AU - Koffuor, George AU - Abruquah, Akua AU - Audu, Rauf AU - Agyapong, Theresa AU - Amoa-Gyarteng, Yaa TI - Patronage and perceived efficacies of artemisinin-based combination therapies and herbal antimalarials in Kumasi, Ghana PT - ORIG DP - 2016 Oct 1 TA - International Journal of Health & Allied Sciences PG - 267-273 VI - 5 IP - 4 4099- https://www.ijhas.in/article.asp?issn=2278-344X;year=2016;volume=5;issue=4;spage=267;epage=273;aulast=Koffuor;type=0 4100- https://www.ijhas.in/article.asp?issn=2278-344X;year=2016;volume=5;issue=4;spage=267;epage=273;aulast=Koffuor AB - Context: Herbal antimalarials are promising to be a sure way to offset malaria. Aim: The aim of this study was to assess the patronage and the perceived efficacies of artemisinin-based combination therapies (ACTs) and herbal antimalarials in Ghana. Methods: A cross-sectional survey on this subject was conducted in Kumasi, Ghana, between January and April 2014. Statistical Analysis: Statistical analysis was performed by Pearson's Chi-square analysis; P ≤ 0.05 was considered statistically significant. Results: Of 500 respondents (46.8% males; 53.2% females) interviewed, 75% were aged between 20 and 40 years. Majority (82.9%) had secondary education although 2.5% had no formal education. Respondents had a good knowledge of the symptoms of malaria; headache (93.8%), fever (99.1%), nausea and vomiting (93.8%), and general body weakness (88.4%) were most frequently mentioned. For malaria therapy, 73.6% use ACTs, while 47.6% use prepackaged or extemporaneous herbal antimalarials; 52.1% of the herbal users had used ACTs before. Commonly used herbs were Phyllanthus fraternus, Vernonia amygdalina, Khaya senegalensis, Azadirachta indica, and Cryptolepis sanguinolenta. Although 69.8% of ACT users recovered from malaria after a complete course, 27.2% recovered after course repetition(s) within 4 weeks. Nearly 82.8% of herbal users recovered fully after taking required quantities as stated by the manufacture, with 17.2% having recurrence. Side effects such as general malaise and dizziness reported by ACT and herbal antimalarial users were 15.3% and 10.1%, respectively. Although there was no significant relationship between preferred antimalarial type and age as well as working status, there was high significant (P ≤ 0.001) relationship with tertiary education. Conclusion: Although both ACTs and herbal antimalarials are highly patronized, a greater percentage of consumers find herbal antimalarials to be more efficacious.