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Curationis

versão On-line ISSN 2223-6279
versão impressa ISSN 0379-8577

Curationis vol.31 no.4 Pretoria  2008

 

RESEARCH ARTICLE

 

Policy makers' perceptions and attitudes regarding incorporation of traditional healers into the national health care delivery system

 

 

MG PinkoaneI; M GreeffII; MP KoenIII

IM. Cur (Community Nursing), Ph. D candidate (Potchfestroom campus of the North-West University); Vaal University of Technology, Vanderbijlpark
IID. Cur. (Psychiatric Nursing); School of Nursing Science, Potchefstroom campus of the North- West University
IIID. Cur (Professional Nursing Science); School of Nursing Science, Potchefstroom campus of the North -West University

Correspondence

 

 


ABSTRACT

Based on mixed perceptions which were both negative and positive the policy makers have not been vocal about the process to incorporate traditional healers into the National Health Care Delivery System of South Africa. Negative views were related to the denial that traditional healing does provide a cure and the positive views were identified in the passing of policies from 1994. These policies passed initiated recognition of the existence of traditional healers, but failed to address the important aspect of incorporating the traditional healers into the National Health Care Delivery System. It is these mixed perceptions as well as lack of appropriate policy to facilitate incorporation of traditional healers that urged the researcher to explore the perceptions and attitudes of policy makers regarding this incorporation process, as well as their views on how it should be achieved.
An exploratory, descriptive and contextual qualitative research design was followed. Participants were selected by non-probable, purposive voluntary sample. Data was collected by means of conducting semi-structured interviews, as well as taking field notes. Data analysis was achieved by analysing transcriptions through open coding involving a co-coder until consensus was achieved. Results reflect that policy makers are in favour of incorporation.
In conclusion incorporation was seen as a process that needs to be undertaken by both traditional healers and biomedical personnel through communication. That government should be responsible for this process by policy formulation, which should clarify terms and conditions for incorporation.

Keywords: National Health Care System; Traditional healer; Biomedical personnel; Incorporation; Policy makers


 

 

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References

ABDOOL KARIM, SS; ZIQUBU-PAGE, TT & ARENDSE, R 1994: Bridging the gap - potential for a health care partnership between African traditional healers and biomedicine in South Africa. South African Medical Association Journal, 84(2): 1-16.December.         [ Links ]

AENS 2004: Awards for initiation schools. Daily Sun: April 13.p5        [ Links ]

AFRICAN NATIONAL CONGRESS. 1994: A National Health Plan for South Africa. Johannesburg. ANC.90 p.         [ Links ]

ANDREWS, Y 1990: Medical Practitioners and Nursing Professionals as Public Managers. Pretoria. HAUM. Publishers. 178p        [ Links ]

ARTHUR, M 1997: The traditional biomedical dichotomy, in search of a common ground. Curationis. 20 (2): 63-65. July.         [ Links ]

BATEMAN, C 2004: HIV training of traditional healers limps along. South African Medical Journal. 94(10). October.         [ Links ]

BHENGU, R 2003: Healers need nursing skills too. Daily Sun: 25 March. p8.         [ Links ]

BHENGU, C 2002: China and South Africa agree on traditional medicine. Sowetan: 24 May. p 10.         [ Links ]

BODECKER, G & KRONENBERQ F 2002: A public health agenda for traditional, complementary and alternative medicine. American Journal of Complementary Medicines. 1582-1585.         [ Links ]

BODIBE, WJM 1989: The inclusion of traditional healers into mental health team- Asocial work perspective. Pretoria: University of South Africa. (Dissertation-M.A.         [ Links ])

BROM, B 2003: Opening doors to integrative medicine. South African Medical Journal of Natural Medicines. (10).9-10.         [ Links ]

BURNS, N & GROVE, SK 1997: The practice of nursing research: Conduct, Critique and Utilization. Philadelphia: W.B. Saunders. 798p.         [ Links ]

CHINN, PL & JACOBS, M 1995: Theory and Nursing: A systematic approach. St. Louis. Mosby yearbook. 238p.         [ Links ]

DAUSKARDT, RPA 1990: Traditional medicine: perspectives and policies in health care. Development Southern Africa. 7(3):351-357.         [ Links ]

DAVIDS, N & KEETON, C 2004: Doctors who bring shame to their profession. Sunday Times: 9, May. p 6.         [ Links ]

DEMOCRATIC NURSES ORGANIZATION 1997: Ethical standards for nurse researchers. Pretoria: DENOSA.p8.         [ Links ]

DE VRIES, EM & MARINCOWITZ, GM 2004: The perceptions of rural women doctors about their work. South African Family Practice: 46 (3). 27 -29.         [ Links ]

DHLAMINI, MP 2000: The attitudes of health care workers towards the integration of traditional healers in primary health care. Cape Town: University of Cape Town. (Dissertation. M-Cur.         [ Links ])

DICTIONARY OF SOUTH AFRICAN ENGLISH: on Historical Principles. 1996. Cape Town: Oxford University Press. 825 p.         [ Links ]

DU TOIT, DFP; VAN DER WALT, G; BAYAT, MS & CHEMINALS, J 1997: Public Administration and management for effective governance. Kenwyn. Juta & Co, 271 p.         [ Links ]

FENYVES, K 1994: South African traditional healers' organizations in the context of traditionalism and modernity. Johannesburg: University of Witwatersrand (Dissertation MA.         [ Links ])

FREEMAN, M & MOTSELM 1992: Is there a role for traditional healers in health care in South Africa: A proposal. Centre for Health Policy. Johannesburg: University of Witwatersrand. December. 1-5.         [ Links ]

GIGER, JN & DAVIDHIZAR, RE 1995: Trans- cultural Nursing. Assessment and Intervention. St Louis: Mosby Year Book.575p.         [ Links ]

Krefting, L. 1991: Rigor in qualitative research: the assessment of trustworthiness. American Journal of Occupational Therapy, 45(3): 214-221. March.         [ Links ]

GUMEDE, MV 1990: Traditional healers: a medical doctor's perspective. Johannesburg: Vista University Press. 238 p.         [ Links ]

HOLDSTOCK, TL 1979: Indigenous healing in South Africa: a neglected potential. South African Journal of Psychology. 9:118-123. May.         [ Links ]

INGSTAD, B 1989: Healer, witch, prophet or modern health worker? The changing role of ngaka ya Setswana (In WIDING, A. J. & VESTERLUND, A. eds. Experience and pluralism: Essays on African ideas of illness and healing). Stockholm: Almqvist & Wikrell. 308p        [ Links ]

JILEK, WG 1994: Traditional Healing in the Prevention and Treatment of alcohol and drug abuse. Trans-cultural Psychiatric Research Review. 31: 219 - 258.         [ Links ]

JORDAN, B 2001: One woman's health service atop a lonely hill. Sunday Times: 30, September. 23.         [ Links ]

LEVITZ, E 1992: Traditional Medicine: friend or foe? Publico. 233-236. October.         [ Links ]

MBURU, FM 1977: The duality of traditional and western medicine in Africa: Mystics, myths and reality. Essays in critique of medical anthropology. Rochester: Oakland University. 210p        [ Links ]

MEISSNER, O. 1997: The legal status of traditional healers in South Africa... Pretoria: University of South Africa. (Thesis- LLD.         [ Links ])

MELATO, SR 2000: Traditional healer's perception of the integration of their practices into the South African national health systems. Pietermaritzburg: University of Natal (Dissertation M.A.         [ Links ])

MOLEPO, ER 2000: The effectiveness of the referral system in primary health care in the West rand region: a normative-ethical study with special emphasis on traditional healers. Stellenbosch: University of Stellenbosch. (Dissertation-M. Phil.         [ Links ])

MORRIS, K 2001: Treating HIV in South Africa- A tale of two systems. The Lancet 357.14. April. 1190-1191.         [ Links ]

MOTOTO, OM 1999: Willingness of traditional healers regarding collaboration with western psychiatrist in health care. University Orange Free State Library. (Dissertation, M. Soc. Science.         [ Links ])

MOUTON, J & MARAIS, DC 1996: Basic concepts in the methodology of social sciences. Pretoria: R.G.N. Publishers. 310 p.         [ Links ]

MTHIMKULU, J 1999: The need to register traditional healers in post apartheid health system. Bloemfontein: Vista University Bloemfontein. (Article, non qualification).         [ Links ]

MULAUDZI, FM 2001: Synergy between indigenous knowledge systems, modern health care system and scientific research-A vision for the 21st century. Health SA Gesondheid. 6(4); 14-20.         [ Links ]

MULLER, A & STEYN, M 1999: Culture and the feasibility of a partnership between westernized medical practitioners and traditional healers. Society in transition. 30 (2).         [ Links ]

NARE, S 2004: Inyanga cuts fees and set captives free. Daily Sun: 25, Feb. pl.         [ Links ]

NCACA, N 2004: Botched operations prompt search for solutions. City Pres: 30, May. p 27.         [ Links ]

NGUBANE, H 1977: Body and mind in Zulu medicine. London: Academic Press. 158p        [ Links ]

NGUBANE, H 1981: Aspects of clinical practice and traditional organisation of indigenous healers in South Africa. Social Science & Medicine. 15B:361-365.         [ Links ]

OKUN, BF 1992: Effective helping: Interview and counseling techniques. California: Brookes/Cole. 283 p.         [ Links ]

OSKOWITZ, B 1991: Bridging the communication gap between traditional healers and nurses. Nursing RS A. 6(7): 20-22. July.         [ Links ]

PELTZER K 1998: A community survey of traditional healers in South Africa (Northern Province). South African Journal of Ethnology. 21(41.191-197.         [ Links ]

PELTZER, K 2001: An investigation into the practices of the traditional healer and faith healer in an urban setting in South Africa. Health SA Gesondheid. 6 (2) 10-12.         [ Links ]

PEU, MD; TROSKIE, R & HATTING, SP 2001: Attitude of community health nurses towards integration of traditional healers in Primary Health Care in North West Province. Curations. 25( 1) 49-55.         [ Links ]

PINKOANE, MG; GREEFF, M & WILLIAMS, MJ 2001: Patient relationship and therapeutic techniques of the South Sotho traditional healer. Potchefstroom: PU vir CHO (Dissertation -M.Cur.         [ Links ])

PINKOANE, MG; GREEFF, M & KOEN, M 2005a: Models for the incorporation of traditional healers into National Health Care Delivery Systems: A literature review. Potchefstroom: North-West University (Unpublished Ph. D thesis)        [ Links ]

PINKOANE, MG; GREEFF, M & KOEN, M 2005b: The traditional healers' perceptions and attitudes regarding their incorporation into the National Health Care Delivery System of South Africa. Potchefstroom: North-West University (Unpublished Ph. D thesis.         [ Links ])

POLIT, DF & HUNGLER, BP 1997: Nursing Research: Principles and Methods. Philadelphia: J.B. Lippincot Company. 694 p.         [ Links ]

PRETORIUS, E 1991: Traditional healing and modern medicine working in tandem. Curationis 14(4) 10-12, December.         [ Links ]

RAMOKGOPA, MT 1993: The role of traditional healer and his psychological function in the African Society. Pretoria: Medical University of Southern Africa. (Dissertation - M. Psyche).         [ Links ]

RUBIN, A & BABBIE, E 1997: Research methods for social work. 3rd Ed. Pacific Grove: Brooks/Cole. 758p.         [ Links ]

SELINZIO, VBM 2002: What is the role of complementary and alternative medicine in public health? American Journal of Public Health. 92 (1) October.         [ Links ]

SETSWE, G 1999: The role of traditional healers in primary health care in South Africa. Health South Africa 4 (2)55-60.         [ Links ]

SMETHERH AM, JA 2004: Local flower power might be able to beat TB: Traditional medicine also show promise on AIDS. The Star: 15, Jan. p7.         [ Links ]

SOUTH AFRICA DEPARTMENT OF HEALTH. 2003: The Traditional Health Practitioners Bill. (Notice 979). Government Gazette. 24704. April. 11.3-36.         [ Links ]

SOUTH AFRICA DEPARTMENT OF HEALTH. 1996: Annual Report. Pretoria: Government Printers. 60 p.         [ Links ]

SOUTH AFRICA DEPARTMENT OF HEALTH. 1997: White Paper for the transformation of the health system in South Africa. (Notice 667). Government Gazette, 17:910-1. April 16.232 p.         [ Links ]

TABANE, EM 1995: Opinions of African caretakers of children at the Red Cross War Memorial Children's Hospital regarding the linking of traditional healers to western health settings. Cape Town: University of Cape Town. (Dissertation-M. Soc Science).         [ Links ]

TALBOT, L 1995: Principles and practice of nursing research. St Louis: C.V. Mosby. 700p.         [ Links ]

THABEDE, DG 1991: The relevance of traditional healer in provision of mental health. Social Work Practice. Pretoria. Department of Social Welfare. Pp 11-14.         [ Links ]

TESCH, A 1990: Research design: qualitative and quantitative approaches. (In CRESSWELL, J. Ed. A qualitative approach. Library of congress catalogues in publication data. 133-157.         [ Links ])

WALKER, LO & AVANT, KC 1995: Strategies for theory construction in nursing. Norwalk. Connecticut. Appleton Century Croft. 127 p.         [ Links ]

WOODS, NF & CATANZARO, M 1988: Nursing research: Theory and practice. St Louis:C.V. Mosby. l42p.         [ Links ]

WORLD HEALTH ORGANIZATION. 1978: The promotion and development of traditional medicine. Technical report series 622. Geneva: WHO Publications. 21 p.         [ Links ]

WORLD HEALTH ORGANIZATION. 1987: Traditional healers as community health care workers. A review of projects using traditional healer as Community Health Care worker. Geneva.         [ Links ]

ZUNGU CHIEF 1992: Should traditional healers be recognized and registered/ if so, how should this occur? Centre for Health Policy. University of Witwatersrand. 17p.         [ Links ]

 

 

Correspondence:
Prof. Dr. Minrie Greeff
Author
Potchefstroom Campus
North -West University
Private Bag X 6001
Potchefstroom, 2520
Tel: (018) 299-2092; Fax: (018) 299-2088
E-mail: Minrie.Greeff@nwu.ac.za

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