Integrating Traditional Healers into the Health Care System: Challenges and Opportunities in Rural Northern Ghana.
Integrating Traditional Healers into the Health Care System: Challenges and Opportunities in Rural Northern Ghana.
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DOI：
10.1007/s10900-017-0398-4
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发表时间：
2018-03
影响因子：
5.9
通讯作者：
Ragno L
中科院分区：
文献类型：
--
作者：
Krah E;de Kruijf J;Ragno L
传统医学在加纳很普遍，80%的加纳人依赖其提供初级卫生保健的方法。本文认为，整合传统和生物医学卫生系统可以扩大社区卫生保健的覆盖范围并改善其结果。它超越了文学，强调了治疗师和生物医学工作人员之间信任关系的重要性。洞察力基于在加纳北部地区(2013-2014年)进行的定性研究。从数据中发现了整合的五个挑战：对传统医学的缺乏理解、歧视、生物医学工作人员的高流动率、对作为一种职业的兴趣下降以及设备稀缺。除了挑战，还存在整合的机会，包括广泛的传统医学基础设施、开放的合作和基层倡议。考虑到挑战和机遇，本文提出了融合的建议，包括：确定/选择治疗师，推广最佳实践，建立适当形式的对治疗师的欣赏/认可，提供援助和设备，利用沟通活动促进融合，并引导生物医学工作人员对治疗师的态度转变。最关键的是，我们认为，这些建议的成功实施取决于在治疗师和生物医学工作人员之间的关系上进行协调投资。
Traditional medicine is widespread in Ghana, with 80% of Ghanaians relying on its methods for primary health care. This paper argues that integrating traditional and biomedical health systems expands the reach and improves outcomes of community health care. Moving beyond literature, it stresses the importance of trust-relationships between healers and biomedical staff. Insights are based on qualitative research conducted in Ghana’s Northern Region (2013–2014). Five challenges to integration emerged out of the data: a lack of understanding of traditional medicine, discrimination, high turnover of biomedical staff, declining interest in healing as a profession, and equipment scarcity. Besides challenges, opportunities for integration exist, including the extensive infrastructure of traditional medicine, openness to collaboration, and grassroots initiatives. Contemplating challenges and opportunities this paper provides recommendations for integration, including: identify/select healers, promote best practices, institute appropriate forms of appreciation/recognition of healers, provide aid and equipment, use communication campaigns to promote integration and steer attitudinal change towards healers among biomedical staff. Most crucial, we argue successful implementation of these recommendations depends on a concerted investment in relationships between healers and biomedical staff.
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影响因子：
2.5
作者：
Campbell-Hall, Vicky;Petersen, Inge;Flisher, Alan J.
通讯作者：
Flisher, Alan J.
影响因子：
3.3
作者：
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通讯作者：
Wolffers, IN
DOI：
10.1080/02533950508628709
发表时间：
2005-12-01
期刊：
SOCIAL DYNAMICS-A JOURNAL OF THE CENTRE FOR AFRICAN STUDIES UNIVERSITY OF CAPE TOWN
影响因子：
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作者：
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Wreford, Jo
影响因子：
5.4
作者：
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通讯作者：
Braichet, Jean-Marc
影响因子：
3.6
作者：
Kayombo, Edmund J;Uiso, Febronia C;Mbwambo, Zakaria H;Mahunnah, Rogasian L;Moshi, Mainen J;Mgonda, Yasin H
通讯作者：
Mgonda, Yasin H