Open AccessSeizures in Namibia: A study of traditional health practitioners
Author(s) -
Toit Anina,
Pretorius Chrisma
Publication year - 2018
Publication title -
epilepsia open
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.247
H-Index - 16
ISSN - 2470-9239
DOI - 10.1002/epi4.12240
Subject(s) - thematic analysis , health care , qualitative research , divination , focus group , medicine , perception , psychology , nursing , business , political science , sociology , social science , marketing , astronomy , neuroscience , law , physics
Summary Objective Countries in sub‐Saharan Africa are plagued by poor healthcare facilities, lack of specialist care, and limited financial resources. People with seizures often rely on the help of traditional health practitioners ( THP s). Traditional health practices are not acknowledged in Namibia and remain unregulated and open to exploitation. We conducted a qualitative study to gain an understanding of THP s’ perceptions and experiences in delivering seizure care in Namibia. Methods This study formed part of a larger mixed‐method study that explored seizure care among healthcare providers ( HCP s) in Namibia. Semi‐structured interviews were conducted with 11 THP s in Namibia. Thematic analysis was used to identify themes and subthemes in the data. Themes were interpreted using the different levels of Bronfenbrenner's Ecological Systems Theory to illustrate the perceptions and experiences of THP s in the management of seizures. Results THPs distinguish between seizures with physical causes and those caused by witchcraft, evil spirits, and supernatural forces. THP s acknowledge the role of Western medicine in the treatment of medically explained seizures (physical causes). Seizures as a result of medically unexplained symptoms (spiritual) are deemed best treated by traditional medicine ( TM ). Diagnostic and treatment practices are person‐specific and are guided by divination and the use of plant and animal material. Treatment success is measured by the complete absence of seizures. Biomedical treatment is seen as lacking due to its focus on seizure control and failure to provide a permanent cure. Significance In countries with limited healthcare resources, the untapped potential of THP s may play a valuable role in bridging the treatment gap for seizures. Incorporating THP s into the healthcare system depends on proper regulation and clear demarcation of roles between service providers. Improved referral practices and collaboration between service providers will be of benefit for people with seizures who are often exposed to stigma and discrimination.