Traditional herbal medicine in Mesoamerica: toward its evidence base for improving Universal Health Coverage
Open accessAbstract
The quality of health care in Mesoamerica is influenced by its rich cultural diversity and characterized by social inequalities. Especially indigenous and rural communities confront diverse barriers to accessing formal health services, leading to often conflicting plurimedical systems. Fostering integrative medicine is a fundamental pillar for achieving universal health coverage (UHC) for marginalized populations. Recent developments toward health sovereignty in the region are concerned with assessing the role of traditional medicines, and particularly herbal medicines, to foster accessible and culturally pertinent healthcare provision models. In Mesoamerica, as in most regions of the world, a wealth of information on traditional and complementary medicine has been recorded. Yet these data are often scattered, making it difficult for policy makers to regulate and integrate traditionally used botanical products into primary health care. This critical review is based on a quantitative analysis of 28 survey papers focusing on the traditional use of botanical drugs in Mesoamerica used for the compilation of the "Mesoamerican Medicinal Plant Database" (MAMPDB), which includes a total of 12,537 use-records for 2188 plant taxa. Our approach presents a fundamental step toward UHC by presenting a pharmacological and toxicological review of the cross-culturally salient plant taxa and associated botanical drugs used in traditional medicine in Mesoamerica. Especially for native herbal drugs, data about safety and effectiveness are limited. Commonly used cross-culturally salient botanical drugs, which are considered safe but for which data on effectiveness is lacking constitute ideal candidates for treatment outcome studies.
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Murillo, R., Pinto-Martínez, N., Serrano, N., Uribe, C. J., Navarro, E., Duque, J., Yepes, A., Olaya, L., Mariño, C., Morales, O. L., et al. (2023) · Figshare · doi:10.6084/m9.figshare.24143950
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- Authors
- Geck, M. S., Cristians, S., Berger-González, M., Casu, L., Heinrich, M., & Leonti, M.
- Affiliations
- University of Cagliari (IT)
- Universidad Nacional Autónoma de México (MX)
- Swiss Tropical and Public Health Institute (CH)
- UCL School of Pharmacy (GB)
- Corresponding author
- Leonti, Marco
- ORCID
- Venue
- Frontiers in Pharmacology
- Publisher
- Frontiers Media SA
- Published
- 2020-07-31
- Volume
- 11
- Pages
- 1160-1160
- ISSN
- 1663-9812 (ISSN-L)
- PMC
- PMC7411306
- OpenAlex
- W3046459822
- Cited by
- 74
- References
- 468
- Citations by year
- 2026: 9 · 2025: 12 · 2024: 13 · 2023: 15 · 2022: 12 · 2021: 12 · 2020: 1
- FWCI
- 0.85
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Frontiers in Pharmacology (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- edoc (University of Basel) (acceptedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- UCL Discovery (University College London) (submittedVersion)
- UNICA IRIS Institutional Research Information System (University of Cagliari) (submittedVersion, other-oa)
- Funders
- European Commission (606895)
- Topics
- Life Sciences › Agricultural and Biological Sciences › Plant Science › Ethnobotanical and Medicinal Plants Studies
- Life Sciences › Agricultural and Biological Sciences › Plant Science › Phytochemistry Medicinal Plant Applications
- Health Sciences › Medicine › Complementary and alternative medicine › Complementary and Alternative Medicine Studies
- Keywords
- traditional herbal medicine, Mesoamerica, universal health coverage, integrative medicine, medicinal plants, plant-derived drugs, Indigenous health, health care access, health sovereignty, toxicology, evidence base, complementary therapy, primary care, health disparities
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