Tswana traditional health practitioners’ perspectives on the management of diabetes and hypertension: a qualitative study using focus group discussions

Abstract

Introduction: the literature suggests the involvement of Traditional Health Practitioners (THPs) perspectives in treating diabetes and hypertension
in Africa. This study sought the perspectives of Tswana THPs in the management of both diabetes and hypertension. Methods: using a semistructured interview guide, four Focus Group Discussions (FGDs) sessions were held with 40 THPs; FGD1 (12) FGD2 (6); FGD3 (13) and FGD4 (9)
who were purposely selected from Bojanala and Dr. Ruth Sekgopomati Districts in the North-West Province of South Africa. Results: Tswana THPs
perceived diabetes as a “sugar” disease and described hypertension as a disease associated with the abnormal flow of blood in a patient's body. In
addition, some of the signs and symptoms of both diabetes and hypertension mentioned by Tswana THPs agreed with scientific literature. Tswana
THPs employed the use of the following plants: borago officinalis, ziziphus mucronata, hypoxis hemerocallidea, sutherlandia frutescens, senna italica,
urginea sanguinea and eucalyptus globulus in the management of diabetes and hypertension. Conclusion: some of the medicinal plants employed
by THPs in the management of both diabetes and hypertension has been proven scientifically to be effective against these chronic conditions.