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Journal of Ethnobiology and Ethnomedicine

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Open Access 01-12-2016 | Research

Forming a joint dialogue among faith healers, traditional healers and formal health workers in mental health in a Kenyan setting: towards common grounds

Authors: Christine W. Musyimi, Victoria N. Mutiso, Erick S. Nandoya, David M. Ndetei

Published in: Journal of Ethnobiology and Ethnomedicine | Issue 1/2016

Abstract

Background

Qualitative evidence on dialogue formation and collaboration is very scanty in Kenya. This study thus aimed at the formation of dialogue and establishment of collaboration among the informal (faith and traditional healers) and formal health workers (clinicians) in enhancing community–based mental health in rural Kenya.

Methods

Qualitative approach was used to identify barriers and solutions for dialogue formation by conducting nine Focus Group Discussions each consisting of 8–10 participants. Information on age, gender and role in health care setting as well as practitioners’ (henceforth used to mean informal (faith and traditional healers) and formal health workers) perceptions on dialogue was collected to evaluate dialogue formation. Qualitative and quantitative data analysis was performed using thematic content analysis and Statistical Package Social Sciences (SPSS) software respectively.

Results

We identified four dominant themes such as; (i) basic understanding about mental illnesses, (ii) interaction and treatment skills of the respondents to mentally ill persons, (iii) referral gaps and mistrust among the practitioners and (iv) dialogue formation among the practitioners. Although participants were conversant with the definition of mental illness and had interacted with a mentally ill person in their routine practice, they had basic information on the causes and types of mental illness. Traditional and faith healers felt demeaned by the clinicians who disregarded their mode of treatment stereotyping them as “dirty”. After various discussions, majority of practitioners showed interest in collaborating with each other and stated that they had joined the dialogue in order interact with people committed to improving the lives of patients.

Conclusion

Dialogue formation between the formal and the informal health workers is crucial in establishing trust and respect between both practitioners and in improving mental health care in Kenya. This approach could be scaled up among all the registered traditional and faith healers in Kenya.

Demyttenaere K, Bruffaerts R, Posada-Villa J, Gasquet I, Kovess V, Lepine JP, et al. Prevalence, severity, and unmet need for treatment of mental disorders in the World Health Organization World Mental Health Surveys. Jama. 2004;291(21):2581–90. Available from: http://www.ncbi.nlm.nih.gov/pubmed/15173149.PubMedCrossRef

Ngui E, Khasakhala L, Ndetei D, Roberts L. Mental disorders, health inequalities and ethics: A global perspective. Int Rev Psychiatry. 2010;22(3):235–44.PubMedPubMedCentralCrossRef

Lambert J, Omindi-ogaja E, Gatheru G, Mirangi T, Owara J, Herbst CH, et al. The Contribution of Traditional Herbal Medicine Practitioners to Kenyan Health Care Delivery Results from Community Health-Seeking Behavior Vignettes and a Traditional Herbal Medicine Practitioner Survey [Internet]. World Bank, Washington, DC. © World Bank. 2011 [cited 2016 Jan 5]. Available from: https://openknowledge.worldbank.org/handle/10986/13588 License: CC BY 3.0 Unported

Ndetei D, Ongetcha F, Mutiso V, Kuria M, Khasakhala L, Kokonya D. The challenges of human resources in mental health in Kenya. Afr J Psychiatry. 2007;10(1):33–6.CrossRef

World Health Organization. Mental Health Gap Action Programme: mhGAP Intervention Guide for Mental, Neurological and Substance Use Disorders in Non-specialized Health Settings. 1.0 ed. Geneva: World Health Organization; 2010. p. 1–65.

World Health Organization. Mental health action plan 2013–2020 [Internet]. 2013. p. 1–48. Retrieved July 22, 2015, from http://apps.who.int/iris/bitstream/10665/89966/1/9789241506021_eng.pdf.

Kaboru BB, Falkenberg T, Ndulo J, Muchimba M, Solo K, Faxelid E. Communities’ views on prerequisites for collaboration between modern and traditional health sectors in relation to STI/HIV/AIDS care in Zambia. Health Policy. 2006;78(2–3):330–9. Available from: http://www.ncbi.nlm.nih.gov/pubmed/16290128.PubMedCrossRef

Joint United Nations Programme on HIV/AIDS (UNAIDS). Collaborating with Traditional Healers for HIV Prevention and Care in sub-Saharan Africa: suggestions for Programme Managers and Field Workers [Internet]. UNAIDS best practice collection. Geneva: World Health Organization; 2006 [cited 2015 Jan 6]. Available from: http://data.unaids.org/publications/IRC-pub07/jc967-tradhealers_en.pdf

Campbell-Hall V, Petersen I, Bhana A, Mjadu S, Hosegood V, Flisher A. Collaboration between traditional practitioners and primary health care staff in South Africa_ developing a workable partnership for community ment. Transcult Psychiatry. 2010;47(4):610–28.PubMedCrossRef

10.

Green EC. Traditional Healers and AIDS in Uganda. J Altern Complement Med. 2000;6(1):1–2.PubMedCrossRef

11.

Mngqundaniso N, Peltzer K. Traditional Healers and Nurses_ A Qualitative Study on Their Role on Sexually Transmitted Infections Including HIV and AIDS in KwaZulu-Natal, South Africa. Afr J Tradit Complement Altern Med. 2008;5(4):380–6.PubMedPubMedCentral

12.

Peltzer K, Khoza L. Attitudes and knowledge of nurse practitioners towards traditional healing, faith healing and complementary medicine in the Northern Province of South Africa. South African J Nurs. 2002;25(1):31–41.

13.

Uwakwe R, Otakpor A. Public Mental Health - Using the Mental Health Gap Action Program to Put all Hands to the Pumps. Front Public Heal. 2014;2(33). Available from: http://www.ncbi.nlm.nih.gov/pubmed/?term=Public+Mental+Health+−+Using+the+Mental+Health+Gap+Action+Program+to+Put+all+Hands+to+the+Pumps.

14.

Chung V, Ma P, Lau C, Griffiths S. Developing policy for integrating biomedicine and traditional chinese medical practice using focus groups and the delphi technique. Evid Based Complement Altern Med. 2012;2012:149512.

15.

Wilkinson S. A practical guide to research methods. In: Smith JA, editor. Qualitative psychology. 3rd ed. London: SAGE Publications Ltd; 2003.

16.

U.S. Dept. of Justice, The Community Relations Service. Community Dialogue Guide: Conducting a Discussion on Race [Internet]. 2003 [cited 2015 Jul 22]. Available from: https://www.ncjrs.gov/App/publications/abstract.aspx?ID=202941

17.

Ndetei D, Khasakhala L, Kingori J, Oginga A, Raja S. The complementary role of traditional and faith healers and potential liaisons with western-style mental health services in Kenya [Internet]. 2008 [cited 2015 Apr 28]. p. 1–22. Available from: https://www.uonbi.ac.ke/ndetei/files/the_complementary_role_of_traditional_and_faith_healers_and_potential_liaisons_with_western-style_mental_health_ser

18.

Mbwayo A, Ndetei D, Mutiso V, Khasakhala L. Traditional healers and provision of mental health services in cosmopolitan informal settlements in. Afr J Psychiatry. 2013;16(2):134–40.

19.

19.Ndetei D, Khasakhala L, Kuria M, Mutiso V, Ongecha-Owuor F, Kokonya D. The prevalence of mental disorders in adults in different level general medical facilities in Kenya: a cross-sectional study. Ann Gen Psychiatry. 2009;8(1). Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2631009/

20.

Jenkins R, Njenga F, Okonji M, Kigamwa P, Baraza M, Ayuyo J, et al. Prevalence of common mental disorders in a rural district of Kenya, and socio-demographic risk factors. Int J Environ Res Public Health. 2012;9(5):1810–9.PubMedPubMedCentralCrossRef

21.

King R. Collaboration with traditional healers in HIV/AIDS prevention and care in sub-Saharan Africa: A literature review [Internet]. Joint United Nations Programme on HIV/AIDS (UNAIDS) Best Practice Collection. Geneva: World Health Organization; 2000 [cited 2015 Jan 6]. Available from: http://www.hst.org.za/uploads/files/Collab_Lit_Rev.pdf.

22.

Audet CM, Hamilton E, Hughart L, Salato J. Engagement of Traditional Healers and Birth Attendants as a Controversial Proposal to Extend the HIV Health Workforce. Curr HIV/AIDS Rep. 2015;12(2):238–45. Available from: http://www.ncbi.nlm.nih.gov/pubmed/25855337.PubMedCrossRef

23.

Birhan W, Giday M, Teklehaymanot T. The contribution of traditional healers’ clinics to public health care system in Addis Ababa, Ethiopia: a cross-sectional study. J Ethnobiol Ethnomed. 2011;7:39. Available from: http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=3247023&tool=pmcentrez&rendertype=abstract.PubMedPubMedCentralCrossRef

24.

Keikelame MJ, Swartz L. “A thing full of stories”: Traditional healers’ explanations of epilepsy and perspectives on collaboration with biomedical health care in Cape Town. Transcult Psychiatry [Internet]. 2015 Mar 13; Available from: http://www.ncbi.nlm.nih.gov/pubmed/25680366

25.

Mohamed-Kaloo Z, Laher S. Perceptions of mental illness among Muslim general practitioners in South Africa. S Afr Med J. 2014;104(5):350–2. Available from: http://www.ncbi.nlm.nih.gov/pubmed/25212202.PubMedCrossRef

26.

Schoonover J, Lipkin S, Javid M, Rosen A, Solanki M, Shah S, et al. Perceptions of Traditional Healing for Mental Illness in Rural Gujarat. Ann Glob Heal. 2014;80(2):96–102.CrossRef

27.

Burns JK, Tomita A. Traditional and religious healers in the pathway to care for people with mental disorders in Africa: a systematic review and meta-analysis. Soc Psychiatry Psychiatr Epidemiol. 2015;50(6):867–77. Available from: http://www.ncbi.nlm.nih.gov/pubmed/25515608.PubMedCrossRef

Title: Forming a joint dialogue among faith healers, traditional healers and formal health workers in mental health in a Kenyan setting: towards common grounds
Authors: Christine W. Musyimi
Victoria N. Mutiso
Erick S. Nandoya
David M. Ndetei
Publication date: 01-12-2016
Publisher: BioMed Central
Published in: Journal of Ethnobiology and Ethnomedicine / Issue 1/2016
Electronic ISSN: 1746-4269
DOI: https://doi.org/10.1186/s13002-015-0075-6

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Forming a joint dialogue among faith healers, traditional healers and formal health workers in mental health in a Kenyan setting: towards common grounds

Abstract

Background

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusion

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