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Published in: AIDS and Behavior 6/2006

01-11-2006 | Original Paper

A Controlled Study of an HIV/AIDS/STI/TB Intervention with Traditional Healers in KwaZulu-Natal, South Africa

Authors: Karl Peltzer, Nolwandle Mngqundaniso, George Petros

Published in: AIDS and Behavior | Issue 6/2006

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Abstract

Traditional healers play an important role in southern Africa culture and health care including the HIV epidemic. Here we report among the first controlled studies of an HIV/AIDS, sexually transmitted infections (STI) and tuberculosis (TB) intervention for traditional healers in South Africa. At baseline 233 traditional healers were assessed in four selected communities in the KwaZulu-Natal province and received either an experimental intervention or a no intervention control condition. The intervention group received training in HIV/AIDS, STI, and TB prevention over 3.5 days as well as a supervisory follow-up visit. At 7–9 months follow-up intervention effects were significant for HIV knowledge and HIV and STI management strategies including conducting risk behavior assessments and counseling, condom distribution, community HIV/AIDS and STI education, and record keeping. The study found a high level of preparedness among traditional healers to work with and refer patients to biomedical health practitioners, yet no higher levels of referral to biomedical practitioners were found after the training.
Literature
go back to reference Chipfakacha, V. G. (1997). STI/AIDS knowledge, beliefs and practices of traditional healers in Botswana. AIDS Care, 9(4), 417–425.PubMedCrossRef Chipfakacha, V. G. (1997). STI/AIDS knowledge, beliefs and practices of traditional healers in Botswana. AIDS Care, 9(4), 417–425.PubMedCrossRef
go back to reference Chirwa, B., & Sivile, E. (1989). Enlisting the support of traditional healers in AIDS education campaign in Zambia. International Quarterly of Community Health Education, 9(3), 223–231. Chirwa, B., & Sivile, E. (1989). Enlisting the support of traditional healers in AIDS education campaign in Zambia. International Quarterly of Community Health Education, 9(3), 223–231.
go back to reference Colvin, M., Gumede, L., Grimwade, K., Maher, D., & Wilkinson, D. (2002). Contribution of traditional healers to a rural tuberculosis control programmeme in Hlabisa, South Africa. International Journal of Tuberculosis and Lung Disease, 7(9 Suppl 1), S86–91. Colvin, M., Gumede, L., Grimwade, K., Maher, D., & Wilkinson, D. (2002). Contribution of traditional healers to a rural tuberculosis control programmeme in Hlabisa, South Africa. International Journal of Tuberculosis and Lung Disease, 7(9 Suppl 1), S86–91.
go back to reference Dlamini, N., Dlamini, N., Peltzer, K., Mngqundaniso, N., Shangase, M., Buthelezi, D., Petros, G., & Balaba, D. (2004). Traditional healing and STI/HIV/AIDS/TB in South Africa: a trainer's manual for traditional health practitioners, community health workers and nurses. Pretoria: Department of Health. Dlamini, N., Dlamini, N., Peltzer, K., Mngqundaniso, N., Shangase, M., Buthelezi, D., Petros, G., & Balaba, D. (2004). Traditional healing and STI/HIV/AIDS/TB in South Africa: a trainer's manual for traditional health practitioners, community health workers and nurses. Pretoria: Department of Health.
go back to reference Freeman, M., & Motsei, M. (1992). Planning health care in South Africa: is there a role for traditional healers?. Social Science and Medicine, 34, 1183–1090.CrossRefPubMed Freeman, M., & Motsei, M. (1992). Planning health care in South Africa: is there a role for traditional healers?. Social Science and Medicine, 34, 1183–1090.CrossRefPubMed
go back to reference Green, E. (1994). AIDS and STIs in Africa: Bridging the gap between traditional healers and modern medicine. Boulder: Westview Press. Green, E. (1994). AIDS and STIs in Africa: Bridging the gap between traditional healers and modern medicine. Boulder: Westview Press.
go back to reference Green, E., Zokwe, B., & Dupree, J. (1995). The experience of an AIDS prevention programme focused on South African traditional healers. Social Science and Medicine, 40(4), 503–515.CrossRefPubMed Green, E., Zokwe, B., & Dupree, J. (1995). The experience of an AIDS prevention programme focused on South African traditional healers. Social Science and Medicine, 40(4), 503–515.CrossRefPubMed
go back to reference Green, E. (2000). Traditional healers and AIDS in Uganda. The Journal of Alternative and Complementary Medicine, 6(1), 1–2.PubMed Green, E. (2000). Traditional healers and AIDS in Uganda. The Journal of Alternative and Complementary Medicine, 6(1), 1–2.PubMed
go back to reference Homsy, J., King, R., Tenywa, J., Kyeyune, P., Opio, A., & Balaba, D. (2004). Defining minimum standards of practice for incorporating African traditional medicine into HIV/AIDS prevention, care, and support: a regional initiative in Eastern and South Africa. The Journal of Alternative and Complementary Medicine, 10(5), 905–910.CrossRefPubMed Homsy, J., King, R., Tenywa, J., Kyeyune, P., Opio, A., & Balaba, D. (2004). Defining minimum standards of practice for incorporating African traditional medicine into HIV/AIDS prevention, care, and support: a regional initiative in Eastern and South Africa. The Journal of Alternative and Complementary Medicine, 10(5), 905–910.CrossRefPubMed
go back to reference Jolles, K., & Jolles, S. (2000). Zulu ritual immunization in perspective. Africa, 70(2), 229–248.CrossRefPubMed Jolles, K., & Jolles, S. (2000). Zulu ritual immunization in perspective. Africa, 70(2), 229–248.CrossRefPubMed
go back to reference Key, K. K., & DeNoon, D. J. (1995). Healers important tool in AIDS in Malawi. AIDS Weekly, 11/21/94-11/28/94. Key, K. K., & DeNoon, D. J. (1995). Healers important tool in AIDS in Malawi. AIDS Weekly, 11/21/94-11/28/94.
go back to reference King, R., & Homsy, J. (1997). Involving traditional healers in AIDS education and counseling in sub-Saharan Africa: A review. AIDS, 11(Suppl A), S217–225.CrossRefPubMed King, R., & Homsy, J. (1997). Involving traditional healers in AIDS education and counseling in sub-Saharan Africa: A review. AIDS, 11(Suppl A), S217–225.CrossRefPubMed
go back to reference Leclerc-Madlala, S. (2002). Traditional medical practitioners AIDS training and support programmeme (final evaluation report). Durban: AIDS Foundation South Africa. Leclerc-Madlala, S. (2002). Traditional medical practitioners AIDS training and support programmeme (final evaluation report). Durban: AIDS Foundation South Africa.
go back to reference Louw, D. A., & Pretorius, E. (1995). The traditional healer in a multicultural society: the South African experience. In L. L. Adler & B. R. Mukherji (Eds.), Spirit versus scalpel: traditional healing and modern psychotherapy (pp. 41–58). London: Bergin and Garrey. Louw, D. A., & Pretorius, E. (1995). The traditional healer in a multicultural society: the South African experience. In L. L. Adler & B. R. Mukherji (Eds.), Spirit versus scalpel: traditional healing and modern psychotherapy (pp. 41–58). London: Bergin and Garrey.
go back to reference Munk, K. (1998). Traditional healers and HIV/AIDS in KwaZulu-Natal: an interim report. Traditional Medicine. AIDS Analysis Africa, 8(5), 7–9. Munk, K. (1998). Traditional healers and HIV/AIDS in KwaZulu-Natal: an interim report. Traditional Medicine. AIDS Analysis Africa, 8(5), 7–9.
go back to reference Peltzer, K. (1998). A community survey of traditional healers in rural South Africa. South African Journal of Ethnology, 21, 191–197. Peltzer, K. (1998). A community survey of traditional healers in rural South Africa. South African Journal of Ethnology, 21, 191–197.
go back to reference Peltzer, K. (2000). Perceived treatment efficacy of the last experienced illness episode in a community sample in the Northern Province, South Africa. Curationis, 23(1), 57–60.PubMed Peltzer, K. (2000). Perceived treatment efficacy of the last experienced illness episode in a community sample in the Northern Province, South Africa. Curationis, 23(1), 57–60.PubMed
go back to reference Peltzer, K. (2001). An investigation into practices of traditional and faith healers in an urban setting in South Africa. Health SA Gesondheid, 6(2), 3–11. Peltzer, K. (2001). An investigation into practices of traditional and faith healers in an urban setting in South Africa. Health SA Gesondheid, 6(2), 3–11.
go back to reference Peltzer, K. (2003). HIV/AIDS/STI knowledge, attitudes, beliefs and behaviours in a rural South African adult population. South African Journal of Psychology, 33(4), 250–260. Peltzer, K. (2003). HIV/AIDS/STI knowledge, attitudes, beliefs and behaviours in a rural South African adult population. South African Journal of Psychology, 33(4), 250–260.
go back to reference Peltzer, K., Mngqundaniso, N., & Petros, G. (in press) HIV/AIDS/STI/TB knowledge, attitudes and practices of community health workers and primary care nurses, and their collaboration with traditional health practitioners in KwaZulu-Natal, South Africa. Africa Journal of Nursing and Midwifery. Peltzer, K., Mngqundaniso, N., & Petros, G. (in press) HIV/AIDS/STI/TB knowledge, attitudes and practices of community health workers and primary care nurses, and their collaboration with traditional health practitioners in KwaZulu-Natal, South Africa. Africa Journal of Nursing and Midwifery.
go back to reference Peters, E. J., Immananagha, K. K., Essien, O. E., & Ekott, J. U. (2004). Traditional healers' practices and the spread of HIV/AIDS in south eastern Nigeria. Tropical Doctor, 34, 79–82.PubMed Peters, E. J., Immananagha, K. K., Essien, O. E., & Ekott, J. U. (2004). Traditional healers' practices and the spread of HIV/AIDS in south eastern Nigeria. Tropical Doctor, 34, 79–82.PubMed
go back to reference Shisana, O., Rehle, T., Simbayi, L. C., Parker, W., Zuma, K., Bhana, A., Connolly, C., Jooste, S., Pillay, V., et al. (2005). South African National HIV Prevalence, HIV Incidence, Behaviour and Communication Survey, 2005. Cape Town: HSRC Press Shisana, O., Rehle, T., Simbayi, L. C., Parker, W., Zuma, K., Bhana, A., Connolly, C., Jooste, S., Pillay, V., et al. (2005). South African National HIV Prevalence, HIV Incidence, Behaviour and Communication Survey, 2005. Cape Town: HSRC Press
go back to reference Somsé, P., Chapko, M. K., Wata, J. B., Bondha, P., Gonda, B., Johnson, D., Downer, A., & Kimball, A. M. (1998). Evaluation of AIDS training programme for traditional healers in the Central African Republic. AIDS Education and Prevention, 10(6), 558–64.PubMed Somsé, P., Chapko, M. K., Wata, J. B., Bondha, P., Gonda, B., Johnson, D., Downer, A., & Kimball, A. M. (1998). Evaluation of AIDS training programme for traditional healers in the Central African Republic. AIDS Education and Prevention, 10(6), 558–64.PubMed
go back to reference UNAIDS (2002). Ancient remedies, new disease: Increasing access to AIDS prevention and care in collaboration with traditional healers. Geneva: UNAIDS Best Practices Collection. UNAIDS (2002). Ancient remedies, new disease: Increasing access to AIDS prevention and care in collaboration with traditional healers. Geneva: UNAIDS Best Practices Collection.
go back to reference Wellington, M., Chingono, A., Rusakaniko, S., & Willms, D. (1997). A randomized controlled trial to reduce the risk of transmission of HIV by traditional healers. Journal of Clinical Epidemiology, 50(1), Supplement 1, 20S.CrossRef Wellington, M., Chingono, A., Rusakaniko, S., & Willms, D. (1997). A randomized controlled trial to reduce the risk of transmission of HIV by traditional healers. Journal of Clinical Epidemiology, 50(1), Supplement 1, 20S.CrossRef
go back to reference WHO (1990). Traditional Medicine Programme and Global Programme on AIDS. Report of the consultation on AIDS and Traditional Medicine: Prospects for involving traditional health practitioners. Francistown, Botswana, 23–27 July 1990. WHO/TRM/GPA/90.1 WHO (1990). Traditional Medicine Programme and Global Programme on AIDS. Report of the consultation on AIDS and Traditional Medicine: Prospects for involving traditional health practitioners. Francistown, Botswana, 23–27 July 1990. WHO/TRM/GPA/90.1
go back to reference Wilkinson, D., & Wilkinson, N. (1998). HIV infection among patients with sexually transmitted diseases in rural South Africa. International Journal of STI AIDS, 9(12), 736–769.CrossRef Wilkinson, D., & Wilkinson, N. (1998). HIV infection among patients with sexually transmitted diseases in rural South Africa. International Journal of STI AIDS, 9(12), 736–769.CrossRef
Metadata
Title
A Controlled Study of an HIV/AIDS/STI/TB Intervention with Traditional Healers in KwaZulu-Natal, South Africa
Authors
Karl Peltzer
Nolwandle Mngqundaniso
George Petros
Publication date
01-11-2006
Published in
AIDS and Behavior / Issue 6/2006
Print ISSN: 1090-7165
Electronic ISSN: 1573-3254
DOI
https://doi.org/10.1007/s10461-006-9110-x

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