Traditional healers as client advocates in the HIV-endemic region of Maputo, Mozambique: results from a qualitative study.

TitleTraditional healers as client advocates in the HIV-endemic region of Maputo, Mozambique: results from a qualitative study.
Publication TypeJournal Article
Year of Publication2021
AuthorsSundararajan R, Langa PV, Morshed T, Manuel S
JournalSAHARA J
Volume18
Issue1
Pagination77-85
Date Published2021 Dec
ISSN1813-4424
KeywordsHealth Facilities, HIV Infections, Humans, Medicine, African Traditional, Mozambique, Qualitative Research
Abstract

Traditional healers are commonly utilised throughout sub-Saharan Africa instead of - and in concert with - biomedical facilities. Traditional healers are trusted providers and prominent community members and could be important partners in improving engagement with HIV services in endemic contexts. Our study sought to understand the roles of healers in the urban setting of Maputo, Mozambique, where HIV prevalence is high and testing rates are low. Qualitative data were gathered through minimally structured interviews with 36 healers. Analysis followed an inductive, grounded theory approach. Data reveal three themes relevant to improving engagement with HIV services in this endemic region: (1) healers have positive attitudes towards biomedicine; (2) healers advocate for their sick clients and (3) clients are reticent to present to biomedical facilities. Healers describe their roles as 'cooperative' with biomedical providers to provide healthcare for their clients. Results suggest that healers could be considered critical enablers to effective HIV programmes in communities. They have social and symbolic capital that positions them to beneficially influence clients and are natural partners for interventions to improve uptake of HIV services.

DOI10.1080/17290376.2021.1909492
Alternate JournalSAHARA J
PubMed ID33902401
PubMed Central IDPMC8081305
Grant ListP30 AI036214 / AI / NIAID NIH HHS / United States
UL1 TR001442 / TR / NCATS NIH HHS / United States