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International Journal of
            Population Studies                                            Traditional practices of herbal medicine in Malawi




            Table 3. Examples of herbal medicines mentioned in the study and their uses
            Chichewa name         English name        Scientific name      Part           Function
            Peyala                Avocado             Persea americana     Leaves         To treat anemia in pregnancy
            Chidede               Rose marrow         Hibiscus             Leaves         To treat anemia in pregnancy
            Mwanamphepo           -                   Cissus/Vitaceae      Roots          To hasten labor
            Mwanamphepo           -                   Cissus/Vitaceae      Roots          To prevent cesarean section

               starts and then proceed to the hospital you will not take   3.3.4. Market advertisement
               time to deliver…” (Participant #6 FGD3)         The participants also mentioned that there  are a lot of
               “As for me, I heard from other people, whom we were   herbal medicines being sold in the local markets in their
               chatting with, and just heard them saying that herbal   areas. As a result, a few of them indicated that they first
               medicine helps in facilitating labor so that one should   heard about herbal medicine use from advertisements in
               have a fast delivery…sure.so I heard from people who   these markets by the medicine sellers.
               came to  chat at my home and not  from relatives…”
               (Participant # 1 FGD 1).                           “As for me, I see herbal medicine in different places, i.e.,
                                                                  in markets….so I just see people selling these herbal
            3.3.2. Parents or guardians                           medicines and advertise them to us…” (Participant #7
            Some respondents indicated that they got the information   FGD1).
            about herbal medicine use from their parents or guardians,
            including their grandparents who raised them. For   3.3.5. Radio
            example, some participants said;                   Another woman cited radio as a source of information for
               “Our parents just told us that when you are pregnant   herbal medicine use among women in the area.
               you should be taking herbal medicine from this tree…”      “Aaah they also hear it from the radio…” (Participant
               (Participant #6 FGD 1)                             #1 FGD3).
               “As for me I was with my parents, my grandmother is
               the one who informed me of herbal medicine use…”   4. Discussion
               (Participant #5 FGD1)
               “I heard from my mom…” (Participant #3 FGD1)    This study explored sources of information and identified
                                                               reasons of using herbal medicine during pregnancy and
            3.3.3. Traditional birth attendants                childbirth in rural Lilongwe, Malawi. Influencing factors

            As anticipated, some women heard about herbal medicine   and sources of information are the two themes surrounding
            use from traditional birth attendants in the villages.  the narratives. (1) Influencing factors: (i) Previous obstetric
                                                               experiences (negative and positive), (ii) Quick relief from
               “Aaah they [heard] from the traditional birth   labor pains, (iii) Hastens delivery, (iv) Fear of abandonment
               attendants…” (Participant #2 FGD3)              by guardian during childbirth, and (v) Encouragements
               “I heard from my mother’s friend, [who] is a traditional   from friends (peers) and (2) Sources of Information for
               birth attendant…” (Participant #3 FGD2)         HM use: (i) Traditional Birth attendant (ii) Peers (friends,
              Unexpectedly, some women indicated that they got   women) (iii) Parents/Guardians (Mother, grandmother),
            information about HM use from healthcare workers, such   (iv) Radio, and (vi) Market advertisement.
            as nurses, who advised them to use herbal medicine during   Our findings revealed that some women use herbal
            pregnancy. When probed further, these women said that,   medicine during pregnancy and child birth because of their
            during the antenatal care visit, nurses would advise them   previous obstetric experiences, either positive or negative. For
            to consume the concoction of boiled Avocado tree leaves   example, when one has multiple consecutive miscarriages,
            or boiled Roselle  (Hibiscus sabdariffa) juice to improve   or unintended abortions or any bad obstetric experience,
            blood levels when they become low.                 they become more compelled to use herbal medicine to
               “When you go to the antenatal clinic and you are told   prevent similar occurrences in the next pregnancies. They
               that the blood is not enough in your body we are advised   will continue using herbal medicine during pregnancy or
               by the nurse to boil peyala (Avocado tree leaves) leaves   in labor if the past experiences in using herbal medicine
               and drink its concoctions…or you can boil Chikhada/  prove to be favorable. Another scenario was that when they
               Chidede  (Roselle)  and  then  drink  its  concoctions…”   have experienced a cesarean section or a difficult labor, they
               (Participant #6 FGD3)                           will very likely choose to use herbal medicine in the next


            Volume 10 Issue 3 (2024)                        40                        https://doi.org/10.36922/ijps.0296
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