Herbal Medicine Use and its Associated Factors Among Patients With Chronic Didney Disease at Muhimbili National Hospital, Dar es Salaam, Tanzania

Abstract

Background: Herbal medicines are widely used globally despite concerns about their potential nephrotoxic effects. This study assessed the prevalence of herbal medicine use and associated factors among patients with chronic kidney disease (CKD) attending Muhimbili National Hospital (MNH).
Methods: A cross-sectional study was conducted among 331 CKD patients attending the MNH renal outpatient clinic between March and June 2022. Data were collected using a self-administered Swahili questionnaire on socio-demographic characteristics, knowledge, attitudes, and herbal medicine use.
Results: The median age of participants was 50 years (IQR: 31 to 61), with 174 females and 157 males enrolled. Herbal medicine use was reported by 23.0% of participants. Rural residence (Apr 1.6; 95% CI, 1.10 to 2.34; P=.019) and a good attitude toward herbal medicines (aPR 1.5; 95% CI, 1.01 to 2.34; P=.043), were independently associated with herbal medicine use.
Conclusion: Herbal medicine use was common among CKD patients. Rural residence and positive attitudes toward herbal medicines were significant predictors of use. Routine screening, patient education, and counselling on herbal medicine use should be incorporated into CKD care.