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Connaissances, attitudes et pratiques de la communauté sur la promotion des plantes médicinales dans les ménages de l'aire de santé Afia Keshero en RDC

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par Chadrak KAKULE THASI
Université libre des pays des grands lacs Goma - Licence en santé et développement communautaires 2009
  

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CONTENTS

The objective of health for all set for the year 2000 is far from being reached until now, here nine years elapsed after the deadline, all social strata have not yet acceded to efficient health care efficient, affordable, and accessible and with the participation of the community. The use of medicinal plants was done on a scale too small while generally free and can help everyone regardless of access to health care, whereas in medicinal plants as an opportunity that can foster better home health care.

On this, our job is to study knowledge, attitudes and practices of the community on the promotion of medicinal plants in households AS AFIA Keshero. This study tries to answer three specific questions namely:

· What level of community awareness on the promotion of medicinal plants in households AS Afia Keshero as an opportunity to improve health?

· What are the community attitudes towards the cost of modern health care and promotion of medicinal plants in households AS AFIA Keshero,for access health care?

· How the community practice the use of medicinal plants in households AS AFIA Keshero?
To answer these questions, we formulated the following hypothesis:

1. The use of medicinal plants is very common in the community AS AFIA Keshero, however, their knowledge is limited;

2. The attitudes of the community of SA would be different with the cost of modern health care and promotion of medicinal plants in households to ensure access to health care;
3. The way the community practice the use of medicinal plants is known in households AS AFIA Keshero.
This study fixed the specific objectives to:
1. Assess level of community awareness on the promotion of medicinal plants in households to improve the health of the community AS Keshero AFIA.

2. Identify community attitudes AS AFIA Keshero on assessing the cost of modern health care and the promotion of medicinal plants in households for access to health care in the home.
3. The correct use of medicinal plants, researching of information from traditional healers, collaboration between households-traditional healer and health personnel, supplying source of medicinal practice of AS AFIA Keshero while using medicinal plants.

To achieve these objectives and test hypotheses, we conducted a descriptive study and cross, with a probability sample. To determine the size of the sample, we used the formula, 30x7 imitating the WHO formula 30x30. The structured questionnaire was used as a technique of harvest data within households. After data collection we have made entered into SPSS, analyzed in the same program, and then processed in Microsoft Office Word.
After analysis and processing of data, we arrived at the following results:
1.Sample Characteristics:

Regarding age and sex, 47.1% of the respondents aged between 31-40 years and 67.1% of respondents were female. Compared to the level of study 48.6% of our respondents provided the primary study, and 29.5% of respondents are illiterate. In terms of function 43.8% of respondents did not function. Regarding the size of households 41.4% of respondents were more than 7 persons in the household and 90.5% of respondent's father is the head of household for religion 66.2% of respondents were Catholic ;
2.Community Knowledge about medicinal plants:

Case of knowledge 99.5% of respondents say they know that plants are sources of drugs, 84.3% of respondents, medicinal plants are an opportunity to help the community improve their health, because Plants that are accessible to all (52.9%). For 95.2% of our respondents are aware that the use of medicinal plants is recognized by the Ministry of Health and that 95.2% of our respondents confirm that compliance with regulations on the use of medicinal plants can help the community to use it effectively and improve their health. Regarding the consequences on medicinal plants, 91.4% of our respondents say that the risk of poisoning is the consequence can happen in a person who uses herbal remedies without regard for regulatory measures. 77.8% of respondents have received the knowledge of plants as source of drugs to grandparents, and for 87.1% of our respondents, the information provided by parents, grandparents, traditional healers, faith healers, on cemen the use of medicinal plants are satisfactory. For 72.9% of respondents are unaware of any traditional healer. Regarding the influence of traditional practitioners prescribe the use of medicinal plants (64.8% of respondents).
3. Community attitudes about medicinal plants:
Regarding the establishment of medicinal plant use in households, to 73.8% of respondents, the use of medicinal plants is the second appeal after modern medicine. For the validity of the use of medicinal plants in households is supported. 62.9% of respondents, the reasons for the use of medicinal plants in the household is in order to avoid scanning long distances for health care in regard to the valuation of the cost of modern health care over 94 8% of respondents say that the use of medicinal plants is good., 67.1% of our respondents felt that modern treatments are not expensive and 90% of our respondents said that modern health care does not cover the health needs at home, the CS and the hospital if they have no money they can not access it, the reasons are that the structures of modern health care does not cover requirements health care are just everywhere are paying 51% of respondents. Regarding the promotion of the use of medicinal plants in households 63.3% of the respondent said that herbal medicines can help easy access to health care, the reason advanced for 73.8% of interviewed was to facilitate easy access to medications and treatments without silver, 71.4% of respondents said that herbal medicines can not be used in modern health facilities;
4. Community practices about theuse of médicinal plant
Knowledge of the manual is the best practice for 79.5% of respondents, and 82.9% did not seek information from traditional healers. In contrast 71.9% of our respondents asked advice from the use of medicinal plants from friends, 64.3% of respondents do not use medicinal plants. For 90% of respondents collaboration between traditional healers and household-health personnel is a means of exchanging information on the proper use of medicinal plants in their households, 47% of respondents collect medicinal plants in natural vegetation, so lack of family gardens to medicinal plants.

Household's manner of resorting to medicinal plants while disease is doubtful because households are not researching information from traditional healers, but they turn to their friends asking advice. Friends can have good level of knowledge or weak one, or they can be without knowledge.

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