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HIV/AIDS-Related Attitudes and Practices Among Traditional Healers in Zambézia Province, Mozambique.
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- Author(s): Audet, Carolyn M.; Blevins, Meridith; Moon, Troy D.; Sidat, Mohsin; Shepherd, Bryan E.; Pires, Paulo; Vergara, Alfredo; Vermund, Sten H.
- Source:
Journal of Alternative & Complementary Medicine. Dec2012, Vol. 18 Issue 12, p1133-1141. 9p. 3 Charts, 2 Maps. - Source:
- Additional Information
- Subject Terms: THERAPEUTICS; ALTERNATIVE medicine; ATTITUDE (Psychology); CHI-squared test; CONFIDENCE intervals; EPIDEMIOLOGY; HEALERS; HIV infections; INTERVIEWING; RESEARCH methodology; MEDICAL personnel; MEDICAL referrals; MEDICINE; MULTIVARIATE analysis; SCIENTIFIC observation; QUESTIONNAIRES; RESEARCH funding; STATISTICS; QUALITATIVE research; LOGISTIC regression analysis; DATA analysis; QUANTITATIVE research; INTEGRATIVE medicine; CROSS-sectional method; HEALTH literacy; DATA analysis software; DESCRIPTIVE statistics
- Subject Terms:
- Abstract: Objectives: To document HIV knowledge, treatment practices, and the willingness of traditional healers to engage with the health system in Zambézia Province, Mozambique. Settings/location: Traditional healers offer culturally acceptable services and are more numerous in Mozambique than are allopathic providers. Late presentation of human immunodeficiency virus (HIV) infection/acquired immunodeficiency syndrome (AIDS) is reported among persons who have first sought care from traditional healers. Design: One hundred and thirty-nine (139) traditional healers were interviewed in their native languages (Chuabo or Lomwe) in Zambézia Province. Furthermore, 24 traditional healers were observed during patient encounters. Healers answered a semistructured questionnaire regarding their knowledge of HIV/AIDS, general treatment practices, attitudes toward the allopathic health system, and their beliefs in their abilities to cure AIDS. Results: Traditional healers were older and had less formal education than the general population. Razor cutting in order to rub herbs into bloodied skin was observed, and healers reported razor cutting as a routine practice. Healers stated that they did not refer HIV patients to clinics for two principal reasons: (1) patient symptoms/signs of HIV were unrecognized, and (2) practitioners believed they could treat the illness effectively themselves. Traditional healers were far more likely to believe in a spiritual than an infectious origin of HIV disease. Prior HIV/AIDS training was not associated with better knowledge or referral practices, though 81% of healers were interested in engaging allopathic providers. Conclusions: It was found that the HIV-related practices of traditional healers probably increase risk for both HIV-infected and uninfected persons through delayed care and reuse of razors. Mozambican traditional healers attribute HIV pathogenesis to spiritual, not infectious, etiologies. Healers who had received prior HIV training were no more knowledgeable, nor did they have better practices. The willingness expressed by 4 in 5 healers to engage local formal health providers in HIV/AIDS care suggests a productive way forward, though educational efforts must be effective and income concerns considered. [ABSTRACT FROM AUTHOR]
- Abstract: Copyright of Journal of Alternative & Complementary Medicine is the property of Mary Ann Liebert, Inc. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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