Peltzer Karl, Mngqundaniso Nolwandle, Petros George
Human Sciences Research Council & University of Limpopo, Private Bag X41, Pretoria, 0001 South Africa.
AIDS Behav. 2006 Nov;10(6):683-90. doi: 10.1007/s10461-006-9110-x.
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.
传统治疗师在南部非洲文化及医疗保健（包括艾滋病毒疫情）中发挥着重要作用。在此，我们报告了南非针对传统治疗师开展的首批关于艾滋病毒/艾滋病、性传播感染（STI）和结核病（TB）干预措施的对照研究之一。在基线阶段，对夸祖鲁 - 纳塔尔省四个选定社区的233名传统治疗师进行了评估，并将他们分为接受实验性干预组或无干预对照组。干预组接受了为期3.5天的艾滋病毒/艾滋病、性传播感染和结核病预防培训以及一次监督随访。在7至9个月的随访中，干预措施在艾滋病毒知识以及艾滋病毒和性传播感染管理策略方面产生了显著效果，这些策略包括进行风险行为评估和咨询、分发避孕套、开展社区艾滋病毒/艾滋病和性传播感染教育以及记录保存。研究发现，传统治疗师与生物医学健康从业者合作并将患者转诊给他们的意愿很高，但培训后转诊至生物医学从业者的比例并未提高。
