Rekindling Tradition in a Pandemic: A Qualitative Study of the Use of Traditional Herbal Mixtures Among High-Risk Groups During the Early Outbreak of COVID-19 in the South-South Region of Nigeria

Authors

  • Endurance Uzobo Niger Delta University https://orcid.org/0000-0002-8180-8268
  • Ruth Ebikaboere Omu Niger Delta University
  • Tolulope Funmilola Ojo Department of Public Health, Afe Babalola University, Ado-Ekiti, Nigeria
  • Richard Dele Agbana Department of Community Medicine, Afe Babalola University,Nigeria.

DOI:

https://doi.org/10.25159/2957-3645/13339

Keywords:

COVID-19, herbal medicine, Agbo, older persons, chronic diseases

Abstract

On 27 February 2020, Nigeria reported its COVID-19 index case from Italy. The first 30 days saw the recording of 81 cases. In the first 60 days, this number rose to 1 337 for people over 50 and with serious underlying medical illnesses that were made worse by the COVID-19 infection. In this study, we investigated the use of traditional herbal mixtures by older people and people with chronic medical conditions in the prevention, management and control of COVID-19 in the South-South region of Nigeria, with Bayelsa State as a case study. Using purposive and snowball sampling techniques, we sampled and interviewed 21 participants, with interviews taking place at the health centres and the homes of older persons. The data were analysed thematically using content analysis with the aid of an Atlas.ti. The findings indicate that the majority of the participants used at least one traditional herbal mixture to prevent COVID-19 infection, and that the fear of contracting COVID-19 was the major factor for its use during the pandemic. The most commonly used herbal mixtures during the COVID-19 pandemic were a combination of “dogoyaro”, lime fruit and leaves, lemon, ginger, garlic, mango leaves and bark, pawpaw leaf and seed, soursop leaf, bitter leaf, scent leaf, lemongrass and moringa leaf. We concluded that older persons and people with underlying health conditions in particular relied on traditional herbal mixtures in the management and prevention of COVID-19 during the early outbreak of the pandemic in Nigeria.

References

Abubakar, I. B., Ukwuani-Kwaja, A. N., Garba, A. D., Singh, D., Malami, I., Salihu, T. S., Muhammad, A., Yahaya, Y., Sule, S. M., & Ahmed, S. J. (2020). Ethnobotanical study of medicinal plants used for cancer treatment in Kebbi state, North-west Nigeria. Acta Ecologica Sinica, 40(4), 306–314. https://doi.org/10.1016/j.chnaes.2020.02.007 DOI: https://doi.org/10.1016/j.chnaes.2020.02.007

Adebusoye, L. A., Cadmus, E. O., Labaeka, E. O., Ajayi, S. A., Olowookere, O. O., & Otegbayo, J. A. (2020). Caring for older adults during the COVID pandemic and beyond: Experience from a specialized tertiary facility for the care of older persons in a low resource setting. Pan African Medical Journal, 35(2), 99. https://doi.org/10.11604/pamj.supp.2020.35.2.24521 DOI: https://doi.org/10.11604/pamj.supp.2020.35.2.24521

Adler, P., & Adler, P. (2012). Expert voices. In S. E. Baker & R. Edwards (Eds.), How many qualitative interviews is enough. National Centre for Research Methods Review Discussion Paper (pp. 8–11). http://eprints.ncrm.ac.uk/2273

Aina, O., Gautam, L., Simkhada, P., & Hall, S. 2020. Prevalence, determinants and knowledge about herbal medicine and non-hospital utilisation in Southwest Nigeria: A cross-sectional study. BMJ Open, 10, e040769. https://doi.org/10.1136/bmjopen-2020-040769 DOI: https://doi.org/10.1136/bmjopen-2020-040769

Akram, M., Tahir, I. M., Shah, S. M. A., Mahmood, Z., Altaf, A., Ahmad, K., Munir, N., Daniyal, M., Nasir, S., & Mehboob, H. (2018). Antiviral potential of medicinal plants against HIV, HSV, influenza, hepatitis, and coxsackievirus: A systematic review. Phytotherapy Research, 32(5), 811–822. https://doi.org/10.1002/ptr.6024 DOI: https://doi.org/10.1002/ptr.6024

Ang, L., Song, E., Lee, H. W., & Lee, M. S. (2020). Herbal medicine for the treatment of Coronavirus disease 2019 (COVID-19): A systematic review and meta-analysis of randomized controlled trials. Journal of Clinical Medicine, 9(5), 1583. https://doi.org/10.3390/jcm9051583 DOI: https://doi.org/10.3390/jcm9051583

Baiyewu, O., Elugbadebo, O., & Oshodi, Y. (2020). Burden of COVID-19 on mental health of older adults in a fragile healthcare system: The case of Nigeria: Dealing with inequalities and inadequacies. International Psychogeriatrics, 32(10), 1181–1185. https://doi.org/10.1017/S1041610220001726 DOI: https://doi.org/10.1017/S1041610220001726

Benzie, I. F. F., & Wachtel-Galor, S. (2011). Herbal medicine: Biomolecular and clinical aspects (2nd ed). CRC Press/Taylor & Francis. https://doi.org/10.1201/b10787 DOI: https://doi.org/10.1201/b10787

Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3(2), 77–101. https://doi.org/10.1191/1478088706qp063oa DOI: https://doi.org/10.1191/1478088706qp063oa

Centres for Disease Control and Prevention. (2022, 17 December). People with certain medical conditions. https://www.cdc.gov/coronavirus/2019-ncov/need-extra-precautions/people-with-medical-conditions.html

Chan, M. F. E., Mok, Y. S., Wong, S. T. F., Tong, T. F., Day, M. C., Tang, C. K., & Wong, D. H. (2003). Attitudes of Hong Kong Chinese to traditional Chinese medicine and Western medicine: Survey and cluster analysis. Complementary Therapies in Medicine, 11(2), 103–109. https://doi.org/10.1016/S0965-2299(03)00044-X DOI: https://doi.org/10.1016/S0965-2299(03)00044-X

Charan, J., Bhardwaj, P., Dutta, S., Kaur, R., Bist, S. K., Detha, M. D., Kanchan, T., Yadav, D., Mitra, P., & Sharma, P. (2020). Use of complementary and alternative medicine (CAM) and home remedies by COVID-19 patients: A telephonic survey. Indian Journal of Clinical Biochemistry, 36, 108–111. https://doi.org.10.1007/s12291-020-00931-4 DOI: https://doi.org/10.1007/s12291-020-00931-4

Chen, N., Zhou, M., Dong, X., Qu, J., Gong, F., Han, Y., Qiu, Y., Wang, J., Liu, Y., Wei, Y., Xia, J., Yu, T., Zhang, X., & Zhang, L. (2020). Epidemiological and clinical characteristics of 99 cases of 2019 novel coronavirus pneumonia in Wuhan, China: A descriptive study. Lancet, 395(10223), 507–513. https://doi.org/10.1016/S0140-6736(20)30211-7 DOI: https://doi.org/10.1016/S0140-6736(20)30211-7

Cohen, P. A., & Ernest, E. (2010). Safety of herbal supplements: A guide for cardiologists. Cardiovascular Therapeutics, 28(4), 246–253. https://doi.org/10.1111/j.1755-5922.2010.00193.x DOI: https://doi.org/10.1111/j.1755-5922.2010.00193.x

Dabaghian, F. H., Fard, M. A., Shojaei, A., Kianbakht, S., Zafarghandi, N., & Goushegir, A. (2012). Use and attitude on herbal medicine in a group of pregnant women in Tehran. Journal of Medicinal Plants, 11(41), 22–33.

Dai, J., Gu, L., Su, Y., Wang, Q., Zhao, Y., Chen, X., Deng, H., Li, W., Wang, G., & Li, K. (2018). Inhibition of curcumin on influenza A virus infection and influenzal pneumonia via oxidative stress, TLR2/4, p38/JNKMAPK and NF-κB pathways. International Immunopharmacology, 54, 177–187. https://doi.org/10.1016/j.intimp.2017.11.009 DOI: https://doi.org/10.1016/j.intimp.2017.11.009

Das, A., & Ravindran, T. K. S. (2010). Factors affecting treatment-seeking for febrile illness in a malaria endemic block in Boudh district, Orissa, India: Policy implications for malaria control. Malaria Journal, 9, 377. https://doi.org/10.1186/1475-2875-9-377 DOI: https://doi.org/10.1186/1475-2875-9-377

Dave-Agboola, I. O., & Raji, J. I. (2018). Health-seeking behaviour of malaria patients in Lagos, Nigeria. International Journal of Health Sciences and Research, 8(7), 259–264.

Dehghan, M., Ghanbari, A., GhaediHeidari, F., Mangolian Shahrbabaki, P., & Zakeri, M. (2022). Use of complementary and alternative medicine in general population during COVID-19 outbreak: A survey in Iran. Journal of Integrative Medicine, 20(1), 45–51. https://doi.org/10.1016/j.joim.2021.11.004 DOI: https://doi.org/10.1016/j.joim.2021.11.004

Del Rio, C., & Malani, P. N. (2020). 2019 novel coronavirus-important information for clinicians. JAMA, 323(11), 1039–1040. https://doi.org/10.1001/jama.2020.1490 DOI: https://doi.org/10.1001/jama.2020.1490

Doyle, L., McCabe, C., Keogh, B., Brady, A., & McCann, M. (2020). An overview of the qualitative descriptive design within nursing research. Journal of Research in Nursing, 25(5), 443–455. https://doi.org/10.1177/1744987119880234 DOI: https://doi.org/10.1177/1744987119880234

Ekor, E. (2014). The growing use of herbal medicines: Issues relating to adverse reactions and challenges in monitoring safety. Frontiers in Pharmacology, 4(7), 1–10. https://doi.org/10.3389/fphar.2013.00177 DOI: https://doi.org/10.3389/fphar.2013.00177

Ezekwesili-Ofili, J. O., & Okaka, A. N. C. (2019). Herbal medicines in African traditional medicines. In P. F. Builders (Ed.), Herbal medicine. IntechOpen. https://www.intechopen.com/books/herbal-medicine/herbl-medicines-in-african-traditional-medicine

Farran, N., Ammar, D., & Darwish, H. (2016). Quality of life and coping strategies in Lebanese multiple sclerosis patients: A pilot study. Multiple Sclerosis and Related Disorders, 6, 21–27. https://doi.org/10.1016/j.msard.2015.12.003 DOI: https://doi.org/10.1016/j.msard.2015.12.003

Green, H., & Pescosolido, B. (2023). Social pathways to care: How community-based network ties shape the health care response of individuals with mental health problems. Social Psychiatry and Psychiatric Epidemiology. https://doi.org/10.1007/s00127-023-02476-2 DOI: https://doi.org/10.1007/s00127-023-02476-2

Hall, E. D., Meng, J., & Reynolds, R. M. (2020). Confidant network and interpersonal communication associations with depression in older adulthood. Health Communication, 35(7), 872–881. https://doi.org/10.1080/10410236.2019.1598616 DOI: https://doi.org/10.1080/10410236.2019.1598616

Larsson, B. J., Nordin, K., Askmark, H., & Nygren, I. 2014. Coping strategies among patients with newly diagnosed amyotrophic lateral sclerosis. Journal of Clinical Nursing, 23, 3148–3155. https://doi.org/10.1111/jocn.12557 DOI: https://doi.org/10.1111/jocn.12557

Lindfors, O., Ojanen, S., Jaaskelainen, T., & Knekt, P. (2014). Social support as a predictor of the outcome of depressive and anxiety disorder in short-term and long-term psychotherapy. Psychiatry Research, 216(1), 44–51. https://doi.org/10.1016/j.psychres.2013.12.050 DOI: https://doi.org/10.1016/j.psychres.2013.12.050

López-Alcalde, J., Yan, Y., Witt, C. M., & Barth, J. (2020). Current state of research about Chinese herbal medicines (CHM) for the treatment of coronavirus disease 2019 (COVID-19): A scoping review. Journal of Alternative and Complementary Medicine, 26(7), 557–570. https://doi.org/10.1089/acm.2020.0189 DOI: https://doi.org/10.1089/acm.2020.0189

Ni, L., Chen, L., Huang, X., Han, C., Xu, J., Zhang, H., Luan, X., Zhao, Y., Xu, J., Yuan, W., & Chen, H. (2020). Combating COVID-19 with integrated traditional Chinese and Western medicine in China. Acta Pharmaceutica Sinica B, 10(7), 1149–1162. https://doi.org/10.1016/j.apsb.2020.06.009 DOI: https://doi.org/10.1016/j.apsb.2020.06.009

Nigeria Centre for Disease Control. (2023, 11 January). COVID-19 outbreak in Nigeria: Situation reports. https://ncdc.gov.ng/diseases/sitreps.2020

Nilashi, M., Samad, S., Mohd, S. Y., & Akbaria, E. (2020). Can complementary and alternative medicines be beneficial in the treatment of COVID-19 through improving immune system function? Journal of Infection and Public Health, 13, 893–896. https://doi.org/10.1016/j.jiph.2020.05.009 DOI: https://doi.org/10.1016/j.jiph.2020.05.009

Nugraha, R. V., Ridwansyah, H., Ghozali, M., Khairani, A. F., & Atik, N. (2020). Traditional herbal medicine candidates as complementary treatments for COVID-19: A review of their mechanisms, pros and cons. Evidence-Based Complementary and Alternative Medicine, 2020, 2560645. https://doi.org/10.1155/2020/2560645 DOI: https://doi.org/10.1155/2020/2560645

Nuhu, A., Ukwubile, C. A., Ayeni, E. A., Zakariya, A. M., Namadina, M. M., & Ibrahim, B. A. (2018). Perception of herbal medicine practice among students of tertiary institutions in Northern, Nigeria. FUW Trends in Science &Technology Journal, 3(2b), 708–711. https://www.ftstjournal.com/Digital%20Library/32B%20Article%206.php

Panyod, S., Ho, C. T., & Sheen, L. Y. (2020). Dietary therapy and herbal medicine for COVID-19 prevention: A review and perspective. Journal of Traditional and Complementary Medicine, 10(4), 420–427. https://doi.org/10.1016/j.jtcme.2020.05.004 DOI: https://doi.org/10.1016/j.jtcme.2020.05.004

Richart, S. M., Li, Y-L., Mizushina, Y., Chang, Y. Y., Chung, T. Y., Chen, G. H., Tzen, J. T., Shia, K. S., & Hsu, W. L. (2018). Synergic effect of curcumin and its structural analogue (Monoacetylcurcumin) on anti-influenza virus infection. Journal of Food and Drug Analysis, 26(3), 1015–1023. https://doi.org/10.1016/j.jfda.2017.12.006 DOI: https://doi.org/10.1016/j.jfda.2017.12.006

Sanchez, M., Gonzalez-Burgos, E., Iglesias, I., Lozano, R., & Gomez-Serranillos, M. P. (2020). Current uses and knowledge of medicinal plants in the autonomous community of Madrid (Spain): A descriptive cross-sectional study. BMC Complementary Medicine and Therapies, 20, 306. https://doi.org/10.1186/s12906-020-03089-x DOI: https://doi.org/10.1186/s12906-020-03089-x

Segun, P. A., Ogbole, O. O., & Ajaiyeoba, E. O. (2018). Medicinal plants used in the management of cancer among the Ijebus of southwestern Nigeria. Journal of Herbal Medicine, 14, 68–75. https://doi.org/10.1016/j.hermed.2018.04.002 DOI: https://doi.org/10.1016/j.hermed.2018.04.002

Semenzato, L., Botton, J., Drouin, J., Cuenot, F., Dray-Spira, R., Weill, A., & Zureik, M. (2021). Chronic diseases, health conditions and risk of COVID-19-related hospitalization and in-hospital mortality during the first wave of the epidemic in France: A cohort study of 66 million people. Lancet, 8, 100158. https://doi.org/10.1016/j.lanepe.2021.100158 DOI: https://doi.org/10.1016/j.lanepe.2021.100158

Shugaba, A. I., Umar, M. B. T., Uzokwe, C. B., Umaru, G. J., Muhammad, M. B., Shinku, F., Rabiu, A. M., & Mathew, R. M. (2014). The effect of Yoyo cleanser bitters on the cerebellum of adult male wistar rat. Sky Journal of Medicine and Medical Sciences, 2(5), 21–30.

Sogunle, T., Tonya, E., & Chivese, T. (2020). Chronic disease and use of complementary and alternative medicine in adults attending a primary care clinic in western Nigeria. Nigerian Journal of Family Practice, 11(1), 43–53. https://www.ajol.info/index.php/njfp/article/view/204379

Solanke, B. L., Oladosu, O. A., Akinlo, A., & Olanisebe, S. O. (2015). Religion as a social determinant of maternal health care service utilisation in Nigeria. African Population Studies, 29(2), 1868–1881. https://doi.org/10.11564/29-2-761 DOI: https://doi.org/10.11564/29-2-761

Uzobo, E., Ojo, T. F., Agbana, R. D., & Kunle-Olowu, A. O. (2019). Social network and complementary/alternative medicine use among pregnant women in Ogbia communities of Rivers and Bayelsa States, Nigeria. African Population Studies, 33(2), 4964–4975. https://doi.org/10.11564/33-2-1427 DOI: https://doi.org/10.11564/33-2-1427

Wachtel-Galor, S., & Benzie, I. F. F. (2011). Herbal medicine: An introduction to its history, usage, regulation, current trends and research needs. In I. F. F. Benzie & S. Wachtel-Galor (Eds.), Herbal medicine: Biomedical and clinical aspects (2nd ed.). CRC Press/Taylor & Francis.

Wang, W. Y., & Yang, J. (2011). An overview of the thoughts and methods of epidemic prevention in ancient Chinese medicine. Jilin Journal of Traditional Chinese Medicine, 31, 197–199.

Xutian, S., Zhang, J., & Louise, W. (2009). New exploration and understanding of traditional Chinese medicine. American Journal of Chinese Medicine, 37(3), 411–426. https://doi.org/10.1142/S0192415X09006941 DOI: https://doi.org/10.1142/S0192415X09006941

Yamout, B., Issa, Z., Herlopian, A., El Bejjani, M., Khalifa, A., Ghadieh, A. S., & Habib, R. H. (2013). Predictors of quality of life among multiple sclerosis patients: a comprehensive analysis. European Journal of Neurology, 20(5), 756–764. https://doi.org/10.1111/ene.12046 DOI: https://doi.org/10.1111/ene.12046

Published

2024-03-12

How to Cite

Uzobo, E., Omu, R. E., Ojo, T. F., & Agbana, R. D. Rekindling Tradition in a Pandemic: A Qualitative Study of the Use of Traditional Herbal Mixtures Among High-Risk Groups During the Early Outbreak of COVID-19 in the South-South Region of Nigeria. Social and Health Sciences, 22 pages . https://doi.org/10.25159/2957-3645/13339

Issue

Section

Articles