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A Controlled Study of an HIV/AIDS/STI/TB Intervention with Traditional Healers in KwaZulu-Natal, South Africa

AIDS and Behavior volume 10, pages 683–690 (2006)Cite this article

Abstract

Traditional healers play an important role in southern Africa culture and health care including the HIV epidemic. Here we report among the first controlled studies of an HIV/AIDS, sexually transmitted infections (STI) and tuberculosis (TB) intervention for traditional healers in South Africa. At baseline 233 traditional healers were assessed in four selected communities in the KwaZulu-Natal province and received either an experimental intervention or a no intervention control condition. The intervention group received training in HIV/AIDS, STI, and TB prevention over 3.5 days as well as a supervisory follow-up visit. At 7–9 months follow-up intervention effects were significant for HIV knowledge and HIV and STI management strategies including conducting risk behavior assessments and counseling, condom distribution, community HIV/AIDS and STI education, and record keeping. The study found a high level of preparedness among traditional healers to work with and refer patients to biomedical health practitioners, yet no higher levels of referral to biomedical practitioners were found after the training.

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References

  • Chipfakacha, V. G. (1997). STI/AIDS knowledge, beliefs and practices of traditional healers in Botswana. AIDS Care, 9(4), 417–425.

    PubMed  CAS  Article  Google Scholar 

  • Chirwa, B., & Sivile, E. (1989). Enlisting the support of traditional healers in AIDS education campaign in Zambia. International Quarterly of Community Health Education, 9(3), 223–231.

    Google Scholar 

  • Colvin, M., Gumede, L., Grimwade, K., Maher, D., & Wilkinson, D. (2002). Contribution of traditional healers to a rural tuberculosis control programmeme in Hlabisa, South Africa. International Journal of Tuberculosis and Lung Disease, 7(9 Suppl 1), S86–91.

    Google Scholar 

  • Dlamini, N., Dlamini, N., Peltzer, K., Mngqundaniso, N., Shangase, M., Buthelezi, D., Petros, G., & Balaba, D. (2004). Traditional healing and STI/HIV/AIDS/TB in South Africa: a trainer's manual for traditional health practitioners, community health workers and nurses. Pretoria: Department of Health.

    Google Scholar 

  • Freeman, M., & Motsei, M. (1992). Planning health care in South Africa: is there a role for traditional healers?. Social Science and Medicine, 34, 1183–1090.

    Article  PubMed  CAS  Google Scholar 

  • Green, E. (1994). AIDS and STIs in Africa: Bridging the gap between traditional healers and modern medicine. Boulder: Westview Press.

    Google Scholar 

  • Green, E., Zokwe, B., & Dupree, J. (1995). The experience of an AIDS prevention programme focused on South African traditional healers. Social Science and Medicine, 40(4), 503–515.

    Article  PubMed  CAS  Google Scholar 

  • Green, E. (2000). Traditional healers and AIDS in Uganda. The Journal of Alternative and Complementary Medicine, 6(1), 1–2.

    PubMed  CAS  Google Scholar 

  • Homsy, J., King, R., Tenywa, J., Kyeyune, P., Opio, A., & Balaba, D. (2004). Defining minimum standards of practice for incorporating African traditional medicine into HIV/AIDS prevention, care, and support: a regional initiative in Eastern and South Africa. The Journal of Alternative and Complementary Medicine, 10(5), 905–910.

    Article  PubMed  Google Scholar 

  • Jolles, K., & Jolles, S. (2000). Zulu ritual immunization in perspective. Africa, 70(2), 229–248.

    Article  PubMed  CAS  Google Scholar 

  • Key, K. K., & DeNoon, D. J. (1995). Healers important tool in AIDS in Malawi. AIDS Weekly, 11/21/94-11/28/94.

  • King, R., & Homsy, J. (1997). Involving traditional healers in AIDS education and counseling in sub-Saharan Africa: A review. AIDS, 11(Suppl A), S217–225.

    Article  PubMed  Google Scholar 

  • Leclerc-Madlala, S. (2002). Traditional medical practitioners AIDS training and support programmeme (final evaluation report). Durban: AIDS Foundation South Africa.

    Google Scholar 

  • Louw, D. A., & Pretorius, E. (1995). The traditional healer in a multicultural society: the South African experience. In L. L. Adler & B. R. Mukherji (Eds.), Spirit versus scalpel: traditional healing and modern psychotherapy (pp. 41–58). London: Bergin and Garrey.

    Google Scholar 

  • Munk, K. (1998). Traditional healers and HIV/AIDS in KwaZulu-Natal: an interim report. Traditional Medicine. AIDS Analysis Africa, 8(5), 7–9.

    Google Scholar 

  • Peltzer, K. (1998). A community survey of traditional healers in rural South Africa. South African Journal of Ethnology, 21, 191–197.

    Google Scholar 

  • Peltzer, K. (2000). Perceived treatment efficacy of the last experienced illness episode in a community sample in the Northern Province, South Africa. Curationis, 23(1), 57–60.

    PubMed  CAS  Google Scholar 

  • Peltzer, K. (2001). An investigation into practices of traditional and faith healers in an urban setting in South Africa. Health SA Gesondheid, 6(2), 3–11.

    Google Scholar 

  • Peltzer, K. (2003). HIV/AIDS/STI knowledge, attitudes, beliefs and behaviours in a rural South African adult population. South African Journal of Psychology, 33(4), 250–260.

    Google Scholar 

  • Peltzer, K., Mngqundaniso, N., & Petros, G. (in press) HIV/AIDS/STI/TB knowledge, attitudes and practices of community health workers and primary care nurses, and their collaboration with traditional health practitioners in KwaZulu-Natal, South Africa. Africa Journal of Nursing and Midwifery.

  • Peters, E. J., Immananagha, K. K., Essien, O. E., & Ekott, J. U. (2004). Traditional healers' practices and the spread of HIV/AIDS in south eastern Nigeria. Tropical Doctor, 34, 79–82.

    PubMed  CAS  Google Scholar 

  • Shisana, O., Rehle, T., Simbayi, L. C., Parker, W., Zuma, K., Bhana, A., Connolly, C., Jooste, S., Pillay, V., et al. (2005). South African National HIV Prevalence, HIV Incidence, Behaviour and Communication Survey, 2005. Cape Town: HSRC Press

    Google Scholar 

  • Somsé, P., Chapko, M. K., Wata, J. B., Bondha, P., Gonda, B., Johnson, D., Downer, A., & Kimball, A. M. (1998). Evaluation of AIDS training programme for traditional healers in the Central African Republic. AIDS Education and Prevention, 10(6), 558–64.

    PubMed  Google Scholar 

  • UNAIDS (2002). Ancient remedies, new disease: Increasing access to AIDS prevention and care in collaboration with traditional healers. Geneva: UNAIDS Best Practices Collection.

    Google Scholar 

  • Wellington, M., Chingono, A., Rusakaniko, S., & Willms, D. (1997). A randomized controlled trial to reduce the risk of transmission of HIV by traditional healers. Journal of Clinical Epidemiology, 50(1), Supplement 1, 20S.

    Article  Google Scholar 

  • WHO (1990). Traditional Medicine Programme and Global Programme on AIDS. Report of the consultation on AIDS and Traditional Medicine: Prospects for involving traditional health practitioners. Francistown, Botswana, 23–27 July 1990. WHO/TRM/GPA/90.1

  • Wilkinson, D., & Wilkinson, N. (1998). HIV infection among patients with sexually transmitted diseases in rural South Africa. International Journal of STI AIDS, 9(12), 736–769.

    Article  CAS  Google Scholar 

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Acknowledgements

Funding was provided by Bristol-Myers Squibb Foundation (Secure the Future Programme) and the Human Sciences Research Council, South Africa. Support was given by the KwaZulu-Natal Health Department and the KwaZulu-Natal Traditional Health Practitioners Council. Thanks to Dorothy Butelezi and Margaret Shangase who conducted the trainings and assisted in accessing the traditional healers and data collection.

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Affiliations

  1. Human Sciences Research Council & University of Limpopo, Private Bag X41, 0001, Pretoria, South Africa

    Karl Peltzer

  2. Human Sciences Research Council, Pretoria, South Africa

    Nolwandle Mngqundaniso & George Petros

Authors
  1. Karl Peltzer
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  2. Nolwandle Mngqundaniso
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  3. George Petros
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Correspondence to Karl Peltzer.

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Peltzer, K., Mngqundaniso, N. & Petros, G. A Controlled Study of an HIV/AIDS/STI/TB Intervention with Traditional Healers in KwaZulu-Natal, South Africa. AIDS Behav 10, 683–690 (2006). https://doi.org/10.1007/s10461-006-9110-x

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  • DOI: https://doi.org/10.1007/s10461-006-9110-x

Keywords

  • HIV/AIDS/STI
  • controlled evaluation
  • intervention
  • traditional healers
  • South Africa