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Background The promulgation of the Traditional Health Practitioners Act No 22 (2007) was seen as the long awaited start-up of the traditional healing profession in South Africa. Act No 22 (2007) was strongly politically driven from the late 1960s onward. Many of these political motivators were based upon outdated cultural ideas, customs and traditions, rooted outside the modern day healthcare needs and demands of the particular population that traditional healing intends to serve. An in-depth needs and skills analysis, to test the viability and sustainability of the South African traditional healers as well as their positions and roles as health practitioners inside the formal healthcare sector, as guided and stipulated by the Traditional Health Practitioners Act No 22 (2007), was lacking in this early development and start-up process. This resulted in the traditional healers’ present and future roles as specific healthcare practitioners being both undefined and insufficiently formulated. In addition their existing education, training, skills and abilities to compete in the formal healthcare sector were ignored. Therefore, since the promulgation of the Act in 2007, there was limited professional-development for traditional healers, to improve their immediate professionalism and thus to promote effective role-playing and management in the formal healthcare sector. The South African traditional healing professional model is still in the foundational stage of its professional development; a stage which the other registered/regulated healthcare practitioners of the country surpassed long ago, making them well-equipped for role-playing and management as health professionals in the formal healthcare sector. The whole venture of the statutory recognition of the traditional health practitioners in 2007 as new healthcare professionals with the promulgation of the Traditional Health Practitioners Act No 22 (2007) seems to increasingly be a failure. There is thus a definite need to establish how the South African traditional healers are equipped to compete independently in the healthcare sector. If this is not possible, what alternatives are available to steer some of them into the country’s healthcare sector and still make them useful as health practitioners. Coupled to this need is the future status and role of the Traditional Health Practitioners Act No 22 (2007), to uphold the roles of traditional healers. Aims The study aims to determine the present and future roles of the traditional health practitioner in the South African formal healthcare sector, as guided by the Traditional Health Practitioners Act No 22 (2007).

the australasian medical journal

THE PRESENT AND FUTURE ROLES OF TRADITIONAL HEALTH PRACTITIONERS WITHIN THE FORMAL HEALTHCARE SECTOR OF SOUTH AFRICA, AS GUIDED BY THE TRADITIONAL HEALTH PRACTITIONERS ACT NO 22 (2007)