The Role of Traditional Healers in Community-Based HIV Care in Rural Lesotho
The Role of Traditional Healers in Community-Based HIV Care in Rural Lesotho
复制标题
DOI：
10.1007/s10900-011-9385-3
复制
发表时间：
2011-10-01
影响因子：
5.9
通讯作者：
Furin, Jennifer
中科院分区：
文献类型：
--
作者：
Furin, Jennifer
在资源贫乏的环境中，包括在撒哈拉以南非洲艾滋病毒高负担国家，传统治疗师提供了很大比例的保健服务。传统治疗师在艾滋病毒护理方面发挥了许多作用，但一些生物医学提供者认为他们是提供艾滋病毒治疗的障碍。这是一项定性研究，探讨传统治疗师在莱索托两个农村社区推出抗逆转录病毒疗法（ART）的社区计划中所发挥的作用。17名传统治疗师参加了访谈焦点小组，并参加了为期2年的观察会议。数据显示，在ART推出之前，他们提供了广泛的艾滋病毒服务。关于艾滋病毒的基本知识很高，但治疗者报告说，对计划中的抗逆转录病毒疗法的推出喜忧参半。生物医学提供者和传统治疗师举行了联席会议，形成了一种合作护理模式。传统治疗师在抗逆转录病毒疗法的推广中发挥了各种作用，包括艾滋病毒预防活动、艾滋病毒检测、监测病人和参加联合学习课程。所有传统治疗师都接受了艾滋病毒检测，17人中有7人（41.2%）检测呈阳性，其中4人有资格参加抗逆转录病毒疗法。然而，一些人对生物医学提供者缺乏对当地艾滋病毒的了解表示担忧。这项研究表明，传统治疗师可以提供各种基于社区的艾滋病毒服务，并不是在他们所服务的社区促进护理的障碍。
Traditional healers provide a substantial proportion of health care in resource-poor settings, including countries with high burdens of HIV in sub-Saharan Africa. Traditional healers have played many roles in HIV care, but some biomedical providers view them as obstacles in providing HIV treatment. This is a qualitative study exploring the roles played by traditional healers in a community-based program rolling out antiretroviral therapy (ART) in two rural communities in Lesotho. Seventeen traditional healers took part in interviews focus groups, and participant observation sessions over a 2 years period. Data showed they provided a wide range of HIV services prior to the ART rollout. Baseline knowledge regarding HIV was high, but healers reported mixed emotions about the planned ART rollout. Joint meetings were held between biomedical providers and traditional healers, and a collaborative model of care resulted. Traditional healers took on a variety of roles in the ART rollout, including HIV prevention activities, HIV testing, monitoring patients, and participating in joint learning sessions. All of the traditional healers underwent HIV testing and 7/17 (41.2%) tested positive for the disease, of whom four were eligible for and enrolled in ART. Healers expressed an appreciation for the collaboration with biomedical providers and being paid for their referrals. However, some expressed concern about the biomedical providers' lack of understanding of HIV in the local context. This research shows that traditional healers can provide a variety of community-based HIV services and are not obstacles for advancing care in the communities they serve.