Facilitators and barriers to traditional medicine use among cancer patients in Malawi.

<h4>Background</h4>Increasing access to conventional cancer treatment (CT) in low-income countries (LICs) is an important public health initiative to address the global burden of cancer. However, LICs have a high prevalence of use of traditional and complementary medicine (T&CM). It...

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Main Authors: Jacob Hill, Ryan Seguin, Twambilile Phanga, Agness Manda, Maria Chikasema, Satish Gopal, Jennifer S Smith
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2019-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0223853
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author Jacob Hill
Ryan Seguin
Twambilile Phanga
Agness Manda
Maria Chikasema
Satish Gopal
Jennifer S Smith
author_facet Jacob Hill
Ryan Seguin
Twambilile Phanga
Agness Manda
Maria Chikasema
Satish Gopal
Jennifer S Smith
author_sort Jacob Hill
collection DOAJ
description <h4>Background</h4>Increasing access to conventional cancer treatment (CT) in low-income countries (LICs) is an important public health initiative to address the global burden of cancer. However, LICs have a high prevalence of use of traditional and complementary medicine (T&CM). It is important to consider the factors that influence a patient's choice to use T&CM, CT, or both for their cancer treatment.<h4>Methods</h4>We conducted focus groups among adult cancer patients in Lilongwe, Malawi to identify facilitators and barriers of T&CM use. Focus groups were recorded, transcribed, translated, and underwent thematic content analysis.<h4>Results</h4>Cultural norms, T&CM access, T&CM success, and CT failure were all identified as facilitators to T&CM use. CT success and T&CM failure were identified as barriers. Access and norms appear to determine initial treatment selection, while treatment outcomes dictate continued use of T&CM or CT.<h4>Conclusion</h4>This study identified a pragmatic and experience-based treatment selection process that aligns with the social cognitive theory of behavior and assists in comprehending the factors that influence T&CM use among cancer patients in a low resource setting.
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spelling doaj.art-3ef97a158ddc44a28760d29f32a105b42022-12-21T23:10:56ZengPublic Library of Science (PLoS)PLoS ONE1932-62032019-01-011410e022385310.1371/journal.pone.0223853Facilitators and barriers to traditional medicine use among cancer patients in Malawi.Jacob HillRyan SeguinTwambilile PhangaAgness MandaMaria ChikasemaSatish GopalJennifer S Smith<h4>Background</h4>Increasing access to conventional cancer treatment (CT) in low-income countries (LICs) is an important public health initiative to address the global burden of cancer. However, LICs have a high prevalence of use of traditional and complementary medicine (T&CM). It is important to consider the factors that influence a patient's choice to use T&CM, CT, or both for their cancer treatment.<h4>Methods</h4>We conducted focus groups among adult cancer patients in Lilongwe, Malawi to identify facilitators and barriers of T&CM use. Focus groups were recorded, transcribed, translated, and underwent thematic content analysis.<h4>Results</h4>Cultural norms, T&CM access, T&CM success, and CT failure were all identified as facilitators to T&CM use. CT success and T&CM failure were identified as barriers. Access and norms appear to determine initial treatment selection, while treatment outcomes dictate continued use of T&CM or CT.<h4>Conclusion</h4>This study identified a pragmatic and experience-based treatment selection process that aligns with the social cognitive theory of behavior and assists in comprehending the factors that influence T&CM use among cancer patients in a low resource setting.https://doi.org/10.1371/journal.pone.0223853
spellingShingle Jacob Hill
Ryan Seguin
Twambilile Phanga
Agness Manda
Maria Chikasema
Satish Gopal
Jennifer S Smith
Facilitators and barriers to traditional medicine use among cancer patients in Malawi.
PLoS ONE
title Facilitators and barriers to traditional medicine use among cancer patients in Malawi.
title_full Facilitators and barriers to traditional medicine use among cancer patients in Malawi.
title_fullStr Facilitators and barriers to traditional medicine use among cancer patients in Malawi.
title_full_unstemmed Facilitators and barriers to traditional medicine use among cancer patients in Malawi.
title_short Facilitators and barriers to traditional medicine use among cancer patients in Malawi.
title_sort facilitators and barriers to traditional medicine use among cancer patients in malawi
url https://doi.org/10.1371/journal.pone.0223853
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