Experience of initiating collaboration of traditional healers in managing HIV and AIDS in Tanzania.
Experience of initiating collaboration of traditional healers in managing HIV and AIDS in Tanzania.
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DOI：
10.1186/1746-4269-3-6
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发表时间：
2007-01-26
影响因子：
3.6
通讯作者：
Mgonda, Yasin H
中科院分区：
文献类型：
--
作者：
Kayombo, Edmund J;Uiso, Febronia C;Mbwambo, Zakaria H;Mahunnah, Rogasian L;Moshi, Mainen J;Mgonda, Yasin H
由于艾滋病毒/艾滋病问题日益严重，撒哈拉以南的许多非洲国家现在正在接受传统治疗师和生物医学从业人员之间的合作。然而，关键问题是如何在两个在疾病成因和管理理论上不同的卫生系统之间开展合作。本文介绍了调查结果的经验教训之间的传统治疗师和传统医学研究所在阿鲁沙和达累斯萨拉姆省，坦桑尼亚，132和60传统治疗师分别接受了采访。在这些人中，有110名传统治疗师声称正在治疗艾滋病毒/艾滋病。这项研究的目的是在防治艾滋病毒/艾滋病方面与传统治疗师开展可持续的合作。与传统医士协会领导人和政府官员举行了协商会议，随后在各自的传统医士“vilinge”（传统诊所）进行了调查。采用定性和定量方法对调查结果进行了分析。研究结果显示，在两个研究地区，有影响力的人和传统医士协会的领导人似乎是接触潜在的好医士的守门人。在协商会议之后，这些领导人表示愿意合作;并向其他传统治疗者敞开大门，他们也愿意与传统医学研究所合作管理艾滋病毒/艾滋病患者。声称治疗艾滋病毒/艾滋病的传统治疗师中有75%知道一些艾滋病毒/艾滋病症状;一些传统治疗师试图控制这些症状。尽管他们愿意与传统医学研究所合作，但基于围绕合作共享的问题，他们仍有一些保留。这些保留意见是基于过去殖民时期虐待传统治疗师的现实。一般的研究结果表明，启动合作并不像文献中那样容易，如果它是有意义的，因此，我们呼吁采取适当的战略，以获得潜在的治疗者针对任何研究设计的可持续性考虑。
Collaboration between traditional healers and biomedical practitioners is now being accepted by many African countries south of the Sahara because of the increasing problem of HIV/AIDS. The key problem, however, is how to initiate collaboration between two health systems which differ in theory of disease causation and management. This paper presents findings on experience learned by initiation of collaboration between traditional healers and the Institute of Traditional Medicine in Arusha and Dar-es-Salaam Municipalities, Tanzania where 132 and 60 traditional healers respectively were interviewed. Of these 110 traditional healers claimed to be treating HIV/AIDS. The objective of the study was to initiate sustainable collaboration with traditional healers in managing HIV/AIDS. Consultative meetings with leaders of traditional healers' associations and government officials were held, followed by surveys at respective traditional healers' "vilinge" (traditional clinics). The findings were analysed using both qualitative and quantitative methods. The findings showed that influential people and leaders of traditional healers' association appeared to be gatekeepers to access potential good healers in the two study areas. After consultative meetings these leaders showed to be willing to collaborate; and opened doors to other traditional healers, who too were willing to collaborate with the Institute of Traditional Medicine in managing HIV/AIDS patients. Seventy five percent of traditional healers who claimed to be treating HIV/AIDS knew some HIV/AIDS symptoms; and some traditional healers attempted to manage these symptoms. Even though, they were willing to collaborate with the Institute of Traditional Medicine there were nevertheless some reservations based on questions surrounding sharing from collaboration. The reality of past experiences of mistreatment of traditional healers in the colonial period informed these reservations. General findings suggest that initiating collaboration is not as easy as it appears to be from the literature, if it is to be meaningful; and thus we are calling for appropriate strategies to access potential healers targeted for any study designed with sustainability in mind.