GC, Peláez-Ballestas I, Álvarez-Hernández E, Pacheco-Tena C. Prevalence of complementary and alternative medicine despite limited perceived efficacy in patients with rheumatic diseases in Mexico: Cross-sectional study. PLoS One. 2021; 16(9): e0257319. doi: 10.1371/journal.pone.0257319.

Hori S, Mihaylov I, Vasconcelos JC, McCoubrie M. Patterns of complementary and alternative medicine use amongst outpatients in Tokyo, Japan. BMC Complement Altern Med 2008; 8:14. doi: 10.1186/1472-6882-8-14.

Seo HJ, Baek SM, Kim SG, Kim TH, Choi SM. Prevalence of complementary and alternative medicine use in a community-based population in South Korea: a systematic review. Complement Ther Med. 2013; 21: 260-271.

Duke K. A century of CAM in New Zealand: a struggle for recognition. Complement Ther Clin Pract. 2005; 11: 11–16.

Boccolini PDMM, Boclin KDLS, Sousa IMCD, Boccolini CS. Prevalence of complementary and alternative medicine use in Brazil: results of the National Health Survey, 2019. BMC Complement Med Ther. 2022; Aug 2; 22(1):205. doi: 10.1186/s12906-022-03687-x.

Naja F, Alameddine M, Itani L, Shoaib H, Hariri D, Talhouk S. The use of complementary and alternative medicine among Lebanese adults: results from a national survey. Evid Based Complement Alternat Med. 2015; 682397. doi: 10.1155/2015/682397.

Peltzer K, Pengpid S, Puckpinyo A, Yi S, Anh LV. The utilization of traditional, complementary and alternative medicine for non-communicable diseases and mental disorders in health care patients in Cambodia, Thailand and Vietnam. BMC Complement Altern Med. 2016; 16(92): doi: 10.1186/s12906-016-1078-0.

Awodele O, Amagon KI, Wannang NW, Aguiyi JC. Traditional medicine policy and regulation in Nigeria: an index of herbal medicine safety. Curr Drug Saf. 2014; 9(1): 16-22.

Adebayo AK, Taiwo A, Toyosi AT. An appraisal of laws and regulatory mechanisms on traditional methods of healing in Nigeria. Crescent Univ Law J. 2021; 6: 84-96.

Federal Ministry of Health. Traditional, Complementary & Alternative Medicine. https://tinyurl.com/2p8axcxt.

Ailemen A. FG approves bill for establishment of council for traditional, alternative and complementary medicine practice in Nigeria. 2020; Business Day, Oct 21. https://tinyurl.com/5dpd5tus

Ojonugwa AF, Gwom GS. The role and challenges of the National Agency for Food and Drug Administration and regulation of alternative medicine in Nigeria. Wolverhampton Law J. 2021; 52. https://www.wlv.ac.uk/research/institutes-and-centres/law-research-centre/wolverhampton-law-journal/

Azeez YA, Isholab AS. Alternative medicine in Nigeria: the legal framework. In the proceedings of International Conference on Language literature, culture and education, held in Malaysia on 25-26 April 2015; ICLLCE (2015-90): 62 – 71.

Osuide GE. Chapter 21 - Regulation of herbal medicines in Nigeria: the role of the National Agency for Food and Drug Administration and Control (NAFDAC). Adv Phytomedicine. 2002; 1: 249 - 258.

Tahzib F, Daniel SO. Traditional medicine and the modern medical curriculum. The Lancet. 1986; 328: 203-204.

Anon. Give degrees in Traditional medicine, Minister urges Universities. 2019; Vanguard August 31. https://tinyurl.com/mutrsx2y

Ojerinde D. Three varsities to begin degree programs in herbal medicine. 2018 Punch, 29 May. https://punchng.com/three-varsities-to-begin-degree-programmes-in-herbal-medicine/

CCMAS: Allied Health Sciences (New). 2022; https://nuc-ccmas.ng/download/ccmas-allied-health-sciences/

Mahomoodally MF. Traditional medicines in Africa: an appraisal of ten potent African medicinal plants. Evid Based Complementary Altern Med. 2013; Article ID 617459,

Anon. African traditional medicine struggles to find its place within health care. CMAJ. 2012; 184(16): E831 – E832.

Oguntibeju OO. African traditional medicine: relevance, regulation, potential challenges and possible remedies. Asian J Agric & Biol. 2019; 7(1): 166-175.

Pal SK, Shukla Y. Herbal medicine: past present and the future. Asian Pac J Cancer Prev. 2003; 4: 281 – 288.

Jaiswal YS, Williams LL. A glimpse of Ayurveda: The forgotten history and principles of Indian. J Tradit Complement Med. 2017; 7(1): 50–53.

Ayurvedic medicine: In depth. National Centre for Complementary and Integrative Health. https://www.nccih.nih.gov/health/ayurvedic-medicine-in-depth

Zhang Q, Zhou J, Zhang B. Computational traditional Chinese medicine diagnosis: a literature survey. Computers in Biology and Medicine. 2021; 133: https://doi.org/10.1016/j.compbiomed.2021.104358

Smith K. "Homeopathy is unscientific and unethical". Bioethics. 2012; 26(9): 508–512. doi:10.1111/j.1467-8519.2011.01956.x

The European Committee for Homeopathy. https://homeopathyeurope.org/regulatory-status/

Yoga: What you need to know. National Centre for Complementary and Integrative Health. https://www.nccih.nih.gov/health/yoga-what-you-need-to-know

Naturopathy. National Centre for Complementary and Integrative Health. https://www.nccih.nih.gov/health/ naturopathy

Debas HT, Laxminarayan R, Straus SE. Complementary and Alternative Medicine. In Jamison DT, Breman JG, Measham AR, Alleyne G, Claeson M, Evans DB, Jha P, Mills A, Musgrove P, (Eds.) Disease Control Priorities in Developing Countries. 2nd edition. Washington, DC: World Bank and Oxford University Press. © World Bank. 2006. Chapter 69. Pp 1289 – 1291.

Published

2023-12-31

How to Cite

Pal, S. K., & Lawal, I. U. (2023). Current Status and Future of Traditional, Complementary and Integrative Medicine in Nigeria: http://www.doi.org/10.26538/tjnpr/v7i12.5. Tropical Journal of Natural Product Research (TJNPR), 7(12), 5403–5409. Retrieved from https://tjnpr.org/index.php/home/article/view/3156