title: Pulled in or pushed out? Understanding the complexities of motivation for alternative therapies use in Ghana.
abstract: The impact of strong cultural beliefs on specific reasons for traditional medicine (TRM) use among individuals and populations has long been advanced in health care and spatio-medical literature. Yet, little has been done in Ghana and the Ashanti Region in particular to bring out the precise "pull" and "push" relative influences on TRM utilization. With a qualitative research approach involving rural and urban character, the study explored health beliefs and motivations for TRM use in Kumasi Metropolis and Sekyere South District, Ghana. The study draws on data from 36 in-depth interviews with adults, selected through theoretical sampling. We used the a posteriori inductive reduction model to derive broad themes and subthemes. The "pull factors"-perceived benefits in TRM use vis-à-vis the "push factors"-perceived poor services of the biomedical treatments contributed to the growing trends in TRM use. The result however indicates that the "pull factors," viz.-personal health beliefs, desire to take control of one's health, perceived efficacy, and safety of various modalities of TRM-were stronger in shaping TRM use. Poor access to conventional medicine accounted for the differences in TRM use between rural and urban areas. Understanding the treatment and health-seeking behaviour of a cultural-related group is critical for developing and sustaining traditional therapy in Ghana.
authors.affiliation: Department of Sociology and Social Policy, Lingnan University, Tuen Mun, New Territories, Hong Kong SAR.|Department of Geography and Rural Development, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana; razak.mgyasi@gmail.com.
authors.forename: Razak Mohammed
authors.initials: RM
authors.lastname: Gyasi
authors.affiliation: Department of Geography and Rural Development, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.
authors.forename: Felix
authors.initials: F
authors.lastname: Asante
authors.affiliation: Department of Geography and Rural Development, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.
authors.forename: Joseph Yaw
authors.initials: JY
authors.lastname: Yeboah
authors.affiliation: Department of Geography and Rural Development, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.
authors.forename: Kabila
authors.initials: K
authors.lastname: Abass
authors.affiliation: Department of Geography and Rural Development, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.
authors.forename: Charlotte Monica
authors.initials: CM
authors.lastname: Mensah
authors.affiliation: Department of Geography and Rural Development, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.
authors.forename: Lawrencia Pokuah
authors.initials: LP
authors.lastname: Siaw
mesh_terms: D000328:Adult; D000368:Aged; D000529:Complementary Therapies / Q000523:psychology*; D005260:Female; D005869:Ghana; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D008875:Middle Aged; D009042:Motivation; D010342:Patient Acceptance of Health Care / Q000523:psychology*; D036301:Qualitative Research; D012424:Rural Population
keywords: Ashanti Region; a posteriori; cultural belief; health-seeking behaviour; pull factors; traditional medicine