Traditional health practitioners are key to scaling up comprehensive care for HIV/AIDS in sub-Saharan Africa

AIDS ◽  
2004 ◽  
Vol 18 (12) ◽  
pp. 1723-1725 ◽  
Author(s):  
Jaco Homsy ◽  
Rachel King ◽  
Dorothy Balaba ◽  
Donna Kabatesi
Keyword(s):  
Scaling Up ◽  
Sub Saharan Africa ◽  
Comprehensive Care ◽  
Traditional Health ◽  
Traditional Health Practitioners ◽  
Health Practitioners ◽  
Sub Saharan ◽  
Hiv Aids

scholarly journals Evidence on collaboration of traditional and biomedical practitioners in the management of antimicrobial resistance in sub-Saharan Africa over 15 years: a systematic review protocol

2021 ◽  
Vol 10 (1) ◽  
Author(s):  
Aganze Gloire-Aimé Mushebenge ◽  
Mukanda Gedeon Kadima ◽  
Tivani Mashamba-Thompson ◽  
Manimbulu Nlooto
Keyword(s):  
Systematic Review ◽  
Antimicrobial Resistance ◽  
Treatment Failure ◽  
Healthcare Professionals ◽  
Sub Saharan Africa ◽  
Mapping Procedure ◽  
Traditional Health ◽  
Traditional Health Practitioners ◽  
Health Practitioners ◽  
Sub Saharan

Abstract Background The overuse of prescribed antimicrobials, concurrent use of traditional medicine, and prescribed antimicrobials have led to antimicrobial resistance. The absence of collaboration between traditional health practitioners and biomedically trained healthcare professionals can contribute to antimicrobial resistance, treatment failure, overdose, toxicity, and misadministration. This scoping review explores the evidence on collaboration between traditional health practitioners and biomedically trained healthcare professionals to reduce antimicrobial resistance and treatment failure in bacterial and viral diseases. Methods We will search for electronic databases such as Science Direct, Google Scholar, PubMed, and MEDLINE via EBSCOhost. We will also search reference lists of included studies. A two-stage mapping procedure will be carried out. Stage one (1) will consist of the title, abstracts, and full article screening, respectively. A pilot screening form guided by the defined eligibility criteria will be used. In stage two (2), data will be extracted from the included studies. Two reviewers will conduct parallel screening and data extraction. Mixed methods appraisal tool (MMAT) will be used to assess the quality of the included studies. NVIVO version 11 will be employed to aid pertinent thematic analysis. The outcomes of interest will be as follows: Primary outcome will be preventing and reducing antimicrobial resistance. The secondary effect is the effective collaboration between traditional healthcare practitioners and biomedically healthcare professionals. Discussion This review anticipates uncovering pertinent publications reporting the evidence of collaboration between traditional health practitioners and biomedically trained healthcare professionals to reduce antimicrobial resistance in sub-Saharan Africa. The sum-up of evidence acquired from the included studies will help guide future research. The result of the study will be print and electronically exposed. Systematic review registration PROSPERO, CRD42017072952

scholarly journals Evidence on collaboration of traditional and biomedical practitioners in the management of antimicrobial resistance in sub-Saharan Africa over 15 years: A systematic review protocol

2021 ◽  
Author(s):  
AGANZE GLOIRE-AIME MUSHEBENGE ◽  
MUKANDA Gedeon KADIMA ◽  
TIVANI Phosa MASHAMBA-THOMPSON ◽  
MANIMBULU NLOOTO
Keyword(s):  
Systematic Review ◽  
Antimicrobial Resistance ◽  
Treatment Failure ◽  
Healthcare Professionals ◽  
Sub Saharan Africa ◽  
Mapping Procedure ◽  
Traditional Health ◽  
Traditional Health Practitioners ◽  
Health Practitioners ◽  
Sub Saharan

Abstract Background The overuse of prescribed antimicrobials, concurrent use of traditional medicine, and prescribed antimicrobials have led to antimicrobial resistance. The absence of collaboration between traditional health practitioners and biomedically trained healthcare professionals can contribute to antimicrobial resistance, treatment failure, overdose, toxicity, and misadministration. This scoping review explores the evidence on collaboration between traditional health practitioners and biomedically trained healthcare professionals to reduce antimicrobial resistance and treatment failure in bacterial and viral diseases. Methods/design We will search for electronic databases such as Science Direct, Google Scholar, PubMed, MEDLINE via EBSCOhost. We will also search reference lists of included studies. A two-stage mapping procedure will be carried out. Stage one (1) will consist of the title, abstracts, and full article screening, respectively. A pilot screening form guided by the defined eligibility criteria will be used. Stage two (2), data will be extracted from the included studies. Two reviewers will conduct parallel screening and data extraction. Mixed methods appraisal tool (MMAT) will be used to assess the quality of the included studies. NVIVO version 11 will be employed to aid pertinent thematic analysis. The outcomes of interest will be as follows: Primary outcome will be preventing and reducing antimicrobial resistance. The secondary effect is the effective collaboration between traditional healthcare practitioners and biomedically healthcare professionals. Discussion This review anticipates uncovering pertinent publications reporting the evidence of collaboration between traditional health practitioners and biomedically trained healthcare professionals to reduce antimicrobial resistance in sub-Saharan Africa. The sum-up of evidence acquired from the included studies will help guide future research. The result of the study will be print and electronically exposed. Systematic review registration ID: PROSPERO CRD42017072952

Mapping evidence of collaboration between traditional health practitioners and biomedically trained healthcare professionals in the reduction of antimicrobial resistance in sub-Saharan Africa: A systematic scoping review protocol

2020 ◽  
Author(s):  
AGANZE GLOIRE-AIME MUSHEBENGE ◽  
MUKANDA Gedeon KADIMA ◽  
TIVANI MASHAMBA-THOMPSON ◽  
MANIMBULU NLOOTO
Keyword(s):  
Antimicrobial Resistance ◽  
Treatment Failure ◽  
Scoping Review ◽  
Healthcare Professionals ◽  
Sub Saharan Africa ◽  
Mapping Procedure ◽  
Traditional Health ◽  
Traditional Health Practitioners ◽  
Health Practitioners ◽  
Sub Saharan

Abstract Background The overuse of prescribed antimicrobials, concurrent use of both traditional medicine and prescribed antimicrobials has been shown to lead to antimicrobial resistance. The absence of collaboration between traditional health practitioners and biomedically trained healthcare professionals can contribute to antimicrobial resistance, treatment failure, overdose, toxicity and misadministration. This scoping review explores evidence on collaboration between traditional health practitioners and biomedically trained healthcare professionals in the reduction of antimicrobial resistance and treatment failure in bacterial and viral diseases. Methods/design We will search electronic databases such as Science Direct, Google scholar, PubMed, MEDLINE via EBSCOhost. We will also search reference lists of included studies. A two-stage mapping procedure will be carried out. Stage one (1) will consist of title, abstracts and full article screening, respectively. A piloted screening form guided by the defined eligibility criteria will be used. Stage two (2), data will be extracted from the included studies. Parallel screening and data extraction will be conducted by two reviewers. Mixed methods appraisal tool (MMAT) will be used to assess the quality of the included studies. NVIVO version 11 will be employed to aid pertinent thematic analysis. The outcomes of interest will be as follows: Primary outcome will be the prevention and the reduction of antimicrobial resistance. Secondary outcomes: Effective collaboration between traditional healthcare practitioners and biomedically healthcare professionals. Discussion This review anticipates uncovering pertinent publications reporting the evidence of collaboration between traditional health practitioners and biomedically trained healthcare professionals in the reduction of antimicrobial resistance in sub-Saharan Africa. The sum up of evidence acquired from the included studies will help guide for future research. The result from the research will be print and electronically exposed.

Scaling Up HIV/AIDS Care Among Women in Sub-Saharan Africa: Cross-Cultural Barriers

2013 ◽  
pp. 249-265 ◽  
Author(s):  
Damalie Nakanjako ◽  
Florence Maureen Mirembe ◽  
Jolly Beyeza-Kashesya ◽  
Alex Coutinho
Keyword(s):  
Scaling Up ◽  
Cross Cultural ◽  
Sub Saharan Africa ◽  
Cultural Barriers ◽  
Sub Saharan ◽  
Hiv Aids

scholarly journals Western health practitioners’ view about African traditional health practitioners’ treatment and care of people living with HIV/AIDS

Curationis ◽  
2006 ◽  
Vol 29 (3) ◽  
Author(s):  
JV Summerton
Keyword(s):  
Health Care ◽  
Traditional Healing ◽  
People Living With Hiv ◽  
Treatment Regimens ◽  
Traditional Health ◽  
Healing System ◽  
Traditional Health Practitioners ◽  
Health Practitioners ◽  
Living With Hiv ◽  
Hiv Aids

African traditional health practitioners are an important source of health care for many South Africans. Thus, they are a health resource in this society. However, the integration of traditional health practitioners into the mainstream of health care is a complex process. Various factors contribute to this complexity, including the skepticism and reservation with which some western health practitioners view traditional health practitioners. This paper highlights the perceived strengths and weaknesses of the traditional healing system for people living with HIV/AIDS, as perceived by western health practitioners. The use of traditional practitioners as a choice of health care is attributed to both the strengths and weaknesses of this system of health care. The strength of the traditional healing system is in its sharing of the worldview and belief system of its users, it being an alternative to an inefficient western health care system (official system), privacy and absence of time limitations per consultation, treating patients psychologically, and scientifically unexplained physiological relief of the symptoms of specific illnesses. The perceived weaknesses of the traditional healing system include harmful treatment regimens, especially for people living with HIV/AIDS; prolonging the seeking of appropriate health care when traditional remedies fail to produce the desired effect; destroying interpersonal relationships of people living with HIV/AIDS through witchcraft accusations; psychological torment caused by the belief that HIV/AIDS can be cured by traditional remedies/intervention; and increasing the workload of western practitioners who are requested by patients to conduct multiple HIV tests after undergoing various traditional treatment regimens to cure HIV/AIDS. It is recommended that traditional practitioners be encouraged to adapt harmful traditional healing practices to the benefit of their patients in a non-judgemental and non-critical manner. In addition, joint workshops should be conducted with traditional and western practitioners to demystify traditional healing practices.

scholarly journals The role of South African traditional health practitioners in the treatment of HIV/AIDS; A study of their practices and use of herbal medicines

2010 ◽  
Vol 11 (2) ◽  
Author(s):  
David R Walwyn ◽  
Boitumelo Maitshotlo
Keyword(s):  
Public Awareness ◽  
World Health ◽  
Hiv Positive ◽  
Traditional Medicines ◽  
Awareness Campaigns ◽  
Traditional Health ◽  
Healthcare Needs ◽  
Traditional Health Practitioners ◽  
Health Practitioners ◽  
Hiv Aids

Background A large proportion of HIV positive South Africans regularly consult Traditional Health Practitioners (THPs) for their healthcare needs, despite some evidence of negative interactions with antiretrovirals (ARVs) and no published peer-reviewed clinical evidence for the efficacy of traditional medicines in the treatment of HIV. In this study, we investigated the dominant practices of THPs towards HIV positive patients and whether these practices have changed following widespread public awareness campaigns covering HIV and its treatment. Method The study used a semi-structured interviewer-administered questionnaire in the home language of the interviewee. A total of 52 THPs from four provinces (Gauteng, Limpopo, Kwazulu Natal and Eastern Cape) were interviewed. 38% of the respondents were based in the rural areas, and 69% classified themselves as inyangas, with the remainder being sangomas. Findings All of the THPs in the survey offered treatment for HIV, although only 20% claimed to be able to cure the disease. 88% prepared their own medication, mostly from plant material, and sold their products as aqueous extracts in labelled bottles. None of these products had been systematically evaluated, and there was mostly no record keeping, either of the patient, or of the medicine itself. Quality control practices such as expiry dates, controlled storage conditions and batch records were totally unknown in our sample. Only 38% of the THPs had received training on HIV/AIDS although 75% believed that they were well informed about the disease. Our own assessment was that only 50% had a working knowledge of HIV; more disturbingly 37% believe that only traditional medicines should be used for the treatment of HIV and a further 50% believe that both traditional medicines and ARVs can be taken simultaneously. Interpretation Despite ongoing public educational campaigns on HIV, some of which have specifically targeted THPs, the care of HIV positive patients continues to be compromised by the traditional sector. Although some progress is evident, THP approaches to HIV treatment fails to conform to minimum standards proposed by the World Health Organisation and other organisations, and represents a considerable challenge to the integration of THPs with the biomedical sector, and with the antiretroviral treatment programme in South Africa.

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