Experience of patients with breast cancer with traditional treatment and healers’ understanding of causes and manifestations of breast cancer in North Shewa zone, Ethiopia: a phenomenological study

Objectives Despite a high number of traditional healers (THs) who treat patients with cancer in Ethiopia, there is limited evidence that explored the lived experience of patients with breast cancer (BC) with traditional treatment and healers’ understanding of the causes and manifestations of BC.Desi...

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Main Authors: Alemayehu Gonie Mekonnen, Belete Tewabe Gebeyehu, Mesfin Woldearegay
Format: Article
Language:English
Published: BMJ Publishing Group 2022-12-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/12/12/e063726.full
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author Alemayehu Gonie Mekonnen
Belete Tewabe Gebeyehu
Mesfin Woldearegay
author_facet Alemayehu Gonie Mekonnen
Belete Tewabe Gebeyehu
Mesfin Woldearegay
author_sort Alemayehu Gonie Mekonnen
collection DOAJ
description Objectives Despite a high number of traditional healers (THs) who treat patients with cancer in Ethiopia, there is limited evidence that explored the lived experience of patients with breast cancer (BC) with traditional treatment and healers’ understanding of the causes and manifestations of BC.Design A phenomenological study design was employed.Setting This study was conducted in the North Shewa zone in Ethiopia.Participants Eight in-depth interviews were conducted; four of which were with patients with BC and four with THs. Semistructured interviewing techniques were used to collect data from the two groups of respondents. All interviews were audio-recorded. The recorded data were transcribed verbatim. Coding and marking were then performed to make the raw data sortable. The marked codes were then summarised and categorised into themes.Results In this study, some of THs were unaware of the main risk factors or causes of BC. They did not mention the lifestyle risk factors of BC such as smoking cigarettes, consuming alcohol and eating habits. The most common clinical manifestations noted by THs were lumps at the breast, discharge from the nipples and weakness. All of the THs got their knowledge of BC treatment from their families and through experience. Regarding the lived experience of treatment, some patients with BC perceived that traditional medicines were safer and more effective than modern treatments and they eventually referred themselves to the THs.Conclusions Although THs were unaware of the causes of BC, they were familiar with basic signs and symptoms of the disease. Patients with BC referred themselves to the THs because they preferred traditional therapies to modern ones. In order to better satisfy the unmet needs of Ethiopian women with BC, due consideration should be given to traditional treatments.
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spelling doaj-art-af7ac70f23aa4589997822992a1502c92025-08-20T02:57:17ZengBMJ Publishing GroupBMJ Open2044-60552022-12-01121210.1136/bmjopen-2022-063726Experience of patients with breast cancer with traditional treatment and healers’ understanding of causes and manifestations of breast cancer in North Shewa zone, Ethiopia: a phenomenological studyAlemayehu Gonie Mekonnen0Belete Tewabe Gebeyehu1Mesfin Woldearegay2Department of Nursing, College of Health Sciences, Debre Berhan University, Debre Berhan, EthiopiaDepartment of Chemistry, College of Natural and Computational Sciences, Debre Berhan University, Debre Berhan, Amhara, EthiopiaDepartment of Biology, College of Natural and Computational Science, Debre Berhan University, Debre Berhan, Amhara, EthiopiaObjectives Despite a high number of traditional healers (THs) who treat patients with cancer in Ethiopia, there is limited evidence that explored the lived experience of patients with breast cancer (BC) with traditional treatment and healers’ understanding of the causes and manifestations of BC.Design A phenomenological study design was employed.Setting This study was conducted in the North Shewa zone in Ethiopia.Participants Eight in-depth interviews were conducted; four of which were with patients with BC and four with THs. Semistructured interviewing techniques were used to collect data from the two groups of respondents. All interviews were audio-recorded. The recorded data were transcribed verbatim. Coding and marking were then performed to make the raw data sortable. The marked codes were then summarised and categorised into themes.Results In this study, some of THs were unaware of the main risk factors or causes of BC. They did not mention the lifestyle risk factors of BC such as smoking cigarettes, consuming alcohol and eating habits. The most common clinical manifestations noted by THs were lumps at the breast, discharge from the nipples and weakness. All of the THs got their knowledge of BC treatment from their families and through experience. Regarding the lived experience of treatment, some patients with BC perceived that traditional medicines were safer and more effective than modern treatments and they eventually referred themselves to the THs.Conclusions Although THs were unaware of the causes of BC, they were familiar with basic signs and symptoms of the disease. Patients with BC referred themselves to the THs because they preferred traditional therapies to modern ones. In order to better satisfy the unmet needs of Ethiopian women with BC, due consideration should be given to traditional treatments.https://bmjopen.bmj.com/content/12/12/e063726.full
spellingShingle Alemayehu Gonie Mekonnen
Belete Tewabe Gebeyehu
Mesfin Woldearegay
Experience of patients with breast cancer with traditional treatment and healers’ understanding of causes and manifestations of breast cancer in North Shewa zone, Ethiopia: a phenomenological study
BMJ Open
title Experience of patients with breast cancer with traditional treatment and healers’ understanding of causes and manifestations of breast cancer in North Shewa zone, Ethiopia: a phenomenological study
title_full Experience of patients with breast cancer with traditional treatment and healers’ understanding of causes and manifestations of breast cancer in North Shewa zone, Ethiopia: a phenomenological study
title_fullStr Experience of patients with breast cancer with traditional treatment and healers’ understanding of causes and manifestations of breast cancer in North Shewa zone, Ethiopia: a phenomenological study
title_full_unstemmed Experience of patients with breast cancer with traditional treatment and healers’ understanding of causes and manifestations of breast cancer in North Shewa zone, Ethiopia: a phenomenological study
title_short Experience of patients with breast cancer with traditional treatment and healers’ understanding of causes and manifestations of breast cancer in North Shewa zone, Ethiopia: a phenomenological study
title_sort experience of patients with breast cancer with traditional treatment and healers understanding of causes and manifestations of breast cancer in north shewa zone ethiopia a phenomenological study
url https://bmjopen.bmj.com/content/12/12/e063726.full
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