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. 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.

Woody Species Diversity, Composition, and Regeneration Status of Abbo Sacred Forest, Southern Ethiopia.

This study was conducted in Abbo Sacred Forest in Wonsho district, Sidama Zone of Southern Nations, Nationalities, and People's Region (SNNPR), southern Ethiopia, to investigate the woody species diversity, vegetation structure, and regeneration status of the forest. A systematic sampling design was employed to collect vegetation data. Sixty quadrats of 20 m × 20 m were laid at every 200 m interval between each quadrat and 400 m apart between each line transect following the altitudinal gradient. Quadrats of 20 m × 20 m were used to record DBH and the height of all woody plant species reaching a height of ≥2 m and a DBH of ≥2 cm. For the inventory of seedlings and saplings, five subplots of 2 m × 2 m, one at the center and the other four on each corner of the main quadrat, were used. DBH, height, seedling, and sapling density of woody species were recorded in each quadrat. The data were analyzed by using Shannon-Wiener diversity and equitability indices, and the structural analysis was carried out based on frequency, density, DBH, height, and basal area/ha-1. The importance value index was also computed. Regeneration status was computed by comparing the density data of saplings and seedlings with those of mature trees. A total of 63 woody species belonging to 56 genera and 35 families were identified. Three endemic species to Ethiopia were recorded. Analysis of selected woody species showed diverse population structures. The findings of this study revealed that small trees and shrubs dominated the forest, suggesting its status under a secondary stage of development. Some woody species require urgent conservation measures. Therefore, local and regional stakeholders should integrate and work together to develop and implement sound conservation and management strategies that encourage the sustainable utilization of forest resources.

An Ethnobotanical Study of Medicinal Plants in Kelala District, South Wollo Zone of Amhara Region, Northeastern Ethiopia.

This research was carried out to record and document the medicinal plants and associated indigenous plant use knowledge of the local people in Kelala District of Amhara Region, Ethiopia. Ethnobotanical data were collected by conducting preprepared semistructured interview items with 60 informants. Focus group discussion and guided field walk were also used. Data were analyzed using basic analytical tools and descriptive statistics. Determination of informant consensus factor, fidelity level, and ranking was performed. A total of 82 medicinal plants distributed in 79 genera and 45 families were collected. Of these plants, 43 species were used to treat human ailments, and 33 species were used to treat livestock ailments and the remaining 6 species were used to treat both human and livestock ailments. The majority of medicinal plants were harvested from the wild environments. The family Solanaceae occupied the first rank with seven species followed by Fabaceae, Asteraceae, Cucurbitaceae, Apiaceae, and Euphorbiaceae with four species each. The most frequently used plant parts were leaves (42.2%) followed by seeds (15.2%), roots (8.1%), and fruits (7.6%). Freshly harvested plant parts (72.68%) were mostly used for remedy preparation compared to dried forms (24.74%) whereas crushing, which accounted for 41.12%, and powdering (24.37%) were the most widely used methods of remedy preparation in the study area. Expansion of farmlands by cutting trees heavily threatens medicinal plants and therefore needs due attention. High ranking medicinal plants are good candidates for further research in drug discovery and development.