Collaboration or renunciation? The role of traditional medicine in mental health care in Rwanda and Eastern Cape Province, South Africa
Autor: | Joseph Ntaganira, Peter L. Johansson, Isabell Schierenbeck, Lena Andersson, Gunilla Krantz |
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Rok vydání: | 2016 |
Předmět: |
Male
Mental Health Services medicine.medical_specialty Health Personnel Public policy Developing country Renunciation South Africa 03 medical and health sciences 0302 clinical medicine Health care medicine Humans 030212 general & internal medicine Cooperative Behavior Qualitative Research Biomedicine Traditional medicine business.industry Mental Disorders Public health Rwanda Public Health Environmental and Occupational Health Mental illness medicine.disease Mental health 030227 psychiatry Female Medicine Traditional business |
Zdroj: | Global Public Health. 13:159-172 |
ISSN: | 1744-1706 1744-1692 |
DOI: | 10.1080/17441692.2016.1239269 |
Popis: | Traditional medicine (TM) and biomedicine represent parallel health systems in many developing countries; the latter dominating in public policies, while the former still retain considerable influence among the general public. This study investigates how mental health care professionals responsible for mental health care implementation comprehend and relate to the intersection between TM and biomedicine in the cases of Rwanda and the Eastern Cape Province, South Africa. The material is based on semi-structured interviews with mental health care stakeholders in Eastern Cape, South Africa and Rwanda. The findings confirm an impact of TM in the treatment of mental health issues in Rwanda and South Africa due to TM being more accessible than biomedical medicine, widespread traditional perceptions of mental illness in society, and the lack of knowledge of biomedical treatments. Furthermore, the respondents identified three strategies to manage the impact of TM; improved accessibility of biomedical facilities, outreach education about mental illness, and, in the Eastern Cape case, collaboration between traditional healers and biomedicine. The study points to the necessity to take TM into consideration as an important component of health systems and policies in the Global south. |
Databáze: | OpenAIRE |
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