Background:
The practice of Medicine of CAM use is found drawbacks, particularly among DM patients, the prevalence of ancient medication use in study conducted in African continent, was 80% and Northern part of Tanzania was 40.3%, this shows that in African countries particularly country like Tanzania the CAM use is culturally accepted, although there’s still few knowledge on prevalence, determinants and kinds of CAM used among diabetic patients, the obtainable knowledge solely covers the utilized ancient drugs in concert among the CAM observe, thus this study can will covers the prevalence, associated factors and all CAM patterns like herbs, dietary supplements, multivitamins, mineral supplements, non-secular therapies, manual techniques, and exercises.
Objectives:
To determine the prevalence, associated factors and patterns of CAM use among Diabetic patients type 2 aged older than 18 years attending clinic at health facilities in Dodoma urban.
Methods:
The study will be based on randomized selection cross sectional study, conducted at health facilities in Dodoma urban district among DM patients type 2 attending clinic by direct interviewing and asking questions in Swahili language by utilizing questionnaire and the collected data will be examined by Statistical Package for Social Sciences (SPSS).
Budget:
The total provided field research is T.sh. 100,000, in which stationary work will cost sh. 50,000, transportation sh. 20,000, rim paper, pen, pencils, staple is T.sh 15,000, internet services T.sh 5,000, and T.sh 10,000 for contingency money.
Definitions of key terms
- Complementary and Alternative Medicines is the medical term describes the practice and the traditional medicines products which are untested, lack biological plausibility and are not standard for medical health care.
- Diabetes Mellitus type 2 (formerly named non-insulin dependent) is a metabolic disorder characterized by high blood sugar as a results from body’s inability to respond properly to the action of insulin produced by the pancreas.
1.0 Introduction
1.2 Background
Complementary and alternative medicine has been defined as the broad set of health care practices that are not part of that country’s own tradition or conventional medicine and are not fully integrated into the dominant health care system
In Tanzania one among the modes of CAM use is traditional medicine practices which is used by more than half of adults, they are used in treating a variety of conditions including NCD’s. The study done in Northern Tanzania to assess the traditional medicine practices among community members with diabetes mellitus showed that many individuals were using traditional medicine and the prevalence was 40.3%, the fact that CAM use in Tanzania is culturally accepted, still there is few data on prevalence, determinants and types of CAM used among diabetic patients, the available data only covers the use of traditional medicine as one among the CAM practice, the study will intend to covers all pattern of CAM like herbs, dietary supplements, multivitamins, mineral supplements, spiritual therapies, manual techniques, and exercises.
Diabetes mellitus affects the whole thing of a human being and progressively individuals use complementary and practice of medicine in conjunction with alternative medical treatments and manner modifications to manage their condition and improve well-being.
1.3 Literature Review
1.3.1 The Prevalence Of Complementary And Alternative Medicine Use
The recent percentage prevalence review of CAM use, which consist a total of 18 studies from 9 different countries, showed that the burden of CAM use among diabetic mellitus patients ranges from 17% to 73%.
The conventional therapies such as insulin, lifestyle measures, and lowering oral glucose medicines which have been seen to be used in diabetes mellitus management, sometimes become unavailable or expensive and associated with side effects to many diabetic patients. All these reasons eventually leading to the use of complementary and alternative medicines among people living with diabetes mellitus so as to manage their diabetic health status.
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The prevalence variation across the world range from 12.4% to 72.8% with high prevalence estimated to be 80% in Africa followed by USA, Asian, and European countries.
1.3.2 Factors Associated With The Use Of Complementary And Alternative Medicines Among Diabetic Patients.
A study which was done in USA identified that those aged above 65 years are being three times more likely to use CAM compared to the ones below 65 years.
Also a study which was done in Saudi Arabia found the association between being female and CAM use, whereby they are more likely to use CAM compared to males. This could be due differences in accessing health care between the two genders.
Study done in Lebanon identified that compared to not married, married patients had the twice odd of using CAM, and patients who reported an income of less than 500$ had less odd of using CAM compared to the once reported an income of between 500 -1000$.
Therefore, the major greatest associated factors for CAM use are cultural and spiritual beliefs, age, time-course of diabetes mellitus disease, disease complications, and advice from family and friends influences.
1.3.3 The Pattern Of Complementary And Alternative Medicines Use Among Diabetic Patients.
Diabetic care journal showed that the most commonly CAM used were nutritional advices lifestyle diets, spiritual healing and herbs medicines.
A study which was done in Lebanon showed that folk foods and herbs medicines were the most commonly used CAM followed by natural healthy products, spiritual healing, relaxation techniques and vitamins, this could be due to the presence of floral diversity that for long has constituted a basis for health care.
1.4 Statement Of The Problem
The use of CAM is a public health concern with recent review of CAM use, which consist a total of 18 studies from 9 different countries, showed that the burden of CAM use among diabetic mellitus patients ranges from 17% to 73%. Despite advances in care and management of diabetes mellitus still there is an increase in morbidity, mortality and long term complications, this could be due to the use of CAM which could interact with convectional medications and lead to failure in regulating glucose.
Rationale
The fact that CAM use in Tanzania is culturally accepted, still there is few data on prevalence, determinants and types of CAM used among diabetic patients, the available data covers only the use of traditional medicine which is one among the pattern CAM practice, so the study will be intended to study all pattern of CAM use like herbs, multivitamins, mineral supplements, dietary supplements, spiritual therapies, manual techniques and exercises.
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