Throwing the bones to diagnose HIV: Views of rural South African traditional healers on undertaking HIV counselling and testing

dc.contributor.authorCarolyn M. Audet
dc.contributor.authorElise M. Clemens
dc.contributor.authorSizzy Ngobeni
dc.contributor.authorMevian Mkansi
dc.contributor.authorDaniel E. Sack
dc.contributor.authorRyan G. Wagner
dc.date.accessioned2024-07-25T09:32:07Z
dc.date.available2024-07-25T09:32:07Z
dc.date.issued2022-10-10
dc.description.abstractIn 2018, nearly 800,000 HIV positive individuals in South Africa were unaware of their status. Traditional healers see patients who avoid health clinics, including those who refuse HIV testing. This manuscript details the results of a qualitative study to understand traditional healer perspectives on performing healer-initiated HIV counseling and testing HIV in rural South Africa. We conducted 30 structured in-depth, in-person interviews between April and June 2019 to elicit traditional healer attitudes towards partnering with local health services to perform HIV counseling and testing with their patients. Healers reported that while some patients are open about their HIV status, others lie about it due to stigma around the disease. This creates challenges with concurrent treatment, which healers believe leads to allopathic and/or traditional medication treatment failure. Most healers expressed both an interest and a willingness to perform HIV counseling and testing. Healers felt that by performing testing in the community, it would overcome issues related to HIV stigma, as well as a lack of confidentiality and trust with health care workers at the clinic. Trained traditional healers may be able to bridge the testing gap between “non-testers” and the allopathic health system, essentially “opening” thousands of new testing locations with little financial investment.
dc.description.submitterPM2024
dc.facultyFaculty of Health Sciences
dc.identifier.urihttps://hdl.handle.net/10539/39854
dc.language.isoen
dc.schoolSchool of Public Health
dc.titleThrowing the bones to diagnose HIV: Views of rural South African traditional healers on undertaking HIV counselling and testing
dc.typeArticle
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