Information Sources
Information Sources
BY
EGWU, CLEMENT ONISOMISE
95349084CF
AUGUST, 2024
TABLE OF CONTENTS
TABLE OF CONTENTS i
CHAPTER ONE 1
INTRODUCTION 1
CHAPTER TWO 8
RESEARCH METHODOLOGY 8
CHAPTER THREE 9
RESEARCH METHODOLOGY 9
REFERENCES 11
APPENDIX 17
CHAPTER ONE
INTRODUCTION
like Nigeria; in developed countries, agriculture is the single biggest employer of labour (Ben,
2012). However, the agricultural sector is one of the most hazardous in terms of occupational
hazards in that farmers are usually exposed to harsh weather, difficult working posture and
lengthy hours of work due to the use of local farm tools since majority of them are small scale
subsistence farmers. Many of Nigeria’s farm families usually have close contacts with plants,
wild and domesticated animals, and agricultural chemicals such as inorganic fertilizers and
pesticides. Thus, several farm activities do pre-dispose farmers to disease infection and illnesses.
Health is a state of complete physical, mental, social well-being and merely the absence of
disease or infirmity (World Health Organization, [WHO], 2018). It is also a dynamic concept
that encompasses various aspects of human life viz-a-viz; the proper functioning of the body
system (physical health), being able to make contributions to their own community by realizing
their own abilities (mental health) and the ability to form and maintain meaningful relationships,
participate in social activities and contribute to society (social health) (WHO, 2019). Farmers'
health has significant effects on agricultural productivity because health, wellness and economic
The World Bank (2009) stated that between 2003 and 2007, 4544 outbreaks of H5N1 strain of
avian influenza were recorded in 36 countries. These outbreaks affected the health of farmers
and were associated with 269 cases and 163 fatalities. The Food and Agriculture Organization
(FAO, 2002) indicated that approximately 3 million people were poisoned and 200,000 died
from pesticides' use annually. The adverse effects of illness/diseases on agriculture and rural
development are manifest primarily in loss of labour supply, farm income and assets. According
to the World Health Organization (WHO, 2003), the HIV/AIDS pandemic significantly
compromised food security of affected households and communities, reducing the availability of
oldest form of health care system that has stood the test of time. It is an ancient culture-bound
method of healing that humans have used to cope and deal with various diseases that have
threatened their health, existence and survival (Abdullahi, 2011). Consequently, different
societies have evolved different forms of indigenous healing methods that are captured under the
broad concept of Traditional Medicine. E.g. Chinese, Indian and African Traditional Medicines.
(Abdullahi, 2011).
Traditional medicine, is as old as creation itself. The importance of plants for medicinal purposes
is revealed in many verses of the Bible among which Ezekiel 47:12 ‘’the fruit of trees shall be
for eating and the leaves for medicine” is very notable. For Africa, traditional medicine is a
holistic concept which covers nature, the sociological environment whether living or dead and
the metaphysical forces of the universe (Okunlola, 2007; Mafimisebi & Fakoya, 2007). In
Nigeria before 1873 when the Lagos General Hospital was established, there was no record of
Orthodox medicine (OM) practice. Following this, a make-shift temporary civil hospital was
built in Asaba (now in Delta State of Nigeria) in 1888. A Government Hospital was also built in
Calabar in 1898 as a result of the wide impact the first two hospitals made on the indigenes and
the colonial personnel and their families (Fasola, 2006). As OM received official and
government promotion and funding, people were made to believe that it was a better alternative
to traditional medicine. Traditional medicine was thereafter adjudged by the colonial authorities
to be dangerous and inimical to health. Sermons by some sects in the Christian religion also
equated traditional medicine to idol worship (Fasola, 2006). Furthermore, some deficiencies
inherent in the practice of traditional medicine such as lack of standardization of the prescribed
dosage are making a growing number of elites to disdain it. As a result, the practice of traditional
Nigeria, like any other typical African country, is an agrarian economy in which agriculture and
agro-allied enterprises are the most popular income-generating activities providing employment
for up to 90% of the rural dwellers (World Bank, 1993). The rural populace, which constitutes
about 70% of the country’s total population and provides virtually all of the nation’s home-
produced food, usually has little or no access to quality orthodox medicine (OM). In addition,
disease incidences are higher in the rural areas because of higher levels of illiteracy, poverty and
ignorance (National Bureau of Statistics, 2006). These rural dwellers rely almost exclusively on
traditional medicine for their healthcare needs in order to remain economically active. Were it
not for traditional medicine therefore, it is probable that the food problem in Nigeria would have
been more acute than it presently is ((Mafimisebi Oguntade & Mafimisebi, 2008).
In recent years there has been a growing interest in Traditional Medicine and their relevance to
public health both in developed and developing countries. Diversity, easy accessibility, broad
continuity, relative low cost, low levels of technological input, relatively low side effects and
growing economic importance are some of the positive features of Traditional Medicine. Poor or
inadequate supply and utilization of information to traditional health practitioners may poses a
lot of problem in primary health care delivery in Nigeria hence this study. This study aims to
access the traditional medicine use and information sources among rural households in Ahoada
absence of farmers from the farm. It greatly reduces farmers yield and income accruable from
farm production due to loss of man days at work which in turn increases the poverty level of
farmers. In order to prevent this, curative measures are used, in recent times, there seems to be a
drastic shift by some farmers from orthodox drugs to herbal products in curing their ailment.
Ulimwengu (2009) indicated that healthy farmers who were found to produce more per unit of
inputs, earn more income and supply more labour than farmers affected by sickness. Production
inefficiency increases significantly with the number of days lost to sickness. Ajani and Ugwu
(2008) also found that a one percent improvement in a farmers’ health condition led to a 31
percent increase in efficiency and farmers spent as much as 13% of their total household
vegetable farmer reported that 68% of farmers who used pesticides reported having felt sick after
routine pesticides application (Ngowi, Mbise, Ijani,. London & Ajayi, 2007).
Despite the availability of modern health care options, rural farmers continue to rely heavily on
traditional medicine for their needs leading to concerns about the efficacy, safety and
accessibility of these practices (WHO, 2022). The use of traditional medicine among farmers is
often driven by cultural beliefs, limited access to modern to modern healthcare facilities and
economic constraint (United Nations International Children’s Emergency Fund [UNISEF].
2020). However, the lack of regulation and standardization of traditional medicine practices can
result in inconsistent quality, potential toxicity and adverse interactions with modern medications
(National Institutes of Health, 2020). Furthermore, the reliance on traditional medicine may also
lead to delayed diagnosis and treatment of serious health conditions, worsening health disparities
among rural farming communities (Rural Health Hub, 2022). It is also interesting and worthy of
note that the National Agency for food, drugs Administration and Control (NAFDAC) have
approving the usage of Traditional Medicines and approving the usage of Traditional Medicine
with approved NAFDAC numbers. This is done in recognition of the efficacy of Traditional
Medicine.
There is a rising cost of imported medication and other commodities used for medicines. it is
important to stress the use of Traditional Medicine and their source of information as a
researchable issue among farmers in Ahoada West LGA, Rivers State. Most farmers in the rural
communities don’t have access to orthodox medicine and it is estimated that over 75% of the
populace still prefers to solve their health problems consulting traditional healers (Awudu, 2000)
Therefore, this study seeks to examine the traditional medicine use and information sources
among rural households in Ahoada West Local Government Area, Rivers State, Nigeria.
area;
ii. to identify the types of traditional medicine used by rural households for various health
conditions,
iii. to identify the sources of information that rural households rely on for traditional
medicine knowledge,
iv. to investigate the reason for preference of traditional medicine among rural households in
modern healthcare facilities and services. Despite its significance, there is a paucity of research
on traditional medicine use and information sources among rural households in Nigeria,
particularly in Ahoada West LGA. Understanding traditional medicine use and information
sources can inform policy decisions and interventions aimed at improving healthcare outcomes
in rural areas. Studying traditional medicine use can identify opportunities for integrating
traditional and modern healthcare practices, enhancing healthcare delivery in rural areas. By
exploring information sources, the study can identify ways to improve health literacy and
empower rural households to make informed healthcare decisions. This study contributes to
achieving global health goals, such as Universal Health Coverage (UHC) and the Sustainable
Development Goals (SDGs), by addressing healthcare disparities in rural Nigeria. The study
addresses gaps in knowledge on traditional medicine use, information sources, and healthcare-
seeking behaviors among rural households, providing insights for future research and
interventions. By investigating traditional medicine use and information sources among rural
households in Ahoada West LGA, this study aims to contribute to the body of knowledge on
healthcare in rural Nigeria, informing policies and interventions that promote healthcare access,
among rural farmers in Ahoada West LGA, Rivers State, Nigeria. It is delineated to describing
the socio-economic characteristics of the farmers in the study area, identify the types of
traditional medicine used by rural farmers for various health conditions, identify the sources of
information that rural families rely on for traditional medicine knowledge and to investigate the
reason for preference to traditional medicine among rural farmers in the study area,
CHAPTER TWO
RESEARCH METHODOLOGY
Chapter two will be under the following headings
RESEARCH METHODOLOGY
Nigeria. it is location in the western part of Rivers State with 5°5′11″N 6°28′31″E coordinates.
Ahoada West Local Government Area is bounded by the following LGAs: Ogba/Egbema/Ndoni
Local Government Area, Abua/Odual Local Government Area, Ahoada East Local Government
Area on the east, we have Besini and Yenagoa both of Bayelsa State on the North and West
respectively (Ahoada West Nigeria History, 2024) An annual rainfall of 2,400 mm - 3,000 mm,
its population is approximately 250,000 people (National Population Commission, 2006) and a
characterized by tropical rainforests, rivers, and wetlands. It was extracted in 1996 in the General
Sani Abacha military regime from the old Ahoada Local Government that makes up the present
Orashi Region of Rivers State. Its seat is in the town of Akinima.(Ahoada West Nigeria History,
2024)
The Local Government Area (LGA) comprises the Ekpeyes (Ubies and Ibuduyas), Engenni and
Ogbogolo communities. Thus, there are three distinct languages namely, Ekpeye, Engenni and
Ogbogolo. The Orashi River criss-crosses which is at the lower basin of the Niger River, the
entire Local Government area and its vegetation is mainly a high dense rain forest. Thus, the
occupations of the Ahoada West people are mainly farming, fishing, and hunting. (Ahoada West
purposely selected because of the prevalence of kidnaping in the study area; Mbiama, Okogbe,
Olokogbe, Odiologboji and Akinima. Out of the five (5) communities, ten (10) households will
be randomly selected, making a total of fifty (50) respondents will be the total sample for the
study.
will be used to elicit information on the socio-economic characteristics of the farmers in the
study area, the types of traditional medicine used by rural farmers for various health conditions,
identify the sources of information that rural families rely on for traditional medicine knowledge
and to investigate the reason for preference of traditional medicine among rural farmers in the
study area,
responses will be used to analyze the objectives. Tables will be used for data presentation.
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APPENDIX
I am a final year student of the above-mentioned University, currently carrying out a research
project on the topic Traditional Medicine use and Information Sources Among
Rural Farmers in Ahoada West Local Government Area, Rivers State,
Nigeria. The questionnaire is a part of the research procedure that will enable me to gather
adequate information to give my work authenticity, reliability and consistency. Therefore, your
sincere assistance is needed by providing information to the questions. This research work is
strictly for academic purpose and any information supplied shall be treated in utmost
confidentiality.
Thanks for your co-operation.
Yours Faithfully,
_________________
INSTRUCTION: please, indicate by ticking [✓]against the option that is applicable to you.
a) The internet [ ]
b) Traditional medicine practitioners [ ]
c) Friends and family [ ]
d) Advertisements on television and radio [ ]
e) Worshops and seminar [ ]
f) Books and articles [ ]
g) Medical health personnels [ ]
h) Agricultural extension agents [ ]
i. to identify the sources of information that rural families rely on for traditional medicine
knowledge
ii. to investigate the perceived effectiveness of traditional medicine among rural farmers in
LITERATURE REVIEW
systems. Africa is considered to be the cradle of mankind with a rich biological and cultural
diversity marked by regional differences in healing practices (Gurib-Fakim, 2006; Aone, 2001).
African Traditional Medicine in its varied forms is holistic involving both the body and the mind.
The traditional healer typically diagnoses and treats the psychological basis of an illness before
prescribing medicines, particularly medicinal plants to treat the symptoms (Gurib-Fakim, 2006;
Aone, 2001; Gurib-Fakim and Mahomoodally 2013; Gurib-Fakim, Brendler, Phillips, and Eloff,
2010). The sustained interest in Traditional Medicine in the African healthcare system can be
justified by two major reasons. The first one is inadequate access to allopathic medicines and
western forms of treaTraditional Medicineents, whereby the majority of people in Africa cannot
afford access to modern medical care either because it is too costly or because there are no
medical service providers. Second, there is a lack of effective modern medical treaTraditional
Medicineent for some ailments such as malaria and/or HIV/AIDS, which, although global in
distribution, disproportionately affect Africa more than other areas in the world.
The most common Traditional Medicine in common practice across the African continent is the
use of medicinal plants. In many parts of Africa, medicinal plants are the most easily accessible
health resource available to the community. In addition, they are most often the preferred option
for the patients. For most of these people, traditional healers offer information, counseling, and
treaTraditional Medicineent to patients and their families in a personal manner as well as having
is estimated to contain between 40 and 45,000 species of plant with a potential for development
and out of which 5,000 species are used medicinally. This is not surprising since Africa is
located within the tropical and subtropical climate and it is a known fact that plants accumulate
environment (Manach, Scalbert, Morand, Rémésy, and Jiménez, 2004). Because of her tropical
conditions, Africa has an unfair share of strong ultraviolet rays of the tropical sunlight and
numerous pathogenic microbes, including several species of bacteria, fungi, and viruses,
suggesting that African plants could accumulate chemopreventive substances more than plants
from the northern hemisphere. Interestingly, Abegaz et al. (2004) have observed that of all
species of Dorstenia (Moraceae) analysed, only the African species, Dorstenia mannii Hook.f, a
perennial herb growing in the tropical rain forest of Central Africa contained more biological
activity than related species (Manach, Scalbert, Morand, Rémésy, and Jiménez, 2004; Abegaz,
traditional healing has been a practices designed to promote mental, physical and spiritual well-
being that are based on beliefs which go back to the time before the spread of western scientific
understand it. World Health Organization (2002) made it known that populations throughout
Africa, Asia and Latin America use Traditional Medicine to help meet their primary health care
needs. As the economic importance of traditional knowledge and medicinal plants based
products and services are growing, they provide employment opportunities to various people and
at the same time it raises concerns about availability of medicinal plants, increasing costs of the
herbal products in domestic market especially for marginalized population and a dilution of
classical practices. In post-independence Africa, efforts have been made to recognize Traditional
Medicine as important aspect of health care delivery system in Africa. World Health
Organization (2002) gave an instance with Nigeria by stating that in the 1980’s, policies were put
in place to accredit and register native healers and regulate their practice. WHO (2001) stated
that in 1981, the national council on health unanimously approved the establishment of a
National Traditional Healers Board at the federal level involving representatives of federal and
state government. Under the present care reform of the Federal Government of Nigeria,
delivery system especially at the primary care level (Oyelacin, 2009). However, for such health
care services to be improved there is the need for exchange of information for the purpose of
‘agony’. Some scholars (such as Olsson, 2009) are of the opinion that the process of
of health and democracy. For example, Curtin (1998) argues that the period between 1840 and
1860 marked a significant and rapid innovation in tropical medicine, particularly, the invention
of quinine to stem the scourge of malaria in the most endemic region of the world. From this
point of view, the institutionalisation of the modern health care system can, therefore, be seen as
one of the many ‘legacies’ of Western encroachment in Africa. On the contrary, there are those
who believe that Western invasion was/is a set-back in the process of development in Africa
(Afisi, 2009) particularly in ‘modes of knowledge production’ (Taiwo, 1993: 891). These
scholars mention slavery, capitalism, colonialism and imperialism, neo-colonialism and all forms
of dominations and exploitations that were/are embedded in these epochs as major stumbling-
blocks in the actualisation of indigenous African development. Indeed, the current political and
Similarly, while some critics of colonialism have focused on the economic and political impacts,
others have shifted attention to the impact of colonialism on indigenous knowledge system (IKS)
(Mapara, 2009) especially knowledge of medicine (Feierman, 2002; Konadu, 2008; Millar,
2004). Such arguments underscore the negative impact of colonialism on indigenous medicine. It
is explained that the introduction of Western medicine and culture gave rise to ‘cultural-
ideological clash’ which had hitherto created an unequal power-relation that practically
undermined and stigmatised the traditional health care system in Africa because of the over-
riding power of the Western medicine. This became manifested in South Africa during the
Apartheid regime.
According to Hassim et al. (2010) a century of colonialism, cultural imperialism and apartheid in
South Africa have held back the development of African traditional health care in general and
medicines in particular. During several centuries of conquest and invasion, European systems of
medicine were introduced by colonisers. Pre-existing African systems were stigmatised and
marginalised. Indigenous knowledge systems were denied the chance to systematise and
develop.
In some extreme cases, traditional medicine was outrightly banned. For instance, the South
African Medical Association outlawed traditional medical system in South Africa in 1953
(Hassim, et al., 2010). In addition, the Witchcraft Suppression Act of 1957 and the Witchcraft
Suppression Amendment Act of 1970 also declared traditional medicine unconstitutional thereby
disallowing the practitioners from doing their business in South Africa (Hassim et aal, 2010).
The ban of traditional medicine was partially based on the belief that the conception of disease
and illness in Africa was historically embedded in “witchcraft” where, in Western knowledge,
studies have shown that etiologies of illnesses in Africa are viewed from both natural and
medicine continued in most African countries even after independence. Indeed, local efforts were
African communities during and after colonialism. Erinosho (2006) reported that the first protest
against the marginalisation of traditional medicine in Nigeria is dated back to 1922 when a group
In post independence Africa, concerted efforts have been made to recognise traditional medicine
as important aspect of health care delivery system in Africa. For instance, in Nigeria, the Federal
Government through the Ministry of Health encouraged and authorised the University of Ibadan
in 1966 to conduct research into the medicinal properties of local herbs with a view to
standardise and regulate traditional medicine(WHO, 2001). In 1980s, policies were put in place
to accredit and register native healers and regulate their practice. In 1981, the National Council
Board at the Federal level involving representatives of the Federal and State governments which
was to be duplicated at the State levels. Under the present health care reform of the Federal
component of health care delivery system especially at the primary care level (Federal Ministry
of Health (FmoH), 2004). The Federal Government of Nigeria has established the Nigeria
preserve and promote Nigerian Traditional Medicine products and practices and to also fast-track
the integration of the traditional medicineinto the mainstream of modern health care system in
line with happenings in China and India (The Sun news online, 2010). However, the lingering
mutual distrust between allopathic and traditional practitioners in Africa has continuously
hampered and thwarted the process of integration and cooperation between traditional and
modern medicines (Nevin 2001) as well as the difficulties in regulating traditional medical
medicineand their practitioners included in the official system of medical care in Africa. For
instance, Ebomoyi (2009) found out that Nigerian medical students have reservation for the
integration of traditional medicineinto the mainstream of health care provision in the country.
This is an indication that not much is being done in medical schools to encourage the teaching of
Medicineent of human and animal diseases has been handed down from generation to generation
in different cultures worldwide. In recent years, the traditional uses of numerous medicinal plants
have been corroborated by scientific evidence (Bischoff, Vogl, Ivemeyer, Klarer, Meier,
Hamburger and Walkenhorst, 2007). The use of biological resources for medicinal purposes,
however, is not restricted to human disease treaTraditional Medicineent, being also widely
employed for treating diseases of livestock (Lans, Nancy, Gerhard, Grant, Karla, 2006). These
uses fall within the remit of ethno-veterinary medicine (EVM). The ethno-veterinary
pharmacopoeia often contains ingredients sourced from various locations within the environment
and may include plants, animals, and minerals (Bartha, Quave, Balogh, Papp, 2015).
In former times, the knowledge of medicinal plants was passed down orally from generation to
herbal remedies have been conducted in Palestine, Latin America, Iran, Spain, Italy, Algeria,
(Pieroni, Howard, Volpato, and Santoro, 2004; Ali-Shtayeh and Jamous, 2016; Baharvand-
Ahmadi and Asadi-Samani, 2017; Akerreta, Calvo and Cavero, 2010; Benarba, Belabid, Righi,
Bekkar, Elouissi, Khaldi and Hamimed, 2015; Barkaoui, Katiri, Boubaker and Msanda, 2017; Di
Sanzo, De Martino, Mancini and De Feo, 2013; Piluzza, Virdis, Serralutzu and Bullitta, 2015;
Bullitta, Piluzza and Viegi, 2007; Sindhu, Ullah, Abbas, Iqbal and Hameed, 2012; Yadav, Rajput
and Mishra, 2016; Kujawska, Klepacki and Łuczaj, 2017; Martínez and Luján, 2011).
The recovery of traditional plant knowledge (TPK) linked to their medicinal use is one of the
most urgent and immediate issues needing attention, as confirmed by international researches.
The preservation of popular traditions can contribute not only to identify new uses of plant
species and to maintain ethno-biodiversity, but eventually to discover also novel biologically
active compounds to treat diseases (Menale, De Castro, Cascone and Muoio, 2016).