关键词: Collaboration Malawi traditional healer traditional medicine western medicine

Mesh : Humans Malawi Medicine, African Traditional / methods Mental Disorders / therapy Qualitative Research Health Personnel

来  源:   DOI:10.4314/mmj.v34i4.2   PDF(Pubmed)

Abstract:
UNASSIGNED: Collaboration between traditional and biomedical medicine can lead to holistic care and improved health outcomes for people with mental illnesses. The current study aimed to explore the views and experiences of traditional and western medicine practitioners on potential collaboration in the care of people living with mental illness in Blantyre, Malawi.
UNASSIGNED: A phenomenological qualitative research design was used. Data were collected using both one-on-one in-depth interviews (IDIs) and focus group discussions (FGDs). Participants were traditional healers and western medicine practitioners in Blantyre, Malawi. We conducted 10 in-depth interviews with traditional healers, 4 focus group discussions (2 for traditional healers and 2 for western medicine practitioners) and 6 key informant interviews with leaders of the two groups. The sample was determined based on data saturation. Thematic analysis was used to analyse the data. We used a combination of deductive and inductive coding.
UNASSIGNED: Five broad themes were identified from the data: experiences with collaboration, views on collaboration, models of collaboration, barriers to collaboration, and factors that can facilitate collaboration. participants had no experience of formal collaboration between traditional healers and western healthcare workers in the management of mental illness. However, some reported experience of successful collaborations in other health areas such as safe motherhood, tuberculosis and HIV/AIDS. Many participants showed a positive attitude toward collaboration and were in support of it. Barriers to collaboration included negative attitudes and a lack of resources. Factors that can facilitate collaboration were dialogue, training and respect. Referral and training were the preferred forms of collaboration.
UNASSIGNED: With proper structures and respectful dialogue, a collaboration between traditional and western medicine practitioners is possible in Blantyre, Malawi.
摘要:
传统医学和生物医学医学之间的合作可以为患有精神疾病的人带来整体护理和改善健康状况。本研究旨在探讨中西医结合医生对布兰太尔精神病患者护理的潜在合作的观点和经验,马拉维。
采用了现象学定性研究设计。使用一对一深度访谈(IDI)和焦点小组讨论(FGD)收集数据。参与者是布兰太尔的传统治疗师和西医从业者,马拉维。我们对传统治疗师进行了10次深度访谈,4次焦点小组讨论(2次针对传统治疗师,2次针对西医从业者)和6次与两组领导人的关键线人访谈。基于数据饱和度确定样品。采用专题分析法对数据进行分析。我们使用了演绎和归纳编码的组合。
从数据中确定了五个广泛的主题:合作经验,对合作的看法,合作模式,合作的障碍,以及可以促进合作的因素。参与者没有传统治疗师和西方医护人员在精神疾病管理方面进行正式合作的经验.然而,据报道,在安全孕产等其他卫生领域成功合作的一些经验,结核病和艾滋病毒/艾滋病。许多参与者对合作表现出积极的态度,并对此表示支持。合作的障碍包括消极态度和缺乏资源。可以促进合作的因素是对话,训练和尊重。推荐和培训是首选的合作形式。
通过适当的结构和尊重的对话,在布兰太尔,传统和西医之间的合作是可能的,马拉维。
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