Regulation of Traditional and Alternative Medicines: The Case of the Gambia
Published: 2023-05-16
Page: 173-183
Issue: 2023 - Volume 6 [Issue 1]
Raphael Nyarkotey Obu *
Gambia Law School, Banjul, The Gambia.
*Author to whom correspondence should be addressed.
Abstract
Aim: This paper examines the legal framework of traditional and alternative medicine in the Gambia and the risk and benefits associated with regulated and unregulated professions.
Methods: The author reviews the healthcare laws in the Gambia that have a direct and indirect link with traditional and alternative medicines. Also, literature searches were conducted to examine the benefits and risks associated with regulated and unregulated professions using Google engine tools.
Results: about herbal and homeopathic medicinal products; there exists a law that regulates them. However, no law regulates the practice and practitioners of traditional and alternative medicine in the Gambia. Also, several risks and benefits are associated with the regulated and unregulated profession.
Conclusion: Due to the many risks and benefits associated with the regulated and unregulated profession, there is a need for legislation to help regulate the practice of traditional and alternative medicine.
Keywords: Regulated, unregulated, risk, benefits, legislation, traditional and alternative medicine, Gambia
How to Cite
References
The Medical and Dental Practitioners Act, CAP. 37.01.
Nurses and Midwives Act; CAP. 38.01.
Medical Services Act; CAP. 39.01.
Medicines Act; CAP. 40.01.
Medicines and Related Products; 2014.
The Medicines and Related Products Regulations; 2019.
Public Health Act, CAP 40. 02
Food Act, CAP 40. 07.
The Constitution of the Republic of the Gambia; 1997.
Evidence Act; 1994
Prohibition order on the advertisement of traditional medicine practices in The Gambia; 2014.
WHO Calls On African Governments to Formally Recognize Traditional Medicine; 2022.
Available:https://www.afro.who.int/news/who-calls-african-governments-formally-recognize-traditional-medicine
Etuk SJ, Etuk IS. Relative risk of birth asphyxia in babies of booked women who deliver in unorthodox health facilities in Calabar, Nigeria. Acta Trop. 2001;79(2): 143-7. DOI: 10.1016/s0001-706x(01)00070-5PMID: 11369307.
E. Alabi. Cultural practices in Nigeria, Inter-African Comm. Traditional Practices Affecting Woman & Children 6 (1990); 0. Mabogunje, Ritual Hot Baths (Wankan-Jego) In Zaria, Nigeria, 9 Inter-African Comm. Traditional Practices Affecting Woman & Children; 1990.
Chibwana, et al. Childhood poisoning at the Queen Elizabeth Hospital, Blantyre, Malawi, 78(6) E. AFR. MED. J. 292 ; M. Stewart et al., Findings in Fatal Cases of Poisonings Attributed to Traditional Remedies in South Africa 101(3) Forensic Sci. Int'l 177 (1999); 2001.
Garba, Deshi P. Traditional bone setting: a Risk Factor in Limb Amputation, 75 E. Aim. MED. J. 1999;553.
Dashti-Rahmatabadi MH, et al. The analgesic effect of Carum copticum extract and morphine on phasic pain in mice, J. Ethnopharmacology. Analgesic effect of Carum copticum extract and morphine on phasic pain in mice; 2006.
Available:www.sciencedirect.com
Ayivi D. Accidents linked to traditional treatment of convulsions of infants and children in Benin, 85 Dev. Et Sante 25; 1990.
Brouwer J, et al. Traditional Healers and Pulmonary Tuberculosis in Malawi, 2 Int'l J. Tuberculosis & Lung Disease. 1998;231: 231 .
Dent v. West Virginia 129 U.S. 114. 1889; 122.
Nigerian Medical and Dental Practitioners Act of 1988.
Malawi Medical Practitioners and Dentists Act of 1987.
Ugandan Traditional and Alternative Medicine Practice Act; 2019.
Traditional Medicine Practice Act 575, of Ghana.
Traditional and Alternative Medicine Act, 2002, of Tanzania.
Traditional Health Practitioners Act, 2007, of South Africa.
Allied Health Professions Act, 63 of 1982
Burkina Faso, order N°2013 -552-MS/CAB of June 21, 2013
Benin 2001-036 decree of February 15, 2001
Natural Therapeutic Practitioners Act of 1976, Lesotho.
Law No. 11–001/AU of 26 March 2011 on the Public Health Code in its Title III: Exercise and Organization of Traditional Medicine, particularly in Articles 262–279, of Comoros.
The Ayurvedic and Other Traditional Medicines Act of 1989, of Mauritius.
Traditional Medical Practitioners Act (27:14) of 1996, of Zimbabwe.
Health Technology Assessment – Naturopathy; 2021.
Available:https://worldnaturopathicfederation.org/project/health-technology-assessment-naturopathy/
Gambia: Tea Market and the Impact of COVID-19 on It in the Medium Term; 2020.
Gambia: Instant Coffee Market and the Impact of COVID-19 on It in the Medium Term; 2020.
Tea-Gambia; 2022.Available:https://www.statista.com/outlook/cmo/hot-drinks/tea/gambia
Herbal Medicine Market Share Analysis; 2022. Available:https://www.fortunebusinessinsights.com/herbal-medicine-market-106320
Complementary and Alternative Medicine Market Report; 2030.
Available:https://www.grandviewresearch.com/industry-analysis/complementary-alternative-medicine-market
India's share in global herbal medicinal market just 0.5%: Government; 2016.
Van Andel T, Myren B, van Onselen S. Ghana's herbal market. J Ethnopharmacol. 2012;140(2):368-78.
DOI: 10.1016/j.jep.2012.01.028 Epub 2012 Jan 28. PMID: 22306470.
Quiroz D, Towns A, Legba SI, Swier J, Brière S, Sosef M, van Andel T. Quantifying the domestic market in herbal medicine in Benin, West Africa. J Ethnopharmacol. 2014;151(3):1100-1108.DOI: 10.1016/j.jep.2013.12.019
Epub 2013 Dec 22. PMID: 24368155.
Experts Urge Nigeria to Harness $7trn Herbal Medicine Market; 2022.
Available:https://von.gov.ng/experts-urge-nigeria-to-harness-7trn-herbal-medicine-market/
Myles Manderi, Lungile Ntulii, Nicci Diederichsi, Khulile Mavundlai. Economics of the Traditional Medicine Trade in South Africa; 2007. Available:https://www.hst.org.za/publications/South%20African%20Health%20Reviews/18_SAHR_2006-2007_Section%2013.pdf
Posthouwer C. Medicinal plants of Kariakoo Market, Dar es Salaam, Tanzania [MSc dissertation] Leiden, Netherlands: Leiden University; 2015.[Google Scholar] [Ref list]
Market Insider. Economic Importance of Moroccan Medicinal Plant Exports; 2015.
Available:http://www.intracen.org/blog/Economic-importance-of-Moroccan-medicinal-plant-exports/
[Ref list].
Tea in Gambia; 2020. Available:https://oec.world/en/profile/bilateral-product/tea/reporter/gmb