Use of Herbal Medicines and Aphrodisiac Substances Among Women in Kano State, Nigeria
Use of Herbal Medicines and Aphrodisiac Substances Among Women in Kano State, Nigeria
Use of Herbal Medicines and Aphrodisiac Substances Among Women in Kano State, Nigeria
e-ISSN: 23201959.p- ISSN: 23201940 Volume 4, Issue 4 Ver. III (Jul. - Aug. 2015), PP 41-50
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Abstract:
Background: Over three-quarter of the worlds population is using herbal medicines with an increasing trend
globally. Herbal medicines may be beneficial but are not completely harmless. An aphrodisiac is a substance
that increases sexual desire. These substances can either be herbal or orthodox. Many foods, drinks, and
behaviours have had a reputation for making sex more attainable and/or pleasurable. Men and women alike
have continued to use aphrodisiacs whether or not these drugs have any scientific basis of truly improving
sexual satisfaction without regards to their composition.
Aim: To assess the use of herbal medicine and aphrodisiac substances among women in Kano state, Nigeria.
Materials and Methods: A Cross-sectional study was conducted in Kano state, Nigeria. The study involved
400 participants recruited by cluster and random sampling techniques. Self-structured pretested questionnaire
was used for the study and statistical descriptive method of data analysis was used.
Result: - A total of 400 subjects were used for the study of which 94.5% (378) responded. The study revealed
that 42.0% (158) used herbal medicine and aphrodisiac. 52.5% of the users were within 21-30 age group who
are of low parity (0-4) 55.7%. Herbalist/Traditional houses are the major source of these medications (50.6%).
27.2% of the users experienced more vaginal wetness after using the medications. 36.7% (58) disagree with the
safety of these substances. Out of the 378 respondent, most of them 56.6% (214) use herbal medicine during
pregnancy. Majority 39.4% (91) use herbal medicine for treatment of diarrhoea, follow by diabetics 31.6%
(73), peptic ulcer treatment constitute 18.2% (42) while Fever 7.4% (17) and others 10.7% (23).
Conclusion: - This study revealed high use of herbal medicines, it is important that health professionals
enquire from the patients about past or current use of herbal medicines. This may help in educating the patients
about the health risks of using herbal medicine and may reduce delays in seeking appropriate care. It would be
helpful to study the pharmacological composition of the stimulants used by the respondents. Knowing the
composition will help in determining the possible effect of such drugs not only on sexuality but also on other
organs such as liver and kidney in the short and long run.
Keywords: Aphrodisiac, herbal medicine, sexual performance, traditional medicine
I.
Introduction
Herbal medicine is an integral part of traditional medicine. Traditional medicine has a broad range
of characteristics and elements which earned it the working definition from the World Health Organization
(WHO) (Oreagba et al, 2011). Traditional medicines are diverse health practices, approaches, knowledge and
beliefs that incorporate plant, animal and or mineral based medicines, spiritual therapies, manual techniques and
exercises which are applied singularly or in combination to maintain well-being, as well as to treat, diagnose or
prevent illness (WHO, 2008). In the developed countries, traditional medicine has been adapted outside its
indigenous culture to Complementary or Alternative medicine (WHO: Traditional report 2002-2005).
Globally, people developed unique indigenous healing traditions adapted and defined by their culture,
beliefs and environment, which satisfied the health needs of their communities over centuries (WHO, 2005).
The increasing widespread use of traditional medicine has prompted the WHO to promote the integration of
traditional medicine and complimentary or alternative medicine into the national health care systems of some
countries and to encourage the development of national policy and regulations as essential indicators of the level
of integration of such medicine within a national health care system (WHO, 2011).
Herbal medicines, also called botanical medicines or phytomedicines, refer to herbs, herbal materials,
herbal preparations, and finished herbal products that contain parts of plants or other plant materials as active
ingredients (WHO,2008).The plant materials include seeds, berries, roots, leaves, bark or flowers (Oreagba et al,
2011). Many drugs used in conventional medicine were originally derived from plants. Salicylic acid is a
precursor of aspirin that was originally derived from white willow bark and the meadowsweet plant (Halised)
(Raskin, 1992). Quinine and Artemesinin are antimalarials drugs derived from Cinchona pubescens Vahl bark
and Artemisia annua L. plant, respectively (Covello, 2008). Vincristine is an anticancer drug derived from
periwinkle, (Arcamone et al, 1980). Morphine, codeine, and paregoric, derived from the opium poppy (Halised),
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III.
Research Methodology
Research Design
A descriptive cross sectional survey design was used for the study
Research Location
The study was conducted in antenatal clinic of Aminu Kano teaching hospital, Kano and Murtala
Muhammad specialist hospital, Kano after cluster sampling.
Aminu Kano Teaching Hospital, Kano (AKTH) is a tertiary health care facility established by an Act
CAP 463 of 1st January, 1985, with essential responsibility to provide excellent services in all fields of
medicine, provide conducive environment to cadres of staff, conducting research for the advancement of
medical care and provision of support to primary and secondary health services among others. It is a 500 bedded
hospital with staff strength of over 3,001persons in different health and health related departments/units. It is
located in Tarauni local government area within Kano metropolis, Kano state, in the north-western part of
Nigeria. Tarauni local government covers an area of about 28 km2 (11 square meters) and has a population of
221, 367 as of 2006 census (NIPOST, 2009).
AKTH is located between Latitude of 1158 N, 11.967N and longitude of 834E, 8.567E; it borders
with Hausawa ward to the north-west, Kundila ward to the north-east, Unguwa-Uku ward to the south-east and
Karkasara ward to the south-west; within Tarauni local government area. The principal inhabitant of the vicinity
are Hausa/Fulani people and are practicing Islamic religion thus, Hausa and Fulfulde are the most spoken
languages in the area. However, other people that settled in the area include Yoruba, Igbo, Ibra, Igala and Nupe
among others (Ado, 2003).
Murtala Muhammad specialist hospital Kano was established in 1926 the city hospital of Kano with a
capacity of 16 beds. It is one of the oldest and largest hospital in Nigeria. It was named after the former head of
state General Murtala Muhammad who assassinated in 1976. The hospital became specialist hospital in the
year 1997. The hospital is enclosed within the walls of old Kano city. It is about 200meters away from Kofar
Mata (gate) to the east and about 500 meters to the west of Emirs place. The hospital serves people of the
neighbouring states like jigawa, Katsina, and Zamfara and those of neighbouring countries like Niger and Mali
Research population
The target population of the study comprised of all pregnant women between the ages of 18-40years
attending antenatal clinic of Aminu Kano Teaching Hospital and Murtala Muhammad specialist hospital, Kano.
Sample size and sampling technique
Total number of booked women attending ante natal clinic in AKTH and MMSH, Kano in a year was
found to be more than 10,000. Therefore fisher formula was used to calculate the sample size. 384 sample size
was derived and it was upgraded to 400 for greater efficiency. 200 subjects from MMSH, Kano and 200 from
AKTH and the respondents were recruited using cluster sampling technique. The respondents were clustered in
to four groups based on the days of antenatal visits; Monday, Tuesday, Wednesday and Thursday visits. Simple
random sampling technique was used to select the respondents on each antenatal visit day
Data collection instruments
Data was collected using a well structured pretested questionnaire. The questionnaire consists of 18
items and three section, socio-demography, Use of medication to enhance sexual performance and use of
herbal/traditional medicine during pregnancy. The questions consist of close ended question and few open ended
questions. Some of the questionnaires were translated into Hausa (local language) for easy administration. An
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IV.
Results
A total of 400 questionnaires were used for the study of which 378 were responded to. These give respondent
rate of 94.5%. The analysis was based on the 378 respondent.
Section (A):- Socio-demographic data
Fig 1:- Show percentage of users and non-users of herbal medicine and aphrodisiac substances.
Fig 1
Out of 378 that respond to the study majority 220 (58.0%) do not use herbal medicine and aphrodisiac
substance. only 158 (42.0%) are using herbal medicine and aphrodisiacs substances.
Table 1: - Show frequency and percentage of users of herbal medicine and aphrodisiac substances base on
ethnic group
Ethnic group
Hausa/Fulani
Yoruba
Igbo
Others
Total
frequency
110
25
16
7
158
Percentage (%)
69.6
15.8
10.1
4.4
100
Table 1: Majority of the respondent 110 (69.6%) are Hausa/Fulani, follow by Yoruba 25(15.8%), Igbo
constitute 10.1% and other ethnic group constitute 7(4.4%).
Fig 2: - Show percentage of religious distribution of users of herbal medicine and aphrodisiac substances.
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frequency
28
83
47
158
Percentage (%)
17.7
52.5
29.7
100
Table 2: Most respondent 83(52.5%) fall within the range of 21-30, 47(29.7%) are within age range of 31-40
and those within age range of 10-20 constitute only 28(17.7%)
Fig 3:- Show percentage of use of herbal medicine and aphrodisiac substances base on number of delivery
(parity).
Fig 3: Most of respondent 88 (55.7%) fall within parity range of (0-4). 42(26.6%) of the respondent are within
the parity range of (5-9) and those of parity 10&> constitute only 28(17.7%).
Table 3:- Show the percentage of users of herbal medicine and aphrodisiac substances base on level of
education.
Level of education
None
Informal
Primary
Secondary
Post-secondary
Total
frequency
36
17
21
31
53
158
Percentage (%)
22.8
10.8
13.3
19.6
33.5
100
Table 3: Table 3 show that majority 53 (33.5%) attended post-secondary education, but 36(22.8%) are not
educated, those that attend secondary school constitute 31(19.6%), 21(13.3%) attended primary school, and only
17(10.8%) undergo informal education.
Section (B):- Use of aphrodisiac substance
Table 4: - Shows Frequency and Percentages of Users and non-users of Medication to Enhance Sexual
Performance.
Use of aphrodisiac
Yes
No
Total
Frequency
158
220
378
Percentage (%)
42.0
58.0
100.0
Table 4: Most of the respondent 220(58.0%) do not used sexual stimulant, only 158(42%) of the respondent
used aphrodisiac substances.
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Frequency
70
36
44
8
158
Percentage (%)
44.4
22.6
27.8
5.1
100.0
Table 5: Majority of the respondent 70 (44.4%) used aphrodisiac substances for better sexual satisfaction, while
44(27.8%) use sexual stimulant to gain husband favour, 36(22.6%) use sexual stimulant because is a common
practice among friends and those with more than one reason constitute only 8(5.1%).
Fig 4: - Show percentage of sources of aphrodisiac substances (sexual stimulant).
Fig 4
Most of the respondent 80(50.6%) purchase these substances from herbalist, 45(28.5%) get their sexual
stimulant from their friends, from chemist constitute 15(9.5%), 8(5.1%) from health worker and those that get
their sexual stimulant from more than one source constitute only 10(6.3%).
Table 6:- Show frequency and percentage of the responses (what users felt) following usage of this sexual
stimulant.
Response
More vaginal wetness
More warm during sexual intercourse
No change with sexual intercourse
Sexual intercourse was generally more enjoyable
Total
Frequency
43
23
52
40
158
Percentage (%)
27.2
14.6
32.9
25.3
100.0
Table 4.6: This study finds that majority 52(32.9%) have no change in feeling with intercourse, followed by
43(27.2%) reported more vaginal wetness after usage of aphrodisiac substance, 40(25.3%) said sexual
intercourse was generally more enjoyable and only 23(14.6%) experience more warm during sexual intercourse.
Table 7: - Show frequency and percentage of level of safety of aphrodisiac substances.
Level of safety
Vary safe
Moderately safe
Safe
Unsafe
Very unsafe
Total
Frequency
38
20
24
58
18
158
Percentage (%)
24.0
12.7
15.2
36.7
11.4
100.0
Table 7: Most of the respondent 58 (36.7%) disagree with the safety of aphrodisiac substances, but 38(24.0%)
agree strongly to safety of the sexual stimulant, follow by 20(12.7%) said is moderately safe and only
18(11.4%) respondent consider aphrodisiac substances to be very unsafe.
Section C: - Use of herbal medicine during pregnancy
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Frequency
214
164
378
Percentage (%)
56.6
43.4
100.0
Table 8
Majority of the respondent 214 (56.6%) use herbal medicine during pregnancy while only 164(43.4%) do not
use herbal medicine during pregnancy.
Table 9: - Show frequency and percentage of reason of use of herbal medicine during pregnancy.
Reason for use
Preventing diseases
Treating illness
Promoting health
Never use herbal medicine
Others
Total
Frequency
67
72
41
11
23
214
Percentage (%)
31.3
33.6
19.2
5.2
10.7
100.0
Table 9: About 72 (33.3%) of the respondent use herbal medicine for treating illness during pregnancy, for
preventing disease constitute 67(31.3%), follow by promoting health 41(19.2%), other reason constitute
23(10.7%)
Fig 5:- Show users and non- users of herbal medicine for treating disease condition that are not pregnancy
induced.
Fig 5: About 61.1% of the respondent uses herbal medicine in treating other disease condition. Only 38.9%
reported as not using herbal medicine in treating other disease conditions
Table 10: - Shows use of herbal medicine in treating some disease condition.
Disease
Diarrhoea
Fever
Ulcer
Diabetes
Others
Total
frequency
91
17
42
73
8
231
Percentage (%)
39.4
7.4
18.2
31.6
3.5
100.0
91 (39.4%) of respondent use herbal medicine in treating diarrhoeal disease followed by diabetes 73(31.6%), for
ulcer disease constitute 42(18.2%), only 17(7.7%) of the respondent use traditional medicine for treatment of
fever and other form of illness constitute 8(3.5%)
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Discussion Of Finding
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VI.
This study revealed high use of herbal medicines and aphrodisiac from different sources and different
reasons. Therefore, the following recommendations were made from the result above
1. There is urgent need for clinicians to educate the public on female sexual dysfunction.
2. Communication between couples should be encouraged rather than the use of drugs whose
pharmacological properties are unknown.
3. It is important that health professionals enquire from the patients about past or current use of herbal
medicines. This may help in educating the patients about the health risks of using herbal medicine and may
reduce delays in seeking appropriate care.
4. There is need for collaboration between health professionals with herbal medicine practitioners to identify
the common herbal medicines used for treatment of different disease condition, their potential benefits and
harm.
5. It would be helpful to study the pharmacological composition of the stimulants used by the respondents.
Knowing the composition will help in determining the possible effect of such drugs not only on sexuality
but also on other organs such as liver and kidney in the short and long run. This knowledge is important in
counselling women who use the drugs.
6. Further studies are also recommended on the effect of the traditional sexual stimulants on men.
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