Effect of collaborative care between traditional and faith healers and primary health-care workers on psychosis outcomes in Nigeria and Ghana (COSIMPO): a cluster randomised controlled trial

Gureje, Oye; Appiah-Poku, John; Bello, Toyin; Kola, Lola; Araya, Ricardo; Chisholm, Dan; Esan, Oluyomi; Harris, Brian; Othieno, Caleb; Price, LeShawndra N.; Seedat, Soraya

doi:10.1016/s0140-6736(20)30634-6

Cited by 80 publications

(87 citation statements)

References 26 publications

(28 reference statements)

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“…There have been some positive steps towards increased collaboration in global mental health, including evidence of effective collaboration between primary care workers and traditional and faith healers. 136 However, global mental health advocates should become much firmer in demanding participatory action to implement community-led responses to the mental health impact of COVID-19, by taking advantage of a global climate where power structures are challenged, linking in with collective movements such as MeToo, Black Lives Matter, and student-led movements against environmental degra dation. 137 Young people's voices must be central to • The Global Mental Health Peer Network, an international organisation for mental health service users, partnered with Human Rights in Mental Health-Federation Global Initiative on Psychiatry, an international organisation that promotes user-oriented mental health services, has advocated for greater equality and equity in the pandemic response through a joint position statement.…”

Section: Stakeholders: the Who Of Global Mental Healthmentioning

confidence: 99%

COVID-19 mental health impact and responses in low-income and middle-income countries: reimagining global mental health

Kola

Kohrt

Hanlon

et al. 2021

The Lancet Psychiatry

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419

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Section: Stakeholders: the Who Of Global Mental Healthmentioning

confidence: 99%

COVID-19 mental health impact and responses in low-income and middle-income countries: reimagining global mental health

Kola

Kohrt

Hanlon

et al. 2021

The Lancet Psychiatry

Self Cite

551

419

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“…The open stance taken by many healers towards hospital medicine, however, signifies that there is potential for finding common ground between THs and clinical health staff in addressing the burden of snakebite. Closer association between THs and medical facilities and training of healers is widely considered as vital to the improvement of healthcare [11,13,14,40] and research has already demonstrated that such progress is possible and worthwhile for other ailments [44][45][46]).…”

Section: Discussionmentioning

confidence: 99%

‘The medicine is not for sale’: Practices of traditional healers in snakebite envenoming in Ghana

et al. 2021

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Background Snakebite envenoming is a medical emergency which is common in many tropical lower- and middle-income countries. Traditional healers are frequently consulted as primary care-givers for snakebite victims in distress. Traditional healers therefore present a valuable source of information about how snakebite is perceived and handled at the community level, an understanding of which is critical to improve and extend snakebite-related healthcare. Method The study was approached from the interpretive paradigm with phenomenology as a methodology. Semi-structured interviews were conducted with 19 traditional healers who treat snakebite patients in two rural settings in Ghana. From the Ashanti and Upper West regions respectively, 11 and 8 healers were purposively sampled. Interview data was coded, collated and analysed thematically using ATLAS.ti 8 software. Demographic statistics were analysed using IBM SPSS Statistics version 26. Findings Snakebite was reportedly a frequent occurrence, perceived as dangerous and often deadly by healers. Healers felt optimistic in establishing a diagnosis of snakebite using a multitude of methods, ranging from herbal applications to spiritual consultations. They were equally confident about their therapies; encompassing the administration of plant and animal-based concoctions and manipulations of bite wounds. Traditional healers were consulted for both physical and spiritual manifestations of snakebite or after insufficient pain control and lack of antivenom at hospitals; referrals by healers to hospitals were primarily done to receive antivenom and care for wound complications. Most healers welcomed opportunities to engage more productively with hospitals and clinical staff. Conclusions The fact that traditional healers did sometimes refer victims to hospitals indicates that improvement of antivenom stocks, pain management and wound care can potentially improve health seeking at hospitals. Our results emphasize the need to explore future avenues for communication and collaboration with traditional healers to improve health seeking behaviour and the delivery of much-needed healthcare to snakebite victims.

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“…31 , 32 Alternative therapy providers have previously been successfully integrated in HIV/AIDS and mental health care prevention and delivery. 33 , 34 For the integration to be successful, there needs to be trust between orthodox and alternative therapy providers and an acknowledgment that both providers are complimentary. 35 In an integrated system, alternative therapy providers can play two major roles: triage and offering psychosocial care and support.…”

Section: Discussionmentioning

confidence: 99%

Pathways to Breast Cancer Diagnosis and Treatment Among Women in Ghana: A Qualitative Study

Mburu

Mensah

Virnig

et al. 2021

Women's Health Reports

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Background: Breast cancer is the leading cause of cancer death among Ghanaian women and most women are identified once they develop symptoms. Women then must navigate a complex health care system to get diagnosed and receive orthodox medicine. We describe Ghanaian women's pathways of care from breast cancer-related symptom detection to treatment receipt. Methods: We conducted a qualitative study using an empirical phenomenological approach. We used a purposive sampling technique to recruit 31 women with breast cancer who were receiving treatment at Komfo Anokye Teaching Hospital in Kumasi, Ghana. They participated in semistructured in-depth interviews between November 2019 and March 2020. All interviews were transcribed verbatim and analyzed using a deductive coding approach. Results: Women navigate approximately nine steps from symptom detection to receiving orthodox breast cancer treatment. The breast cancer care pathway is not linear and women frequently move among different management approaches, including alternative therapy (faith healing and traditional herbal healing). All the women detected the symptoms themselves. Some of the women sought orthodox medicine due to information from the media. Conclusions: Alternative therapy providers play a critical role in the breast cancer diagnosis and care pathways in Ghana underscoring the need to formally integrate them into the health care system. Breast cancer awareness programs through the media and educational programs aimed at alternative therapy providers may reduce the time from symptom detection to receipt of orthodox medicine.

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Effect of collaborative care between traditional and faith healers and primary health-care workers on psychosis outcomes in Nigeria and Ghana (COSIMPO): a cluster randomised controlled trial

Cited by 80 publications

References 26 publications

COVID-19 mental health impact and responses in low-income and middle-income countries: reimagining global mental health

COVID-19 mental health impact and responses in low-income and middle-income countries: reimagining global mental health

‘The medicine is not for sale’: Practices of traditional healers in snakebite envenoming in Ghana

Pathways to Breast Cancer Diagnosis and Treatment Among Women in Ghana: A Qualitative Study

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