Caring for people with HIV in Zambia: are traditional healers and formal health workers willing to work together?
Caring for people with HIV in Zambia: are traditional healers and formal health workers willing to work together?
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DOI：
10.1080/09540129947875
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发表时间：
1999-08-01
影响因子：
1.7
通讯作者：
Bennett, J
中科院分区：
文献类型：
--
作者：
Burnett, A;Baggaley, R;Bennett, J
这项对传统医士和正规保健工作者的研究确定了他们在艾滋病毒/艾滋病领域的知识和做法，并审查了他们的培训需要和对合作的态度，为规划联合培训讲习班做准备。在这两个群体中，特别是在传统治疗师中，都发现了一些关于艾滋病毒疾病症状和传播的误解。20名治疗师（51%）和4名正式卫生工作者（15%）声称存在治愈艾滋病的方法。接受访谈的大多数传统治疗师表示难以直接与病人讨论艾滋病毒的诊断，主要是因为担心病人变得抑郁和自杀。大多数受访者希望得到更多的培训-大多数传统治疗师需要认识艾滋病毒/艾滋病的症状并接受治疗，大多数正规卫生工作者需要艾滋病毒咨询。大多数人对提供避孕套感兴趣。几乎所有的治疗师和一半的正式卫生工作者都热衷于在培训和病人护理方面进行合作。研究表明，赞比亚传统医士和正规保健工作者愿意在艾滋病毒/艾滋病领域的培训和病人护理方面进行合作。除了包括艾滋病毒/艾滋病的症状、传播和预防外，培训还应旨在提高与病人公开讨论艾滋病毒问题的能力，因为许多传统治疗师和一些正规保健工作者认为这很困难。让传统治疗师参与提供避孕套可能会提高可接受性和可获得性，特别是在农村地区。
This study of traditional healers and formal health workers determined their knowledge and practices in the field of HIV/AIDS and examined their training needs and attitudes to collaboration, in preparation for planning joint training workshops. Several misconceptions concerning symptoms and transmission of HIV disease were found in both groups, particularly among traditional healers. Twenty healers (51%) and four formal health workers (15%) claimed a cure existed for AIDS. The majority of traditional healers interviewed expressed difficulties discussing a diagnosis of HIV directly with patients, mainly due to fear of the patient becoming depressed and suicidal. Most interviewees wanted more training-the majority of traditional healers in recognizing symptoms of HIV/AIDS and their treatment, and the majority of formal health workers in HIV counselling. Most were interested in supplying condoms. Almost all healers and half of the formal health workers were Keen to collaborate in training and patient care. The study indicates that there is willingness amongst Zambian traditional healers and formal health workers to collaborate in training and patient care in the field of HIV/AIDS. As well as covering symptoms, transmission and prevention of HIV/AIDS, training should aim to increase ability to openly discuss HIV with patients, which many traditional healers and some formal health workers find difficult. Involving traditional healers in supplying condoms may improve acceptability and availability, particularly in rural areas.