Lampiao Fanuel, Chisaka Joseph, Clements Carol
Africa Centre of Excellence in Public Health and Herbal Medicine, College of Medicine, University of Malawi, Blantyre, Malawi.
Biomedical Sciences Department, College of Medicine, University of Malawi, Blantyre, Malawi.
Front Sociol. 2019 Jun 21;4:37. doi: 10.3389/fsoc.2019.00037. eCollection 2019.
The high burden of disease in Malawi is exacerbated by a lack of healthcare professionals, and the inaccessibility of healthcare services to many Malawians, due to geographical and financial barriers. The World Health Organization commends the contribution that traditional and complementary medicine could make to achieve such coverage through its integration into health systems. This study aimed to evaluate the barriers that exist between traditional healers and biomedical practitioners for them to collaborate with each other. Semi-structured interviews were conducted with traditional healers and biomedical practitioners. Results showed that the two groups were willing to collaborate with each other, but to differing degrees. Traditional healers were more enthusiastic than biomedical practitioners, who had several reservations about traditional healers, and placed certain conditions on prospective collaboration. While traditional healers clearly had confidence in biomedical practitioners' competencies and respect for their practice, biomedical practitioners lacked trust in traditional healers and would not refer patients to them due to several reservations, such as the lack of scientific basis for traditional medicine. This study points out barriers that affects collaboration between traditional healers and biomedical practitioners and it suggests possible solutions.
马拉维医疗保健专业人员的短缺,以及许多马拉维人由于地理和经济障碍而难以获得医疗服务,加剧了该国沉重的疾病负担。世界卫生组织称赞传统医学和补充医学通过融入卫生系统,可为实现这种覆盖范围做出贡献。本研究旨在评估传统治疗师和生物医学从业者之间相互协作存在的障碍。对传统治疗师和生物医学从业者进行了半结构化访谈。结果表明,两组都愿意相互协作,但程度不同。传统治疗师比生物医学从业者更积极,生物医学从业者对传统治疗师有一些保留意见,并对未来的合作设定了某些条件。虽然传统治疗师显然对生物医学从业者的能力有信心并尊重他们的做法,但生物医学从业者对传统治疗师缺乏信任,并且由于一些保留意见,如传统医学缺乏科学依据,不会将患者转介给他们。本研究指出了影响传统治疗师和生物医学从业者之间合作的障碍,并提出了可能的解决方案。