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Traditional healers' perception on scabies causation and management in Ghana

Tehrani, Jian M. ; Vos, Ingmar A. ; Kisabacak, Robin ; Topper, Marten K. ; Steinhorst, Jonathan ; Phillips, Richard Odame ; Abass, Kabiru Mohammed ; Osei‐Mireku, Samuel ; Anokye, Charles Owusu ; Adu Poku, Joseph K. ; Stienstra, Ymkje ; Amoako, Yaw Ampem

Tropical medicine & international health, 2024-06, Vol.29 (6), p.477-488 [Periódico revisado por pares]

England: Blackwell Publishing Ltd

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Título:
Traditional healers' perception on scabies causation and management in Ghana
Autor: Tehrani, Jian M. ; Vos, Ingmar A. ; Kisabacak, Robin ; Topper, Marten K. ; Steinhorst, Jonathan ; Phillips, Richard Odame ; Abass, Kabiru Mohammed ; Osei‐Mireku, Samuel ; Anokye, Charles Owusu ; Adu Poku, Joseph K. ; Stienstra, Ymkje ; Amoako, Yaw Ampem
Assuntos: Adult ; Animals ; Collaboration ; Cooperation ; Exanthema ; Female ; Ghana ; Health Knowledge, Attitudes, Practice ; Herbal medicine ; Humans ; Infectious diseases ; Interviews as Topic ; Itching ; Male ; Medicine, African Traditional ; Middle Aged ; Parasitic diseases ; Perception ; perceptions ; Primary care ; Pruritus ; Qualitative Research ; Rural areas ; Rural health care ; Scabies ; Scabies - drug therapy ; Signs and symptoms ; Skin ; Skin eruptions ; Spirituality ; Topical medication ; traditional healers ; Traditional Medicine Practitioners
É parte de: Tropical medicine & international health, 2024-06, Vol.29 (6), p.477-488
Notas: Jian M. Tehrani and Ingmar A. Vos are joint first authors.
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Descrição: Introduction Scabies is an underdiagnosed skin infestation caused by the Sarcoptes scabiei mite. The infection causes severe itching and a skin rash but can be effectively treated using topical or systemic drugs. Scabies outbreaks are commonly reported in resource‐poor countries, including Ghana. Traditional healers play an important role in primary care in rural areas. The role of these traditional healers in the management of scabies has so far not been explored. The aim of this study was therefore to investigate the perceptions of traditional healers regarding the causation and management of scabies. Methods A phenomenological qualitative approach was employed. Traditional healers in the Asante Akim North and Central districts in Ghana were approached with an interview request. Using a semi‐structured interview protocol, 15 traditional healers were interviewed. The results were coded and analysed, after which seven themes were extrapolated. Results Scabies infections were frequently reported by traditional healers. Itching and skin rash were unanimously regarded as the major symptoms of scabies. The majority acknowledged the infectious nature of scabies, but no participant reported the causative organism. A dichotomous disease classification was noted, consisting of ‘natural’ and ‘spiritual’ variants each with a unique disease profile and management requirements, as reported by the traditional healers. All but two traditional healers reported to treat scabies using almost exclusively herbs and spiritual rituals. Conclusion The majority of traditional healers were open to collaboration with allopathic healthcare providers. Collaboration could broaden the primary care network in rural areas, but mistrust and lack of transparency form potential barriers to collaboration. We, therefore, emphasise the need for additional efforts to investigate strategies for future collaboration.
Editor: England: Blackwell Publishing Ltd
Idioma: Inglês

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Traditional healers' perception on scabies causation and management in Ghana

Tehrani, Jian M. ; Vos, Ingmar A. ; Kisabacak, Robin ; Topper, Marten K. ; Steinhorst, Jonathan ; Phillips, Richard Odame ; Abass, Kabiru Mohammed ; Osei‐Mireku, Samuel ; Anokye, Charles Owusu ; Adu Poku, Joseph K. ; Stienstra, Ymkje ; Amoako, Yaw Ampem

England: Blackwell Publishing Ltd

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