Persons living with HIV infection on antiretroviral therapy also consulting traditional healers: a study in three African countries.
Identifieur interne : 000440 ( Main/Exploration ); précédent : 000439; suivant : 000441Persons living with HIV infection on antiretroviral therapy also consulting traditional healers: a study in three African countries.
Auteurs : Jane N. Wanyama [Ouganda] ; Sharon Tsui [États-Unis] ; Cynthia Kwok [États-Unis] ; Rhoda K. Wanyenze [Ouganda] ; Julie A. Denison [États-Unis] ; Olivier Koole [Belgique] ; Eric Van Praag ; Barbara Castelnuovo [Ouganda] ; Fred Wabwire-Mangen [Ouganda] ; Gideon P. Kwesigabo ; Robert Colebunders [Belgique]Source :
- International journal of STD & AIDS [ 1758-1052 ] ; 2017.
Abstract
Traditional healers provide healthcare to a substantial proportion of people living with HIV infection (PLHIV) in high HIV burden countries in sub-Saharan Africa. However, the impact on the health of retained patients visiting traditional healers is unknown. In 2011, a study to asses adherence to anti-retroviral therapy (ART) performed in 18 purposefully selected HIV treatment centers in Tanzania, Zambia and Uganda showed that 'consulting a traditional healer/herbalist because of HIV' was an independent risk factor for incomplete ART adherence. To identify characteristics of PLHIV on ART who were also consulting traditional healers, we conducted a secondary analysis of the data from this study. It was found that 260 (5.8%) of the 4451 patients enrolled in the study had consulted a traditional healer during the last three months because of HIV. In multivariable analysis, patients with fewer HIV symptoms, those who had been on ART for >5.3 years and those from Tanzania were more likely to have consulted a traditional healer. However, at the time of the study, there was a famous healer in Manyara district, Loliondo village of Tanzania who claimed his herbal remedy was able to cure all chronic diseases including HIV. HIV treatment programs should be aware that patients with fewer HIV symptoms, those who have been on ART for five or more years, and patients attending ART centers near famous traditional healers are likely to consult traditional healers. Such patients may need more support or counseling about the risks of both stopping ART and poor adherence. Considering the realities of inadequate human resources for health and the burden of disease caused by HIV in sub-Saharan Africa, facilitating a collaboration between allopathic and traditional health practitioners is recommended.
DOI: 10.1177/0956462416685890
PubMed: 28162034
Affiliations:
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Kwesigabo</name><affiliation><nlm:affiliation>7 Muhimbili University of Health and Allied Sciences, Dar es Salaam, United Republic of Tanzania.</nlm:affiliation><wicri:noCountry code="subField">United Republic of Tanzania</wicri:noCountry></affiliation></author><author><name sortKey="Colebunders, Robert" sort="Colebunders, Robert" uniqKey="Colebunders R" first="Robert" last="Colebunders">Robert Colebunders</name><affiliation wicri:level="1"><nlm:affiliation>5 Institute of Tropical Medicine, Clinical Sciences Department, Antwerp, Belgium.</nlm:affiliation><country xml:lang="fr">Belgique</country><wicri:regionArea>5 Institute of Tropical Medicine, Clinical Sciences Department, Antwerp</wicri:regionArea><wicri:noRegion>Antwerp</wicri:noRegion></affiliation></author></analytic><series><title level="j">International journal of STD & AIDS</title><idno type="eISSN">1758-1052</idno><imprint><date when="2017" type="published">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Traditional healers provide healthcare to a substantial proportion of people living with HIV infection (PLHIV) in high HIV burden countries in sub-Saharan Africa. However, the impact on the health of retained patients visiting traditional healers is unknown. In 2011, a study to asses adherence to anti-retroviral therapy (ART) performed in 18 purposefully selected HIV treatment centers in Tanzania, Zambia and Uganda showed that 'consulting a traditional healer/herbalist because of HIV' was an independent risk factor for incomplete ART adherence. To identify characteristics of PLHIV on ART who were also consulting traditional healers, we conducted a secondary analysis of the data from this study. It was found that 260 (5.8%) of the 4451 patients enrolled in the study had consulted a traditional healer during the last three months because of HIV. In multivariable analysis, patients with fewer HIV symptoms, those who had been on ART for >5.3 years and those from Tanzania were more likely to have consulted a traditional healer. However, at the time of the study, there was a famous healer in Manyara district, Loliondo village of Tanzania who claimed his herbal remedy was able to cure all chronic diseases including HIV. HIV treatment programs should be aware that patients with fewer HIV symptoms, those who have been on ART for five or more years, and patients attending ART centers near famous traditional healers are likely to consult traditional healers. Such patients may need more support or counseling about the risks of both stopping ART and poor adherence. Considering the realities of inadequate human resources for health and the burden of disease caused by HIV in sub-Saharan Africa, facilitating a collaboration between allopathic and traditional health practitioners is recommended.</div></front></TEI><affiliations><list><country><li>Belgique</li><li>Ouganda</li><li>États-Unis</li></country><region><li>Caroline du Nord</li><li>Maryland</li></region></list><tree><noCountry><name sortKey="Kwesigabo, Gideon P" sort="Kwesigabo, Gideon P" uniqKey="Kwesigabo G" first="Gideon P" last="Kwesigabo">Gideon P. Kwesigabo</name><name sortKey="Van Praag, Eric" sort="Van Praag, Eric" uniqKey="Van Praag E" first="Eric" last="Van Praag">Eric Van Praag</name></noCountry><country name="Ouganda"><noRegion><name sortKey="Wanyama, Jane N" sort="Wanyama, Jane N" uniqKey="Wanyama J" first="Jane N" last="Wanyama">Jane N. Wanyama</name></noRegion><name sortKey="Castelnuovo, Barbara" sort="Castelnuovo, Barbara" uniqKey="Castelnuovo B" first="Barbara" last="Castelnuovo">Barbara Castelnuovo</name><name sortKey="Wabwire Mangen, Fred" sort="Wabwire Mangen, Fred" uniqKey="Wabwire Mangen F" first="Fred" last="Wabwire-Mangen">Fred Wabwire-Mangen</name><name sortKey="Wanyenze, Rhoda K" sort="Wanyenze, Rhoda K" uniqKey="Wanyenze R" first="Rhoda K" last="Wanyenze">Rhoda K. Wanyenze</name></country><country name="États-Unis"><region name="Caroline du Nord"><name sortKey="Tsui, Sharon" sort="Tsui, Sharon" uniqKey="Tsui S" first="Sharon" last="Tsui">Sharon Tsui</name></region><name sortKey="Denison, Julie A" sort="Denison, Julie A" uniqKey="Denison J" first="Julie A" last="Denison">Julie A. Denison</name><name sortKey="Kwok, Cynthia" sort="Kwok, Cynthia" uniqKey="Kwok C" first="Cynthia" last="Kwok">Cynthia Kwok</name></country><country name="Belgique"><noRegion><name sortKey="Koole, Olivier" sort="Koole, Olivier" uniqKey="Koole O" first="Olivier" last="Koole">Olivier Koole</name></noRegion><name sortKey="Colebunders, Robert" sort="Colebunders, Robert" uniqKey="Colebunders R" first="Robert" last="Colebunders">Robert Colebunders</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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