An Exploratory Study on Factors Influencing the Decreasing Use of Ethnomedicine Among Indigenous Khasi Tribe in Bangladesh: A Qualitative Approach
Main Article Content
Abstract
This study aims to assess the institutional, social, individual, and environmental factors associated with the decreasing use of ethnomedicine among Khasi indigenous people. This qualitative study was conducted from January 2021 to December 2021 in two Khasi villages in Bangladesh. We conducted 48 informal conversations, 15 in-depth interviews, and five key informant interviews, with ongoing observations during fieldwork. Through the narrative of native people, several factors, such as institutional, social, cosmological beliefs, individual, and environmental factors, are associated with the decreasing use of ethnomedicine among Khasi indigenous people. Institutional factors include social forestation, land occupation for tea gardens, and land occupation for the reserve forest; social factors include cosmological belief, religious belief, trustworthiness, and longitude of medical care; individual factors influence education, medical accuracy, individual belief, and shortages of healers; environmental factors include the emergence of new diseases and losing therapeutic plants. Ethnomedicine could be a vital source of remedies for novel diseases (virus and bacteria-associated diseases). However, the matter of concern is that the use and significance of therapeutic plants are decreasing gradually. The results underscore the urgency of documenting ethnopharmacological data to conserve therapeutic plants, and clinical tests of therapeutic plants are needed to build trust in ethnomedicine.
Article Details
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
References
• Abo, K., Fred-Jaiyesimi, A., & Jaiyesimi, A. (2008). Ethnobotanical studies of medicinal plants used in the management of diabetes mellitus in South Western Nigeria. Journal of Ethnopharmacology, 115(1), 67–71. https://doi.org/10.1016/j.jep.2007.09.005
• Absolon, K., & Willett, C. (2004). Aboriginal research: Berry picking and hunting in the 21st century. First Peoples Child & Family Review, 1(1), 5–17. https://doi.org/10.7202/1069581ar
• Anyinam, C. (1995). Ecology and ethnomedicine: Exploring links between current environmental crisis and indigenous medical practices. Social Science & Medicine, 40(3), 321–329. https://doi.org/10.1016/0277-9536(94)e0098-d
• Aprilio, K., & Wilar, G. (2021). Emergence of ethnomedical COVID-19 treatment: A literature review. Infection and Drug Resistance, 14, 4277–4289. https://doi.org/10.2147/IDR.S327986
• Barman, D. C., & Neo, M. S. (2014, January 10). Human rights report 2013 on indigenous peoples in Bangladesh. Kapaeeng Foundation. https://www.kapaeeng.org/wp-content/uploads/2014/03/HR-Report-2013-for-website02.pdf
• Bishop, R. (1999). Collaborative storytelling: Meeting Indigenous people’s desires for self-determination in research. Indigenous Education Around the World: Workshop Papers From the World Indigenous People’s Conference, Albuquerque, New Mexico, United States of America. https://files.eric.ed.gov/fulltext/ED467396.pdf
• Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3(2), 77–101. https://doi.org/10.1191/1478088706qp063oa
• Bruyere, B. L., Trimarco, J., & Lemungesi, S. (2016). A comparison of traditional plant knowledge between students and herders in northern Kenya. Journal of Ethnobiology and Ethnomedicine, 12(1), Article 48. https://doi.org/10.1186/s13002-016-0121-z
• Chadwick, D. J., & Marsh, J. (1994). Ethnobotany and the search for new drugs. John Wiley & Sons.
• Cortesi, M. (2018, November 15). Lakkatura Tea Garden: Sylhet, Bangladesh. Atlas Obscura. https://www.atlasobscura.com/places/lakkatura-tea-garden
• Cox, P. A., Sperry, L. R., Tuominen, M., & Bohlin, L. (1989). Pharmacological activity of the Samoan ethnopharmacopoeia. Economic Botany, 43(4), 487–497. https://doi.org/10.1007/BF02935923
• The Daily Star. (2015, August 8). Jhimai Khasis still in fear of eviction. https://www.thedailystar.net/backpage/khasis-still-fear-eviction-124006
• Dixie, G., Imam, S. A., & Hussain, M. J. (2003, December). Medicinal plant marketing in Bangladesh (No. 44473; pp. 1–85). South Asia Enterprise Development Facility (SEDF); Intercooperation (IC). https://documents1.worldbank.org/curated/en/549731468199792298/pdf/444730WP0Box321t0marketing01PUBLIC1.pdf
• DownToEarth. (2020, May 13). Deforestation rate globally declined between 2015 and 2020: FAO report. https://www.downtoearth.org.in/news/forests/deforestation-rate-globally-declined-between-2015-and-2020-fao-report-71107
• Faruque, M. O., Uddin, S. B., Barlow, J. W., Hu, S., Dong, S., Cai, Q., Li, X., & Hu, X. (2018). Quantitative ethnobotany of medicinal plants used by Indigenous communities in the Bandarban district of Bangladesh. Frontiers in Pharmacology, 9, Article 40. https://doi.org/10.3389/fphar.2018.00040
• Food and Agriculture Organization (FAO) & United Nations Environment Programme (UNEP). (2020). The state of the world’s forests 2020: Forests, biodiversity and people. United Nations. https://openknowledge.fao.org/handle/20.500.14283/ca8642en
• Ghorbani, A. (2005). Studies on pharmaceutical ethnobotany in the region of Turkmen Sahra, north of Iran:(Part 1): General results. Journal of Ethnopharmacology, 102(1), 58–68. https://doi.org/10.1016/j.jep.2005.05.035
• González, J. A., García-Barriuso, M., & Amich, F. (2010). Ethnobotanical study of medicinal plants traditionally used in the Arribes del Duero, western Spain. Journal of Ethnopharmacology, 131(2), 343–355. https://doi.org/10.1016/j.jep.2010.07.022
• Grifo, F., & Rosenthal, J. (Eds.). (1997). Biodiversity and human health. Island Press.
• Hamilton, A. C. (2004). Medicinal plants, conservation and livelihoods. Biodiversity and Conservation, 13(8), 1477–1517. https://doi.org/10.1023/b:bioc.0000021333.23413.42
• Hazra, S., & Hussain, A (2009). Challenges and the way forward. The Icfai University Press.
• Islam, A. T. M. R., Hasan, M., Islam, T., Rahman, A., Mitra, S., & Das, S. K. (2020). Ethnobotany of medicinal plants used by Rakhine Indigenous communities in Patuakhali and Barguna districts of southern Bangladesh. Journal of Evidence-Based Integrative Medicine, 25. https://doi.org/10.1177/2515690x20971586
• Kokane, P., Bhardwaj, A., & Khilare, R. (2020). Ethnographic account of traditional healing beliefs and practices among Korku tribes in Maharashtra through emic approach. Journal of Traditional Folk Practices, 8(2), 1–9. https://doi.org/10.25173/jtfp.2020.8.2.111
• Kong, J.-M., Goh, N.-K., Chia, L.-S., & Chia, T.-F.. (2003). Recent advances in traditional plant drugs and orchids. Acta Pharmacologica Sinica, 24(1), 7–21. http://cdn.amegroups.cn/journals/aps/files/journals/26/articles/9014/public/9014-PB1-R1.pdf
• Körner, C. (1998). A re-assessment of high elevation treeline positions and their explanation. Oecologia, 115(4), 445–459. https://doi.org/10.1007/s004420050540
• Kovach, M. (2019). Conversational method in indigenous research. First Peoples Child & Family Review, 14(1), 123–136. https://doi.org/https://doi.org/10.7202/1071291ar
• Krajick, K. (2004). All downhill from here? Science, 303(5664), 1600–1602. https://doi.org/10.1126/science.303.5664.1600
• Krippner, S. (2008). The future of ethnomedicine. In B. N. De Luca (Ed.), Mind-body and relaxation research focus (pp. 81–92). Nova Publishers.
• Kunwar, R. M., Baral, K., Paudel, P., Acharya, R. P., Thapa-Magar, K. B., Cameron, M., & Bussmann, R. W. (2016). Land-use and socioeconomic change, medicinal plant selection and biodiversity resilience in far Western Nepal. PLOS ONE, 11(12), Article e0167812. https://doi.org/10.1371/journal.pone.0167812
• Lewis, W. H. (1992). Plants used medically by Indigenous peoples. In H. N. Nigg & D. Seigler (Eds.), Phytochemical resources for medicine and agriculture (pp. 33–74). Springer. https://doi.org/10.1007/978-1-4899-2584-8_3
• Li, S., Long, C., Liu, F., Lee, S., Guo, Q., Li, R., & Liu, Y. (2006). Herbs for medicinal baths among the traditional Yao communities of China. Journal of Ethnopharmacology, 108(1), 59–67. https://doi.org/10.1016/j.jep.2006.04.014
• Li, Z.-Y., Li, H.-T., He, J., Dong, G.-P., Zhang, M.-S., Liu, J.-Q., Huang, X.-L., Wang, X.-R., Bolat, M., & Feng, X. (2020). Usage of ethnomedicine on COVID-19 in China. Journal of Chinese Materia Medica, 45(10), 2265–2274. https://doi.org/10.19540/j.cnki.cjcmm.20200316.408
• Lowe, H., Payne-Jackson, A., Beckstrom-Sternberg, S. M., & Duke, J. (2000). Jamaica’s ethnomedicine: Potential in the healthcare system. University of the West Indies, Kingston.
• Mahishi, P., Srinivasa, B., & Shivanna, M. (2005). Medicinal plant wealth of local communities in some villages in Shimoga District of Karnataka, India. Journal of Ethnopharmacology, 98(3), 307–312. https://doi.org/10.1016/j.jep.2005.01.035
• Mussarat, S., Abdel-Salam, N. M., Tariq, A., Wazir, S. M., Ullah, R., & Adnan, M. (2014). Use of ethnomedicinal plants by the people living around Indus River. Evidence-based Complementary and Alternative Medicine, 2014, 1–14. https://doi.org/10.1155/2014/212634
• Moerman, D. E. (1991). The medicinal flora of native North America: an analysis. Journal of Ethnopharmacology, 31(1), 1–42. https://doi.org/10.1016/0378-8741(91)90141-Y
• Morley, P., & Wallis, R. (Eds.). (1978). Culture and curing: Anthropological perspectives on traditional medical beliefs and practices. Peter Owen.
• Mukherjee, S. S. (2016, April 25). Indian forest act and democracy: Effect on the traditional tribal system. Mainstream, 54(18). http://www.mainstreamweekly.net/article6363.html
• Murshid, M. E., & Haque, M. (2020). Hits and misses of Bangladesh National Health Policy 2011. Journal of Pharmacy and Bioallied Sciences, 12(2), 83–93. https://doi.org/10.4103/jpbs.JPBS_236_19
• Naeem, M., Ozuem, W., Howell, K., & Ranfagni, S. (2023). A step-by-step process of thematic analysis to develop a conceptual model in qualitative research. International Journal of Qualitative Methods, 22. https://doi.org/10.1177/16094069231205789
• Olsen, C. S., & Larsen, H. O. (2003). Alpine medicinal plant trade and Himalayan mountain livelihood strategies. Geographical Journal, 169(3), 243–254. https://doi.org/10.1111/1475-4959.00088
• Parmesan, C., & Yohe, G. (2003). A globally coherent fingerprint of climate change impacts across natural systems. Nature, 421(6918), 37–42. https://doi.org/10.1038/nature01286
• Phillipson, J. D., & Anderson, L. A. (1989). Ethnopharmacology and Western medicine. Journal of Ethnopharmacology, 25(1), 61–72. https://doi.org/10.1016/0378-8741(89)90045-7
• Pramanik, R. (2018). Documentation and digitalization for access to traditional medicine knowledge in Southern Odisha. International Journal of Social Science, 7(2), 327–338. https://doi.org/10.30954/2249-6637.06.2018.4
• Raj, A. J., Biswakarma, S., Pala, N. A., Shukla, G., Kumar, M., Chakravarty, S., & Bussmann, R. W. (2018). Indigenous uses of ethnomedicinal plants among forest-dependent communities of Northern Bengal, India. Journal of Ethnobiology and Ethnomedicine, 14(1), 1–28. https://doi.org/10.1186/s13002-018-0208-9
• Reyes-García, V., Paneque-Gálvez, J., Luz, A. C., Gueze, M., Macía, M. J., Orta-Martínez, M., & Pino, J. (2014). Cultural change and traditional ecological knowledge. An empirical analysis from the Tsimane' in the Bolivian Amazon. Human Organization, 73(2), 162–173. https://doi.org/10.17730/humo.73.2.31nl363qgr30n017
• Schultes, R. E., & Raffauf, R. F. (1990). The healing forest: Medicinal and toxic plants of the Northwest Amazonia. Timber Press.
• Shrestha, P. M., & Dhillion, S. S. (2003). Medicinal plant diversity and use in the highlands of Dolakha district, Nepal. Journal of Ethnopharmacology, 86(1), 81–96. https://doi.org/10.1016/s0378-8741(03)00051-5
• Srithi, K., Balslev, H., Wangpakapattanawong, P., Srisanga, P., & Trisonthi, C. (2009). Medicinal plant knowledge and its erosion among the Mien (Yao) in northern Thailand. Journal of Ethnopharmacology, 123(2), 335–342. https://doi.org/10.1016/j.jep.2009.02.035
• Tefera, B. N., & Kim, Y. (2019). Ethnobotanical study of medicinal plants in the Hawassa Zuria District, Sidama zone, Southern Ethiopia. Journal of Ethnobiology and Ethnomedicine, 15(1), Article 25. https://doi.org/10.1186/s13002-019-0302-7
• Telefo, P., Lienou, L., Yemele, M., Lemfack, M., Mouokeu, C., Goka, C., Tagne, S., & Moundipa, F. (2011). Ethnopharmacological survey of plants used for the treatment of female infertility in Baham, Cameroon. Journal of Ethnopharmacology, 136(1), 178–187. https://doi.org/10.1016/j.jep.2011.04.036
• Turner, N. J., & Hebda, R. J. (1990). Contemporary use of bark for medicine by two Salishan native elders of southeast Vancouver Island, Canada. Journal of Ethnopharmacology, 29(1), 59–72. https://doi.org/10.1016/0378-8741(90)90098-e
• United Nations. (2023). Goal 3: Ensure healthy lives and promote well-being for all at all ages. https://sdgs.un.org/goals/goal3
• Watson, R. T., Zinyowera, M. C., Moss, R. H., & Dokken, D. J. (Eds.). (1997). The regional impacts of climate change: An assessment of vulnerability. Intergovernmental Panel on Climate Change. https://archive.ipcc.ch/pdf/special-reports/spm/region-en.pdf
• Yusuf, M., Begum, J., Hoque, M. N., & Chowdhury, J. U. (2009). Medicinal plants of Bangladesh. Bangladesh Council of Scientific and Industrial Research.
• Voeks, R. A., & Leony, A. (2004). Forgetting the forest: Assessing medicinal plant erosion in eastern Brazil. Economic Botany, 58(sp1), S294–S306. https://doi.org/10.1663/0013-0001(2004)58
• Wyndham, F. S. (2010). Environments of learning: Rarámuri children’s plant knowledge and experience of schooling, family, and landscapes in the Sierra Tarahumara, Mexico. Human Ecology, 38(1), 87–99. http://www.jstor.org/stable/25652764