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Emmanuel Rudatsikira - One of the best experts on this subject based on the ideXlab platform.
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Association between maternal use of Traditional Healer services and child vaccination coverage in Pont-Sonde, Haiti
International Journal for Equity in Health, 2009Co-Authors: Adamson S Muula, Martine Y Polycarpe, Seter Siziya, Emmanuel RudatsikiraAbstract:Background Child vaccination is one of the public health interventions that are responsible for the relatively low child morbidity and mortality in developed nations compared to the developing world. We carried out this study to examine the association between mothers' use of Traditional Healer services and vaccination among Haitian children. Our hypothesis was that children whose mothers used the services of Traditional Healers were less likely to be vaccinated compared to children whose mothers did not use the services of Traditional Healers. Methods A two-stage stratified sampling method was used to select 720 mothers from the population of Pont-Sonde, Haiti. Of these mothers, 691 (96%) completed the survey by responding to a standardized questionnaire on vaccination giving unadjusted odds ratios (OR) and adjusted odds ratios (AOR) and 95% confidence intervals (CI) and use of Traditional Healers. Bivariate and multivariate logistic regression analyses were performed to estimate the effect of explanatory variables on vaccination (the main outcome). Results Mother's use of Traditional Healer services was negatively associated with vaccination after controlling for maternal age, education, religion, and distance from the nearest health care facility. For those children whose mothers often or always used the services of Traditional Healers, we found a 53% decrease in the odds of vaccination (AOR = 0.47; 95% CI [0.27, 0.83]) compared against children whose mothers never used the services of the Traditional Healers. There were negative associations between practice of Vodou and vaccination (AOR = 0.56; 95% CI [0.35, 0.92]), and distance from the nearest health care service facility and vaccination (AOR = 0.53; 95% CI [0.29, 0.97] and AOR = 0.34; 95% CI [0.20, 0.59] at 46–60 and more than 60 minutes walk time, respectively). Conclusion We found that mother's use of Traditional Healer services was negatively associated with vaccination of Haitian children. Findings from this study underscore the potential to enlist the support of Traditional Healers in promoting child health by educating, mentoring them (the Traditional Healers) in supporting vaccination efforts.
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association between maternal use of Traditional Healer services and child vaccination coverage in pont sonde haiti
International Journal for Equity in Health, 2009Co-Authors: Adamson S Muula, Martine Y Polycarpe, Seter Siziya, Emmanuel Rudatsikira, Jayakaran S JobAbstract:Background Child vaccination is one of the public health interventions that are responsible for the relatively low child morbidity and mortality in developed nations compared to the developing world. We carried out this study to examine the association between mothers' use of Traditional Healer services and vaccination among Haitian children. Our hypothesis was that children whose mothers used the services of Traditional Healers were less likely to be vaccinated compared to children whose mothers did not use the services of Traditional Healers.
Martha J.s. Williams - One of the best experts on this subject based on the ideXlab platform.
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The patient relationship and therapeutic techniques of the South Sotho Traditional Healer.
Curationis, 2005Co-Authors: M G Pinkoane, Minrie Greeff, Martha J.s. WilliamsAbstract:Until 1996 the practice of Traditional Healers was outlawed in South Africa and not afforded a legal position in the community of health care providers. In 1978 the World Health Organization (WHO) identified Traditional Healers as those people forming an essential core of primary health care workers for rural people in the Third World Countries. However in 1994 the new South African government identified Traditional Healers as forming an essential element of primary health care workers. It is estimated that 80% of the black population uses Traditional medicine because it is deeply rooted in their culture, which is linked to their religion. The Traditional Healer shares with the patient a world view which is completely alien to biomedical personnel. Therapeutic techniques typically used in Traditional healing conflict with the therapeutic techniques used in biomedicine. The patients’ perceptions of Traditional healing, their needs and expectations, may be the driving force behind their continuous persistence to consult a Traditional Healer, even after these patients may have sought the therapeutic techniques of biomedical personnel. The operation of both systems in the same society creates a problem to both providers and recipients of health care. Confusion then arises and the consumer consequently chooses the services closer to her. The researcher aimed at investigating the characteristics of the relationship between the Traditional Healers and the patients, explored the therapeutic techniques that are used in the South Sotho Traditional healing process, and investigated the views of both the Traditional Healers and the patients about the South -Sotho Traditional healing process, to facilitate incorporation of the Traditional Healers in the National Health Care Delivery System. A qualitative research design was followed. Participants were identified by means of a non-probable, purposive voluntary sample. Data was collected by means of a video camera and semi-structured interviews with the six Traditional Healers and twelve patients, as well as by taking field notes after each session. Data analysis was achieved by means of using a checklist for the video recordings, and decoding was done for the interviews. A co-coder and the researcher analysed the data independently, after which three consensus discussions took place to finalise the analysed data. The researcher made conclusions, identified shortcomings, and made recommendations for application to nursing education, nursing research and nursing practice. The recommendations for nursing practice are reflected in the form of guidelines for the incorporation of the Traditional Healers in the National Health Care Delivery System.
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the patient relationship and therapeutic techniques of the south sotho Traditional Healer
Curationis, 2005Co-Authors: M G Pinkoane, Minrie Greeff, Martha J.s. WilliamsAbstract:Until 1996 the practice of Traditional Healers was outlawed in South Africa and not afforded a legal position in the community of health care providers. In 1978 the World Health Organization (WHO) identified Traditional Healers as those people forming an essential core of primary health care workers for rural people in the Third World Countries. However in 1994 the new South African government identified Traditional Healers as forming an essential element of primary health care workers. It is estimated that 80% of the black population uses Traditional medicine because it is deeply rooted in their culture, which is linked to their religion. The Traditional Healer shares with the patient a world view which is completely alien to biomedical personnel. Therapeutic techniques typically used in Traditional healing conflict with the therapeutic techniques used in biomedicine. The patients' perceptions of Traditional healing, their needs and expectations, may be the driving force behind their continuous persistence to consult a Traditional Healer, even after these patients may have sought the therapeutic techniques of biomedical personnel. The operation of both systems in the same society creates a problem to both providers and recipients of health care. Confusion then arises and the consumer consequently chooses the services closer to her. The researcher aimed at investigating the characteristics of the relationship between the Traditional Healers and the patients, explored the therapeutic techniques that are used in the South Sotho Traditional healing process, and investigated the views of both the Traditional Healers and the patients about the South -Sotho Traditional healing process, to facilitate incorporation of the Traditional Healers in the National Health Care Delivery System. A qualitative research design was followed. Participants were identified by means of a non-probable, purposive voluntary sample. Data was collected by means of a video camera and semi-structured interviews with the six Traditional Healers and twelve patients, as well as by taking field notes after each session. Data analysis was achieved by means of using a checklist for the video recordings, and decoding was done for the interviews. A co-coder and the researcher analysed the data independently, after which three consensus discussions took place to finalise the analysed data. The researcher made conclusions, identified shortcomings, and made recommendations for application to nursing education, nursing research and nursing practice. The recommendations for nursing are reflected in the form of guidelines for the incorporation of the Traditional Healers in the National Health Care Delivery System.
Alan J Flisher - One of the best experts on this subject based on the ideXlab platform.
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predicting referral practices of Traditional Healers of their patients with a mental illness an application of the theory of planned behaviour
African Journal of Psychiatry, 2013Co-Authors: Katherine Sorsdahl, Dan J Stein, Alan J FlisherAbstract:Objective : Although many studies indicate that Traditional Healers are willing to collaborate with Western practitioners in South Africa, none focus specifically on mental health care, and none use a theory of health behaviour to explain their findings. The present study applies the Theory of Planned Behaviour (TPB) to predict Traditional Healer referral practices of patients with a mental illness. Method : One hundred Traditional Healers were first interviewed to assess the TPB variables and were contacted again 5 months later to measure self-reported behaviour. Results : Herbalists were less likely than other types of Healers to refer patients with a mental illness to Western health professionals. From the TPB application, the following cognitive variables were found to predict intentions: attitudes (s = 0.612, p< 0.01); perceived behavioural control (s = 0.355, p< 0.01); and past behaviour (s = 0.704, p< 0.01). Subjective norms and knowledge of mental illness did not predict intentions. Finally, past behaviour (s = 0.297, p = 0.040) and intentions to refer patients (s = 0.758, p< 0.01) predicted greater self-reported behaviour. Conclusion : The TPB may be a useful theoretical model for predicting the referral practices of Traditional Healers. The empirical data here may be useful for future work designing interventions to provide Traditional Healers with the information and skills they require to appropriately refer patients with mental illness. Keywords : Medicine, African Traditional; Referral and Consultation; Decision Analyses; South Africa
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Traditional Healer attitudes and beliefs regarding referral of the mentally ill to western doctors in south africa
Transcultural Psychiatry, 2010Co-Authors: Katherine Sorsdahl, Dan J Stein, Alan J FlisherAbstract:Drawing on data collected from 3 focus groups with 24 Traditional Healers, the aim of this qualitative study was to use the constructs of the Theory of Planned Behaviour (TPB) to gain an understanding of Traditional Healer referral practices of their patients with a mental illness. Results indicated that Traditional Healers possess a concept of mental illness, mainly referring to a patient behaving abnormally. They often report regularly treating patients with these behaviours. Traditional Healer referral to Western care is considered a temporary measure or a last resort. A majority of Healers feel that allopathic physicians do not treat them with the respect that they feel their contribution to the health of the community warrants. Recommendations include the need for Traditional Healers to be trained to identify potential cases of mental illness in their communities and for dialogue between Traditional and allopathic physicians in regard to mental health care.
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Traditional Healers in the treatment of common mental disorders in South Africa.
The Journal of nervous and mental disease, 2009Co-Authors: Katherine Sorsdahl, Dan J Stein, Alan J Flisher, Soraya Seedat, Anna Grimsrud, David R. Williams, Landon MyerAbstract:There are few population-level insights into the use of Traditional Healers and other forms of alternative care for the treatment of common mental disorders in sub-Saharan Africa. We examined the extent to which alternative practitioners are consulted, and predictors of Traditional Healer visits. A national survey was conducted with 3651 adult South Africans between 2002 and 2004, using the World Health Organization Composite International Diagnostic Interview (CIDI) to generate DSM-IV diagnoses for common mood, anxiety, and substance use disorders. A minority of participants with a lifetime DSM-IV diagnosis obtained treatment from Western (29%) or alternative (20%) practitioners. Traditional Healers were consulted by 9% of the respondents and 11% consulted a religious or spiritual advisor. Use of Traditional Healers in the full sample was predicted by older age, black race, unemployment, lower education, and having an anxiety or a substance use disorder. Alternative practitioners, including Traditional Healers and religious advisors, appear to play a notable role in the delivery of mental health care in South Africa.
Adamson S Muula - One of the best experts on this subject based on the ideXlab platform.
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Association between maternal use of Traditional Healer services and child vaccination coverage in Pont-Sonde, Haiti
International Journal for Equity in Health, 2009Co-Authors: Adamson S Muula, Martine Y Polycarpe, Seter Siziya, Emmanuel RudatsikiraAbstract:Background Child vaccination is one of the public health interventions that are responsible for the relatively low child morbidity and mortality in developed nations compared to the developing world. We carried out this study to examine the association between mothers' use of Traditional Healer services and vaccination among Haitian children. Our hypothesis was that children whose mothers used the services of Traditional Healers were less likely to be vaccinated compared to children whose mothers did not use the services of Traditional Healers. Methods A two-stage stratified sampling method was used to select 720 mothers from the population of Pont-Sonde, Haiti. Of these mothers, 691 (96%) completed the survey by responding to a standardized questionnaire on vaccination giving unadjusted odds ratios (OR) and adjusted odds ratios (AOR) and 95% confidence intervals (CI) and use of Traditional Healers. Bivariate and multivariate logistic regression analyses were performed to estimate the effect of explanatory variables on vaccination (the main outcome). Results Mother's use of Traditional Healer services was negatively associated with vaccination after controlling for maternal age, education, religion, and distance from the nearest health care facility. For those children whose mothers often or always used the services of Traditional Healers, we found a 53% decrease in the odds of vaccination (AOR = 0.47; 95% CI [0.27, 0.83]) compared against children whose mothers never used the services of the Traditional Healers. There were negative associations between practice of Vodou and vaccination (AOR = 0.56; 95% CI [0.35, 0.92]), and distance from the nearest health care service facility and vaccination (AOR = 0.53; 95% CI [0.29, 0.97] and AOR = 0.34; 95% CI [0.20, 0.59] at 46–60 and more than 60 minutes walk time, respectively). Conclusion We found that mother's use of Traditional Healer services was negatively associated with vaccination of Haitian children. Findings from this study underscore the potential to enlist the support of Traditional Healers in promoting child health by educating, mentoring them (the Traditional Healers) in supporting vaccination efforts.
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association between maternal use of Traditional Healer services and child vaccination coverage in pont sonde haiti
International Journal for Equity in Health, 2009Co-Authors: Adamson S Muula, Martine Y Polycarpe, Seter Siziya, Emmanuel Rudatsikira, Jayakaran S JobAbstract:Background Child vaccination is one of the public health interventions that are responsible for the relatively low child morbidity and mortality in developed nations compared to the developing world. We carried out this study to examine the association between mothers' use of Traditional Healer services and vaccination among Haitian children. Our hypothesis was that children whose mothers used the services of Traditional Healers were less likely to be vaccinated compared to children whose mothers did not use the services of Traditional Healers.
Minrie Greeff - One of the best experts on this subject based on the ideXlab platform.
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The patient relationship and therapeutic techniques of the South Sotho Traditional Healer.
Curationis, 2005Co-Authors: M G Pinkoane, Minrie Greeff, Martha J.s. WilliamsAbstract:Until 1996 the practice of Traditional Healers was outlawed in South Africa and not afforded a legal position in the community of health care providers. In 1978 the World Health Organization (WHO) identified Traditional Healers as those people forming an essential core of primary health care workers for rural people in the Third World Countries. However in 1994 the new South African government identified Traditional Healers as forming an essential element of primary health care workers. It is estimated that 80% of the black population uses Traditional medicine because it is deeply rooted in their culture, which is linked to their religion. The Traditional Healer shares with the patient a world view which is completely alien to biomedical personnel. Therapeutic techniques typically used in Traditional healing conflict with the therapeutic techniques used in biomedicine. The patients’ perceptions of Traditional healing, their needs and expectations, may be the driving force behind their continuous persistence to consult a Traditional Healer, even after these patients may have sought the therapeutic techniques of biomedical personnel. The operation of both systems in the same society creates a problem to both providers and recipients of health care. Confusion then arises and the consumer consequently chooses the services closer to her. The researcher aimed at investigating the characteristics of the relationship between the Traditional Healers and the patients, explored the therapeutic techniques that are used in the South Sotho Traditional healing process, and investigated the views of both the Traditional Healers and the patients about the South -Sotho Traditional healing process, to facilitate incorporation of the Traditional Healers in the National Health Care Delivery System. A qualitative research design was followed. Participants were identified by means of a non-probable, purposive voluntary sample. Data was collected by means of a video camera and semi-structured interviews with the six Traditional Healers and twelve patients, as well as by taking field notes after each session. Data analysis was achieved by means of using a checklist for the video recordings, and decoding was done for the interviews. A co-coder and the researcher analysed the data independently, after which three consensus discussions took place to finalise the analysed data. The researcher made conclusions, identified shortcomings, and made recommendations for application to nursing education, nursing research and nursing practice. The recommendations for nursing practice are reflected in the form of guidelines for the incorporation of the Traditional Healers in the National Health Care Delivery System.
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the patient relationship and therapeutic techniques of the south sotho Traditional Healer
Curationis, 2005Co-Authors: M G Pinkoane, Minrie Greeff, Martha J.s. WilliamsAbstract:Until 1996 the practice of Traditional Healers was outlawed in South Africa and not afforded a legal position in the community of health care providers. In 1978 the World Health Organization (WHO) identified Traditional Healers as those people forming an essential core of primary health care workers for rural people in the Third World Countries. However in 1994 the new South African government identified Traditional Healers as forming an essential element of primary health care workers. It is estimated that 80% of the black population uses Traditional medicine because it is deeply rooted in their culture, which is linked to their religion. The Traditional Healer shares with the patient a world view which is completely alien to biomedical personnel. Therapeutic techniques typically used in Traditional healing conflict with the therapeutic techniques used in biomedicine. The patients' perceptions of Traditional healing, their needs and expectations, may be the driving force behind their continuous persistence to consult a Traditional Healer, even after these patients may have sought the therapeutic techniques of biomedical personnel. The operation of both systems in the same society creates a problem to both providers and recipients of health care. Confusion then arises and the consumer consequently chooses the services closer to her. The researcher aimed at investigating the characteristics of the relationship between the Traditional Healers and the patients, explored the therapeutic techniques that are used in the South Sotho Traditional healing process, and investigated the views of both the Traditional Healers and the patients about the South -Sotho Traditional healing process, to facilitate incorporation of the Traditional Healers in the National Health Care Delivery System. A qualitative research design was followed. Participants were identified by means of a non-probable, purposive voluntary sample. Data was collected by means of a video camera and semi-structured interviews with the six Traditional Healers and twelve patients, as well as by taking field notes after each session. Data analysis was achieved by means of using a checklist for the video recordings, and decoding was done for the interviews. A co-coder and the researcher analysed the data independently, after which three consensus discussions took place to finalise the analysed data. The researcher made conclusions, identified shortcomings, and made recommendations for application to nursing education, nursing research and nursing practice. The recommendations for nursing are reflected in the form of guidelines for the incorporation of the Traditional Healers in the National Health Care Delivery System.
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the patient relationship and therapeutic techniques of the south sotho Traditional Healer mg pinkoane registered student m cur community nursing potchefstroom campus of the north west university
2005Co-Authors: Minrie Greeff, Mjs WilliamsAbstract:Curationis 28(4): 20-30 Until 1996 the practice of Traditional Healers was outlawed in South Africa and not afforded a legal position in the community of health care providers. In 1978 the World Health Organization (WHO) identified Traditional Healers as those people forming an essential core of primary health care workers for rural people in the Third World Countries. However in 1994 the new South African government identified Traditional Healers as forming an essential element of primary health care workers. It is estimated that 80% of the black population uses Traditional medicine because it is deeply rooted in their culture, which is linked to their religion. The Traditional Healer shares with the patient a world view which is completely alien to biomedical personnel. Therapeutic techniques typically used in Traditional healing conflict with the therapeutic techniques used in biomedicine. The patients' perceptions of Traditional healing, their needs and expectations, may be the driving force behind their continuous persistence to consult a Traditional Healer, even after these patients may have sought the therapeutic techniques of biomedical personnel. The operation of both systems in the same society creates a problem to both providers and recipients of health care. Confusion then arises and the consumer consequently chooses the services closer to her.