Perceptions of Traditional Herbal Integration in Modern Pharmacy Services Among Indigenous Communities

Ismedsyah Ismedsyah; Ulfa Nur  Maa’idah; Yuli  Astutik

doi:10.55927/ajha.v4i2.15582

Authors

Ismedsyah Ismedsyah Poltekkes Kemenkes Medan
Ulfa Nur Maa’idah Akademi Analis Farmasi dan Makanan Sunan Giri Ponorogo
Yuli Astutik Universitas Negeri Malang

DOI:

https://doi.org/10.55927/ajha.v4i2.15582

Keywords:

Perceptions, Traditional Herbal, Integration, Modern Pharmacy Services, Indigenous Communities

Abstract

This qualitative study explores indigenous communities’ perceptions of integrating traditional herbal medicines into modern pharmaceutical services. Through semi-structured interviews with 15 herbal users, traditional practitioners, and pharmacists in Medan, the findings reveal that indigenous communities view integration as a means to enhance legitimacy and access, though concerns persist regarding authenticity, safety, and commercialization. Pharmacists generally support integration but face regulatory and standardization challenges, while traditional practitioners stress the preservation of cultural values. The study concludes that successful integration requires cultural sensitivity, regulatory alignment, and collaboration between pharmacists and traditional healers to support a more inclusive health system.

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References

Ampomah, G., Boateng, L., & Adomako, J. (2023). Community perspectives on the integration of traditional medicine into modern health care: Cultural identity and resilience. Journal of Ethnopharmacology, 311, 116705. https://doi.org/10.1016/j.jep.2023.116705

Bodeker, G., & Kronenberg, F. (2002). A public health agenda for traditional, complementary, and alternative medicine. American Journal of Public Health, 92(10), 1582–1591. https://doi.org/10.2105/AJPH.92.10.1582

Braun, V., & Clarke, V. (2021). One size fits all? What counts as quality practice in (reflexive) thematic analysis? Qualitative Research in Psychology, 18(3), 328–352. https://doi.org/10.1080/14780887.2020.1769238

Chao, M. T., Wade, C., & Kronenberg, F. (2021). Disclosure of complementary and alternative medicine use to conventional medical providers: Variation by race/ethnicity and type of CAM. Journal of the National Medical Association, 113(2), 148–159. https://doi.org/10.1016/j.jnma.2020.10.014

Chikowe, I., Blundell, D., & McKimm, J. (2020). Pharmacy students’ knowledge, attitudes and practices towards herbal medicines. Pharmacy Education, 20(1), 19–26. https://doi.org/10.46542/pe.2020.201.1926

Creswell, J. W., & Poth, C. N. (2021). Qualitative inquiry and research design: Choosing among five approaches (4th ed.). SAGE Publications.

Dores, R. M., Carvalho, R., & Fernandes, M. (2023). Pharmacists’ perceptions of integrating herbal medicines into clinical practice: Opportunities and barriers. Research in Social and Administrative Pharmacy, 19(7), 1208–1217. https://doi.org/10.1016/j.sapharm.2022.12.005

Febriyanti, R., Pratiwi, D., & Rahmawati, A. (2024). Traditional herbal practices in Indonesia: Between cultural identity and health system integration. Indonesian Journal of Health Research, 12(1), 45–57.

Figueroa-Rodríguez, O. L., García-Mora, T. J., & Espinoza-Ortega, A. (2024). Attitudes of community pharmacists towards herbal medicine integration: Evidence from Latin America. BMC Health Services Research, 24, 118. https://doi.org/10.1186/s12913-024-09988-y

Flick, U. (2020). An introduction to qualitative research (6th ed.). SAGE Publications.

Guest, G., Namey, E., & Chen, M. (2020). A simple method to assess and report thematic saturation in qualitative research. PLoS ONE, 15(5), e0232076. https://doi.org/10.1371/journal.pone.0232076

Hussain, S., Malik, F., & Khan, S. (2023). Regulatory frameworks for herbal medicine: Balancing safety and cultural preservation. Frontiers in Pharmacology, 14, 1178092. https://doi.org/10.3389/fphar.2023.1178092

Kleinman, A., & Lee, S. (2021). Medical pluralism, globalization and new medical technologies. Social Science & Medicine, 270, 113633. https://doi.org/10.1016/j.socscimed.2020.113633

Liheluka, L., Mwangi, J., & Kilonzo, R. (2023). Local perspectives on herbal medicine use and integration into modern healthcare. Journal of Herbal Medicine, 37, 100654. https://doi.org/10.1016/j.hermed.2023.100654

Lin, V., Bodeker, G., & Ong, C. K. (2022). Traditional medicine in Asia: Global relevance and challenges for integration. The Lancet Regional Health – Western Pacific, 22, 100431. https://doi.org/10.1016/j.lanwpc.2022.100431

Mbaye, S., Cissé, I., & Diop, A. (2021). Cultural integrity and the use of traditional medicine in public health systems. Global Public Health, 16(8–9), 1314–1326. https://doi.org/10.1080/17441692.2020.1868783

Mizranita, R. (2024). Herbal medicine policy implementation in Indonesian primary health services: Challenges and opportunities. Journal of Indonesian Health Policy, 5(2), 88–99.

Moustakas, C. (2020). Phenomenological research methods (2nd ed.). SAGE Publications.

Nguyen, T., & Smith, J. (2022). Participatory health governance: Community voices in health decision-making. Health Policy and Planning, 37(2), 180–189. https://doi.org/10.1093/heapol/czab118

Nowell, L. S., Norris, J. M., White, D. E., & Moules, N. J. (2022). Thematic analysis: Striving to meet the trustworthiness criteria. International Journal of Qualitative Methods, 21, 1–13. https://doi.org/10.1177/16094069221082483

Osei-Tutu, E., Boateng, L., & Amponsah, S. (2021). Herbal medicine integration in Africa: Policy frameworks and implementation challenges. BMC Complementary Medicine and Therapies, 21, 210. https://doi.org/10.1186/s12906-021-03354-2

Palinkas, L. A., Horwitz, S. M., Green, C. A., Wisdom, J. P., Duan, N., & Hoagwood, K. (2021). Purposeful sampling for qualitative data collection and analysis in mixed method implementation research. Administration and Policy in Mental Health and Mental Health Services Research, 48(3), 524–535. https://doi.org/10.1007/s10488-019-00949-6

Sato, A., & Williams, C. (2021). Cultural values and health-seeking behavior: The role of traditional medicine in contemporary health systems. Global Health Research and Policy, 6, 25. https://doi.org/10.1186/s41256-021-00205-3

Stayduhar, K., Smith, A., & Patel, R. (2023). Pharmacists’ knowledge and readiness for herbal medicine integration: A cross-national survey. Pharmacy Practice, 21(1), 2732. https://doi.org/10.18549/PharmPract.2023.1.2732

Wardle, J., Adams, J., & Steel, A. (2021). Training and education needs of pharmacists in herbal medicine practice. Complementary Therapies in Clinical Practice, 44, 101436. https://doi.org/10.1016/j.ctcp.2021.101436

Wang, Y., Liu, H., & Chen, J. (2022). Balancing science and tradition: Adaptive mechanisms for integrating herbal medicine in modern healthcare. Frontiers in Public Health, 10, 887654. https://doi.org/10.3389/fpubh.2022.887654

WHO. (2023). Global report on traditional and complementary medicine 2023. World Health Organization. https://www.who.int/publications/i/item/9789240071122

Woolf, N. H., & Silver, C. (2022). Qualitative analysis using NVivo: The five-level QDA method (2nd ed.). Routledge. https://doi.org/10.4324/9781003117452

Yao, D., Li, Y., & Zhao, H. (2020). Community pharmacists’ attitudes towards herbal medicines: A survey in East Asia. International Journal of Clinical Pharmacy, 42(6), 1451–1459. https://doi.org/10.1007/s11096-020-01092-4

Zhang, Q., Zhao, J., & Wu, T. (2022). Challenges in clinical trials of herbal medicines: Methodological issues and future perspectives. Phytomedicine, 98, 153928. https://doi.org/10.1016/j.phymed.2021.153928