Burman Christopher, Aphane Marota
University of Limpopo, Rural Development and Innovation Hub, affiliated to the Turfloop Graduate School of Leadership.
University of Venda, Department of Research and Innovation.
Afr Health Sci. 2019 Mar;19(1):1422-1432. doi: 10.4314/ahs.v19i1.15.
Medical pluralism is common place in sub-Saharan Africa. The South African pluralistic health care environment is varied and includes traditionalist beliefs relating to the efficacy of African traditional medicine. Prior research indicates that traditionalism is associated with delays in testing for HIV and treatment interruption. Despite numerous reports about this in South Africa, there is a paucity of documented strategies to counter this trend.
To develop a strategy to reduce the impact of non-adherence to antiretroviral therapy among traditionalists in Waterberg district, Limpopo Province, South Africa.
Qualitative information was elicited from five face-to-face, dual moderated, semi-structured homogenous group discussions. The groups comprised of 50 purposively selected, rurally based, mixed gender traditionalists living with HIV. Grounded theory was applied to analyse qualitative findings that emerged from the group discussions.
Self-reported increases in adherence to anti-retroviral therapy and a reduction in internalised stigma by the respondents. Both are attributed by the respondents to disease causation differentiation from a traditional explanation to an allopathic explanation.
A nascent strategy has been developed which is contributing to improved adherence and a reduction in internalised stigma among traditionalists living with HIV in Waterberg district, South Africa.
医学多元主义在撒哈拉以南非洲很常见。南非多元的医疗保健环境多种多样，包括与非洲传统医学疗效相关的传统主义信仰。先前的研究表明，传统主义与艾滋病毒检测延迟和治疗中断有关。尽管南非有大量关于此的报道，但缺乏记录在案的应对这一趋势的策略。
制定一项策略，以减少南非林波波省瓦特贝格区传统主义者中抗逆转录病毒治疗不依从的影响。
通过五次面对面、双主持人、半结构化的同质小组讨论获取定性信息。这些小组由50名经过有目的选择、居住在农村、感染艾滋病毒的不同性别的传统主义者组成。运用扎根理论分析小组讨论中出现的定性结果。
受访者自我报告称对抗逆转录病毒治疗的依从性有所提高，内化耻辱感有所降低。受访者将这两者都归因于疾病病因从传统解释向对抗疗法解释的转变。
已制定出一项初步策略，该策略有助于提高南非瓦特贝格区感染艾滋病毒的传统主义者的依从性，并减少他们的内化耻辱感。
