Coordination : Pr Annette HABLUETZEL Supervision : Dr Martin Sanou SOBZE

1. PIPAD REPORT OF THE STUDY CONTROLS ON THE PLACE OF THE MEDICINAL PLANTS IN THE DISTRICT OF HEALTH OF DSCHANG. Coordination: Pr Annette HABLUETZEL Supervision: Dr Martin Sanou SOBZE

2. Plan • INTRODUCTION • AIMS OF THE STUDY • METHODOLOGY • RESULTS • CONCLUSION

3. INTRODUCTION The word phytotherapy means treat with the plants. It represents the form most used in traditional medicine. Indeed, in certain countries of Africa and Asia, 80% of the population depend on traditional medicine for the primary care of health. Studies led by the program “Roll back malaria” into 1998 indicate that In Ghana, Mali, Nigeria and Zambia, more than 60% of the children suffering from strong fever are treated with residence using drugs containing plants. Phytotherapy is thus a major stake for the attack of the care of health for all. A study was undertaken in the district of Dschang in order to see importance the populations attach to the medicinal plants.

4. PRESENTATION OF THE DSD • DSD (Dschang health district). • Population: 327424 inhabitants in 2012, is 51672 children of 0 - 59 months. 02 health Areas (FOMETA and FIALA-FOREKE) on the 22 areas that does count the DSD. The study proceeded in the households, in offices of Pharmacy and in the traditional practitioners offices.

5. II. AIMS OF THE STUDY • To determine the importance which the populations of the district of health of Dschang attach to the use and the treatment by the medicinal plants. In a specific way, it was about: To determine the proportion of the population using the medicinal plants or going to the tradipratician for care in the DSD and to come out the reasons this behavior. To count the medicinal plants most used in the DSD to take photographs and their roles. To establish the link between the use of the medicinal plants and the socio-economic and demographic characteristics of the populations in the DSD. To evaluate the cost, the availability and the guarantees of quality of the drugs containing plant. To determine the degree of collaboration between the traditional doctors and the modern doctors and also with the of the street shop saling drugs in the DSD.

6. III. METHODOLOGY • Type of study It was about a descriptive observational cross-sectional study. Tool for data-gathering The data are collected were starting from the questionnaires and their administration was made by interview face to face by students which are first of all formed for that and are supervised at the time of the investigation. • Procedure of sampling Two (02) health areas were selected because of their membership of the urban zone. Four villages/districts by health area were chosen by systematic pulling. In each village, a route was chosen by simple random pulling and the direction of drawn recruitment in pile-face. Ten households were recruited consecutively on the two edges of the route while following the selected direction and to leave the entry in the village/district. If the 10 households are not reached, another route was drawn while following the same principles. All the medical formations and cabinets of tradipraticians were surveyed.

7. IV. RESULTS Description of the sampling. Figure 01: level of study of the persons. • 78 households with an average of 05 inhabitants by household (for an average of 390 people target), and 12 formations medical were questioned. • The people questioned in each one of its households were respectively: The chief of the household (16,9%); Its wife (41,6%); And finally of other people (41,6%). All the surveyed people were informed and more than 75% had at least the secondary level.

8. RESULTS (2) 82,1% of the populations acknowledged using the medicinal plants for their treatment and 87,5% are make it because it’s less expensive. Let us note that the use of these plants is generally advised by the environment and nearly 66,2% consume them in the form of decoctions or drinks. • Concerning their profession, nearly 90% of the heads of household, exerted in the non formal sector. • The average number people by household was 5,5 (σ = 2,97). • The average number children of less than 5 years found in each one of these households was 1. • We noted the presence of a pregnant woman in 5,3% of these households.

9. RESULTS (3) Sources Principles plants used: 1- Aloe vera

10. RESULTS (4) Psidium guajava GingiberOfficinalis (ginger) Caricapapaya AliumSativum (ail)

11. V. CONCLUSION: Contraints • Missing of spare time by the students of pharmacy for the realization of the investigation; • Lack financial means to carry out the survey (for photocopy of the questionnaire, for the descents on the ground and motivations of the external investigators) • Lack of the variable sex, but the head of household is regarded as the chief in our context; The study did not cover that 22 health areas that count the DSD (02/22 unimportant to generalize the results).

12. RECOMMENDATIONS • Setting-up of a new chronogram and budget for a new investigation in the DSD (22 Surfaces of health) with the assistance of the students in pharmacy in Dschang; • Identification of a team of dynamic young people in Dschang; • Making of a sensitizing group to teach population in the manner of preserving the drugs; • A census of all the tradipraticians exerting in the medium in order to formalize this sector; To increase research on the medicinal plants by weaving a frank collaboration enters the University and the tradipraticians; To increase collaboration between the tradipraticians and the scientists of the health for best dealt of the patients; • A recycling of the tradipraticians with an aim of giving them scientific assets necessary to make more effective their products; Work in collaboration with all pharmacies of the town of Dschang; Creation of an integrated pharmacy in Dschang integrating the traditional and modern products; • institution a pharmacovigilance group to control the side effects of the drugs containing plants extracts; • Effective setting-up of PROHERBAL CARE Industry in Dschang for the transformation of the local plants.

13. PERSPECTIVES Proherbal Care will be able with the assistance of the various partners: • make in-depth studies on the plants most used in order to strongly contribute to the fight against the causes of the most frequent mortalities in Cameroun. • On a scientific basis, standardize the use of these plants (posology, galenic form, conservation and therapeutic indications) which could be source innovating products. • With long terms to make the extraction of the active ingredients for more conventional galenic formulations. • Set up a system of pharmacovigilance of these products containing plants. Thus the populations will have access to products of quality with the local tastes (excipients).

14. THANKS YOU FOR YOUR KIND ATTENTION