scholarly journals Barriers and facilitators of traditional health practitioners’ regulation requirements: a qualitative study

Author(s):  
Siyabonga I Nzimande ◽  
Mosa Moshabela ◽  
Thembelihle Zuma ◽  
Renée Street ◽  
Albertine Ranheim ◽  
...  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Solomon Nyame ◽  
Edward Adiibokah ◽  
Yasmin Mohammed ◽  
Victor C. Doku ◽  
Caleb Othieno ◽  
...  

Abstract Background In low- and middle-income countries, the paucity of conventional health services means that many people with mental health problems rely on traditional health practitioners (THPs). This paper examines the possibility of forging partnerships at the Primary Health Care (PHC) level in two geopolitical regions of Ghana, to maximize the benefits to both health systems. Methods The study was a qualitative cross-sectional survey. Eight (8) focus group discussions (FGDs) were conducted between February and April 2014. The views of THPs, PHC providers, service users (i.e. patients) and their caregivers, on the perceived benefits, barriers and facilitators of forging partnerships were examined. A thematic framework approach was employed for analysis. Results The study revealed that underlying the widespread approval of forging partnerships, there were mutual undertones of suspicion. While PHC providers were mainly concerned that THPs may incur harms to service users (e.g., through delays in care pathways and human rights abuses), service users and their caregivers highlighted the failure of conventional medical care to meet their healthcare needs. There are practical challenges to these collaborations, including the lack of options to adequately deal with human rights issues such as some patients being chained and exposed to the vagaries of the weather at THPs. There is also the issue of the frequent shortage of psychotropic medication at PHCs. Conclusion Addressing these barriers could enhance partnerships. There is also a need to educate all providers, which should include sessions clarifying the potential value of such partnerships.


2013 ◽  
Vol 18 (1) ◽  
Author(s):  
Diana Gibson

This study on perceptions of violence was conducted with 56 traditional health practitioners (diviners: amagrirha) in the Helderberg Municipal Area of Cape Town Metro. It forms a subsection of a larger study on African medicine. This particular research focuses on how traditional health practitioners perceive violence, including gender-related violence. Individual, in-depth interviews were done with 21 traditional health practitioners and focus group discussions were held with 35 participants. The paper reports on their understanding of, as well as the meanings attached to, community and gender-based violence in an urban setting. The traditional health practitioners related violence to a range of disconnections in society, ranging from not adhering to traditional norms and practices, to breaks in relations between parents and children, within families and in marital- and sexual relations. They referred to a general sense of disjuncture between the living and the ancestral worlds. The accumulative effect of this sense of not being connected was seen as damaging and a precursor to violence. In two sites where there were high concentrations of violence, ceremonies were held to purify the areas by ritual. In addition to attending to the physical manifestations of illness, distress and violence, these traditional health practitioners attempted to enhance and restore proper social relationships between the living, as well as between the living and the dead.Hierdie studie oor persepsies van geweld is gedoen met 56 tradisionele gesondheidspraktisyns (waarsêers: amagrirha) in die Helderberg Munisipale gebied van Kaapstad Metro. Dit vorm deel van ’n groter studie gerig op Afrika-medisyne. Hierdie spesifieke navorsing fokus op hoe tradisionele gesondheidspraktisyns geweld beskou, insluitende geslags-gebaseerde geweld. individuele, in-diepte onderhoude is gevoer met 21 tradisionele gesondheidspraktisyns en fokusgroepbesprekings is gehou met 35 deelnemers. Die artikel doen verslag oor hoe tradisionele gesondheidspraktisyns gemeenskaps- en geslags-gebaseerde geweld verstaan en daaran betekenis heg in ’n stedelike opset. Die tradisionele gesondheidspraktisyns verbind geweld met ’n reeks diskonneksies in die gemeenskap, wat wissel van ’n gebrek aan gehoor ten opsigte van tradisionale norme en praktyke tot verbrokkeling van verhoudings tussen ouers en kinders, binne families en in huweliks- en geslagsverhoudings. Hulle het verwys na ’n algemene persepsie van ontwrigting tussen die lewendes en die wêreld van die voorouers. Die akkumulatiewe effek van hierdie gevoel van verbrokkeling word gesien as afbrekend en ’n voorspel tot geweld. In twee plekke waar daar hoë konsentrasies van geweld was, is seremonies gehou om die areas ritueel te reining. Bykomend tot die aandag aan fisiese manifestasies van siekte, nood en geweld, het hierdie tradisionale gesondheidspraktisyns gepoog om behoorlike sosiale verhoudings tussen die lewendes te verbeter en te herstel, sowel as tussen die lewendes en die gestorwenes.


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