Assessment of Traditional Herbal Remedies Use and Medical Treatment Among Hypertensive Patients attending Primary Health Care Centers in Khartoum State, Sudan 2022-2023
DOI:
https://doi.org/10.5195/ijms.2023.2272Keywords:
Traditional Herbal Remedies, Hypertension, Primary Health Care Centers, Medical Treatment, IJMSAbstract
BACKGROUND: Hypertension is the leading risk factor for cardiovascular disease mortality worldwide. It affects approximately 74.7 million people in Sub-Saharan Africa, and this figure is expected to increase to 125.5 million by 2025. Although antihypertensive drugs have been used to decrease blood pressure; traditional herbal remedies have been utilized within local or regional practices, in up to 80% of African populations. The current study was carried out to assess adherence to medications and perception of Hypertensive patients regarding use of herbal treatment.
METHODS: This was a descriptive cross-sectional facility centers-based study at 3 PHC centers. A total of 100 hypertensive patients were enrolled using multi-stage sampling. The data was collected by modified open and closed ended interview questionaries. Modified Morisky score system was used to assess adherence to medical treatment.
RESULTS: The study population was 100 participants of which (57%) were females. Most of the participants (77%) were in the age group of 51 and above, (49%) had secondary and higher levels of education, (66%) were using Single type of drug and (77%) were in regular clinical checkup, (90%) were taking their medications as prescribed by their physicians, (58%) were diagnosed before ten years or more, (43%) had Diabetes as co-morbid. Fifty one percent of the participants had low adherence to medication. Forty nine percent of participants used herbal remedies with 67.3% of them had low adherence to their medications; Hibiscus was the most used herb (31%). There was significant association between lack of adherence and the medication unavailability (p =.009). There was significant association between lack of adherence and taking more than one medication (p = 0.001);and between lack of adherence and lack of confidence in medical treatment (p = 0.012).
CONCLUSION: A significant proportion of hypertensive patients are using herbal remedies which is negatively affects their adherence to the prescribed medications.
Metrics
References
Chrysant SG, Chrysant GS. Herbs used for the treatment of hypertension and their mechanism of action. Current hypertension reports. 2017 Sep;19(9):1-0.
Talha J, Priyanka M, Akanksha A. Hypertension and herbal plants. Int Res J Pharm. 2011;2(8):26-30.
Tabassum N, Ahmad F. Role of natural herbs in the treatment of hypertension. Pharmacognosy reviews. 2011 Jan;5(9):30.
Mansoor GA. Herbs and alternative therapies in the hypertension clinic. American Journal of Hypertension. 2001 Sep 1;14(9):971-5.
Singh P, Mishra A, Singh P, Goswami S, Singh A, Tiwari KD. Hypertension and herbal plant for its treatment: a review. Indian Journal of Research in Pharmacy and Biotechnology. 2015 Sep 1;3(5):358.
Al Disi SS, Anwar MA, Eid AH. Anti-hypertensive herbs and their mechanisms of action: part I. Frontiers in pharmacology. 2016 Jan 19;6:323.
Agrawal M, Nandini D, Sharma V, Chauhan NS. Herbal remedies for treatment of hypertension. Int J Pharm Sci and Res. 2010 May 1;1(5):1-21.
Downloads
Published
How to Cite
Issue
Section
Categories
License
Copyright (c) 2023 Hazim H. Mohammed, Mohammed H. Jaber, Waleed M. Alhaj, Hiba S. Abdelgadir
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
- The Author retains copyright in the Work, where the term “Work” shall include all digital objects that may result in subsequent electronic publication or distribution.
- Upon acceptance of the Work, the author shall grant to the Publisher the right of first publication of the Work.
- The Author shall grant to the Publisher and its agents the nonexclusive perpetual right and license to publish, archive, and make accessible the Work in whole or in part in all forms of media now or hereafter known under a Creative Commons Attribution 4.0 International License or its equivalent, which, for the avoidance of doubt, allows others to copy, distribute, and transmit the Work under the following conditions:
- Attribution—other users must attribute the Work in the manner specified by the author as indicated on the journal Web site; with the understanding that the above condition can be waived with permission from the Author and that where the Work or any of its elements is in the public domain under applicable law, that status is in no way affected by the license.
- The Author is able to enter into separate, additional contractual arrangements for the nonexclusive distribution of the journal's published version of the Work (e.g., post it to an institutional repository or publish it in a book), as long as there is provided in the document an acknowledgment of its initial publication in this journal.
- Authors are permitted and encouraged to post online a prepublication manuscript (but not the Publisher’s final formatted PDF version of the Work) in institutional repositories or on their Websites prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work. Any such posting made before acceptance and publication of the Work shall be updated upon publication to include a reference to the Publisher-assigned DOI (Digital Object Identifier) and a link to the online abstract for the final published Work in the Journal.
- Upon Publisher’s request, the Author agrees to furnish promptly to Publisher, at the Author’s own expense, written evidence of the permissions, licenses, and consents for use of third-party material included within the Work, except as determined by Publisher to be covered by the principles of Fair Use.
- The Author represents and warrants that:
- the Work is the Author’s original work;
- the Author has not transferred, and will not transfer, exclusive rights in the Work to any third party;
- the Work is not pending review or under consideration by another publisher;
- the Work has not previously been published;
- the Work contains no misrepresentation or infringement of the Work or property of other authors or third parties; and
- the Work contains no libel, invasion of privacy, or other unlawful matter.
- The Author agrees to indemnify and hold Publisher harmless from the Author’s breach of the representations and warranties contained in Paragraph 6 above, as well as any claim or proceeding relating to Publisher’s use and publication of any content contained in the Work, including third-party content.
Enforcement of copyright
The IJMS takes the protection of copyright very seriously.
If the IJMS discovers that you have used its copyright materials in contravention of the license above, the IJMS may bring legal proceedings against you seeking reparation and an injunction to stop you using those materials. You could also be ordered to pay legal costs.
If you become aware of any use of the IJMS' copyright materials that contravenes or may contravene the license above, please report this by email to contact@ijms.org
Infringing material
If you become aware of any material on the website that you believe infringes your or any other person's copyright, please report this by email to contact@ijms.org