Pinkoane M G, Greeff M, Koen M P
Vaal University of Technology, Vanderbijlpark.
Curationis. 2008 Dec;31(4):4-12. doi: 10.4102/curationis.v31i4.1044.
Based on mixed perceptions which were both negative and positive the policy makers have not been vocal about the process to incorporate traditional healers into the National Health Care Delivery System of South Africa. Negative views were related to the denial that traditional healing does provide a cure and the positive views were identified in the passing of policies from 1994. These policies passed initiated recognition of the existence of traditional healers, but failed to address the important aspect of incorporating the traditional healers into the National Health Care Delivery System. It is these mixed perceptions as well as lack of appropriate policy to facilitate incorporation of traditional healers that urged the researcher to explore the perceptions and attitudes of policy makers regarding this incorporation process, as well as their views on how it should be achieved. An exploratory, descriptive and contextual qualitative research design was followed. Participants were selected by non-probable, purposive voluntary sample. Data was collected by means of conducting semi-structured interviews, as well as taking field notes. Data analysis was achieved by analysing transcriptions through open coding involving a co-coder until consensus was achieved. Results reflect that policy makers are in favour of incorporation. In conclusion incorporation was seen as a process that needs to be undertaken by both traditional healers and biomedical personnel through communication. That government should be responsible for this process by policy formulation, which should clarify terms and conditions for incorporation.
基于既有负面又有正面的混合看法,政策制定者对于将传统治疗师纳入南非国家医疗保健服务体系的进程并未明确表态。负面看法涉及否认传统治疗能治愈疾病,而正面看法则体现在1994年以来通过的政策中。这些通过的政策开启了对传统治疗师存在的认可,但未能解决将传统治疗师纳入国家医疗保健服务体系这一重要问题。正是这些混合看法以及缺乏促进传统治疗师纳入的适当政策,促使研究者去探究政策制定者对这一纳入过程的看法和态度,以及他们对于应如何实现这一过程的观点。采用了探索性、描述性和情境性的定性研究设计。参与者通过非概率性、目的性自愿抽样选取。数据通过进行半结构化访谈以及做实地笔记来收集。数据分析通过对转录文本进行开放编码来实现,涉及一名共同编码员,直至达成共识。结果表明政策制定者支持纳入。总之,纳入被视为一个传统治疗师和生物医学人员都需要通过沟通来进行的过程。政府应通过制定政策来负责这一过程,政策应明确纳入的条款和条件。