Re-jigging Nigeria health system through promotion of trado-medicine

Evidently, while the rest of the world have continued to tap the gains of traditional medicine in boosting healthcare and their economies, Nigeria has unfortunately continued to drag her feet on exploring the vast potentials of this vital alternative to western medicine. In this report, the duo of Jimoh Bashir and Rowland 'Shuwa explores issues militating against herbal practice in the country and the way forward.

There is no gainsaying the fact that long before the advent of the European rule, Nigerians relied solely on indigenous medicine which was peculiar to each culture, and so there was no uniformed traditional medicine in the country.
The oracle was an established source of investigations to the ill health of the people and the solutions. This practice is pervasive and it influences all activities. No wonder, despite all the challenges it has faced it is still in practice till date. 
But this ancient medical system was riddled with so many misconceptions, half-truths and outright fallacy. 
Apart from this, our health system, which is closely knitted in the belief system of the people was largely bedeviled by ignorance and superstitions. Practitioners were unkempt and the herbal concoctions were dished out without measure and in utter disregard to hygiene. 
An olden day typical herbal practitioner
Then came the Europeans with orthodox medicine, well packaged, attractive and championed by men who had spent many years in study and appeared knowledgeable.
The treatment is holistic, the surroundings, social circumstances, situations and environments are treated and not just the symptoms. Also, there were few effective drugs and the available ones were provided by the whites. Traditional medicine could not stand the heat and soon gave way silently to the newcomer.
In taking over the health sector market in Africa, orthodox medicine took no prisoners and the locals were more than helpful in ditching their age-long health practice which had helped to keep them alive for centuries. It got so bad that in a gazette in 1974, oral herbal medicine was banned in the country. This dealt a death blow to traditional medicine and greatly affected the practice for many years after.
However, looking around in present day Nigeria, the array of ailments bedeviling us and the seeming helplessness of orthodox medicine is gradually returning the people back to the roots. And this renaissance is not limited to the country, it cuts across the world.

Professor Paul Ojo Fatoba
According to a Professor of Plant Biology, Professor Paul Ojo Fatoba of Lower Plant, Medicinal Plant and Environmental Biology in the University of Ilorin, herbal medicine is globally accepted and it is recognized by the World Health Organization (WHO) since many other countries are already tapping the benefits.   
Prof. Fatoba, who disclosed that majority of Nigerians patronize traditional medicine explained that it is cheaper and more effective than orthodox medicine. He however, reasoned that the reason many people are against it is because of religion.
In his words, “there are so many diseases that cannot be treated in orthodox way except herbal medicine is used. But I want to say here, when you are talking about herbal medicine, there are two things that are different that we do mix together and that is why some religious people would say it’s not right.
“In the Bible, the book of Genesis says that plants were created for humans and for our usefulness, health and life. God instructed that we use them in curing and maintaining our health. So, it’s not against the Bible. But however, because some plants have mystical power… that is when you now conjure. When you are conjuring, or you are bringing incantations into it that is where some people say you are going the other way.
“But when you put this plant and that one together, squeeze them together, make infusion and drink it, you have not introduced anything, no extraneous materials. Or you go ahead and cut the bark, the leaves of a plant and put them into earthen pot and boil, its concoction. You have not sinned. That is normal. Every plant is medicinal. It depends on the knowledge you have about it. Even food is medicinal. And plant is the primary food.”
He explained further that religionists reject the spiritual aspect of traditional medicine because it is in variance to their beliefs.
 While affirming that spiritual attacks do exist, the professor stated that no medical school teaches how to combat spiritual attacks, and so most orthodox doctors rarely spot a spiritual attack when it is presented to them in form of illness and so don’t know how to solve most of the spiritual issues that confronts the people. 

Dr. Olukunmi Lanre Olaitan
Speaking in the same vein, the Acting Head of Department, Health Promotion and Environmental Health Education in the University of Ilorin, Dr. Olukunmi Lanre Olaitan attested to the efficacy of herbal practice. 
“As an individual, judging with what is happening in Canada, I am aware that there is Comparative Alternative Medicine (CAM) in Canada –and it is approved by the government of Canada. They work at par with the orthodox medical practitioners over there, in fact, they complement.
“When you are sick in Canada, you can decide to go to CAM instead of going for orthodox medicine. They have their nursing homes too. But in that place, it is being regulated. You have prescription, unlike here. If we upgrade it to the level of regulation here, if they combine them, it will go a long way to help the health care system of Nigeria, because there is a course we offer in this Department. We call it Comparative Healthcare System.
“This is to look at orthodox medicine and the alternative medicine – where they meet, and how they can complement or help each other. So, if truly we say some of the traditional medicines are working, by the time we combine the two, we have two good things that are working. It will help us in Nigeria,” he said.
In a recent interview with BusinessLine, a member of the Board of Directors of the Sami Group, and Marketing Director, Sabinsa Corporation, New Jersey, Shaheen Majeed disclosed that the world herbal trade has grown to $120 billion and is expected to reach $7 trillion by 2050.
Also, the World Health Organization (WHO) has adopted a strategy to promote traditional medicines between 2014 and 2023 that aims to support member states in developing proactive policies and implement plans to strengthen the role of traditional medicine in the health sector.
This renewed interest in trado-medicine might be hinged on the fact that it has a lot of potential in arresting most of the ailments especially in sub-Sahara Africa that orthodox medicine does not have a cure for. 
But unfortunately, while other neigbouring African countries like South Africa, Ghana and Morocco have developed and maintained institutional mandates to fast track the co-ordination of research and development, promotion and documentation of traditional medicine, Nigeria is still blind to the promotion of traditional medicine.

Local Agbo seller
Thus, Nigeria, which is blessed with rich natural vegetation, many of which are unique to our clime and found nowhere else in the world, has not shown sufficient commitment to the promotion of trado- medicine or tapping into its vast revenue potentials. For instance, the traditional medicine bill which has been gathering dust in the National Assembly since 2006 and has not seen the light of day is gradually becoming an antiquity in the Hallowed Chambers.
The bill which sought to protect traditional medicine and regulate access to genetic resources, when passed into law, would among other things, lead to the establishment of traditional knowledge and genetic resources management board to grant authorization for the exploitation of genetic resources and associated knowledge.
But as government continues to show apathy to the promotion of trado-medicine, practitioners have resulted to self-help by forming groups and associations to boost their practice. Phytotherapist Association of Nigeria (PAN), Iwarefa New Dimension and Association of Traditional Medicine Practitioners, (ATMP) are some of the leading associations promoting trado-medicine practice in the country and in Kwara in particular.

Chief (Dr.) Abdulwahab Okunrinlol’Orun
In an interview with Witty Virtual News recently, the President of Iwarefa New Dimension, who is also the National Coordinator for Phytotherapist Association of Nigeria (PAN) and the Vice Chairman of Kwara State Association of Traditional Medicine Practitioners, (ATMP), Chief (Dr.) Abdulwahab Okunrinlol’Orun disclosed that, “We decided to come together to assist one another as practitioners of traditional medicine. We aim to build a closely knitted family of traditional medicine practitioners that will help one another to solve some of the teething ailments confronting the country.”
Speaking on the differences between traditional and orthodox medicine, Chief Abdulwahab, who is also the CEO, Okunrinlol’Orun Trado-Medical Herbal Home argued that while traditional medicine is indigenous to us, orthodox medicine is alien and should only be used to improve our indigenous medicine. 
“Every country or society has peculiar disease or ailments exclusive to them. What foreigners use to cure the ailments in their place is what they introduced to us here, called orthodox medicine. And that is why they will tell you most of these orthodox medicines don’t cure some ailments totally. But our own traditional medicines can do that totally without any side effects unlike orthodox medicine”.
Buttressing this, Prof. Fatoba explained that, “orthodox medicine has side effects, and that is why they will always caution you not to take more than the prescribed dose. If it is safe, you can take more at a time. Orthodox medicine only suppresses ailments, and do not cure it. The side effects are more dangerous and why? Herbal medicine is organic materials and they are bio-degradable, because the life span will break at a point. But for the orthodox medicine, it will continue to store in the body.
“On the other hand, the after effects of orthodox medicines remain and form into tissues and remains in the body. When you take your drug, though it will solve the problem to a level, but again, the side effect is there, because they are synthetic materials.
“How do they get it? Everything is from plant, basically from plant. Once they use a plant, and it is effective against a disease, they go to the laboratory to find out which of the substances that is active. When they get it they synthesize it, put starch and put small active element into it, which we swallow as drug.”

Dr. (Alfa) Abubakar Sadauki ‘Mark One-One’
Speaking in the same vein, the CEO, Sadauki Mark-One-One Enterprises, Dr. (Alfa) Ibrahim Abubakar Sadaoki ‘Mark One-One’ lamented that Nigerians don’t value what they have. While affirming the contribution of orthodox medicine to the development of the nation’s health system, Alfa Sadaoki frowned at the overdependence of the country on orthodox medicine at the detriment of trado-medicine.
“Before the arrival of Europeans, our forefathers took care of themselves and others with roots, barks and leaves. No matter the aliment, they took care of it with the natural gift of God through herbs. But with civilization, we threw all these away. And most of the orthodox medicines as we know have side effects, because of the chemicals they use.
“In China, most of the supplements they bring to us here is their own traditional medicine in their country. Even the orthodox medicines we use here are traditional in some ways but synthesized not the natural way,” he said.

Alfa Sadaoki, who is a member of Phytotherapist Association of Nigeria (PAN) and Iwarefe New Dimension further disclosed that he established his herbal home as a way of preserving the rich values of traditional medicine which is gradually been forgotten. “We are throwing away valuable things; we have lost some of our potent traditional medicine through the death of our forefathers and their inability to teach their children because of civilization. This is what I want to preserve by establishing my own herbal home.” 

Alhaji Hassan Adebayo (Baba Koriko)
Speaking on the development of traditional medicine in other climes and how it has helped the people to overcome their health issues, the National Speaker, Phytotherapist Association of Nigeria (PAN) and a member of Iwarefe New Dimension, Alhaji Hassan Adebayo, also known as Baba Koriko, explained that “It would be interesting to note that in the advanced world, traditional medicine is the latest vogue. For instance, Chinese Acupulture. Any disease that defies orthodox medications is being treated by Chinese acupulture. 

“This is also applicable to our traditional medicine where we treat people with barks, roots, leaves and other supplements. Traditional medicine is well recognized by the World Health Organisation (WHO), and if given the right support by the relevant authorities, traditional medicine can cure any disease that defies solution in orthodox way and cures it permanently too.
“Traditional medicine is a wide range, as we have bone setters, traditional birth attendants and others, all of whom deals in barks, leaves and roots. According to available reports, 95 per cent of pregnant women in Nigeria visit traditional healing homes, despite that they go for ante-natal care at the hospitals. A lot of our people believe in this practice so much.”

On the acceptability of herbal medicine in the country, Alfa Sadaoki disclosed that the availability of herbal medicine and the high volume of patients patronizing it have contributed to the reduction of patients on sick beds. 

He explained that although people complain that herbal medicine doesn’t have dosage, yet they continue to patronize the local agbo seller. While stating that people are well informed about herbal medicine, he disclosed that orthodox medicine only suppress some infections like gonorrhea but after six months or thereabout, it will grow again.

Mr Abdulrasheed Adeoye Adepoju Goje
On his part, Mr. Abdulrasheed Adeoye Adepoju Goje, a banker turned traditional healer, lamented that Africans relied on western countries to cure some indigenous ailments like malaria, which is a major disease in Africa whereas most of the local traditional practitioners have the natural herbal solutions to cure it.
He said the inability of leaders to look inwards and identify the many potent potentials God had deposited in nature has made it impossible to tap into these hidden potentials. He explained that since his return to herbal practice, it has been a great blessing to him, his immediate family and friends.
“In my own little corner, I have tried to impact so many lives through this practice but I believe that with unity and government intervention, we will be able to do more and in the nearest future. We may even export our traditional medicine.”
All the traditional healers who spoke to Witty Virtual News agreed that for the practice to grow and become well accepted by all and sundry, government must be ready to make policies that will encourage people to patronize traditionalists. 
They disclosed that high blood pressure, diabetes, ulcer, typhoid, malaria and gonorrhea are some of the most common ailments confronting members of the society presently, stressing that they have been treating these aliments easily with herbal medicine. They attested that these aliments are better tackled with herbal medicine as it is more effective and cheaper.
They opined that the Federal Government needs to assist traditional medicine practitioners in order to grow, and to practice their trade in line with orthodox medicine practice. They also appealed to the National Agency for Food and Drug Administration and Control (NAFDAC) not to be too harsh on them pointing out that a baby does not grow in a day. They sought for ample opportunity to grow, so that as to prepare their products in line with orthodox practice.
The practitioners further stated that a lot of them have done thorough research, attended seminars and workshops on how to prepare and package products. According to them the usual allegation that they don’t have measurements for their products is a bygone as some of them are qualified doctors, lawyers and knowledgeable. They therefore appealed to governments at all levels to assist them.
Stressing the need for government to be proactive in supporting traditional medicine, Chief Abdulwahab Okunrinlol’Orun explained that associations have made many efforts to educate government on the vast potentials inherent in the practice to no avail. He lamented that governments, both federal and state, is fixated with oil revenue and does not seem ready to explore other means 

He said, “We use barks, leaves and roots; they can support us to have Botanical Garden, where we have various herbs, roots and leaves which we normally use. We can also export some of these. Also, government can regulate and monitor our products and also export some of them. Government can generate resources through these ways.” 

Herbal ingredients
Buttressing this, Baba Koriko stated that they have held series of meeting with the supervising Ministry, the Ministry of Health on the way forward. He stated that herbal practitioners need Botanical Garden, to preserve barks, roots and leaves which can also be a source of revenue for the government too. He also said there is need for laboratories and other equipment, for practitioners to do various tests.

While supporting the need for government to create a botanical garden for herbal practice, Mr. Goje pointed out that indiscriminate bush burning and deforestation has endangered much of the medicinal plants.
He stated that, “the major raw materials in herbal practice are leaves, barks and roots and these are what make up a forest. So, deforestation is a major threat to our practice and many potent medicinal plants are gradually going into extinction due to this unfortunate occurrence. So we plead with government to come to our rescue in this regard."
But giving an evaluation of the state government’s efforts in the promotion of herbal practice, the State Coordinator of Herbal Health unit at the Ministry of Health, Ilorin, Mr. Tunde Lawal explained that since his appointment on July 20, 2016 he had tried all within his power to bring practitioners together under one umbrella.
He stated that he discovered that problems such as leadership tussle, disunity, illiteracy, lack of internal democracy and failure to key into government policies were some of the teething challenges facing the practice.
Mr. Lawal however, disclosed that after series of town hall interactions with the different associations the issue of leadership tussle was resolved, cross fertilization of ideas was introduced among practitioners, unity among practitioners was improved and there was increased in participation in government policies from 20% to 65% as at 2016. He said due to series of activities participation has now increased to 85%.

Mrs. Roseline Ajayi
In her part, a Deputy Director and State Coordinator, NAFDAC in Kwara state, Mrs. Roseline Ajayi disclosed that government is already doing much to encourage and motivate traditional medicine practitioners to grow.
"The National Agency for Food and Drug Administration and Control (NAFDAC) is a federal agency under the Federal Ministry of Health that is responsible for regulating and controlling the manufacture, importation, exportation, advertisement, distribution, sale and use of food, drugs, cosmetics, medical devices, chemicals and packaged water in Nigeria," she said.

The State Coordinator who gave a summary of the mandate of the agency told Witty Virtual News that the agency registers herbal products and that the requirements are not exactly the same thing as orthodox medicine except for those who are big enough to undergo it.

According to her, because government wants to encourage those starting small they are allowed to do a sort of temporary registration so as to encourage them. She explained that this temporary registration is called listing and all this requires are a hygienic environment and vessels to process the products. The product must also carry a disclaimer saying, ‘This claims have not been evaluated by NAFDAC.’

In her words, “For herbal preparations, we need a dedicated premise –the reason is, we want to be sure the preparations and packaging are done in hygienic environments. We want to be sure the premise is safe from external interference that can bring contamination of one form or the other.
"Again, we also want to be sure that the facilities they are using are standard. We don’t want the use of mortal in the house to do some grinding and blending because the particles of the mortal can be transferred into the product.

“There is also requirement for the type of vessels we want them to use. Our requirement is that, it should be stainless steel vessels. They can improvise -not necessarily imported ones. It should not be something that can react or absorb. All the containers must be stainless steel, to avoid contamination.

“And there are some documents too, that are required. One of the documents is that, we expect the applicant to have Corporate Affairs certification. This is because NAFDAC is a corporate entity. We will not deal with an individual but a corporate entity. They must have corporate image. We also expect the applicant to have a batch formulation.

“We also expect the applicant to have a brand name. Both the Corporate Affairs certification and the trade mark for the brand name is not processed in NAFDAC, but it’s our requirement for dealing with any applicant.”

Mrs. Ajayi however disclosed that where the agency usually has problems with traditional medicine practitioners is with batch formulation as they will not want to disclose their batch formulation for fear of it been replicated by someone else.

She explained that the reluctance of practitioners to disclosed their ingredients on the ground that they inherited the recipe from their ancestors and will not want another person to replicate it. She stated that the agency tries as much as possible to assure them of the safety of their formula because, “If you are not ready to tell us what you have mixed together to arrival at your product then it is a bit difficult. This is because, whatever you have claimed to use will be subjected to laboratory test. Whether your product will pass the test or not depends on what you have mixed together and the quality of each agent if it corresponds then it can go. But if it does not correspond it can’t.
A local herb seller with his wares
 “We have to check, to ensure you are not deceiving the public on the claims you have made on the product or products.

“If you make a claim, and we verify it in our laboratory and it fails, we will communicate you; invite you and brainstorm together, after which you can re-present. We call it compliant directive. The fact that a product fails lab test does not close the case. It can be re-presented,” she said. 

According to the Kwara State Coordinator of NAFDAC, another challenge faced in registering herbal products is the level of education of some of the practitioners. She said most of them are illiterates and not ready to go through the processes no matter how simple it is made.

She mentioned the inability of most of the practitioners to separate herbal drugs from spirituality as another teething problem faced in registering some herbal products. “They will tell you that their drug needs some incantations. And we don’t have laboratory to determine the efficacy of incantations. 

“Our own is purely science. They will say that they will use incantation to invoke certain spirits for the drug to work. We are scientists, and so, the evidence has to be scientific. We don’t do spiritual analysis here.

“Another very important issue is that they will tell you one drug cures many diseases. Some will list up to 28 conditions that it can cure. That’s another very big challenge that we have. Some of them go to the extent of buying orthodox drugs like man-power, blend it and put it in a solution and tell you it’s their product,” she disclosed.

While stressing the need for practitioners to up their game by adding value to what they are doing she pointed out that Chinese products were once at the same level Nigerian herbal products are presently but because they subjected themselves to the regulations and requirements of the government they have been able to soar.

Mr. Goje agreed that practitioners have a long way to go and is of the view that practitioners need to continue to up their game for the profession to become generally accepted by all and sundry. 

He explained that as a practitioner his desire in life is to revolutionalize the industry and make it more attractive. According to him, one of the reasons why practitioners don’t have public acceptance is because they are too crude. He stated that his plan is to see how he can modernize roots and barks for the cure of mankind.

While agitating for a central control for practitioners, he reasoned that the bane of any organization is quacks and how the system deals with such misnomer. “Although not having a body to regulate and monitor traditional medicine practitioners has greatly affected us but as individuals and groups we need to set standards for ourselves and be strict with quacks.

“It is an open secret that citizens usually opt for self help in this country. So I believe that with the little half hearted assistance that the government is giving us we need to reinvent ourselves, study hard and be more scientific in our approach then and only then will we be taken serious.

“Quacks will destroy the little confidence people have in us, remember word of mouth travels faster than anything so I believe that if we truly focused on our work and are united government will be forced to reckon with us. Even all this media hype by traditional doctors will not be necessary because that is one area that quacks have hijacked to propagate themselves,” he said.  

On his part, Professor Fatoba believes that the get-rich syndrome militating against the society is the reason for the proliferation of quacks in the profession. He frowned at people who come into traditional healing with the mindset of making quick money stressing that the profession is one of service to humanity. 

But Baba Koriko disclosed that efforts are ongoing in the associations in order to curb quacks and ensure professionalism. According to him, “there is no job that does not have entry requirements. For us, you must be educated a bit, and you must be recommended by a member. You have to go through our training tests, irrespective of whether you inherit the practice or not. After that, if you pass, the Board of Trustees will issue you certificate of proficiency. And we also conduct seminars and trainings for our members as regards our practice. We also have Task Force in place, to check the activities of quacks and dubious people.”
Divination
Speaking on the spiritual branch of traditional medicine, Baba Koriko disclosed that hypocrisy and fear of rivalry is what makes most people to detest the spiritual branch of the practice. According to him just like bone setters, birth attendants and other branch of the practice exist so does spiritualists. “The funny thing is, Pastors and Alfas belong in this group as they use water or oil to heal people. Some of us use only incantations to cure people. It’s all spiritual. We also have faith healing, for example, for snake or scorpion bite, they will just use incantation to bring out the poison. We also do that with victims of gun shots, but you must have a police report for us to do that,” he said.

On his part, Dr. Olaitan believes that the spiritual aspect of traditional medicine is the main reason why most Nigerians shy away from patronizing it. While disclosing that Nigerians are religious but not godly he expressed doubt on the total acceptance of the spiritual aspect of traditional medicine. 

He explained further that the believe of most people that traditional medical practitioners belong to cults, even if they don’t, also contribute in no small manner to making some avoid treatment with herbal medicine.

Speaking on the effectiveness of herbal medicine, Alfa Sadauki stated that some ailments like sickle cell can be cured with herbal medicine. He disclosed that he has a drug that cleans and renews the blood and kill the germs and within six months the condition will be corrected. He lamented that when there were no machines to tell blood groups our forefathers still lived long but now that there are different gadgets life expectancy is low.
 
On his apart, Chief Okunrinlol’Orun who said aliments that orthodox practitioners believes can never be cured are numerous issued a challenge to government and orthodox doctors over the claim.

He stated: “Apart from sickle cell the aliments that medical doctors say cannot be cured are numerous, even diabetes. They say it can only be managed and cannot be cured. But we do cure it. They can throw up a challenge on all the ailments they feel cannot be cured and we will be happy about it. Why do we have a Teaching Hospital, is it not to train upcoming doctors on how to treat people. It’s a 50-50 thing on any treatment. It’s like experiment they should take up the challenge.”

Dr. Obalowu Ismail Aberi
In his reaction, Dr. Obalowu Ismail Aberi, Consultant Family Physician and Integrative Oncologist described herbal medicine as, “a folklore medical practices passed on from generations to generations. It is a form of alternative medical system, and it is regional and ethno cultural designed. Most traditional medical practices lacked adequate scientific proof of efficacy but are widely accepted and trusted by people in the practice area. The most developed traditional medical systems in the world is the Traditional Chinese medicine.”

He disagreed with the general notion of the efficacy of traditional medicine to cure some aliments which orthodox medicines can only mange.

He however, agreed with the allegation that orthodox doctors are against the recognition of herbal medicine in Nigeria stressing that, “most orthodox doctors have reservation on the way traditional medical practices are done in Nigeria because of the negative effects usually associated with them. The new trend is to understand their practices, encourage the good ones and condemn the deleterious ones.”

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On how both herbal and orthodox medicine can complement each other so as to give an all round robust healthcare to the citizens, the Acting Head of Department, Health Promotion and Environmental Health Education in the University of Ilorin believes that since most herbal medicine has gone through laboratory test and certified okay by the relevant authorities, they should be absorbed by the orthodox system.   

However, he is of the view that it might be difficult as orthodox medical practitioners may be skeptical about the merger since they are trained and their treatment process is regulated and standardized and they will need to be convinced on why they need traditional medicine.

Dr. Olaitan however, pointed that issues like cancer and HIV/AIDS should make them to come together as it is done in other climes since traditional medicine is believed to have a cure for all these aliments. He however, disclosed that the merger is already working in some aspects like bone-setting as orthopedic surgeons easily refer patients to traditional bone setters.

In his words, “The issue of kidney disease that makes people go for medical tourism abroad, most of our money now is landing in India, because that’s where Nigerians now go for treatment. But if they have the ones that are working, I believe combination therapy will work more than monotherapy. For years, orthodox medicine don’t have cure for AIDS, cancer, diabetes and others but traditionalists will tell you all these ailments have been affecting our forefathers and they have been treating them. Don’t you think our orthodox medicine is not complete, so to say?”

Buttressing this, Professor Fatoba disclosed that orthodox medical practitioners need to do away with pride and embrace traditional medicine so as to make their work more effective. He explained that though orthodox practitioners carry out surgery for bone fractures and fibroid this is not so in traditional medicine.

He opined that orthodox medicine is a palliative measure to manage an ailment as it does not cure completely like the traditional medicine and stressed the need for the government to take a definitive stand. He pointed out that until we integrate the two into our system Nigerians will continue to suffer. He however stressed the need to ensure serious monitoring of some traditional practitioners who might want to take advantage of the situation. 

According to him, “Many of these pregnant women that have complications in the hospitals and go through operations before they deliver, it can be taken care of in the herbal way without the operation. Depending on the disease, treatment in the traditional way is better, but for Nigeria to move forward there should be the harmonization of the two. The two should work together.
But what is killing us? Who will be the master? A good medical doctor will have to dance to the tune of nurses at the hospitals. The nurses, most of them, combine the two, especially those involved in child birth.

If the two groups of personnel are lumped together, Nigeria will benefit economically. Government has something to do on that. They should bring about legislations that will bring the two parties together. It is possible.”
Speaking on the relationship between traditional healers and orthodox practitioners, The CEO of Okunrinlol’Orun Trado-Medical Herbal Home disclosed that there are some aspects that are outside the purview of his herbal home and these are referred to the hospital.

According to him, his herbal home does not carry out surgery nor carry out some tests. He stated that these and others are referred to orthodox practitioners but lamented that this gesture is not reciprocated by orthodox practitioners.

But Dr. Obalowu Ismail Aberi who identified collaboration between orthodox doctors and the traditional medical practitioners as a way of developing the healthcare system believes that the best way for traditional medicine to be developed to world standards is by incorporating it and other alternative medical systems into the teaching of medical doctors in their undergraduate training and setting up research institutes that will be focused on research and development of local herbs and remedies. 

As the country continues to look for alternative sources of income to oil in boosting our economy it might be beneficial to look the way of traditional medicine as the actual practice is unique and can be exported. Also, the potentials of medicinal plants can be harnessed.

Given the present renewed awareness to herbal practice and the apparent bright future that awaits both practitioners and patients, there is the need for practitioners to brace up and ensure that they approach the practice with scientific precision. This is because there is no denying the fact that traditional medicine involves physical, mental and spiritual healing which is an encompassing state of healthiness. They need to be engaged in research so that they can produce evidence-based herbal drugs.

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