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an investigation into the antibacterial activities of medicinal plants ...

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under strict quality control measures, <strong>the</strong> high cost <strong>of</strong> <strong>the</strong>se medications make <strong>the</strong>m<br />

inaccessible to people in poor communities. The widely available, inexpensive<br />

herbal remedies is a favourable choice <strong>of</strong> medication <strong>an</strong>d treatment in impoverished<br />

communities with economic <strong>an</strong>d tr<strong>an</strong>sport burdens.<br />

The number <strong>of</strong> traditional health practitioners per capita is subst<strong>an</strong>tially higher th<strong>an</strong><br />

that <strong>of</strong> trained medical personal per capita in countries such as Gh<strong>an</strong>a, Swazil<strong>an</strong>d<br />

<strong>an</strong>d South Africa (http://www.conserveafrica.com/<strong>medicinal</strong>_pl<strong>an</strong>ts.rtf; Bodeker,<br />

2001). The traditional healer-to-patient ratio is estimated between 1:200 <strong>an</strong>d 1:400<br />

compared to 1:20 000 for conventional general practitioners in Africa (St<strong>an</strong>ley, 2004;<br />

http://www.i-sis.org/GSFTM.php). The WHO estimated that herbalism is 3-4 times<br />

more commonly practiced th<strong>an</strong> conventional medicine worldwide<br />

(http://www.<strong>the</strong>l<strong>an</strong>cet.com/search/search.isa).<br />

The use <strong>of</strong> traditional medicine as primary health care is encouraged as a result <strong>of</strong><br />

<strong>the</strong> following:<br />

healers knowing <strong>the</strong> sociocultural background <strong>of</strong> people,<br />

healers are highly respected <strong>an</strong>d experienced in <strong>the</strong>ir work,<br />

economic considerations,<br />

variable effects <strong>of</strong> m<strong>an</strong>y modern drugs,<br />

long waiting times at hospitals,<br />

unmotivated poorly trained hospital staff <strong>an</strong>d<br />

shortage <strong>of</strong> health pr<strong>of</strong>essionals, particularly in rural areas (Bodeker, 2001;<br />

http://www.conserveafrica.com/<strong>medicinal</strong>_pl<strong>an</strong>ts.rtff; http://www.who.int/inffs/fact134.html;<br />

Rakungira, 2002).<br />

In m<strong>an</strong>y societies both traditional <strong>an</strong>d modern health systems exist <strong>an</strong>d normally<br />

people consult both systems for different reasons <strong>an</strong>d during different stages <strong>of</strong> <strong>the</strong>ir<br />

disease (Bodeker, 2001; http://www.conserveafrica.com/<strong>medicinal</strong>_pl<strong>an</strong>ts.rtf). A<br />

study <strong>of</strong> <strong>medicinal</strong> pl<strong>an</strong>ts used in Lesotho indicated <strong>the</strong> one-way referral on certain<br />

occasions from traditional healers to modern doctors (Shale et al., 1999).<br />

In countries such as Vietnam <strong>an</strong>d China <strong>the</strong> modern <strong>an</strong>d traditional health systems<br />

are integrated at <strong>the</strong> level <strong>of</strong> medical education <strong>an</strong>d practice (Bodeker, 2001). In<br />

9

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