Ethnobotanical study on assessment of Practice on Traditional Plant Medicine Use among People of Wonchi District, central Ethiopia

Research Article

Ethnobotanical study on assessment of Practice on Traditional Plant Medicine Use among People of Wonchi District, central Ethiopia

  • Gadissa Melkamu Bulcha 1

*Corresponding Author: Gadissa Melkamu Bulcha, Department of biology, Universty of Gonder, Ethiopia.

Citation: Gadissa Melkamu Bulcha (2021) Ethnobotanical study on assessment of Practice on Traditional Plant Medicine Use among People of Wonchi District, central Ethiopia. J, Biotechnology and Bioprocessing 2(9); DOI: 10.31579/2766-2314/057

Copyright: © 2021, Gadissa Melkamu Bulcha, This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Received: 13 September 2021 | Accepted: 09 October 2021 | Published: 30 October 2021

Keywords: indiginous practice, local people, medicinal plants, traditional medicine, wonch district

Abstract

Ethiopia is a country characterized by a wide range of climate and ecological condition which helped to have high diversity of medicinal plants and up to 80% of the population use traditional medicine for primary health care. Studies on the current practices of the communities in the area are vital to document the basic information in these regars. Therefore, this study was aimed in assessing the practices of traditional plant medicine use among communities of Wonchi District. 

Results: The most widely used route of administration in the study area was oral accounted for (56.67%) followed by dermal (29.63%) This is the reason that oral and dermal routes permit rapid physiological reaction of the prepared medicines with the pathogens and increase its curative power. The prepared traditional medicines were applied in a number of ways, among which drinking (37.57%), creaming (16.76%), and eating (10.40%) were mentioned frequently.

Abbreviations

IK; indigenousknowledge, MM; modern medicine, MP; medicinalplants, TMPU; Traditional medicinal plant use

1. Introduction

According to WHO (1979), consultation of medicinal practitioners is very helpful for the development and incorporation of useful approaches in planning and budgeting system for health care provision of most developing nations and indigenous communities. In Africa, traditional medicine plays a central role in health care needs of rural people and urban poor. Here, it is said that, this situation would remain so long as modern medicine continues to be unable to meet the health care of the people of the continent effectively (Jansen, 1981). The value and role of this health care system will not diminish in the future, because they are both culturally viable and expected to remain affordable, while the modern health care service is both limited and expensive (WHO, 1979).

Indigenous traditional medicinal practices were carried out essentially based on private practice, i.e. private agreement between consenting parties, and the knowledge of traditional practice in most cases has descended through oral folk lore (Asfaw Debela et al., 1999). The secret information retained by traditional healers is relatively less susceptible to distortion but less accessible to the public. However, the knowledge is dynamic as the practitioners make every effort to widen their scope by reciprocal exchange of limited information with each other (Dawit Abebe, 1986).

Incomplete coverage of modern medical system, shortage of pharmaceuticals and unaffordable prices of modern drugs, make the majority of Ethiopian still to depend on traditional plant medicines (Dawit Abebe and Ahadu Ayehu, 1993; Teferi Gedif and Hahn, 2003). Hence the present study was initiated to investigate the indigenous practice of traditional plant medicine use among local communities of Wonch District, Western Ethiopia. 

1. 1.Statement of the Problem

Traditional medicine is an ancient form of health care practices long before appearance of scientific medicine which have played and continue to have important role in providing curative services to very large number of people particularly in the rural areas of almost all countries of Africa (Getachew Addis et al., 2000). It is the culture of many people because of its accessibility to the people even in most remote areas particularly in the community where care is given at low cost to patients in their home. Most people have good attitude towards traditional plant medicine, although it is not always the best form of health care system (Getachew Addis et al., 2000). 

In many parts of Ethiopia, considerable numbers of researches have been done on those practice of traditional plant medicine (Aschalew Lata and Takele Etana, 2014). Like in other parts of country, in the current study area, the knowledge on medicinal plants depth and width become lesser and lesser due to its secrecy, unwillingness of young generation to gain the knowledge, influence of modern education, religious and awareness factors, which all results in gradual disappearance of indigenous knowledge on medicinal plants (Researcher long term direct observation).  But there was no much formal research work that had been done on the indigenous practice of traditional plant medicine in the study area. Therefore, this study was aimed to document the traditional medicinal plant species practices in the study area.

2. Materials and Methods

2.1. Descriptions of the Study area and Location

Wonchi District is one of the Districts in the Southwest Shoa Zone, Oromia Region, Ethiopia, which is located 124 km  away from southwest of Addis Ababa with the area coverage of  460,516 hectare and the altitude range between 1798m to 2118m above sea level. The administrative center of Wonchi is Chitu and it has beautyfull Creator Lake known as Wonchi Lake from which the district has got its name. As a result many tourists from inside and outside visit this natural lake every year and it is source of income for the country (Wonch District Health Office report, 2017).

Figure 1: Map of the Study Area

2.2. Population

Demographically the district has a population of 119, 736 with almost equal gender ratio of 49.8 percent male and 50.2 percent female. The average family size is 6 and the average number of children perhousehold was nearly 4 indicating that it is found to focus of development intervention addressing child wellbeing to bring real development in the community. Religion wise, Orthodox constitute 58.9 percent, Protestants 39.6 percent and Muslims constitute 1.3 percent while the ethnic group composition, as per the Terminal evaluation findings of 2013, more than 99 percent are Oromo, the remaining being Amhara, Gurage and others  (CSA, 2007).

2.3. Climate

Ecologically the district is divided in to dega or high land (40 percent) and woina dega or mini land (60 percent). The mean annual rain fall of the area ranges from 1650-1800mm with annual temperature range of 10-30˚c and mean average of 19.6 ˚c.  The study area had 28.70c annual mean maximum and, 19.60c annual mean minimum temperature. The annual mean maximum and minimum temperature were recorded in March and November respectively. The highest rainfall distributions occur from June to September (Figure 2).

Figure 2: Climadiagram of the study area from 2006-2017

2.4. Land use types

Out of the total areas of the District, 82 percent is cultivated land,11.7 percent grazing land, 8.9 percent covered by natural forest,1.03 percent is water body while others is 18.6 percent (World Vision Ethiopia Wonch area Office report, 2018).

2.5. Vegetation of the study area

Due to variation in altitude and topographical features, the wonchi district vegetation shows three different zones, namely: Afromontane forest, sub alpine and afroalipine) vegetation (Zerihun Woldu, 1999; Puff and Sileshi Nemomissa, 2005; Getinet Masresha, 2014). The common plant species of the study area include: Achyranthes aspera, Albizia schimperiana, Alchemilla pedata, Apodytes dimidiata, Bruceaantidysenterica, Dombeya torrida, Embelia schimperi, Erica arborea,Festuca gilbertiana, Lobelia rhynchopetalum, Hagenia abyssinica,   Hypericum revolutum, Jasminum abyssinicum, Juniperus procera,  Kniphofia foliosa, Lobelia giberroa, Maytenus arbutifolia,  Millettia ferruginea, Nuxia congesta, Olea capensis, Olea europaea subsp. caspidata, Papaneasimensis, Pittosporum viridiflorum, Prunus africana, Phytolacadodicandra,  Salix subserrata, Schefflera abyssinica, Thymus schimperi and Zehneria scabra Vegetation. 

2.6. Study Design

Field survey design was employed together information on the indigenous knowledge, attitude and practice of traditional plant medicine of the local people in the study area. During the survey, both qualitative (none numerical) and quantitative (numerical) data were collected.

2.7. Reconnaissance Surveys

Preliminary survey was conducted from march 20- 25, 2018. During the preliminary survey general information about the study area were gathered. Based on the information sampling technique, Sampled Kebeles, number of informants and study sites were determined. 

2.8. Study Site Selection

From a total 23 Kebeles in the District, nine study Kebeles were selected purposively based on availability of key informants following the recommendation of government officials, stakeholders, and religious leaders during reconnaissance survey. The sampled Kebeles are (Belbela, Dimtu, Fite , Haro wanch, Kurfo gute, Lemen meta hora, Miti welga, Sonkole kake, Waldo telfa).

2.9. Informant Selection

A total of 198 informants were selected. From these 27 were key informants (3 informants per Kebele) which were selected purposively and 171 (19 per Kebele) of them were general informants which were selected randomly (simple random sampling technique following lottery method).  Age range of informants selected for the study were from 20 to 80 who lived 5 year and above in the study area. According to storck et al. (1991) and Jarso belay (2016), the size of the sample depends on the available fund, time and other reasons and not necessarily depends on total population.

2.10. Data Collection Method 

Semi-structured interview, observation and guided field walks with informants were employed to obtain ethnobotanical data as used by Gidey Yirga (2010). Interview was based on a checklist of questions prepared beforehand in English and translated to local languages (Afaan Oromo). Information regarding indigenous practice of local community towards traditional plant medicine of healers was recorded at the spot. Guided field observation was made on the medinal plants to cheek the availability of the plant in the area, to know the habit and habitat of the plant.   Focus group discussion was also made to get more information on medicinal plants practice 

2.11. Data Analyses

Descriptive statistics were used to analyze the data on medicinal plants use and associated indiginous knowledge of local community, their attitude on traditional plant medicine use and medicinal plant used by traditional plant medicine healers of the study area. The results were displayed and summarized in tables and figures by using percentage, frequency and texts. The most useful information gathered on medicinal plants which were analyzed through the descriptive statistics include application, methods of preparation, route of application, disease treated, and parts used and the habit of the plant.

3. Results and Discussion

3.1 Socio-demographic characterstics of respondent’s

A total of 198 informants including 27 key informants were selected. As pointed out by Martin (1995), the selection of key informants is commonly systematic. Most of the respondents (77.77 percent) were males (Table 1). The majority of respondent’s age range was from 40-60(51.5 percent). Most of the participants (86.86 percent) were married (Table 1). Almost all religious leader respondents were followers of Orthodox Christian. From all respondents 33.83 percent were able to read and write. Number of farmers’ respondents predominated (33.33 percent) other respondents while NGO workers are lower in number (5.05 percent) (Table 1). 

Table 1: Socio-demographic characteristics of respondents in the study area
Table 2: Distribution of informant groups by number

3.2. Mode of preparation and route of administration

Concerning the preparation of traditional medicine, the local people employed various methods of preparation of traditional medicines for different types of ailments. The most principal method of TMP preparation reported was in the form of crushing (20 percent) and the least was cooking (1.6 percent) (Table 8). This might be the effective extraction of the plant gives immediate response for health problems when crushed or pounded to increase its curative potential. The result is consistent with the findings of Getnet Chekole et al. (2015) in which crushing is highly reported method of remedy preparation. But it disagrees with the report of   Jarsso Belay (2016) which revealed that squeezing is the most used preparation method.

The most widely used route of administration was oral accounted for (56.67 percent) followed by dermal (29.63 percent) (Table, 8). This is the reason that oral and dermal routes permit rapid physiological reaction of the prepared medicines with the pathogens and increase its curative power (Fisseha Mesfin et al., 2009). These results are consistent with findings of various ethnobotanical researches elsewhere in Ethiopia and other countries such as that of (Mirutse Giday et al., 2003; Endalew Amenu., 2007; Haile Yinger et al., 2008; Fisseha Mesfin., etal., 2009; Behailu Etana, 2010; Ermias Lulekal and Ketema Tolossa et al.,2013; Getnet Chekole, 2015 and Patience et al., 2016). 

Table 3: Mode of preparation and route of administration

3.3. Ways of applications and dosage of plant remedies

The prepared traditional medicines were applied in a number of ways, among which drinking (37.57 percent), creaming (16.76 percent), and eating (10.40 percent) were mentioned frequently (Figure 6). This finding is consistent with the finding of Endalew Amenu (2007) and Behailu Etana (2010) in which drinking accounted the largest percentage of remedy.

The dosage of medicine to be administered is given by estimating age, the physical condition of the patient and the severity of the diseases. Amounts to be administered is also estimated by the use of measurements such as length of a finger (for bark, root and stem length), pinch (for powdered plant material) different measuring materials (e.g. spoon, coffee cup, tea cup and glass cups) and number count (for sap/extract drops, leaves, seeds, fruits, bulbs, rhizomes and flowers). But these measurements are not accurate enough to determine the precise amount. Some of the medicinal preparations are reported to have adverse effects on the patients. Informants reported that Hagenia abyssinica, Phytolacca dodecandra and some others are found to have adverse side effects like stomach pain, vomiting and diarrhea. The informants recommended additives for some of these adverse side effects, such as drinking of milk and barley soup immediately after intake of medicinal plants (Mirutse Giday et al., 2003; Mirutse Giday and Gobena Ameni, 2003; Kebu Balemie et al., 2004). This study agreed with study made by Abraha Teklay et al. (2013) in Kilte Awlaelo District, Eastern zone of Tigray region of Ethiopia and Getu Alemayehu (2017) in Amaro district, southern nations and nationalities of Ethiopia showed no agreement in accurate measurement or unit used among informants.

Figure 3: Application ways of remedies for human and livestock ailment treatment

3.4. Conditions of preparation of remedies

The results showed that majority of the remedies were prepared using fresh material (50, 53.76 percent), while 15 species (16.13 percent) were used in the dried form and 28 (30.11 percent) either fresh or dried. Similar studies were also conducted by Mengistu Gebrahiwot (2010) and Tadesse Beyene (2015) which showed that using fresh materials for different health problems is more than dry materials or dry or fresh. This could be due to the fact that the fresh materials did not lose their volatile bioactive chemicals like oils, which could deteriorate on drying.

 3.4. Disease types and related medicinal plants in the study area

In the area a total of 57 ailement types (both human and livestock aliments) were recorded along with the medicinal plants. From these disease types, wound is the most frequently mentioned aliment type and it is claimed to be treated by many number (25 species) of medicinal plants. This is followed by Malaria and stomach ache which are claimed to be treated by 14 and 13 species respectively. While Abortion, back pain, bilharzia, ear defect, goiter, infertility, retained placenta and syphilis are claimed to be treated by only a single medicinal plant spcies (Appendix 7). 

Paired-wise comparison analysis on six most important TMPs claimed to treat wound was performed. The result showed that Acacia abyssinica is the most usefull and effective plant to treat wound followed by Kalanchoe petitiana while Olea europaea ranked sixth. (Table 9) Preference ranking was also made on other six TMPs which were mentioned to treat malaria (Table 10). The result showed that Vernonia amygdalina is the most preferred species that ranked first followed by Juniperus procera. Eucalyptus globulus is the least preferred species followed by Lepidium sativum (Table 10). All of the species particularly thetop ranked ones by preference and pair wise needs special urgent conservation action and sustainableuses. In this regard the results agree with the findings of Behailu Etana (2010).

Table 4: Pared-wise comparsion on six more mentioned medicinsal plants against wound
Table 5: Preference ranking on six most frequently reported plants claimed to treat malaria

3.5. Major human diseases in the study area

In the study area, a total of 44 diseases of humans recorded were treated with a total of 50 plant species, where one species can treat a single disease or a number of diseases (Appendex 5). Similarly, one ailment can be treated with a combination of plant species or single plant. For example, wound is treated with 25 species of plants, malaria and stomach-ache with 14 species each; body swelling and evil eye treated with 10 species each, tonsillitis with 9 species. Fibril illness, scabies (itches) and skin rash treated with 7 species each (Appendix 5). Most of the reported medicinal plants were used to treat human ailments (Appendex 5). This showed that, the people of the study area are more knowledgeable and give great attention about human ailments as compared to livestock diseases. Similar results were recorded by Seyoum Getaneh (2009) in Debre Libanos District, North Shewa Zone of Oromia Region, Ethiopia. Medicinal plants recorded in this study also used as remedies in other part of the country. For instance, 28 species were mentioned in Mesfin Tadesse (1986), 9 species in Debela Hunde (2004), 10 species in Abiyot Berhanu (2006), 61 species in Endalew Amenu (2007), 30 plant species in Fisseha Mesfin (2009), and 59 plant species in Seyoum Getaneh (2009).

3.6. Livestock diseases in the study area

In comparison to human diseases, livestock diseases were treated with a few number of plant species in the study area. A total of 13 livestock ailments were identified that were treated by traditional medicinal plants in the area (Appendex 8) Common diseases affecting livestock health in the study area were bloating which was treated by 10 species, anthrax and leech by 6 species each, ectoparasite (lice) by 5 species, rabies by 3 species, erythroblasts, horse disease, retained placenta and cocoidiosis are treated by 2 species each and the remaining diseases are treated by 1 species each (Appendex 8) In addition, proper documentation and understanding of farmer’s knowledge, attitude, and practices about the occurrence, cause, treatments, prevention and control of various ailments is important in designing and implementing successful livestock production (Tafesse Mesfin and Mekonen Lemma, 2001). 

3.7. Threats and conservation of medicinal plants in the study area

3.7.1. Threats to medicinal plants

The causes of threats to medicinal plants in the study area were both natural and anthropogenic factors. The most dominant factors affecting the medicinal plants in the study area was agricultural land expansion (34.34%) followed by charcoal production (16.16%). While, the least serious factor was wild fire (4.04%) and then overflooding (4.54%) (Table 11). Similar problems were also emphasized by Ensermu Kelbessa et al. (1992) and Vivero et al. (2005).Moreover, the problems identified so far during the course of this study are almost similar to what other literature sources studied in many parts of the country have already stated (Getachew Addis et al., 2001; Mirutse Giday et al., 2003; Tilahun Teklehymanot and Mirutse Giday, 2007). The medicinal plants of Wonch district in general and particular are facing the same problem. 

The loss of medicinal plants associated with the missing advantages gained from medicinal plants and indiginous knowledge associated with plants (Sofowara, 1982). This is observed in wonch district as collection and search for some medicinal plants like Cordia africana, Ekebergia capensis and Thalictrum rhynchocarpum need longer time distance from their residence. Similar findings were also reported in Ethiopia (Endalew Amenu, 2007; Behailu Etana, 2010; Getnet Chekole et al., 2015) that showed need for agricultural land and for other uses severely threatened plant species in general and medicinal plants in particular.

Merchants, health care workers and other members of society obtained charcoal and timber from Acacia abyssinica and Cordia africana mature plants were recorded in the area indicating over exploitation.Balick and cox (1996) argue that quite simply, mature seed producing tree that are the backbone of the population will die and are not replaced and ultimately the resource base on which culturally values are built will disappear because of over harvesting.

Individual farmers in the area as observed during the study penetrated the forest with their axes daily. Here, the scenario is people need plants for their daily life activity i.e.as source of house hold tools, charcoal, furniture, agricultural implements. Thus, those multi-purpose species are on front line to be affected by these activities.

Table 6: Factors affecting Medicinal plants in the study area.

3.8. Conservation of medicinal plants and associated knowledge in the study area

Local people of the area know the importance of conserving the plants in both ex-situ and in-situ conservation methods. For instance, some people have started conserving the plants in fenced/protected pasture land (18.62 percent); in different worship areas (churches, mosqueds) (21.49 percent), in their farms (18.62 percent), field/farm margins and around their home gardens (18.58 percent) and live fences of the famers (20.20 percent) (Table 12). Nigussie Amsalu, (2010) and  Getnet Chekole, (2015) have also reported that different worship areas are conservation sites for remnant vegetation in general and medicinal plants in particular. For instance, medicinal plants like Juniperus procera, Olea europaea subsp.cuspidata and Euphorbia abyssinica are found in church forest and also plants like Hagenia abyssinica, Ocimum urticifolium and Ruta chalepensis are found in the majority of home gardens in the study area, as they need these plants in their daily life as spices, medicine or for other values. Plants such as Acacia abyssinica and Cordia africana are also left as remnants of forest in the agricultural field due to their uses as timber source, for construction and fuel wood. Many medicinal plant species were also reported to be rare. Some of these local names are BOODAA WALEENSSUU(meaning plain land of Erythrina brucei), BARAA CALALQAA (meaning valley of Apodytes dimidiate), KARREE BAROODDOO (meaning hilly slope of Myrica salicifolia), and GULLUUGURRAA (meaning mountainous slop of Prunus africana). What then ethno botanists have to learn from such evidences should be the point of focus. Such local clues could be good contributors for designing ecosystem/habitat conservation, rehabilitation and resilience of species in their wild state where they are best adapted. These need an urgent attention to conserve such resources in order to optimize their use in the primary health care system. Some studies have shown that most of the medicinal plants used in Ethiopia are harvested from the wild (Mirutse Gidey, 1999; and Zemede Asfaw, 1999).

Table 7: Indiginous knowledge of local community towards medicinal plants conservation

4. Conclusion and Recommendations

4.1. Conclusion

A study on medicinal plant indiginous knowledge, attitude and practice in the area revealed that the community use medicinal plants for maintaining their primary health care. From the study it can be said that the different segment of the community in the study area are in different level of knowledge with regard to traditional plant medicine use, i.e. difference in age, sex, work and education level has impact on the knowledge of the use of traditional plant medicine. In addition from the result of the study it can be concluded that  there are considerable number of community members which do have negative attitude towards use of traditional plant medicines specially educated and youngsters are developing negative attitudes. Moreover, the result of the study revealed that, though negative attitude towards traditional plant medicine is believed to be increasing from time to time, still the community is extensively practicing the use of traditional plant medicines. The ethnobotanical study of medicinal plants in the study area showed that medicinal plants are used by a large member of the population and it is the most important means of treating some common human and livestock ailments.

Most medicinal plants collected and identified were herbs and all plant parts were used for preparation of remedies. However, the use of medicinal plants for multiple purposes is leading to depletion in an alarming rate. This is worthy because of some of the uses (Agricultural expansion, firewood, construction, forage, charcoal.) are the major destructive.

Threats that erode indigenous knowledge usually comes from secrecy, oral-based knowledge transfer, the unwillingness of young generation to gain the knowledge, unavailability of the species, the influence of modern education and awareness factors are the major ones. 

The results of this study also showed that cultivation of plant species in and around home gardens for different purposes have great contribution to the conservation of medicinal plants and the associated knowledge.

4.2. Recommendations

Based on the results of the study, the following recommendations are forwarded.

  • Integrated conservation and management program on medicinal plants focused on awareness development and active involement of local community, governmental and non gevrmental bodies shall be practiced in the district.
  • Young generation needs raising awareness to avoid negative impacts on the medicinal plants and associated knowledge in the area, hence, documentation of the medicinal plants of the area needs to be continued.
  • Avoid uprooting of the plant species for medicinal purpose particularly before its flowering, fruiting and/seeding. If possible, it is better to use other parts of the medicinal plants such as leaves instead of root to protect them from the risk of extinction and endangering the species by collecting the roots or barks of the plants.
  • Establishing traditional healers associations by providing supports like land, fund and assistances for cultivations of medicinal plants in the district would help to conserve medicinal plants.
  • The societies have no good awareness with tradition plant medicine healers. So that all stakeholders should work   together to change the situation and to benefit from traditional plant medicine.
  • The government should create possible conditions and include to the teaching curricula about traditional plant medicine use
  • To change the attitude of the society any concerned body should give trainings, seminaries about traditional plant medicine use.
  • The government and other officials should recognize the use of traditional plant medicine and also the healers of traditional plant medicine need any supports from concerned bodies.
  • The insights of religious institution and health care institution should be positive and work together with traditional plant medicine.
  • The user’s negative attitude should be changed in to positive and the lack of knowledge about traditional plant medicine use also should be changed by giving training to them and through creating awareness. All stakeholders should develop positive attitude for traditional plant medicine healers. The healers of traditional plant medicine should use appropriate measurements to give the medicine for users.

Declarations

Ethical approval

Written ethical clearance was obtained from the research and ethical committe of the department of biology university of Gonder.A formal letter was written to wonchi distict health and agricultural office and each kebele administration to conduct the study.Written informed consent was sought and obtained from every participant who decided to take part in the study.They were assured about the confidentiality of their responses.

Consent for publication

Not applicable

Availablity of data and materials

The datasets used and /or analysed during the current study available from the author for reasonable request.

Completing interests

The author declares that they have no financial and non financial competing interests.

Author contributions

GM was involved in the conception, design, analysis, interpretation, report and manuscript writing.

Acknowledgements

I extend my deepest gratitude to those who participated in the study for their time to provide relevant information.I wish to extend my thanks to data collectors and supervisors.I also indebted to all those who apply their effort in the process of this study.Finally ,thankful to university of Gonder for their financial support provided.

Appendix

Appendix

Appendix 1: Lists of plants collected from the study area (D=dry; F=fresh; DF= dry or fresh; Cl=climber; H=herb; Sh=shrub; T=tree)
Appendix 2: List of medicinal plants used for both human (Hu) and livestock (Li) ailment treatment: scientific name; family; local name (A=Amharic; O=Afan Oromo) habit; parts used; disease treated; methods of preparation with dosage used and route of application.
Key:Habit (Ha.): Herb (H) ;Shrub (Sh) ; Tree(T); Climber (Cl.); Epiphyte (Ep.); Parts used (Bark, B; Latex, La; Root, R; Leaf, L; Fruit, Fu.; Flower, Fw.; Seed, Se.;Stem,St.;Sap,Sa; Bulb, Bu.; Root and leaf, LR.; Above ground , Ag; Leaf and seed, LSe; shoot, Sht.
Appendix 2: List of medicinal plants used for both human (Hu) and livestock (Li) ailment treatment: scientific name; family; local name (A=Amharic; O=Afan Oromo) habit; parts used; disease treated; methods of preparation with dosage used and route of application.
Appendix 2: List of medicinal plants used for both human (Hu) and livestock (Li) ailment treatment: scientific name; family; local name (A=Amharic; O=Afan Oromo) habit; parts used; disease treated; methods of preparation with dosage used and route of application.
Appendix 2: List of medicinal plants used for both human (Hu) and livestock (Li) ailment treatment: scientific name; family; local name (A=Amharic; O=Afan Oromo) habit; parts used; disease treated; methods of preparation with dosage used and route of application.
Appendix 2: List of medicinal plants used for both human (Hu) and livestock (Li) ailment treatment: scientific name; family; local name (A=Amharic; O=Afan Oromo) habit; parts used; disease treated; methods of preparation with dosage used and route of application.
Appendix 2: List of medicinal plants used for both human (Hu) and livestock (Li) ailment treatment: scientific name; family; local name (A=Amharic; O=Afan Oromo) habit; parts used; disease treated; methods of preparation with dosage used and route of application.
Appendix 2: List of medicinal plants used for both human (Hu) and livestock (Li) ailment treatment: scientific name; family; local name (A=Amharic; O=Afan Oromo) habit; parts used; disease treated; methods of preparation with dosage used and route of application.
Appendix 2: List of medicinal plants used for both human (Hu) and livestock (Li) ailment treatment: scientific name; family; local name (A=Amharic; O=Afan Oromo) habit; parts used; disease treated; methods of preparation with dosage used and route of application.
Appendix 2: List of medicinal plants used for both human (Hu) and livestock (Li) ailment treatment: scientific name; family; local name (A=Amharic; O=Afan Oromo) habit; parts used; disease treated; methods of preparation with dosage used and route of application.
Appendix 2: List of medicinal plants used for both human (Hu) and livestock (Li) ailment treatment: scientific name; family; local name (A=Amharic; O=Afan Oromo) habit; parts used; disease treated; methods of preparation with dosage used and route of application.
Appendix 2: List of medicinal plants used for both human (Hu) and livestock (Li) ailment treatment: scientific name; family; local name (A=Amharic; O=Afan Oromo) habit; parts used; disease treated; methods of preparation with dosage used and route of application.
Appendix 2: List of medicinal plants used for both human (Hu) and livestock (Li) ailment treatment: scientific name; family; local name (A=Amharic; O=Afan Oromo) habit; parts used; disease treated; methods of preparation with dosage used and route of application.
Appendix 2: List of medicinal plants used for both human (Hu) and livestock (Li) ailment treatment: scientific name; family; local name (A=Amharic; O=Afan Oromo) habit; parts used; disease treated; methods of preparation with dosage used and route of application.
Appendix 3: List of the medicinal plant families and corresponding number of genera and species in the study area
Appendix 4: List of human diseases in the study area
Appendix 5: List of livestock diseases in the study area
Appendix 6Some of the cultivated and wild grown medicinal plants widely traded in the market for different uses in addition to medicinal values in Wonch district.

References

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We would like to thank the Journal of Thoracic Disease and Cardiothoracic Surgery because of the services they provided us for our articles. The peer-review process was done in a very excellent time manner, and the opinions of the reviewers helped us to improve our manuscript further. The editorial office had an outstanding correspondence with us and guided us in many ways. During a hard time of the pandemic that is affecting every one of us tremendously, the editorial office helped us make everything easier for publishing scientific work. Hope for a more scientific relationship with your Journal.

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Layla Shojaie

The peer-review process which consisted high quality queries on the paper. I did answer six reviewers’ questions and comments before the paper was accepted. The support from the editorial office is excellent.

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Sing-yung Wu

Journal of Neuroscience and Neurological Surgery. I had the experience of publishing a research article recently. The whole process was simple from submission to publication. The reviewers made specific and valuable recommendations and corrections that improved the quality of my publication. I strongly recommend this Journal.

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Orlando Villarreal

Dr. Katarzyna Byczkowska My testimonial covering: "The peer review process is quick and effective. The support from the editorial office is very professional and friendly. Quality of the Clinical Cardiology and Cardiovascular Interventions is scientific and publishes ground-breaking research on cardiology that is useful for other professionals in the field.

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Katarzyna Byczkowska

Thank you most sincerely, with regard to the support you have given in relation to the reviewing process and the processing of my article entitled "Large Cell Neuroendocrine Carcinoma of The Prostate Gland: A Review and Update" for publication in your esteemed Journal, Journal of Cancer Research and Cellular Therapeutics". The editorial team has been very supportive.

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Anthony Kodzo-Grey Venyo

Testimony of Journal of Clinical Otorhinolaryngology: work with your Reviews has been a educational and constructive experience. The editorial office were very helpful and supportive. It was a pleasure to contribute to your Journal.

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Pedro Marques Gomes

Dr. Bernard Terkimbi Utoo, I am happy to publish my scientific work in Journal of Women Health Care and Issues (JWHCI). The manuscript submission was seamless and peer review process was top notch. I was amazed that 4 reviewers worked on the manuscript which made it a highly technical, standard and excellent quality paper. I appreciate the format and consideration for the APC as well as the speed of publication. It is my pleasure to continue with this scientific relationship with the esteem JWHCI.

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Bernard Terkimbi Utoo

This is an acknowledgment for peer reviewers, editorial board of Journal of Clinical Research and Reports. They show a lot of consideration for us as publishers for our research article “Evaluation of the different factors associated with side effects of COVID-19 vaccination on medical students, Mutah university, Al-Karak, Jordan”, in a very professional and easy way. This journal is one of outstanding medical journal.

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Prof Sherif W Mansour

Dear Hao Jiang, to Journal of Nutrition and Food Processing We greatly appreciate the efficient, professional and rapid processing of our paper by your team. If there is anything else we should do, please do not hesitate to let us know. On behalf of my co-authors, we would like to express our great appreciation to editor and reviewers.

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Hao Jiang

As an author who has recently published in the journal "Brain and Neurological Disorders". I am delighted to provide a testimonial on the peer review process, editorial office support, and the overall quality of the journal. The peer review process at Brain and Neurological Disorders is rigorous and meticulous, ensuring that only high-quality, evidence-based research is published. The reviewers are experts in their fields, and their comments and suggestions were constructive and helped improve the quality of my manuscript. The review process was timely and efficient, with clear communication from the editorial office at each stage. The support from the editorial office was exceptional throughout the entire process. The editorial staff was responsive, professional, and always willing to help. They provided valuable guidance on formatting, structure, and ethical considerations, making the submission process seamless. Moreover, they kept me informed about the status of my manuscript and provided timely updates, which made the process less stressful. The journal Brain and Neurological Disorders is of the highest quality, with a strong focus on publishing cutting-edge research in the field of neurology. The articles published in this journal are well-researched, rigorously peer-reviewed, and written by experts in the field. The journal maintains high standards, ensuring that readers are provided with the most up-to-date and reliable information on brain and neurological disorders. In conclusion, I had a wonderful experience publishing in Brain and Neurological Disorders. The peer review process was thorough, the editorial office provided exceptional support, and the journal's quality is second to none. I would highly recommend this journal to any researcher working in the field of neurology and brain disorders.

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Dr Shiming Tang

Dear Agrippa Hilda, Journal of Neuroscience and Neurological Surgery, Editorial Coordinator, I trust this message finds you well. I want to extend my appreciation for considering my article for publication in your esteemed journal. I am pleased to provide a testimonial regarding the peer review process and the support received from your editorial office. The peer review process for my paper was carried out in a highly professional and thorough manner. The feedback and comments provided by the authors were constructive and very useful in improving the quality of the manuscript. This rigorous assessment process undoubtedly contributes to the high standards maintained by your journal.

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Raed Mualem

International Journal of Clinical Case Reports and Reviews. I strongly recommend to consider submitting your work to this high-quality journal. The support and availability of the Editorial staff is outstanding and the review process was both efficient and rigorous.

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Andreas Filippaios

Thank you very much for publishing my Research Article titled “Comparing Treatment Outcome Of Allergic Rhinitis Patients After Using Fluticasone Nasal Spray And Nasal Douching" in the Journal of Clinical Otorhinolaryngology. As Medical Professionals we are immensely benefited from study of various informative Articles and Papers published in this high quality Journal. I look forward to enriching my knowledge by regular study of the Journal and contribute my future work in the field of ENT through the Journal for use by the medical fraternity. The support from the Editorial office was excellent and very prompt. I also welcome the comments received from the readers of my Research Article.

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Dr Suramya Dhamija

Dear Erica Kelsey, Editorial Coordinator of Cancer Research and Cellular Therapeutics Our team is very satisfied with the processing of our paper by your journal. That was fast, efficient, rigorous, but without unnecessary complications. We appreciated the very short time between the submission of the paper and its publication on line on your site.

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Bruno Chauffert

I am very glad to say that the peer review process is very successful and fast and support from the Editorial Office. Therefore, I would like to continue our scientific relationship for a long time. And I especially thank you for your kindly attention towards my article. Have a good day!

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Baheci Selen

"We recently published an article entitled “Influence of beta-Cyclodextrins upon the Degradation of Carbofuran Derivatives under Alkaline Conditions" in the Journal of “Pesticides and Biofertilizers” to show that the cyclodextrins protect the carbamates increasing their half-life time in the presence of basic conditions This will be very helpful to understand carbofuran behaviour in the analytical, agro-environmental and food areas. We greatly appreciated the interaction with the editor and the editorial team; we were particularly well accompanied during the course of the revision process, since all various steps towards publication were short and without delay".

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Jesus Simal-Gandara

I would like to express my gratitude towards you process of article review and submission. I found this to be very fair and expedient. Your follow up has been excellent. I have many publications in national and international journal and your process has been one of the best so far. Keep up the great work.

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Douglas Miyazaki

We are grateful for this opportunity to provide a glowing recommendation to the Journal of Psychiatry and Psychotherapy. We found that the editorial team were very supportive, helpful, kept us abreast of timelines and over all very professional in nature. The peer review process was rigorous, efficient and constructive that really enhanced our article submission. The experience with this journal remains one of our best ever and we look forward to providing future submissions in the near future.

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Dr Griffith

I am very pleased to serve as EBM of the journal, I hope many years of my experience in stem cells can help the journal from one way or another. As we know, stem cells hold great potential for regenerative medicine, which are mostly used to promote the repair response of diseased, dysfunctional or injured tissue using stem cells or their derivatives. I think Stem Cell Research and Therapeutics International is a great platform to publish and share the understanding towards the biology and translational or clinical application of stem cells.

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Dr Tong Ming Liu

I would like to give my testimony in the support I have got by the peer review process and to support the editorial office where they were of asset to support young author like me to be encouraged to publish their work in your respected journal and globalize and share knowledge across the globe. I really give my great gratitude to your journal and the peer review including the editorial office.

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Husain Taha Radhi

I am delighted to publish our manuscript entitled "A Perspective on Cocaine Induced Stroke - Its Mechanisms and Management" in the Journal of Neuroscience and Neurological Surgery. The peer review process, support from the editorial office, and quality of the journal are excellent. The manuscripts published are of high quality and of excellent scientific value. I recommend this journal very much to colleagues.

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S Munshi

Dr.Tania Muñoz, My experience as researcher and author of a review article in The Journal Clinical Cardiology and Interventions has been very enriching and stimulating. The editorial team is excellent, performs its work with absolute responsibility and delivery. They are proactive, dynamic and receptive to all proposals. Supporting at all times the vast universe of authors who choose them as an option for publication. The team of review specialists, members of the editorial board, are brilliant professionals, with remarkable performance in medical research and scientific methodology. Together they form a frontline team that consolidates the JCCI as a magnificent option for the publication and review of high-level medical articles and broad collective interest. I am honored to be able to share my review article and open to receive all your comments.

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Tania Munoz

“The peer review process of JPMHC is quick and effective. Authors are benefited by good and professional reviewers with huge experience in the field of psychology and mental health. The support from the editorial office is very professional. People to contact to are friendly and happy to help and assist any query authors might have. Quality of the Journal is scientific and publishes ground-breaking research on mental health that is useful for other professionals in the field”.

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George Varvatsoulias

Dear editorial department: On behalf of our team, I hereby certify the reliability and superiority of the International Journal of Clinical Case Reports and Reviews in the peer review process, editorial support, and journal quality. Firstly, the peer review process of the International Journal of Clinical Case Reports and Reviews is rigorous, fair, transparent, fast, and of high quality. The editorial department invites experts from relevant fields as anonymous reviewers to review all submitted manuscripts. These experts have rich academic backgrounds and experience, and can accurately evaluate the academic quality, originality, and suitability of manuscripts. The editorial department is committed to ensuring the rigor of the peer review process, while also making every effort to ensure a fast review cycle to meet the needs of authors and the academic community. Secondly, the editorial team of the International Journal of Clinical Case Reports and Reviews is composed of a group of senior scholars and professionals with rich experience and professional knowledge in related fields. The editorial department is committed to assisting authors in improving their manuscripts, ensuring their academic accuracy, clarity, and completeness. Editors actively collaborate with authors, providing useful suggestions and feedback to promote the improvement and development of the manuscript. We believe that the support of the editorial department is one of the key factors in ensuring the quality of the journal. Finally, the International Journal of Clinical Case Reports and Reviews is renowned for its high- quality articles and strict academic standards. The editorial department is committed to publishing innovative and academically valuable research results to promote the development and progress of related fields. The International Journal of Clinical Case Reports and Reviews is reasonably priced and ensures excellent service and quality ratio, allowing authors to obtain high-level academic publishing opportunities in an affordable manner. I hereby solemnly declare that the International Journal of Clinical Case Reports and Reviews has a high level of credibility and superiority in terms of peer review process, editorial support, reasonable fees, and journal quality. Sincerely, Rui Tao.

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Rui Tao

Clinical Cardiology and Cardiovascular Interventions I testity the covering of the peer review process, support from the editorial office, and quality of the journal.

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Khurram Arshad

Clinical Cardiology and Cardiovascular Interventions, we deeply appreciate the interest shown in our work and its publication. It has been a true pleasure to collaborate with you. The peer review process, as well as the support provided by the editorial office, have been exceptional, and the quality of the journal is very high, which was a determining factor in our decision to publish with you.

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Gomez Barriga Maria Dolores

The peer reviewers process is quick and effective, the supports from editorial office is excellent, the quality of journal is high. I would like to collabroate with Internatioanl journal of Clinical Case Reports and Reviews journal clinically in the future time.

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Lin Shaw Chin

Clinical Cardiology and Cardiovascular Interventions, I would like to express my sincerest gratitude for the trust placed in our team for the publication in your journal. It has been a true pleasure to collaborate with you on this project. I am pleased to inform you that both the peer review process and the attention from the editorial coordination have been excellent. Your team has worked with dedication and professionalism to ensure that your publication meets the highest standards of quality. We are confident that this collaboration will result in mutual success, and we are eager to see the fruits of this shared effort.

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Maria Dolores Gomez Barriga

Dear Dr. Jessica Magne, Editorial Coordinator 0f Clinical Cardiology and Cardiovascular Interventions, I hope this message finds you well. I want to express my utmost gratitude for your excellent work and for the dedication and speed in the publication process of my article titled "Navigating Innovation: Qualitative Insights on Using Technology for Health Education in Acute Coronary Syndrome Patients." I am very satisfied with the peer review process, the support from the editorial office, and the quality of the journal. I hope we can maintain our scientific relationship in the long term.

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Dr Maria Dolores Gomez Barriga

Dear Monica Gissare, - Editorial Coordinator of Nutrition and Food Processing. ¨My testimony with you is truly professional, with a positive response regarding the follow-up of the article and its review, you took into account my qualities and the importance of the topic¨.

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Dr Maria Regina Penchyna Nieto

Dear Dr. Jessica Magne, Editorial Coordinator 0f Clinical Cardiology and Cardiovascular Interventions, The review process for the article “The Handling of Anti-aggregants and Anticoagulants in the Oncologic Heart Patient Submitted to Surgery” was extremely rigorous and detailed. From the initial submission to the final acceptance, the editorial team at the “Journal of Clinical Cardiology and Cardiovascular Interventions” demonstrated a high level of professionalism and dedication. The reviewers provided constructive and detailed feedback, which was essential for improving the quality of our work. Communication was always clear and efficient, ensuring that all our questions were promptly addressed. The quality of the “Journal of Clinical Cardiology and Cardiovascular Interventions” is undeniable. It is a peer-reviewed, open-access publication dedicated exclusively to disseminating high-quality research in the field of clinical cardiology and cardiovascular interventions. The journal's impact factor is currently under evaluation, and it is indexed in reputable databases, which further reinforces its credibility and relevance in the scientific field. I highly recommend this journal to researchers looking for a reputable platform to publish their studies.

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Dr Marcelo Flavio Gomes Jardim Filho

Dear Editorial Coordinator of the Journal of Nutrition and Food Processing! "I would like to thank the Journal of Nutrition and Food Processing for including and publishing my article. The peer review process was very quick, movement and precise. The Editorial Board has done an extremely conscientious job with much help, valuable comments and advices. I find the journal very valuable from a professional point of view, thank you very much for allowing me to be part of it and I would like to participate in the future!”

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Zsuzsanna Bene

Dealing with The Journal of Neurology and Neurological Surgery was very smooth and comprehensive. The office staff took time to address my needs and the response from editors and the office was prompt and fair. I certainly hope to publish with this journal again.Their professionalism is apparent and more than satisfactory. Susan Weiner

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Dr Susan Weiner

My Testimonial Covering as fellowing: Lin-Show Chin. The peer reviewers process is quick and effective, the supports from editorial office is excellent, the quality of journal is high. I would like to collabroate with Internatioanl journal of Clinical Case Reports and Reviews.

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Lin-Show Chin

My experience publishing in Psychology and Mental Health Care was exceptional. The peer review process was rigorous and constructive, with reviewers providing valuable insights that helped enhance the quality of our work. The editorial team was highly supportive and responsive, making the submission process smooth and efficient. The journal's commitment to high standards and academic rigor makes it a respected platform for quality research. I am grateful for the opportunity to publish in such a reputable journal.

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Sonila Qirko

My experience publishing in International Journal of Clinical Case Reports and Reviews was exceptional. I Come forth to Provide a Testimonial Covering the Peer Review Process and the editorial office for the Professional and Impartial Evaluation of the Manuscript.

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Luiz Sellmann