World Health Organisation. WHO Traditional Medicine Strategy 2014–2023. Geneva: World Health Organization; 2013.
Google Scholar
Onyiapat J-lE, Okoronkwo IL, Ogbonnaya NP. Complementary and alternative medicine use among adults in Enugu, Nigeria. BMC Complement Altern Med. 2011;11:19.
PubMed
PubMed Central
Google Scholar
Okoronkwo I, Onyia-pat J-l, Okpala P, Agbo M-A, Ndu A. Patterns of complementary and alternative medicine use, perceived benefits, and adverse effects among adult users in Enugu urban, Southeast Nigeria. Evid Based Complement Alternat Med. 2014;2014.
Bodeker G, Kronenberg F. A public health agenda for traditional, complementary, and alternative medicine. Am J Public Health. 2002;92(10):1582–91.
PubMed
PubMed Central
Google Scholar
Zhang Y, Leach MJ, Hall H, Sundberg T, Ward L, Sibbritt D, Adams J. Differences between male and female consumers of complementary and alternative medicine in a national US population: a secondary analysis of 2012 NIHS data. Evid Based Complement Alternat Med. 2015;2015:10.
Google Scholar
Alwhaibi M, Sambamoorthi U. Sex differences in the use of complementary and alternative medicine among adults with multiple chronic conditions. Evid Based Complement Alternat Med. 2016;2016:8.
Google Scholar
Achigbu E, Achigbu K. Traditional medication use among out-patients attending the eye clinic of a secondary health facility in Owerri, south-East Nigeria. Orient Journal of Medicine. 2014;26(3–4):107–13.
Google Scholar
Kaadaaga HF, Ajeani J, Ononge S, Alele PE, Nakasujja N, Manabe YC, Kakaire O. Prevalence and factors associated with use of herbal medicine among women attending an infertility clinic in Uganda. BMC Complement Altern Med. 2014;14(1):27.
PubMed
PubMed Central
Google Scholar
Laelago T, Yohannes T, Lemango F. Prevalence of herbal medicine use and associated factors among pregnant women attending antenatal care at public health facilities in Hossana Town, Southern Ethiopia: facility based cross-sectional study. Archives of Public Health. 2016;74(1):7.
Steenkamp V. Traditional herbal remedies used by south African women for gynaecological complaints. J Ethnopharmacol. 2003;86(1):97–108.
CAS
PubMed
Google Scholar
Addo V. Herbal medicines: socio-demographic characteristics and pattern of use by patients in a tertiary obstetrics and gynaecology unit. J Sci Technol (Ghana). 2007;27(3):149–55.
Google Scholar
Chuang C-H, Chang P-J, Hsieh W-S, Tsai Y-J, Lin S-J, Chen P-C. Chinese herbal medicine use in Taiwan during pregnancy and the postpartum period: a population-based cohort study. Int J Nurs Stud. 2009;46(6):787–95.
PubMed
Google Scholar
Sim TF, Sherriff J, Hattingh HL, Parsons R, Tee LBG. The use of herbal medicines during breastfeeding: a population-based survey in Western Australia. BMC Complement Altern Med. 2013;13:317.
PubMed
PubMed Central
Google Scholar
Aleandri V, Bertazzoni G, Romanzi D, Vetrano G, Durazzi F, Mazzanti G, Vitalone A. The use of herbal products during breastfeeding: a study from a public Italian hospital. J Food Process Technol. 2014;5(354):2.
Google Scholar
Mekuria AB, Erku DA, Gebresillassie BM, Birru EM, Tizazu B, Ahmedin A. Prevalence and associated factors of herbal medicine use among pregnant women on antenatal care follow-up at University of Gondar referral and teaching hospital, Ethiopia: a cross-sectional study. BMC Complement Altern Med. 2017;17(1):86.
PubMed
PubMed Central
Google Scholar
Fakeye TO, Adisa R, Musa IE. Attitude and use of herbal medicines among pregnant women in Nigeria. BMC Complement Altern Med. 2009;9(1):53.
PubMed
PubMed Central
Google Scholar
Budzynska K, Gardner ZE, Dugoua J-J, Low Dog T, Gardiner P. Systematic review of breastfeeding and herbs. Breastfeed Med. 2012;7(6):489–503.
PubMed
PubMed Central
Google Scholar
Tsai HH, Lin HW, Simon Pickard A, Tsai HY, Mahady GB. Evaluation of documented drug interactions and contraindications associated with herbs and dietary supplements: a systematic literature review. Int J Clin Pract. 2012;66(11):1056–78.
CAS
PubMed
Google Scholar
Chien L-C, Yeh C-Y, Lee H-C, Chao HJ, Shieh M-J, Han B-C. Effect of the mother's consumption of traditional Chinese herbs on estimated infant daily intake of lead from breast milk. Sci Total Environ. 2006;354(2):120–6.
CAS
PubMed
Google Scholar
Ebrahim AM, Eltayeb MH, Khalid H, Mohamed H, Abdalla W, Grill P, Michalke B. Study on selected trace elements and heavy metals in some popular medicinal plants from Sudan. J Nat Med. 2012;66(4):671–9.
CAS
PubMed
Google Scholar
Gatti L. Maternal perceptions of insufficient Milk supply in breastfeeding. J Nurs Scholarsh. 2008;40(4):355–63.
PubMed
PubMed Central
Google Scholar
Jackson P. Complementary and alternative methods of increasing breast milk supply for lactating mothers of infants in the NICU. Neonatal Network. 2010;29(4):225–30.
PubMed
Google Scholar
Foda MI, Kawashima T, Nakamura S, Kobayashi M, Oku T. Composition of milk obtained from unmassaged versus massaged breasts of lactating mothers. J Pediatr Gastroenterol Nutr. 2004;38(5):484–7.
PubMed
Google Scholar
Sibeko L, Dhansay MA, Charlton KE, Johns T, Gray-Donald K. Beliefs, attitudes, and practices of breastfeeding mothers from a Periurban Community in South Africa. J Hum Lact. 2005;21(1):31–8.
PubMed
Google Scholar
Kimani-Murage EW, Wekesah F, Wanjohi M, Kyobutungi C, Ezeh AC, Musoke RN, Norris SA, Madise NJ, Griffiths P. Factors affecting actualisation of the WHO breastfeeding recommendations in urban poor settings in Kenya. Matern Child Nutr. 2015;11(3):314–32.
PubMed
Google Scholar
Ranasinghe S, Ansumana R, Lamin JM, Bockarie AS, Bangura U, Buanie JA, Stenger DA, Jacobsen KH. Herbs and herbal combinations used to treat suspected malaria in Bo, Sierra Leone. J Ethnopharmacol. 2015;166:200–4.
PubMed
Google Scholar
Diaz T, George AS, Rao SR, Bangura PS, Baimba JB, McMahon SA, Kabano A. Healthcare seeking for diarrhoea, malaria and pneumonia among children in four poor rural districts in Sierra Leone in the context of free health care: results of a cross-sectional survey. BMC Public Health. 2013;13(1):157.
PubMed
PubMed Central
Google Scholar
James PB, Bah AJ, Tommy MS, Wardle J, Steel A. Herbal medicines use during pregnancy in Sierra Leone: an exploratory cross-sectional study. Women Birth. 2017.
James PB, Kamara H, Bah AJ, Steel A, Wardle J. Herbal medicine use among hypertensive patients attending public and private health facilities in Freetown Sierra Leone. Complement Ther Clin Pract. 2018;31:7–15.
PubMed
Google Scholar
James PB, Bah AJ, Kondorvoh IM. Exploring self-use, attitude and interest to study complementary and alternative medicine (CAM) among final year undergraduate medical, pharmacy and nursing students in Sierra Leone: a comparative study. BMC Complement Altern Med. 2016;16(1):121.
PubMed
PubMed Central
Google Scholar
James PB, Bah AJ. Awareness, use, attitude and perceived need for complementary and alternative medicine (CAM) education among undergraduate pharmacy students in Sierra Leone: a descriptive cross-sectional survey. BMC Complement Altern Med. 2014;14(1):438.
PubMed
PubMed Central
Google Scholar
Witter S, Brikci N, Harris T, Williams R, Keen S, Mujica A, Jones A, Murray-Zmijewski A, Bale B, Leigh B. The Sierra Leone free health care initiative (FHCI): process and effectiveness review; 2016.
Google Scholar
Pieterse P, Lodge T. When free healthcare is not free. Corruption and mistrust in Sierra Leone’s primary healthcare system immediately prior to the Ebola outbreak. Int Health. 2015;7(6):400–4.
PubMed
Google Scholar
Macfoy C. Medicinal plants and traditional medicine in Sierra Leone. Indiana, U.S.A: iUniverse LLC; 2013.
Google Scholar
Mothupi MC. Use of herbal medicine during pregnancy among women with access to public healthcare in Nairobi, Kenya: a cross-sectional survey. BMC Complement Altern Med. 2014;14(1):432.
PubMed
PubMed Central
Google Scholar
Nordeng H, Al-Zayadi W, Diallo D, Ballo N, Paulsen BS. Traditional medicine practitioners’ knowledge and views on treatment of pregnant women in three regions of Mali. J Ethnobiol Ethnomed. 2013;9(1):67.
PubMed
PubMed Central
Google Scholar
Suroowan S, Mahomoodally F. Complementary and alternative medicine use among Mauritian women. Complement Ther Clin Pract. 2013;19(1):36–43.
PubMed
Google Scholar
Statistics Sierra Leone. Sierra Leone 2015 Population and Housing Census. Provisional Results. Freetown Sierra Leone: Statistics Sierra Leone; 2016.
Google Scholar
Sim TF, Hattingh HL, Sherriff J, Tee LBG. Perspectives and attitudes of breastfeeding women using herbal galactagogues during breastfeeding: a qualitative study. BMC Complement Altern Med. 2014;14(1):216.
PubMed
PubMed Central
Google Scholar
Turay BMS. Medicinal plants of Sierra Leone: a compendium: University of Alberta; 1997.
Conservatoire et Jardin botaniques de la Ville de Genève and South African National Biodiversity Institute, Pretoria. http://www.ville-ge.ch/musinfo/bd/cjb/africa/index.php?langue=an.
Chau CF, Wu SH. The development of regulations of Chinese herbal medicines for both medicinal and food uses. Trends Food Sci Technol. 2006;17(6):313–23.
CAS
Google Scholar
Olisa NS, Oyelola FT. Evaluation of use of herbal medicines among ambulatory hypertensive patients attending a secondary health care facility in Nigeria. Int J Pharm Pract. 2009;17(2):101–5.
PubMed
Google Scholar
Okafor I, Sekoni A, Ezeiru S, Ugboaja J, Inem V. Orthodox versus unorthodox care: a qualitative study on where rural women seek healthcare during pregnancy and childbirth in southwest, Nigeria. Malawi Med J. 2014;26(2):45–9.
CAS
PubMed
PubMed Central
Google Scholar
Jusu A, Sanchez AC. Economic importance of the medicinal plant trade in Sierra Leone. Econ Bot. 2013;67(4):299–312.
Google Scholar
Nartey ET, Ofosuhene M, Kudzi W, Agbale CM. Antioxidant and gastric cytoprotective prostaglandins properties of Cassia sieberiana roots bark extract as an anti-ulcerogenic agent. BMC Complement Altern Med. 2012;12(1):65.
PubMed
PubMed Central
Google Scholar
Obidah W, Sarsquo U, Wurochekke A. Toxic effects of aqueous stem bark extract of Cassia sieberiana on some biochemical parameters in rats. Afr J Biochem Res. 2009;3(5):229–31.
CAS
Google Scholar
Bakshi SS, McMahon S, George A, Yumkella F, Bangura P, Kabano A, Diaz T. The role of traditional treatment on health care seeking by caregivers for sick children in Sierra Leone: results of a baseline survey. Acta Trop. 2013;127(1):46–52.
PubMed
Google Scholar
Manikandaselvi S, Vadivel V, Brindha P. Review on Luffa acutangula L.: ethnobotany, Phytochemistry, nutritional value and pharmacological properties. Int J Curr Pharm Rev Res. 2016;7(3):151–5.
Google Scholar
Birhan W, Giday M, Teklehaymanot T. The contribution of traditional healers' clinics to public health care system in Addis Ababa, Ethiopia: a cross-sectional study. J Ethnobiol Ethnomed. 2011;7(1):39.
PubMed
PubMed Central
Google Scholar
Aderibigbe S, Agaja S, Bamidele J. Determinants of utilization of traditional bone setters in Ilorin, north Central Nigeria. J Prev Med Hyg. 2013;54(1):35–40.
CAS
PubMed
PubMed Central
Google Scholar
Hou Y, You J, Chang H. The differences of sheng-hua-tang on the postpartum recovery among normal spontaneous delivery, cesarean section and artifical abortion–the analytic studies of 34 gynecological experts’ experiences in traditional Chinese medicine. J Chin Med (ROC). 2006;17(4):127–34.
Google Scholar
Zapantis A, Steinberg JG, Schilit L. Use of herbals as galactagogues. J Pharm Pract. 2012;25(2):222–31.
PubMed
Google Scholar
Bazzano AN, Hofer R, Thibeau S, Gillispie V, Jacobs M, Theall KP. A review of herbal and pharmaceutical Galactagogues for breast-feeding. Ochsner J. 2016;16(4):511–24.
PubMed
PubMed Central
Google Scholar
Al-Sawalha NA, Tahaineh L, Sawalha A, Almomani BA. Medication use in breastfeeding women: a National Study. Breastfeed Med. 2016;11(7):386–91.
PubMed
Google Scholar
Lubinga S, Kintu A, Atuhaire J, Asiimwe S. Concomitant herbal medicine and antiretroviral therapy (ART) use among HIV patients in Western Uganda: a cross-sectional analysis of magnitude and patterns of use, associated factors and impact on ART adherence. AIDS Care. 2012;24(11):1375–83.
CAS
PubMed
Google Scholar
Singh V, Raidoo DM, Harries CS. The prevalence, patterns of usage and people’s attitude towards complementary and alternative medicine (CAM) among the Indian community in Chatsworth, South Africa. BMC Complement Altern Med. 2004;4(1):3.
PubMed
PubMed Central
Google Scholar
Vickers KA, Jolly KB, Greenfield SM. Herbal medicine: women's views, knowledge and interaction with doctors: a qualitative study. BMC Complement Altern Med. 2006;6:40.
PubMed
PubMed Central
Google Scholar
Hughes G, Puoane T, Clark B, Wondwossen T, Johnson Q, Folk W. Prevalence and predictors of traditional medicine utilization among persons living with AIDS (PLWA) on antiretroviral (ARV) and prophylaxis treatment in both rural and urban areas in South Africa. Afr J Tradit Complement Altern Med. 2012;9(4):470–84.
CAS
PubMed
PubMed Central
Google Scholar
Abodunrin OL, Omojasola T, Rojugbokan OO. Utilization of alternative medical services by people of a north central city of Nigeria. East Afr J Public Health. 2011;8(2):82–7.
CAS
PubMed
Google Scholar
Tabuti J, Dhillion S, Lye K. Traditional medicine in Bulamogi county, Uganda: its practitioners, users and viability. J Ethnopharmacol. 2003;85(1):119–29.
CAS
PubMed
Google Scholar
Langlois-Klassen D, Kipp W, Rubaale T. Who's talking? Communication between health providers and HIV-infected adults related to herbal medicine for AIDS treatment in western Uganda. Soc Sci Med. 2008;67(1):165–76.
PubMed
Google Scholar
Gyasi RM, Siaw LP, Mensah CM. Prevalence and pattern of traditional medical therapy utilisation in Kumasi metropolis and Sekyere south district, Ghana. J Ethnopharmacol. 2015;161:138–46.
PubMed
Google Scholar
Aziato L, Antwi HO. Facilitators and barriers of herbal medicine use in Accra, Ghana: an inductive exploratory study. BMC Complement Altern Med. 2016;16(1):142.
PubMed
PubMed Central
Google Scholar
Gyasi RM, Mensah CM, Osei-Wusu Adjei P, Agyemang S. Public perceptions of the role of traditional medicine in the health care delivery system in Ghana. Global J Health Sci. 2011;3(2):40–9.
Google Scholar
Ekor M. The growing use of herbal medicines: issues relating to adverse reactions and challenges in monitoring safety. Front Pharmacol. 2013;4.
Frawley J, Adams J, Broom A, Steel A, Gallois C, Sibbritt D. Majority of women are influenced by nonprofessional information sources when deciding to consult a complementary and alternative medicine practitioner during pregnancy. J Altern Complement Med. 2014;20(7):571–7.
PubMed
Google Scholar
Mann C. Observational research methods. Research design II: cohort, cross sectional, and case-control studies. Emerg Med J. 2003;20(1):54–60.
CAS
PubMed
PubMed Central
Google Scholar