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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.

Seizures in Namibia: A study of traditional health practitioners