Caregivers Use of Herbal Medicines in Managing Diarrhea in Children Under the Age of Five Years at Kavango East Region, Namibia


Authors : Kristofina Tashiya Nambombola; Selma Ingandipewa Uushona; Julia Amadhila

Volume/Issue : Volume 11 - 2026, Issue 2 - February


Google Scholar : https://tinyurl.com/4vk8e9mz

Scribd : https://tinyurl.com/fx96jwpe

DOI : https://doi.org/10.38124/ijisrt/26feb782

Note : A published paper may take 4-5 working days from the publication date to appear in PlumX Metrics, Semantic Scholar, and ResearchGate.


Abstract : Herbal medicines refers to plants and plant materials that are used to prevent or treat illnesses based on the indigenous knowledge and cultural practices. Declaration of Alma Ata and Astona recognized herbal medicine as part of the primary healthcare. Approximately 80% of the global population depends on herbal medicines for primary health care especially in developing countries. The study assessed the caregivers use of herbal medicines in managing diarrhea among children under the age of five at Outpatient department, Intermediate Hospital Rundu, Kavango East Region. The study used quantitative approach, descriptive and cross-sectional designs. A systematic sampling technique of random sampling method was used to employ 400 caregivers. The researcher administered five rated Likert scaled questionnaires to caregivers to collect data. Data was prepared and entered into SPSS version 29 for analysis. Majority of respondents use herbal medicines to treat diarrhea in children. This pose a health threat to children as the interaction, dosages and efficacy of herbs being used are not clinically established. Thus, emphasis on regulations and quality control measures on the use of herbal medicines is needed.

Keywords : Caregivers; Herbal Medicines; Diarrhea; Management; Children; Under-Fives.

References :

  1. World Health Organization. Public Health Situation Analysis (PHSA). https://www.who.int/news-room/fact-sheets/detail/diarrhoeal-disease
  2. Shewangizaw B, Mekonen M, Feku T, et al. Knowledge and attitude on home-based management of diarrheal disease among mothers/caregivers of under-five children at a tertiary hospital in Ethiopia. Pan African Medical Journal; 44. Epub ahead of print 2023. https://10.11604/pamj.2023.44.38.34431.
  3. Ahiabor WK, Darkwah S, Donkor ES. Microbial Contamination of Herbal Medicines in Africa, 2000-2024: A Systematic Review. Environmental Health Insights; 18. Epub ahead of print 1 January 2024. https://10.1177/11786302241293345.
  4. Alemu A, Meseret F, Keneni M, et al. Parental traditional medicine uses for children and associated factors in Harar City, Harari Regional State, Eastern Ethiopia: a community-based cross-sectional study. Front Pediatr; 13. Epub ahead of print 2025. https://10.3389/fped.2025.1546455.
  5. James PB, Gyasi RM, Kasilo OMJ, et al. The use of traditional medicine practitioner services for childhood illnesses among childbearing women: a multilevel analysis of demographic and health surveys in 32 sub-Saharan African countries. BMC Complement Med Ther; 23. Epub ahead of print 1 December 2023. https://10.1186/s12906-023-03972-3.
  6. Liheluka EA, Bali T, Lyimo E, et al. Caretaker’s Knowledge, Attitudes, and Practices Regarding the Causes, Treatments, and Risks of Diarrhea Among Under-Five Children in North-Eastern Tanzania: A Cross-Sectional Study. Glob Pediatr Health; 11. Epub ahead of print 1 January 2024. https://10.1177/2333794X241288524.
  7. Bauleth MF, Mitonga HK, Pinehas LN. Epidemiology and factors associated with diarrhoea amongst children under 5 years of age in Engela district in the Ohangwena region, Namibia. Afr J Prim Health Care Fam Med; 12. Epub ahead of print 2020. https://10.4102/phcfm.v12i1.2361.
  8. Kiptui F, Miima M, Kibaru E. Caregivers’ Beliefs on Herbal Medicine Use among Children under the Age of Five Years in Silibwet Sub-Location, Bomet County. Journal of Clinical Care and Medical Advancement 2023; 1: 18–30.
  9. Kheir KM, Mbwele B, Omar K, et al. A rapid assessment of knowledge, attitudes and practices of mothers and caregivers on childhood diarrhoea in Unguja, Zanzibar Tanzania. 2025. Journal of Biology and Life Science. 34(2). https://www.tmj.or.tz/indx.php/tmj/article/view/596.
  10. Ashraf S, Bangash R, Wali H, et al. Knowledge, attitude, and practice of mothers regarding home-based management of acute diarrhea in children under 5 years in selected private and public hospitals of Peshawar. www.jrmi.pk.
  11. Otiangala MD. Caregiver homebased practices for managing children aged (0-59 months) with diarrhea disease in Busia County, Kenya. University of Kenyatta. 2020. https://ir-libray.ku.acke/bitstreams/d2a1f731-06eb-42d0-8c75d4cec29d913/download
  12. Hillow HS. Caregivers’ knowledge and practices in management of diarrhoea among children age 6-59 months in Ceelafweyn District, Sanaag Region, Somaliland (Master’s thesis). Kenyatta University, Kenya. 2018.  https://ir-library.ku.ac.ke/items/9961346f-360d-4eea7-a9da225a5985?utm_source=chatgtp

Herbal medicines refers to plants and plant materials that are used to prevent or treat illnesses based on the indigenous knowledge and cultural practices. Declaration of Alma Ata and Astona recognized herbal medicine as part of the primary healthcare. Approximately 80% of the global population depends on herbal medicines for primary health care especially in developing countries. The study assessed the caregivers use of herbal medicines in managing diarrhea among children under the age of five at Outpatient department, Intermediate Hospital Rundu, Kavango East Region. The study used quantitative approach, descriptive and cross-sectional designs. A systematic sampling technique of random sampling method was used to employ 400 caregivers. The researcher administered five rated Likert scaled questionnaires to caregivers to collect data. Data was prepared and entered into SPSS version 29 for analysis. Majority of respondents use herbal medicines to treat diarrhea in children. This pose a health threat to children as the interaction, dosages and efficacy of herbs being used are not clinically established. Thus, emphasis on regulations and quality control measures on the use of herbal medicines is needed.

Keywords : Caregivers; Herbal Medicines; Diarrhea; Management; Children; Under-Fives.

Paper Submission Last Date
31 - March - 2026

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