Browsing by Subject "Healing"

Now showing 1 - 2 of 2
  • Thumbnail Image
    Item
    Open Access
    Child mental health in Sierra Leone: a survey and exploratory qualitative study
    (2016) Yoder, Hélène N C; Tol, Wietse A; Reis, Ria; de Jong, Joop T V M
    Abstract Background This study complements the growing amount of research on the psychosocial impact of war on children in Sierra Leone by examining local perceptions of child mental health, formal and informal care systems, help-seeking behaviour and stigma. Methods The study combined: (1) a nationwide survey of mental health care providers, with (2) exploratory qualitative research among service users and providers and other stakeholders concerned with child and adolescent mental health, with a particular emphasis on local explanations and stigma. Results Formal mental health care services are extremely limited resulting in an estimated treatment gap of over 99.8 %. Local explanations of child mental health problems in Sierra Leone are commonly spiritual or supernatural in nature, and associated with help-seeking from traditional healers or religious institutions. There is a considerable amount of stigma related to mental disorders, which affects children, their caregivers and service providers, and may lead to discrimination and abuse. Conclusions Child and Adolescent Mental Health (CAMH) care development in Sierra Leone should cater to the long-term structural effects of war-violence and an Ebola epidemic. Priorities for development include: (1) the strengthening of legal structures and the development of relevant policies that strengthen the health system and specifically include children and adolescents, (2) a clearer local distinction between children with psychiatric, neurological, developmental or psychosocial problems and subsequent channelling into appropriate services (3) supplementary CAMH training for a range of professionals working with children across various sectors, (4) specialist training in CAMH, (5) integration of CAMH care into primary health care, education and the social welfare system, (6) further research on local explanations of child mental disorders and the effect they have on the well-being of the child, and (7) a careful consideration of the role of religious healers as care providers.
  • Thumbnail Image
    Item
    Restricted
    Negotiating healing: understanding the dynamics amongst traditional healers in Kwazulu-Natal as they engage with professionalisation
    (Taylor & Francis, 2005) Devenish, Annie
    Traditional healing in South Africa is undergoing a process of change. Recognition of the role of traditional healers in health care, especially in the face of the HIV and AIDS pandemic, has led to government calls for professionalisation amongst this group. Traditional healers themselves have been increasingly experiencing a need to professionalise in order to gain more equal treatment in the public health sector and to secure access to state resources and support. In response to these developments, the government passed the Traditional Health Practitioners Act in 2004, which sets the parameters for official recognition of healers under the state. This paper focuses on the dynamics and politics amongst traditional health practitioners as they undergo this process of professionalisation, focusing on the KwaZulu-Natal Traditional Healers Council, the official body responsible for representing healers in the Province. It explores and analyses several key tensions amongst healers within and beyond the Council, showing how these tensions reveal particular power struggles over authority, as well as conflicting perspectives on the control and use of indigenous knowledge and the parameters of 'authentic' and 'appropriate' healing practice. The paper also looks at how the KwaZulu-Natal Council has attempted to mediate these tensions, emphasising that healers will have to find ways to resolve such conflicts in order for them to be able to come together and work on a common vision of professionalism.