Abstract

and factors associated with herbal medicine use among pregnant women in Nigeria and Uganda. Methods: A comparative descriptive analysis was conducted using primary data from two cross-sectional studies conducted among pregnant women attending antenatal clinics in Nigeria and Uganda. Data were analyzed using SPSS. Results: Herbal medicine use during pregnancy was reported by 50.6% and 88.5% of the respondents in Nigeria and Uganda respectively. Concurrent use of herbal and orthodox medicines was reported by 31.1% of Nigerian and 70.9% of Ugandan respondents. Use during the first trimester occurred in 26.2% of Nigerian and 22.7% of Ugandan respondents. Socio-cultural beliefs and health-system constraints such as affordability and poor access to healthcare facilities were key drivers of use in both countries. Significant associations (p < 0.05) were observed between herbal medicine use and age, education level, occupation, income, and place of residence with 81.0% of Ugandan respondents using herbs to keep the baby healthy. Conclusion: Herbal medicine use during pregnancy is widespread in both Nigeria and Uganda, with higher prevalence observed in Uganda; underscoring the need for strengthened antenatal counseling, regulatory oversight, and culturally sensitive maternal health policies.

Keywords: Herbal medicine, Pregnancy, Nigeria, Uganda, Traditional medicine