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南非科科洛维尼地区传统医学的利用及其融入医疗保健系统;增强全民健康覆盖的前景。

Utilization of traditional medicine and its integration into the healthcare system in Qokolweni, South Africa; prospects for enhanced universal health coverage.

机构信息

University of Gothenburg, School of Public Health and Community Medicine, Institute of Medicine, Sahlgrenska Academy, Box 463, 405-30 Gothenburg, Sweden.

出版信息

Complement Ther Clin Pract. 2021 May;43:101386. doi: 10.1016/j.ctcp.2021.101386. Epub 2021 Apr 20.

Abstract

Despite the WHO providing a framework for the integration of traditional medicines into the health systems with pandemics like HIV/AIDS and the COVID-19, most countries are yet to adopt the recommendations. This study explored why the integration of traditional medicines with the biomedical healthcare system in Qokolweni in Eastern Cape, South Africa was stalling. The research employed qualitative research methods; participant observation and in-depth ethnographic interviews of community members, traditional healers, and nurses. The study found that: traditional medicines are widely used in Qokolweni due to accessibility and long-built trust; the practice is broad and not certified. To achieve the integration of traditional medicine into the conventional health systems, the central government needs to show political will by setting up regulatory strategies that provide for the scientific evaluation and certification of traditional medicines. This will build confidence among biomedical scientists and health practitioners, thereby fostering easy collaboration and integration.

摘要

尽管世界卫生组织为将传统医学纳入针对艾滋病病毒/艾滋病和 COVID-19 等大流行病的卫生系统提供了框架,但大多数国家仍未采纳这些建议。本研究探讨了为什么南非东开普省科科洛维尼的传统医学与生物医学医疗保健系统的整合会停滞不前。该研究采用了定性研究方法;对社区成员、传统治疗师和护士进行了参与式观察和深入的民族志访谈。研究发现:由于传统医学的可及性和长期建立的信任,在科科洛维尼广泛使用传统医学;这种做法广泛但未经认证。为了实现传统医学与常规卫生系统的整合,中央政府需要通过制定监管战略来展示政治意愿,为传统医学的科学评估和认证提供保障。这将在生物医学科学家和卫生从业人员中建立信心,从而促进轻松的合作和整合。

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