A qualitative study on traditional healers’ perceptions and management of epidermolysis bullosa

Health SA Gesondheid

 
 
Field Value
 
Title A qualitative study on traditional healers’ perceptions and management of epidermolysis bullosa
 
Creator Chateau, Antoinette V. Gqaleni, Nceba Aldous, Colleen Dlova, Ncoza Blackbeard, David
 
Subject — traditional health practitioners (THPs); epidermolysis bullosa (EB); traditional practices; rare skin disease; South Africa
Description Background: Epidermolysis bullosa (EB) is a rare, incurable genodermatosis causing blisters that can result in multisystemic complications and death. Limited data exists on EB in South Africa. Research indicates that the majority of African patients consult traditional health practitioners (THPs) before seeking allopathic healthcare.Aim: This study aims to understand THPs belief systems, experiences, perceptions and management of EB patients and their families in the social and cultural context to improve the healthcare of EB patients.Setting: The study setting is Nelson Mandela School of Medicine, Durban, and Grey’s hospital, Pietermaritzburg, KwaZulu-Natal.Methods: Qualitative in-depth interviews were conducted with 10 THPs. A non-probability, purposive sampling method was used. A two-site qualitative study was guided by interpretative phenomenological analysis. Guba’s trustworthiness framework was used to ensure rigour.Results: Three male and seven female THPs were interviewed, including sangoma, inyanga and umthandazi. The integration presented five global themes: (1) THP practices, (2) perceptions of THP, (3) experiences of THP with patients with EB, (4) diagnosis and management plans of THP and (5) vision and role of THPs. There were multiple divergent perspectives among the THPs with the shared African worldview.Conclusion: Understanding THPs belief systems and therapeutic options is crucial for holistic patient management. Knowledge exchange can promote safe healthcare practices and facilitate collaboration between traditional and allopathic health practitioners.Contribution: This is the first study to explore THPs perceptions and practices regarding EB, a rare disease.
 
Publisher AOSIS Publishing
 
Contributor Partially funded by the PI and partially funded by the University of KwaZulu-Natal
Date 2023-08-28
 
Type info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion — Qualitative research
Format text/html application/epub+zip text/xml application/pdf
Identifier 10.4102/hsag.v28i0.2266
 
Source Health SA Gesondheid; Vol 28 (2023); 11 pages 2071-9736 1025-9848
 
Language eng
 
Relation
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Coverage South Africa; KwaZulu-Natal; Pietermaritzburg; Durban 2022 middle age; males and females; African; isiZulu-speaking
Rights Copyright (c) 2023 Antoinette V. Chateau, Nceba Gqaleni, Colleen Aldous, Ncoza Dlova, David Blackbeard https://creativecommons.org/licenses/by/4.0
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