Medical pluralism on Mfangano Island: Use of medicinal plants among persons living with HIV/AIDS in Suba District, Kenya
Open accessAbstract
Ethnopharmacological relevance Given the increasing coverage of antiretroviral therapy (ART) for HIV/AIDS treatment as well as the high utilization of herbal medicine, many persons living with HIV/AIDS in sub-Saharan Africa are thought to practice medical pluralism, or the adoption of more than one medical system for their care and treatment. Using a cross-sectional study we sought to document and identify the herbal medicines used by persons living with HIV/AIDS on Mfangano Island, Suba District, Nyanza Province, Kenya.Materials and methods We interviewed herbalists and knowledgeable mothers to obtain information regarding medicinal plants, particularly for HIV/AIDS-related symptoms, HIV/AIDS, and chira (an illness concept with similarities to HIV/AIDS regarding sexual transmission and wasting symptoms). Using systematic sampling, 67 persons living with HIV/AIDS (49 of whom were receiving ART) were selected from an Mfangano Island health clinic and participated in semi-structured interviews.Results Interviews with herbalists and mothers identified 40 plant species in 37 genera and 29 families that a person with HIV/AIDS or chira could use for herbal remedies. Overall, 70.1% of persons living with HIV/AIDS had used medicinal plants after HIV diagnosis, most commonly to treat symptoms related to HIV/AIDS. In addition to common vegetables and fruits that can serve medicinal purposes, Azadirachta indica A. Juss. (Meliaceae), Carissa edulis (Forssk.) Vahl (Apocynaceae), and Ximenia americana L. (Olacaceae) were the most frequently cited medicinal plants used by persons living with HIV/AIDS.Conclusions Collaboration and communication between biomedical clinicians and herbalists should be encouraged given high rates of concomitant ART-herb usage. Pharmacological, toxicological, and ART-herb interaction studies based on the plants identified in this study and their constituent ingredients should be considered.
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Endocarp extracts showed strong antimicrobial activity against B. subtilis, P. aeruginosa, S. aureus, and M. luteus but had no effect on E. coli.
“The endocarp extracts showed strong antimicrobial activity against B. subtilis, P. aeruginosa, S. aureus, and M. luteus but had no effect on E. coli (26).”
From Cocos nucifera (L.) (Arecaceae): A phytochemical and pharmacological review (2015) · cites this paper as [26]
In Kenya, the fruit is used to relieve skin rash caused by HIV infection.
“In Kenya, the fruit is used to relieve skin rash caused by HIV infection (26).”
From Cocos nucifera (L.) (Arecaceae): A phytochemical and pharmacological review (2015) · cites this paper as [26]
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Mwaura, A., Ombori, O., & Kamau, J. (2023) · East African Journal of Science Technology and Innovation · doi:10.37425/eajsti.v4i2.543
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- Authors
- Nagata, J. M., Jew, A. R., Kimeu, J. M., Salmen, C. R., Bukusi, E. A., & Cohen, C. R.
- Affiliations
- University of California, San Francisco (US)
- National Museums of Kenya (KE)
- Corresponding author
- Nagata, Jason M.
- Venue
- Journal of Ethnopharmacology
- Publisher
- Elsevier BV
- Published
- 2011-05
- Volume
- 135
- Issue
- 2
- Pages
- 501-509
- ISSN
- 0378-8741 (ISSN-L)
- PMC
- PMC3103819
- OpenAlex
- W1975768558
- Cited by
- 81
- References
- 31
- Citations by year
- 2026: 1 · 2025: 4 · 2024: 7 · 2023: 8 · 2022: 7 · 2021: 3 · 2020: 5 · 2019: 2 · 2018: 4 · 2017: 5 · 2016: 4 · 2015: 8 · 2014: 10 · 2013: 6 · 2012: 5
- FWCI
- 8.87
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of Ethnopharmacology (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- Fogarty International Center (R25TW007512)
- Topics
- Life Sciences › Agricultural and Biological Sciences › Plant Science › Ethnobotanical and Medicinal Plants Studies
- Health Sciences › Medicine › Complementary and alternative medicine › Complementary and Alternative Medicine Studies
- Life Sciences › Agricultural and Biological Sciences › Plant Science › Medicinal Plant Research
- Keywords
- medical pluralism, medicinal plants, HIV/AIDS, herbal medicine, antiretroviral therapy, Azadirachta indica, Carissa edulis, Ximenia americana, complementary therapy
- MeSH terms
- Adolescent, Cross-Sectional Studies, Female, Humans, Kenya, Male, Phytotherapy, Middle Aged, Plants, Medicinal, HIV Infections, History, 16th Century, Young Adult
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