scholarly journals Indigenous plant-derived medicine used by ordinary community members other than traditional health practitioners for preventive health care in Mohlaletsi community in Limpopo province, South Africa

Author(s):  
Sejabaledi Agnes Rankoana
1970 ◽  
Vol 19 (4) ◽  
pp. 3100-3106
Author(s):  
Mbatha Nompumelelo ◽  
Exnevia Gomo ◽  
Nceba Gqaleni ◽  
Mlungisi Ngcobo

Introduction: Despite the recognition of Traditional Medicine systems as a critical component of health care by the WHO and the African Union, its integration into the health care mainstream remains very subdued in South Africa. This is partly due to the lack of empirical data pertinent to traditional healer training that could inform the accreditation process. Objective: To determine core competencies acquired by Traditional Health Practitioners (THP) of KwaZulu-Natal Province, South Africa during their apprenticeship. Materials and methods: Purposeful, convenient and snowballing sampling and the sequential data collection methods of questionnaires, journaling and focus groups was used to collect data from the THP tutors and their trainees in rural, peri-urban and urban areas of eThekwini and uThungulu Districts of Kwa Zulu Natal (KZN). Results: Eleven core competencies were identified: consultation, diagnoses, holistic patient care and treatment, integrative and holistic healing, application of healing procedures and cultural rituals, spiritual development, ethical competencies, problem solving, herbalism, ancestral knowledge and end of life care. Conclusion: The apprenticeship of THPs in KZN is based on eleven core competencies. These competencies are fundamental pillars for critical health care provided by THPs and are crucial for setting standards for the accreditation of traditional training in South Africa if the THP Act 22 of 2007 is to achieve its purpose of providing for the management of and control over the registration, training and conduct of the practitioners. Hence, the appointed interim THP Council should include the identified competencies when articulating bases for accreditation of the training and assessments.Keywords: Indigenous training, traditional health practitioners, Kwazulu-Natal.


2021 ◽  
Author(s):  
N. Mbali Mashele ◽  
Lindy J. Thompson ◽  
Colleen T. Downs

ABSTRACT African vulture populations are currently in rapid decline, due to a range of anthropogenic factors. These include intentional and unintentional poisoning; degradation, fragmentation, and loss of habitat; and the killing of vultures to obtain body parts for use in traditional medicine. Consequently, people living in rural communities adjacent to protected areas may have a negative or positive impact on their local vulture populations, and so understanding their attitudes towards vultures is imperative. We surveyed Traditional Health Practitioners (those who may [unlawfully] acquire vulture parts for use in traditional medicine) and other community members (those who are not Traditional Health Practitioners but who might use traditional medicine containing vulture body parts) to understand how they perceive vultures and the cultural beliefs associated with vultures in the Kruger to Canyons Biosphere Region, South Africa. We conducted 248 structured interviews with 197 community members and 51 Traditional Health Practitioners in nine villages in the Bushbuckridge Local Municipality, Mpumalanga Province, adjacent to protected areas. Our results showed that community members and Traditional Health Practitioners regarded vultures as beneficial to them for ecosystem services, as a cultural resource, and as a means of generating income. Community members and Traditional Health Practitioners generally had positive attitudes toward vultures, and community members were more inclined than Traditional Health Practitioners to like vultures. Both groups of respondents expressed a fear of vultures because of their aggressive feeding behavior and their physical appearance. Our results highlighted that vultures in our study area are traded and used in traditional medicines for various purposes. Contrary to what was previously thought, vultures are indeed used in traditional medicine close to the Kruger National Park. Our interviewees expressed a desire to learn more about vultures, and this could be a starting point to increase conservation education for these species. There is a need to raise awareness of vulture population declines among all community members in Bushbuckridge and to highlight the human health risks of using poison for pest control.


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.


2017 ◽  
Vol 22 ◽  
Author(s):  
Rachel M. Van Rooyen ◽  
Blanche Pretorius ◽  
Nomazwi M. Tembani ◽  
Wilma Ten Ham-Baloyi

Background: Globally, and in South Africa, there is an increased demand for consulting both traditional and allopathic health practitioners. As both health practitioners are working within the same communities, their respective practices could complement or undermine the health of consumers using both health services. Professional collaboration between traditional and allopathic health practitioners is therefore desirable and requires collaboration between the systems, which is currently legislated by the Traditional Health Practitioners Act 22 of 2007. However, in the Eastern Cape, no evidence-based recommendations were found that facilitated the collaborative relationship between the two health practitioner groups.Purpose of the research: To develop evidence-based recommendations aimed at facilitating professional collaboration between allopathic and traditional health practitioners for the benefit of patients.Methodology: Descriptive evidence-based recommendations to enhance professional collaboration between both groups of health practitioners were developed based on focus group interviews with allopathic practitioners (n = 10) and individual interviews with traditional health practitioners (n = 18) (traditional health practitioners (n = 14) and traditional healers who are also allopathic health practitioners (n = 4)) practising in the Amathole District in the Eastern Cape, South Africa. Dickoff et al.'s (1968) Survey List wasused as a conceptual framework.Results: Collaboration was hampered by allopathic practitioners demonstrating negative attitudes by not referring patients to traditional practitioners based on lack of knowledge and mutual understanding of each other's practices. Suggestions for collaboration made by both groups resulted in the development of two distinct sets of evidence-based recommendations.The first set of recommendations aims to enhance professional collaboration between both groups of health practitioners. This is done through facilitating mutual understanding based on respect and acceptance between the different practitioners. The second set of recommendations aims to enhance professional collaboration through facilitating open communication between different practitioners.Conclusion: These evidence-based recommendations can be used to facilitate professional collaboration between allopathic and traditional health practitioners resulting in mutual understanding and open communication, enhancing team work in a multi-professional environment, and ultimately leading to improved patient care.


Plants ◽  
2022 ◽  
Vol 11 (2) ◽  
pp. 193
Author(s):  
Molelekwa Arthur Moroole ◽  
Simeon Albert Materechera ◽  
Wilfred Otang-Mbeng ◽  
Rose Hayeshi ◽  
Cor Bester ◽  
...  

The use of medicinal plants for contraception remains a common practice among South African ethnic groups. The present study assessed the phytochemical profile, cytotoxicity, acute oral toxicity and efficacy of a herbal mixture used for contraception by the Batswana of South Africa. An aqueous extract was prepared from equal quantities (in terms of weight) of Bulbine frutescens (roots), Helichrysum caespititium (leaves) and Teucrium trifidum (leaves) based on a recipe used by traditional health practitioners. The phytochemical profiles of the freeze-dried herbal mixture were analyzed using gas chromatography–mass spectrometry (GC-MS). In addition, cytotoxicity was determined using an MTT assay on Vero cells and in vivo contraceptive efficacy was evaluated using seven Sprague Dawley rats per control and treatment groups. The control group received distilled water while test groups received 5, 50 and 300 mg/kg of the herbal mixture, which was administered orally once a day for three consecutive days. Subsequently, female rats were paired 1:1 with males for 3 days. Their weights were measured weekly and incidence of pregnancy was recorded. The GC-MS chromatogram revealed the presence of 12 identified and 9 unidentified compounds. In terms of safety, the herbal mixture had an IC50 value of 755.2 μg/mL and 2000 mg/kg, which was the highest tested dose that caused no mortality or morbidity in the rats. A contraceptive efficacy of 14.5% was exerted with 50 mg/kg herbal mixture extract while other doses had no effects given that all the rats were pregnant. Based on a chi-square test (p < 0.05), there was no correlation between the tested herbal mixture doses and contraception, nor on the weight of the rats. Overall, the herbal mixture extract was found to be safe but had limited contraceptive efficacy at the tested doses. In future studies, exploring increased dose range, solvent extract types and hormonal analysis will be pertinent.


Sign in / Sign up

Export Citation Format

Share Document