Exploring the Use of Traditional and Complementary Medicine in Pediatric Oncology: A Mixed-Methods Study From Uganda

In pediatric oncology, many families incorporate traditional and complementary medicine (T&CM) into their coping and caregiving practices. Although these approaches are intended to support treatment, lack of professional oversight may lead to harm, and evidence from African settings remains sparse. This study explored the extent of use and underlying reasons for T&CM among pediatric oncology patients in Uganda.

A cross-sectional mixed-methods design was used. Children aged 0-17 years receiving care at the Uganda Cancer Institute were enrolled. Quantitative data were collected using a researcher-developed questionnaire informed by existing literature, and analyses identified factors associated with T&CM use. Qualitative interviews were examined through thematic analysis to capture families' experiences and motivations.

Among 395 participating children, 276 (69.9%) reported using at least one form of T&CM. Spiritual practices (54.7%) and herbal remedies (44.8%) were most common. Most families initiated T&CM after diagnosis and used it alongside conventional treatment. Significant associations were found with household income of 50,000-100,000 UGX (adjusted prevalence ratio [APR]: 0.82; 95% confidence interval [CI]: 0.71-0.94), and experiencing treatment side effects (APR: 1.23; 95% CI: 1.09-1.40). Qualitative findings highlighted financial strain, limited access to timely care, high treatment costs, and burdensome side effects as key drivers of T&CM use.

T&CM use is widespread among children with cancer in Uganda. Further efforts are needed to ensure that discussions about T&CM are routinely incorporated into clinical practice to support its safe integration within conventional care.