Environment and Health Research Unit, South African Medical Research Council, Durban, South Africa; Discipline of Occupational and Environmental health, School of Nursing and Public Health, University of KwaZulu-Natal, South Africa.
National Center for Natural Products Research, University of Mississippi, Oxford, MS, USA; National Institute for Complementary Medicine, Western Sydney University, Penrith, NSW, Australia.
Public Health. 2018 Dec;165:1-5. doi: 10.1016/j.puhe.2018.07.021. Epub 2018 Oct 13.
To highlight legal and regulatory advances relating to South African traditional health practitioners (THPs) over the past 10 years and discuss the implications for the translation of health policies into guidelines for sustainable practice supporting public health.
This is a rapid, structured literature review.
A rapid, structured literature review was undertaken to identify relevant studies related to South African THPs involving a search of peer-reviewed literature from three databases and a grey literature internet search. The identified citations were screened, critically appraised, and narratively synthesized.
Efforts to regulate THPs in South Africa are underway; however, the lack of a regulatory framework for traditional practices is hampering progress. Several efforts to collaborate with THPs have been made over the years, many of which were not systematically evaluated and not based on principles of mutual respect. Existing collaborative examples need to be further supported by cost-effective evidence to suit the South African public health budget. Furthermore, small collaborative research efforts do not take into consideration the scale up of interventions.
THPs in South Africa represent an important healthcare resource. However, the current policy environment does not support indicators to describe, monitor, and/or evaluate the role of THPs in the healthcare system.
强调过去 10 年来与南非传统医疗从业者相关的法律和监管进展，并讨论其对将卫生政策转化为支持公共卫生的可持续实践指南的影响。
这是一项快速的结构化文献综述。
我们进行了快速的结构化文献综述，以确定涉及南非传统医疗从业者的相关研究，方法是从三个数据库和一个灰色文献互联网搜索中搜索同行评议文献。对确定的引用进行了筛选、批判性评价，并进行了叙述性综合。
南非正在努力规范传统医疗从业者；然而，传统做法缺乏监管框架阻碍了进展。多年来，南非曾多次努力与传统医疗从业者合作，但其中许多合作并未经过系统评估，也没有基于相互尊重的原则。现有的合作范例需要进一步得到具有成本效益的证据的支持，以适应南非的公共卫生预算。此外，小规模的合作研究工作没有考虑到干预措施的扩大。
南非的传统医疗从业者代表了一个重要的医疗保健资源。然而，当前的政策环境不支持用于描述、监测和/或评估传统医疗从业者在医疗保健系统中的作用的指标。
