Caring for people with HIV in Zambia: are traditional healers and formal health workers willing to work together?
This study of traditional healers and formal health workers determined their knowledge and practices in the field of HIV/AIDS and examined their training needs and attitudes to collaboration, in preparation for planning joint training workshops. Several misconceptions concerning symptoms and transmission of HIV disease were found in both groups, particularly among traditional healers. Twenty healers (51%) and four formal health workers (15%) claimed a cure existed for AIDS. The majority of traditional healers interviewed expressed difficulties discussing a diagnosis of HIV directly with patients, mainly due to fear of the patient becoming depressed and suicidal. Most interviewees wanted more training--the majority of traditional healers in recognizing symptoms of HIV/AIDS and their treatment, and the majority of formal health workers in HIV counselling. Most were interested in supplying condoms. Almost all healers and half of the formal health workers were keen to collaborate in training and patient care. The study indicates that there is willingness amongst Zambian traditional healers and formal health workers to collaborate in training and patient care in the field of HIV/AIDS. As well as covering symptoms, transmission and prevention of HIV/AIDS, training should aim to increase ability to openly discuss HIV with patients, which many traditional healers and some formal health workers find difficult. Involving traditional healers in supplying condoms may improve acceptability and availability, particularly in rural areas.
Burnett
A
A
Department of General Practice, St. Bartholomew's and the Royal London Hospital Medical College, UK. a.c.burnett@qmw.ac.uk
Baggaley
R
R
Ndovi-MacMillan
M
M
Sulwe
J
J
Hang'omba
B
B
Bennett
J
J
D000163:Acquired Immunodeficiency Syndrome / Q000453:epidemiology / Q000517:prevention & control / Q000628:therapy; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D017280:Condoms / Q000706:statistics & numerical data; D003376:Counseling; D005260:Female; D015658:HIV Infections / Q000453:epidemiology / Q000517:prevention & control / Q000628:therapy*; D006266:Health Education; D007722:Health Knowledge, Attitudes, Practice; D006282:Health Personnel; D006801:Humans; D007400:Interprofessional Relations; D008297:Male; D016488:Medicine, African Traditional; D008875:Middle Aged; D005791:Patient Care; D015024:Zambia