Health care seeking behaviour and utilisation of traditional healers in Kalabo, Zambia
Health care seeking behaviour and utilisation of traditional healers in Kalabo, Zambia
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DOI：
10.1016/j.healthpol.2004.05.008
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发表时间：
2005-01-01
期刊：
影响因子：
3.3
通讯作者：
Wolffers, IN
中科院分区：
文献类型：
--
作者：
Stekelenburg, J;Jager, BE;Wolffers, IN
目的：为了确定传统的治疗师在集水区的卡拉博区医院和调查的决定因素发挥作用，在不同的医疗保健选项之间的选择，并探讨增加合作的可能性之间的地区医院和传统healers.Methods：在一个横截面的比较和描述性研究，定量和定性的方法相结合。共有12名卫生工作者，13名传统治疗师和100名社区代表进行了采访，使用（半）结构式问卷。结果：本研究显示，所有受访者都愿意去医院，如果他们在未来生病，88%的受访者会去看传统的治疗师。去看传统治疗师的妇女多于男子，但去看他们的男子更频繁。教育水平不是一个重要的决定因素。随着年龄的增长，人们更频繁地去医院和传统治疗师那里看病。几乎一半的受访者（49%）只需步行不到30分钟即可到达传统治疗师，但只有34%的受访者的医院距离相同。等待时间是一个重要因素：在医院，48%的受访者没有得到及时的帮助，只有28%的人没有得到传统治疗师的及时帮助。恶魔附身，mbaci，kanono和不孕不育是人们访问传统治疗师的典型健康问题。传统治疗师的治疗费用通常是一头牛，但前提是患者被治愈。医院治疗后的满意度为89%，传统治疗师治疗后的满意度为74%。如果对传统治疗不满意，86%的人会考虑去医院。(C)2004爱思唯尔爱尔兰有限公司保留所有权利。
Objective: To identify traditional healers in the catchment area of Kalabo District Hospital and to investigate determinants which play a role in the choice between different health care options, and to explore possibilities for increasing co-operation between the District Hospital and traditional healers.Methods: In a cross-sectional comparative and descriptive study, a combination of both quantitative and qualitative methods was used. A total of 12 health workers, 13 traditional healers and 100 community representatives were interviewed, using (semi)-structured questionnaires. A focus group discussion was held with 12 traditional healers.Results: This study shows that all respondents are willing to visit the hospital if they fall ill in future, and 88% of the respondents will visit a traditional healer. More women than men visit traditional healers, but the men who do visit them, do so more frequently. Level of education is not an important determinant. Increasing age leads to more frequent visits to both the hospital and traditional healers. Almost half of the respondents (49%) only have to walk less than 30 min to a traditional healer, but the hospital is the same distance for only 34% of the respondents. Waiting time turned out to be an important factor: in the hospital, 48% of the respondents are not helped within time, and only 28% are not helped in time by the traditional healer. Demon possession, mbaci, kanono and infertility are typical health problems for which people visit a traditional healer. The cost of treatment from a traditional healer is usually one cow, but only if the patient is cured. Satisfaction was measured at 89% after hospital treatment, and 74% after treatment from a traditional healer. If dissatisfied with the traditional healer, 86% would consider attending the hospital. (C) 2004 Elsevier Ireland Ltd. All rights reserved.