Adverse Drug Reaction Reporting Among Herbal Practitioners: A Mixed-Methods Study of Reporting Practices, Associated Factors, and Pharmacovigilance System Barriers in the Greater Accra Region, Ghana

Background: Herbal medicinal products are widely used in Ghana; however, adverse drug reaction (ADR) reporting associated with these products remains limited, posing challenges to pharmacovigilance and medicine safety surveillance. This study assessed trends in herbal medicine-related ADR reporting, determined the prevalence and factors associated with ADR reporting among herbal practitioners, and explored barriers to ADR reporting in Ghana. Methods: A mixed-methods study involving secondary pharmacovigilance data review, an analytic cross-sectional survey, and qualitative in-depth interviews

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