Despite the profound cultural and medicinal heritage of traditional African medicines (TAM), their global recognition remains notably limited. This study investigates the factors behind this issue, focusing on cultural perceptions, scientific validation, regulatory frameworks, and pharmaceutical industry influence. Utilizing a systematic literature review (SLR) to provide a thorough and structured overview, the research addresses these factors with transparency and reproducibility. Key findings reveal that negative cultural perceptions, the dominance of Western medicine, and skepticism towards traditional healers, especially in urban and educated populations, marginalize TAM. Additionally, religious beliefs and historical influences, such as colonialism, further devalue indigenous knowledge systems. The study also highlights a significant lack of scientific research and clinical trials, which challenges the conventional validation of TAM’s efficacy. Moreover, inconsistent international and national regulatory frameworks and the pharmaceutical industry’s dominance impede TAM’s integration into global healthcare systems. To enhance TAM’s credibility and global acceptance, the study advocates for standardized regulatory policies, increased scientific research, and a reevaluation of intellectual property laws. This shift towards a more inclusive and integrative approach in global health systems could bridge the gap between traditional and modern medical practices, promoting a more holistic understanding of health and wellness.
References
[1]
Mander, M., Ntuli, L., Diederichs, N. and Mavundla, K. (2007) Economics of the Traditional Medicine Trade in South Africa. South African Health Review, 2007, 189-199.
[2]
Farnsworth, N.R. and Soejarto, D.D. (2021) The Role of Ethnopharmacology in Drug Discovery: Perspectives and Challenges. Journal of Ethnopharmacology, 268, Article 113611.
[3]
Heinrich, M., Amone, J. and Nyakaana, R. (2018) Cultural Perceptions and the Pharmaceutical Industry: Traditional African Medicine in the Modern World. Pharmaceutical Biology, 56, 212-221.
[4]
Xue, C.C., Amone, J. and Nyakaana, R. (2021) The Pharmaceutical Industry’s Role in the Marginalization of Traditional African Medicine: A Global Perspective. International Journal of Indigenous Medicine, 5, 189-202.
[5]
Nyakaana, R., Amone, J. and Gordon, H. (2020) The Unregulated Practice of Traditional African Medicine in Uganda: Implications for Health Policy. African Health Policy Review, 11, 123-136.
[6]
Amone, C., Okello, G. and Akena, W. (2023) The Role of Traditional African Medicine in Healthcare Systems: A Case of Uganda. African Health Sciences, 23, 109-118.
[7]
Liberati, A., Altman, D.G., Tetzlaff, J., Mulrow, C., Gøtzsche, P.C., Ioannidis, J.P.A., etal. (2009) The PRISMA Statement for Reporting Systematic Reviews and Meta-Analyses of Studies That Evaluate Health Care Interventions: Explanation and Elaboration. PLOSMedicine, 6, e1000100. https://doi.org/10.1371/journal.pmed.1000100
[8]
Nyika, A. (2007) Ethical and Regulatory Issues Surrounding African Traditional Medicine in the Context of HIV/AIDS. Developing World Bioethics, 7, 25-34. https://doi.org/10.1111/j.1471-8847.2006.00157.x
[9]
Amone, J., Nyakaana, R. and Mander, M. (2023) Cultural Perceptions and the Integration of Traditional African Medicine within National Health Systems in Uganda. Journal of African Health Systems, 9, 85-102.
[10]
Gordon, H., Mander, M. and Farnsworth, N.R. (2022) Traditional African Medicine and the Global Health Landscape: Barriers to Integration. Health Policy and Planning, 37, 723-735.
[11]
Dawson, A. (2020) The Implications of Integrating Traditional Medicine in Global Health Discourse. Global Public Health, 15, 326-340.
[12]
Gurib-Fakim, A. (2006) Medicinal Plants: Traditions of Yesterday and Drugs of Tomorrow. MolecularAspectsofMedicine, 27, 1-93. https://doi.org/10.1016/j.mam.2005.07.008
[13]
World Health Organization (2013) WHO Traditional Medicine Strategy: 2014-2023. https://apps.who.int/gb/ebwha/pdf_files/EB152/B152_37-en.pdf
[14]
Higgins, J.P.T. and Green, S. (2011) Cochrane Handbook for Systematic Reviews of Interventions (Version 5.1.0). The Cochrane Collaboration. https://training.cochrane.org/handbook/archive/v5.1/
[15]
Kitchenham, B. A. (2004) Procedures for Performing Systematic Reviews. Keele University Technical Report TR/SE-0401.
[16]
Petticrew, M. and Roberts, H. (2006) Systematic Reviews in the Social Sciences. Wiley. https://doi.org/10.1002/9780470754887
[17]
Braun, V. and Clarke, V. (2006) Using Thematic Analysis in Psychology. QualitativeResearchinPsychology, 3, 77-101. https://doi.org/10.1191/1478088706qp063oa
[18]
Abdullah Amone, J., Nyakaana, R. and Mander, M. (2023) Cultural Perceptions and the Integration of Traditional African Medicine within National Health Systems in Uganda. Journal of African Health Systems, 9, 85-102.
[19]
Busia, K. (2005) Medical Provision in Africa: Past and Present. Phytotherapy Research, 19, 919-923. https://doi.org/10.1002/ptr.1775
[20]
Gqaleni, N., Moodley, I., Kruger, H., Ntuli, A. and McLeod, H. (2007) Traditional and Complementary Medicine: Health Care Delivery. South African Health Review, 12, 175-188.
[21]
Heinrich, M., Ankli, A., Frei, B., Weimann, C. and Sticher, O. (2018) Medicinal Plants in the Americas: Linking Ethnobotany and Phytochemistry. Journal of Ethnopharmacology, 116, 403-426.
[22]
Mander, M., Nyakaana, R. and Amone, J. (2019) The Role of Traditional African Medicine in Modern Healthcare Systems: A Ugandan Perspective. African Journal of Health Systems, 7, 45-62.
[23]
Wambebe, C. (2018) African Indigenous Medical Knowledge and Human Health. In: Gyasi, B., Byasi, C. and Osei, K., Eds., African Medicine: A Comprehensive Introduction, Routledge, 147-164.
[24]
Abdullahi, A. (2011) Trends and Challenges of Traditional Medicine in Africa. AfricanJournalofTraditional, ComplementaryandAlternativeMedicines, 8, 115-123. https://doi.org/10.4314/ajtcam.v8i5s.5