The historical relationship between African indigenous healing practices and Western-orientated biomedicine in South Africa: A challenge to collaboration

Phillip M Guma,Sekgothe Mokgoatšana

doi:10.4102/hts.v76i4.6104

Phillip M Guma, Sekgothe Mokgoatšana

Open Access

https://doi.org/10.4102/hts.v76i4.6104

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Abstract

South African traditional medicine is based on centuries-old cultural heritage, yet it remains popular today, used by a significant percentage of the population. It has adapted to changing times, endured persecution by unfriendly governments and now enjoys a new status with the government’s adoption of the Traditional Health Practitioners Act 35 of 2004. The adoption of this act was an important first step by the national government towards the integration of traditional and Western health systems in official health services. However, many challenges still need to be addressed. Competition between traditional healers in Keiskammahoek has resulted in low participation in local traditional healers’ councils, posing a significant challenge to future cooperative efforts between traditional healers and biomedical practitioners. Although biomedical practitioners have expressed mixed views on collaboration with traditional healers, exposure to traditional healers on a professional level, together with an understanding of traditional medicine theory, helps to foster an understanding and willingness to work with traditional healers. This article discusses the ways in which political consciousness and social dialogues have strongly influenced the relationships between different healthcare systems in South Africa, as well as the continuing challenges of healthcare delivery in the Eastern Cape. Contribution: This article hopes to expand the long-debated call to integrate African indigenous medicine into the mainstream medical practice that continues to favour biomedicine to the detriment of local practices of medicine and healthcare.

Highlights

M.D.: I quite agree with you as to the value of the rain, but you cannot charm the clouds by medicines
South African traditional medicine is based on centuries-old cultural heritage, yet it remains popular today, used by an estimated 80% of the population (Baleta 1998:554)
In defence of the civilised thoughts that colonial powers imported into Africa, the South African government has poured massive amounts of state and private resources into Western medicine at the expense of its traditional counterpart (Hopa et al 1998:8)

Summary

Introduction

M.D. (medical doctor): I quite agree with you as to the value of the rain, but you cannot charm the clouds by medicines. In defence of the civilised thoughts that colonial powers imported into Africa, the South African government has poured massive amounts of state and private resources into Western medicine at the expense of its traditional counterpart (Hopa et al 1998:8). Homeland residents had little capital and few resource management skills and were subject to corrupt and abusive local governments (Hastings 1976; Homer-Dixon 1994:32; South African History Online n.d.) This resulted in a segregated health system whereby the white minority enjoyed amongst the best medical services available anywhere in the world, whereas the black majority and those in rural areas were catered for by mostly Third World–quality health institutions that were characterised by poor facilities and inadequate resources (Hopa et al 1998:8). The overall number of traditional health practitioners has not been determined, but there are 57 qualified and certificated traditional healers.

Methodology

Conclusion

Findings

Data availability statement