Perceptions of HIV and mental illness as “Western” or “Traditional” illnesses: a cross-sectional study from Limpopo Province, South Africa

Abstract Although Western biomedical treatment has dramatically increased across sub-Saharan African health systems, traditional medicine as a form of healing and beliefs in supernatural powers as explanations for disease remain prevalent. Research in this region has identified HIV in particular as...

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Main Authors: Michael Galvin, Lezanie Coetzee, Patricia Leshabana, Nthabiseng Masebe, Shitshembiso Lebepe, Aneesa Moolla, Amanda R. Tarullo, Peter C. Rockers, Denise Evans
Format: Article
Language:English
Published: BMC 2024-11-01
Series:BMC Complementary Medicine and Therapies
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Online Access:https://doi.org/10.1186/s12906-024-04700-1
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author Michael Galvin
Lezanie Coetzee
Patricia Leshabana
Nthabiseng Masebe
Shitshembiso Lebepe
Aneesa Moolla
Amanda R. Tarullo
Peter C. Rockers
Denise Evans
author_facet Michael Galvin
Lezanie Coetzee
Patricia Leshabana
Nthabiseng Masebe
Shitshembiso Lebepe
Aneesa Moolla
Amanda R. Tarullo
Peter C. Rockers
Denise Evans
author_sort Michael Galvin
collection DOAJ
description Abstract Although Western biomedical treatment has dramatically increased across sub-Saharan African health systems, traditional medicine as a form of healing and beliefs in supernatural powers as explanations for disease remain prevalent. Research in this region has identified HIV in particular as a disease located within both the traditional African and Western medical paradigms, whilst mental illness is ascribed to primarily supernatural causes. Within this context, this study sought to understand and explore the perceptions of HIV and mental illness among a population of rural women in Limpopo, South Africa. 82 in-depth interviews were conducted between January and December, 2022. Interviews were transcribed and translated into English. Data were managed using NVivo 11 software and thematically analyzed. The majority of participants identified HIV as a Western illness requiring biomedical treatment with an origin largely attributed to biological mechanisms. A traditional form of HIV only cured using traditional treatments was also denoted. Unlike for HIV, the majority of respondents felt that there was no biological or behavioral cause for mental illness but rather the illness was conceptualized supernaturally thus likely impacting patient care pathways. Further research to study HIV and mental health perceptions among a larger sample in different regions of sub-Saharan Africa is warranted.
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spelling doaj-art-764eb1b1e90c4485bf8a647ed7ea9cbb2024-11-24T12:10:35ZengBMCBMC Complementary Medicine and Therapies2662-76712024-11-012411810.1186/s12906-024-04700-1Perceptions of HIV and mental illness as “Western” or “Traditional” illnesses: a cross-sectional study from Limpopo Province, South AfricaMichael Galvin0Lezanie Coetzee1Patricia Leshabana2Nthabiseng Masebe3Shitshembiso Lebepe4Aneesa Moolla5Amanda R. Tarullo6Peter C. Rockers7Denise Evans8Harvard T.H. Chan School of Public HealthHealth Economics and Epidemiology Research Office, Faculty of Health Sciences, University of the WitwatersrandHealth Economics and Epidemiology Research Office, Faculty of Health Sciences, University of the WitwatersrandHealth Economics and Epidemiology Research Office, Faculty of Health Sciences, University of the WitwatersrandHealth Economics and Epidemiology Research Office, Faculty of Health Sciences, University of the WitwatersrandHealth Economics and Epidemiology Research Office, Faculty of Health Sciences, University of the WitwatersrandDepartment of Psychological and Brain Sciences, College of Arts and Sciences, Boston UniversityDepartment of Global Health, Boston University School of Public HealthHealth Economics and Epidemiology Research Office, Faculty of Health Sciences, University of the WitwatersrandAbstract Although Western biomedical treatment has dramatically increased across sub-Saharan African health systems, traditional medicine as a form of healing and beliefs in supernatural powers as explanations for disease remain prevalent. Research in this region has identified HIV in particular as a disease located within both the traditional African and Western medical paradigms, whilst mental illness is ascribed to primarily supernatural causes. Within this context, this study sought to understand and explore the perceptions of HIV and mental illness among a population of rural women in Limpopo, South Africa. 82 in-depth interviews were conducted between January and December, 2022. Interviews were transcribed and translated into English. Data were managed using NVivo 11 software and thematically analyzed. The majority of participants identified HIV as a Western illness requiring biomedical treatment with an origin largely attributed to biological mechanisms. A traditional form of HIV only cured using traditional treatments was also denoted. Unlike for HIV, the majority of respondents felt that there was no biological or behavioral cause for mental illness but rather the illness was conceptualized supernaturally thus likely impacting patient care pathways. Further research to study HIV and mental health perceptions among a larger sample in different regions of sub-Saharan Africa is warranted.https://doi.org/10.1186/s12906-024-04700-1Mental illnessHIVAfricaSouth AfricaTraditional illnesses
spellingShingle Michael Galvin
Lezanie Coetzee
Patricia Leshabana
Nthabiseng Masebe
Shitshembiso Lebepe
Aneesa Moolla
Amanda R. Tarullo
Peter C. Rockers
Denise Evans
Perceptions of HIV and mental illness as “Western” or “Traditional” illnesses: a cross-sectional study from Limpopo Province, South Africa
BMC Complementary Medicine and Therapies
Mental illness
HIV
Africa
South Africa
Traditional illnesses
title Perceptions of HIV and mental illness as “Western” or “Traditional” illnesses: a cross-sectional study from Limpopo Province, South Africa
title_full Perceptions of HIV and mental illness as “Western” or “Traditional” illnesses: a cross-sectional study from Limpopo Province, South Africa
title_fullStr Perceptions of HIV and mental illness as “Western” or “Traditional” illnesses: a cross-sectional study from Limpopo Province, South Africa
title_full_unstemmed Perceptions of HIV and mental illness as “Western” or “Traditional” illnesses: a cross-sectional study from Limpopo Province, South Africa
title_short Perceptions of HIV and mental illness as “Western” or “Traditional” illnesses: a cross-sectional study from Limpopo Province, South Africa
title_sort perceptions of hiv and mental illness as western or traditional illnesses a cross sectional study from limpopo province south africa
topic Mental illness
HIV
Africa
South Africa
Traditional illnesses
url https://doi.org/10.1186/s12906-024-04700-1
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