Decolonising the mindsets, attitudes and practices of the allopathic and indigenous health practitioners in postcolonial society: An exploratory approach in the management of patients

African Journal of Primary Health Care & Family Medicine

 
 
Field Value
 
Title Decolonising the mindsets, attitudes and practices of the allopathic and indigenous health practitioners in postcolonial society: An exploratory approach in the management of patients
 
Creator Nemutandani, Simon M. Hendricks, Stephen J. Mulaudzi, Mavis F.
 
Subject family medicine; primary health care; education decolonization of mind; indigenous health system; allopathic health system; collaboration model; HIV/AIDS management
Description Background: The indigenous health care system continues in the postcolonial era to be perceived by antagonists as a threat to Western medicine. It has been associated with ‘witchcraft’, actively discouraged and repressed through official government prohibition laws. Despite that, human immunodeficiency virus and acquired immunodeficiency syndrome(HIV and AIDS) patients consult both allopathic and indigenous health practitioners.Aim: The study explored a collaboration model between allopathic and traditional health practitioners in the management of patients living with HIV and AIDS in postcolonial South Africa.Setting: We conducted six combined focus group discussions and four separate group discussions with each category of co-researchers.Methods: Combined and separate focus group discussions were conducted with community members, allopathic and indigenous health practitioners, applying the cyclical method in the decolonisation process. Their perceptions and experiences in the management of HIV and AIDS patients were explored, and finally decolonisation strategies suitable for collaboration in their context were identified.Results: The two health systems were rendering services to the same HIV and AIDS communities.Lack of communication created confusion. Collaboration was long overdue. A change in mindsets, attitudes and practices among practitioners was critical, with an acknowledgementthat ‘neither health system is better than the other, but the two should be complementary, recognising that the culture and beliefs of patients influence their health-seeking behaviour’.Conclusion: Co-researchers were committed to working together in the fight against HIV and AIDS infections. Their model for collaboration addresses the challenges of patients’ secrecy, treatment overdose and the abandonment of antiretroviral treatment. Through the application of a decolonisation process, their mindsets, attitudes and practices towards each other were changed, enabling the joint development of a custom model for collaboration between allopathic health practitioners and indigenous health practitioners in the management of patients living with HIV and AIDS.
 
Publisher AOSIS
 
Contributor South African Medical Research Council (SAMRC), Deputy VC Research Office- University of Pretoria and National Health Scholarship Program (NHSP).
Date 2018-05-28
 
Type info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion — qualitative research; focus group discussions
Format text/html application/epub+zip application/xml application/pdf
Identifier 10.4102/phcfm.v10i1.1518
 
Source African Journal of Primary Health Care & Family Medicine; Vol 10, No 1 (2018); 8 pages 2071-2936 2071-2928
 
Language eng
 
Relation
The following web links (URLs) may trigger a file download or direct you to an alternative webpage to gain access to a publication file format of the published article:

https://phcfm.org/index.php/phcfm/article/view/1518/2590 https://phcfm.org/index.php/phcfm/article/view/1518/2589 https://phcfm.org/index.php/phcfm/article/view/1518/2591 https://phcfm.org/index.php/phcfm/article/view/1518/2588
 
Coverage Africa; South Africa; Limpopo Province, Vhembe-Mopani districts 2014-2016 indigenous and allopathic health practitioners, community /HIV/AIDS patients.
Rights Copyright (c) 2018 Simon M. Nemutandani, Stephen J. Hendricks, Mavis F. Mulaudzi https://creativecommons.org/licenses/by/4.0
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