title: Use of traditional medicines to cope with climate-sensitive diseases in a resource poor setting in Bangladesh.
abstract: BACKGROUND
  This study aims to explore the use of traditional medicines to cope with climate sensitive diseases in areas vulnerable to climate change. We assessed the extent to which traditional or alternative medicines were used for the treatment of the climate sensitive diseases by villagers as part of their health-coping strategies.
  
  
  METHODS
  The study deployed a mixed-method research design to know the health-coping strategies of the people in a resource-poor setting.A cross sectional study was conducted from September 2010 to March 2011 among 450 households selected randomly in the districts of Rajshahi and Khulna, Bangladesh. The elder males or females of each household were interviewed. For qualitative methods, twelve focus group discussions (six with females and six with males) and fifteen key informant interviews were conducted by the research team, using interview guidelines on the use of traditional medicine.
  
  
  RESULTS
  Univariate analysis showed that the use of traditional medicines has increased among community members of all socio-economic and demographic backgrounds. Due to the increased incidence of disease and sickness respondents had to increase the use of their cultural means to cope with adverse health situations.
  
  
  CONCLUSIONS
  A systematic collection of knowledge on the use of traditional medicines to cope with climate-sensitive diseases can help the adaptation of communities vulnerable to climate change. In addition it can be instrumental in creating a directory of traditional medicine components used for specific diseases and highlight the effectiveness and relevance of traditional medicines as health-coping strategies. This may be useful for policymakers, researchers, and development partners to adapt existing health care policy in resource-limited contexts. It may also encourage WHO, national and international institutions, such as pharmaceutical companies, to carry out research investigating the effectiveness of these traditional medicines and integrate them with modern medicine. Overall, it could increase the health coping capacity of people in a resource-poor setting and contribute to their adaptation capabilities.
authors.affiliation: Institute of Public Health, Heidelberg University, Im Neuenheimer Feld 324, 69120 Heidelberg, Germany. aminuldps@gmail.com.
authors.forename: Md Aminul
authors.initials: MA
authors.lastname: Haque
authors.forename: Valérie R
authors.initials: VR
authors.lastname: Louis
authors.forename: Revati
authors.initials: R
authors.lastname: Phalkey
authors.forename: Rainer
authors.initials: R
authors.lastname: Sauerborn
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D001459:Bangladesh / Q000453:epidemiology; D057231:Climate Change; D003430:Cross-Sectional Studies; D003466:Cultural Characteristics; D003967:Diarrhea / Q000453:epidemiology* / Q000517:prevention & control / Q000523:psychology; D005191:Family Characteristics; D005260:Female; D017144:Focus Groups; D006801:Humans; D008297:Male; D008507:Medically Underserved Area; D008519:Medicine, Traditional / Q000706:statistics & numerical data*; D008875:Middle Aged; D011203:Poverty; D012424:Rural Population; D011795:Surveys and Questionnaires