Ssali Agnes, Butler Lisa M, Kabatesi Donna, King Rachel, Namugenyi Agnes, Kamya Moses R, Mandel Jeffrey, Chen Sanny Y, McFarland Willi
Traditional and Modern Health Practitioners Together Against AIDS (THETA), Kampala, Uganda.
AIDS Behav. 2005 Dec;9(4):485-93. doi: 10.1007/s10461-005-9019-9.
In the face of ongoing epidemics of HIV/AIDS and STI, high demand for family planning, and limited resources, traditional healers may be under-utilized providers of reproductive health education in rural sub-Saharan Africa. We implemented a training program in HIV prevention and family planning methods for healers in the Kiboga district of Uganda and evaluated the program's impact on healers' clinical practice and the diffusion of information to their female clients. Of 46 healers recruited, 30 (65%) completed a pre- and post-training interview. Following training, traditional healers increased discussions of family planning with their clients. Of 84 female clients recruited, 44 (52%) completed the interview before and after the training for healers. Female clients corroborated that they increased discussions of family planning with their healers, as well as discussions about HIV/AIDS. Both healers and their female clients were more likely to make a connection between family planning, condom use, and HIV prevention after the training compared to before the training. Findings provide evidence that traditional healers in a rural area of Uganda can successfully adapt HIV prevention messages and family planning information into their clinical practices.
面对持续的艾滋病毒/艾滋病和性传播感染疫情、对计划生育的高需求以及资源有限的情况，在撒哈拉以南非洲农村地区，传统治疗师可能是未得到充分利用的生殖健康教育提供者。我们为乌干达基博加区的治疗师实施了一项关于艾滋病毒预防和计划生育方法的培训计划，并评估了该计划对治疗师临床实践以及向其女性客户传播信息的影响。在招募的46名治疗师中，30名（65%）完成了培训前和培训后的访谈。培训后，传统治疗师增加了与客户关于计划生育的讨论。在招募的84名女性客户中，44名（52%）完成了治疗师培训前后的访谈。女性客户证实，她们增加了与治疗师关于计划生育的讨论，以及关于艾滋病毒/艾滋病的讨论。与培训前相比，培训后治疗师及其女性客户更有可能将计划生育、使用避孕套和艾滋病毒预防联系起来。研究结果表明，乌干达农村地区的传统治疗师能够成功地将艾滋病毒预防信息和计划生育信息融入其临床实践。
