scholarly journals Interface between biomedical and traditional systems of treatment and care among HIV positive fisher folk in two fishing communities on Lake Victoria, Uganda

2021 ◽  
Vol 21 (3) ◽  
pp. 1040-1047
Author(s):  
Christopher Tumwine ◽  
Peter Aggleton ◽  
Stephen Bell
Keyword(s):  
Health Care ◽  
Lake Victoria ◽  
Herbal Medicines ◽  
Hiv Treatment ◽  
Fishing Communities ◽  
Hiv Positive ◽  
Health Seeking ◽  
Hiv Diagnosis ◽  
Traditional Health ◽  
Traditional Health Care

Background: Fisherfolk have been identified as a key population in the HIV response in Uganda due to high HIV preva- lence and low engagement in HIV services. While studies have examined lifestyles and risk, much remains to be understood about help and health seeking experiences, including the combined use of biomedical and traditional health care. Objective: To examine the use of biomedical and traditional health care in two fishing communities around Lake Victoria in Uganda. Methods: Exploratory, in-depth qualitative study involving semi-structured interviews with 42 HIV positive fisherfolk. Results: Prior to HIV diagnosis, participants who described becoming ill sought different forms of help including biomedical treatment prescribed by health workers or self-prescribed; biomedical and herbal medicines together; herbal medicines only; or no form of treatment. Following HIV diagnosis, the majority of participants used ART exclusively, while a smaller number used both ART and traditional care strategies, or reported times when they used alternative therapies instead of ART. Prior to HIV diagnosis, fisherfolk’s health care seeking practices inhibited engagement with HIV testing and access to biomedical HIV treatment and care. After HIV diagnosis, most resorted only to using ART. Conclusion: Study findings provide insight into how fisherfolk’s use of biomedical and traditional care prior to diagnosis influences subsequent engagement with HIV treatment. Efforts are needed to reach fisherfolk through everyday health seeking networks to ensure HIV is diagnosed and treated as early as possible. Keywords: HIV care; fisherfolk; HIV; Uganda; traditional healers; anti-retroviral therapy.

scholarly journals Interface between orthodox and traditional medicine and alternative paradigm for integrating orthodox and traditional health care in Nigeria

2021 ◽  
Vol 2 (1) ◽  
pp. 079-084
Author(s):  
Amole O.O.
Keyword(s):  
Health Care ◽  
Traditional Medicine ◽  
Poverty Reduction ◽  
Conventional Medicine ◽  
Herbal Medicines ◽  
African Region ◽  
African Countries ◽  
Traditional Health ◽  
Traditional Health Care ◽  
Different Cultures

Traditional medicine refers to the knowledge, skills and practices based on the theories, beliefs and experiences indigenous to different cultures, used in the maintenance of health and in the prevention, diagnosis, improvement of physical and mental illness. Herbal treatments are the most form of traditional medicine and 70 – 80% of the African region has used a form as primary health care. There is little doubt that the use of herbal medicines is growing and one of the most problems found in medicinal plants is the absence of clinical, toxicological and pharmacological studies. Many African countries depend on herbal medicines because of their efficacy, affordability and availability. The future of African traditional medicine is bright if view in the context of service provision, increase of health care coverage, economic potential and poverty reduction. Formal recognition and integration of traditional medicine into conventional medicine would be of good advantage.

Common Health Problems and Health-seeking Behavior Among the Tribals of Odisha, India

2021 ◽  
pp. 0972558X2110490
Author(s):  
Basanta Kumar Bindhani ◽  
Jayanta Kumar Nayak
Keyword(s):  
Health Care ◽  
Health Problems ◽  
Health Seeking ◽  
Tribal Communities ◽  
Traditional Health ◽  
Health Care Practices ◽  
Traditional Health Care ◽  
Seeking Behavior ◽  
The Common ◽  
Care Practices

The present study aims to explore the common health problems and the health-seeking behavior among the tribal population in Koraput district of Odisha. In order to assess the common health problems and the treatment-seeking behavior, 300 tribal individuals from 173 households in the age group of 18–64 years and 24 health care staff were recruited for the study. Information regarding health facilities, their affordability, and morbidity status were obtained through pre-structured questionnaires. Data analysis was carried out using SPSS-20 and Microsoft Excel software tools. Anemia, diarrheal problems, cold, pneumonia, vaginal problems, skin infection, fever, malnutrition, and sickle cell anemia were the common health problems reported by the respondents. In addition, the study found that the majority of the respondents relied on traditional health care practices. The initiation of proper awareness can help in reducing traditional health care practices among the tribal communities. Furthermore, the involvement of modern health care practitioners would help to reduce the disease burden in tribal communities.

Impact of Religion on Traditional Health Care Practices Among the Lepchas of Upper and Lower Lingthem of Upper Dzongu, Sikkim, India

2021 ◽  
pp. 2455328X2199571
Author(s):  
Manisha Thapa ◽  
Pinak Tarafdar
Keyword(s):  
Health Care ◽  
Cultural Practices ◽  
Traditional Health ◽  
Health Care Practices ◽  
Modern Health Care ◽  
Concept Of Health ◽  
Traditional Health Care ◽  
Primary Means ◽  
Care Practices ◽  
The Village

In all cultures and regions, the concept of health varies, based on the type of environment and prevalent sociocultural traditions. The present study is conducted among the Lepchas of the village of Lingthem divided into two sectors—Upper and Lower Lingthem, Upper Dzongu, North Sikkim. This population comprising Buddhist Lepchas residing away from the mainstream through poor infrastructural facilities still maintain ethnomedical health care practices without influence of major Indian healing systems. Living in the area of Dzongu exclusively inhabited by Lepchas revival of ancient cultural practices is evident among Lepchas of Lingthem. The structure of religious beliefs prevalent among the Lepchas, including traditional animistic as well as Buddhist practices, greatly influence forms of treatment sought for specific ailments. Even today, the use and maintenance of traditional health care with syncretized Buddhist religious belief among residents of Lingthem act as a vital source for understanding the influence of religion on traditional health care practices. Despite the presence of a few modern health care agencies, the traditional treatment of Bongthing (Lepcha shaman) and Buddhist monks remain widely popular as primary means of health care.

Ethical Aspects of Pediatric Home Care

PEDIATRICS ◽  
1992 ◽  
Vol 89 (5) ◽  
pp. 920-924
Author(s):  
John D. Lantos ◽  
Arthur F. Kohrman
Keyword(s):  
Health Care ◽  
Home Care ◽  
Home Health Care ◽  
Ethical Issues ◽  
Home Health ◽  
Critically Ill Children ◽  
Traditional Health ◽  
Advanced Medical Technology ◽  
Economic Forces ◽  
Traditional Health Care

This essay is a discussion of ethical issues that arise in the provision of home health care to technology-dependent children. Different ethical norms, especially with regard to the degree of professional responsibility for outcomes, traditionally have applied to home care and hospital care. In particular, parents generally are expected to do their best, but are not expected to have the same specialized knowledge of risks and benefits with regard to particular interventions as health professionals. When home health care involves the use of advanced medical technology, it strains traditional conceptions of parental responsibilities to care for the health of their children at home. It can also strain traditional concepts of professional responsibilities to care for critically ill children in hospitals. We discuss some of the tensions that arise as medical, psychological, and economic forces lead to the increasing use of high technology in the care of children outside of traditional health care institutions.

Developing a Health Care System for Children in Foster Care

2017 ◽  
Vol 19 (4) ◽  
pp. 621-628 ◽  
Author(s):  
Mary V. Greiner ◽  
Sarah J. Beal
Keyword(s):  
Health Care ◽  
Foster Care ◽  
Medical Center ◽  
Children In Foster Care ◽  
Traditional Health ◽  
Social Settings ◽  
Consultation Model ◽  
Traditional Health Care ◽  
Clinical Program ◽  
Comprehensive Health

In 2012, the Comprehensive Health Evaluations for Cincinnati’s Kids (CHECK) Center was launched at Cincinnati Children’s Hospital Medical Center to provide health care for over 1,000 children placed into foster care each year in the Cincinnati community. This consultation model clinical program was developed because children in foster care have been difficult to manage in the traditional health care setting due to unmet health needs, missing medical records, cumbersome state mandates, and transient and impoverished social settings. This case study describes the history and creation of the CHECK Center, demonstrating the development of a successful foster care health delivery system that is inclusive of all community partners, tailored for the needs and resources of the community, and able to adapt and respond to new information and changing systems.

A Comparison of Organized and Traditional Health Care

2005 ◽  
Vol 44 (02) ◽  
pp. 273-277
Author(s):  
D. M. Lawrence
Keyword(s):  
Health Care ◽  
Health Care System ◽  
Health Care Delivery ◽  
Care Delivery ◽  
Health Care Systems ◽  
Delivery Systems ◽  
Traditional Health ◽  
Traditional Health Care ◽  
Care Systems ◽  
Health Care Delivery Systems

Summary Purpose: To compare organized and traditional health care delivery systems and their ability to meet several major challenges facing health care in the next 25 years. Approach: Analysis of traditional and organized health care systems based on a career spent in organized health care systems. Conclusions: The traditional health care system based on independent autonomous physicians is not able to meet the challenges of current healthcare. Stronger integration and coordination, i.e., organized health care delivery systems are required.

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