Attitudes, knowledge and practices of traditional snakebite healers in Nepal: implications for prevention and control of snakebite.

BACKGROUND: Traditional healers are a valuable source of information about community-level treatment of snakebite. Snakebite victims in Nepal depend on traditional healers for treatment, but their practices have not been well-documented. METHODS: This was a cross-sectional study of 50 traditional snakebite healers (TSHs) who were selected using a snowball sampling method representing eight districts and four provinces of Nepal. Data were collected using face-to-face-interviews and semi-structured questionnaires. RESULTS: About half of the respondents liked to gain knowledge on modern care for snakebite management and nearly all respondents (94%) wished to cooperate closely with the local healthcare system to support snakebite management. People's ingrained faith in traditional healing of snakebite (84%), unaffordable modern care of snakebite (60%) and wishes for early treatment of snakebites (44-48%) were the main causes of their dependency on TSHs. Rauvolfia serpentina, Piper nigrum, Momordica charantia and Tinospora cordifolia were commonly used plants in traditional treatment of snakebite. CONCLUSIONS: Easily accessible and affordable healthcare facilities provided by TSHs, public beliefs in traditional healing and inadequate knowledge of antivenom therapy caused dependency on TSHs. The introduction of snakebite treatment centres in snakebite-prone regions and educational interventions are essential to minimize this kind of dependency and associated deaths and disabilities.

Evaluation of total mixed ration silage with brewers grains for dairy buffalo in Tarai, Nepal.

To investigate the effects of total mixed ration (TMR) silage, which contained brewers grain and rice straw as a substitute for conventional concentrate on feed intake and milk production in middle-to-late lactation buffaloes, four multiparous Murrah buffaloes were assigned to a 3 × 3 Latin square design experiment. The TMR silage, which had higher neutral and acid detergent fiber contents and digestibility than concentrate (P < 0.05) and similar crude protein (CP) and total digestible nutrient (TDN) contents with concentrate were used for the lactation experiment. The treatments were control (CTL) fed concentrate at 0.6% of body weight (BW), and T1 and T2 fed the TMR silage at 0.6 and 1.2% of BW on a dry matter (DM) basis, respectively, with rice straw ad libitum. Daily intakes of DM, CP and TDN, and BW change were higher in T2 than in CTL and T1 (P < 0.05). Although milk composition did not differ among the treatments, milk yield (MY) was higher in T2 (P < 0.05). There were no significant differences in MY/DM intake and MY/TDN intake among the treatments. The increase of BW and MY in middle-to-late lactation buffaloes might have been due to high TDN intake from supplementary TMR silage.