Understanding the paradox of rising consumption of alternative medicine in Kenya

Kenya has been expanding provision of healthcare services, taking health facilities closer to the people. While this would be expected to reduce dependence on complementary/alternative medicine, the consumption has continued to rise. This raises the question of whether alternative medicine is replacing conventional medicine or the two are jointly used to deal with diseases. Thus, this study sought to establish the relationship of the two remedies in household choice of healthcare and explored the determinants of such choices. The study used bivariate probit analysis on cross-sectional data. The study found that consumption of conventional medicine and alternative medicine was indeed interdependent. The two were, on average, substitutes although some groups still consumed them jointly. Gender, education and age of the household head, price of conventional medicine, distance to conventional medicine facilities and social networks were found to influence the decisions. Male household heads, price of conventional medicine and distance to conventional medical facilities had a positive relationship with the probability of using alternative remedies. Education and age of household head, and social capital were associated with lower likelihood of choosing alternative remedies. The results of this study have important ramifications for medical researchers, health policy makers and health insurance providers. For medical researchers, joint use of alternative and conventional medicines makes it important to understand the interactions between the two so as to avoid adverse reactions that may endanger the lives of patients. For the health policy makers, because patients have different preferences for healthcare services, it is useful to provide alternative medicine and conventional medicine in a joint and integrated health system for patients’ freedom of choice, and for safety and efficacy of treatment. Health insurance providers, on their part, need to explore the possibilities and modalities for bringing users of alternative medicine, and joint users of alternative and conventional medicines under their cover.