title: Utilization of traditional healers in South Africa and costs to patients: findings from a national household survey.
abstract: The use of traditional medicine is widespread in developing countries. We report on the utilization of traditional healers, using data obtained in a 2008 national survey of 4762 households in South Africa. Only 1.2 per cent of survey participants reported utilization of traditional healers. Respondents' reasons for visiting traditional healers included continuity of care and a belief in their effectiveness. Traditional healer utilization rates (0.02 visits per month) were considerably lower compared to utilization rates of public sector clinics (0.18 visits per month) or hospitals (0.09 visits per month). Almost three-quarters of the poorest quintile spent more than 10 per cent of their household expenditure in the previous month on traditional healers. Given the use of two parallel health-care systems, policy-makers should develop strategies to protect poor South Africans from out-of-pocket payments for health care. Simultaneous utilization of these systems evidently absorbs expenditure from low-income households significantly.
authors: Centre for Health Policy & Medical Research Council Health Policy Research Group, School of Public Health, University of the Witwatersrand, Johannesburg, Private Bag X3, Wits, Johannesburg 2050, South Africa. nonhlanhla.nxumalo@wits.ac.za
authors: Nonhlanhla
authors: N
authors: Nxumalo
authors: Olufunke
authors: O
authors: Alaba
authors: Bronwyn
authors: B
authors: Harris
authors: Matthew
authors: M
authors: Chersich
authors: Jane
authors: J
authors: Goudge
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D017281:Cost of Illness; D005249:Fees and Charges; D005260:Female; D017048:Health Care Costs; D019538:Health Care Surveys; D006801:Humans; D008297:Male; D016488:Medicine, African Traditional / Q000191:economics / Q000706:statistics & numerical data*; D008875:Middle Aged; D012923:Social Class; D013019:South Africa; D014186:Transportation; D055815:Young Adult