Medical Sociology in Africa

Amzat, Jimoh; Razum, Oliver

doi:10.1007/978-3-319-03986-2

Cited by 33 publications

(21 citation statements)

References 266 publications

(406 reference statements)

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“…While the CE approach is based on community efforts, it requires a lot of strategic mobilization (Amzat & Razum, 2014). The goal is always to saturate the community with specific ideas and enhance the social approval of certain strategies (Amzat & Razum, 2014). The first set of outcomes of CE is to create awareness and promote acceptability as prerequisites to program implementation.…”

Section: Community Engagement: a Practical Paradigmmentioning

confidence: 99%

“…The typical community structures often rely on volunteers and group work, which allows community members to take their destinies into their hands (Abdulrahman, 1998). Amzat and Razum (2014) observed that community volunteerism is the bedrock of the CE approach, which could lead to the development of community "experts" after appropriate training. In healthcare delivery, community health volunteers have proven to be effective in community mobilization, health information dissemination, local referral system, promoting access to appropriate needs in various initiatives in water and sanitation, vaccination programs, and disease prevention (Partnership for Transforming Health Systems [PATHS], 2010).…”

Section: Community Engagement: a Practical Paradigmmentioning

confidence: 99%

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Beyond Wishful Thinking: The Promise of Science Engagement at the Community Level in Africa

Amzat

2020

Journal of Developing Societies

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This article discusses the impediments to science-community engagement and identifies five forms of underdevelopment sentiments: primordial, mystical, ethnoreligious, conspiracy, and fatalistic. It also critically examines wishful thinking, which takes the form of superficial recommendations that do not hold any implications for society except on the paper on which they are written. This article argues that both inadequate community-science engagement and wishful thinking are inimical to the African transformation agenda. The article explains community engagement (CE) as a “practical” paradigm and approach to action research, which provides a way of moving beyond wishful thinking. CE is an implementation research approach that can replace wishful thinking with practical solutions by building a community’s capacity to address its issues scientifically and sustainably. The article concludes that it is through engagement with science and community-oriented implementation research that desired transformations can be achieved in Africa.

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Section: Community Engagement: a Practical Paradigmmentioning

confidence: 99%

Section: Community Engagement: a Practical Paradigmmentioning

confidence: 99%

Beyond Wishful Thinking: The Promise of Science Engagement at the Community Level in Africa

Amzat

2020

Journal of Developing Societies

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“…This can be viewed from three major dimensions: belief about aetiology, diagnosis and therapeutic issues. In terms of aetiology, the culture of the people continues to play important roles in their conception and perception about the causes of disease and the influencing factors, as well as corresponding actions in terms of health seeking or illness behaviour (Amzat and Razum, 2014). It is a common belief across Africa that illness arises from natural, supernatural and preternatural causes, which may not be amenable to scientific explanations (Erinosho, 1998;Jegede, 2002).…”

Section: Continuity and Social Change In Traditional Medical Practice: The Case Of Nigeriamentioning

confidence: 99%

“…Belief about aetiology is an important factor determining illness behaviour as well as pathway to the utilization of care. TM is usually the first point of call by patients, after which patients sometimes proceed voluntarily to the modern hospital and then, back to TM if there is perceived need (Owumi, 1994;Amzat, 2014). The centrality of TM to healthcare utilization in modern Nigeria is largely attributable to perception and belief about disease aetiology and course which resonates more to TM than biomedicine.…”

Section: Continuity and Social Change In Traditional Medical Practice: The Case Of Nigeriamentioning

confidence: 99%

Continuity and Change in the Practice of Traditional Medicine in Modern Nigeria

Owumi

Kolo

Obemeata

et al. 2018

NJSA

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Traditional Medicine (TM) is the indigenous system by which different societies provide health care for her members. It developed based on the cultural conception of health and illness, and therapeutic materials that abound in the physical environment of a people. TM involves preventive, diagnostic and curative approaches that do not necessarily align with the methods of modern science. With a pre-historic origin, TM has culminated in its present form through various evolutionary processes including innovation and invention. The system has continued to thrive in modern-day Nigeria, in spite of modernization and advances in western medical science and technology. This is not without modification and adjustments in the bid to adapt to the challenges of modern times. This paper presents theoretical views on observable changes and continuity in the practice of traditional medicine in Nigeria. Guided by the general systems theory (GST), this paper implicates TM’s inherent capacity to adapt to the challenges of each epoch of human development, while aligning with societal constructions about health, illness and healing. Recommendations emanating from the paper will advance strategies for leveraging on the current state of affairs of TM, towards improved access to healthcare for the benefit of the generality of Nigerians.

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“…Social production of care is production and distribution of roles and responsibilities in caregiving. It covers in details the socioeconomic and political determinants of health within and across groups and societies (Krieger, 2001;Amzat and Razum, 2014). Social production of care explains how social interaction within groups defines the level of empathy the sick generates from the members of their groups and how the generated empathy is translated into caregiving for the sick.…”

Section: Introductionmentioning

confidence: 99%

Cultural Conception of ‘eniyan l’aso mi’ and the Changing Roles of Family in Social Production of Care for the Elderly in Yoruba Setting

Adegoke

Alabi

Jegede

2018

NJSA

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Yoruba conception of “eniyan l’aso mi” meaning “humans are my clothing” represents the deep cultural belief in the importance of having reliable people for support whenever needed. Social production of care is production and distribution of roles and responsibilities in caregiving. Individual household members care for their relatives differently. While this concept of eniyan l’aso mi influences social relationship generally in the Yoruba society it is not clear how this will translate to social production of care for the elderly. Considering the changes in social realities of the elderlies and their families, this study, examined, family care provision for the elderlies living with chronic conditions. Using Symbolic Interactionism and Role Theory for the theoretical analysis, data were generated on familial support for elderly living with diabetes mellitus/cardiovascular diseases. Twenty-four In-Depth Interviews and Twelve Key Informant Interviews were conducted among elderlies and their caregivers selected from the community and Old People’s Home. The generated data was content-analyzed in line with the thematic of the study. Change in residential pattern, rising cost of living, children’s late entrance into marital/family life and disintegration of familial bond were observed factors influencing familial care of the elderly. Furthermore, children were found to be the most reliable source of family support for these elderly; familial support was not only found to be preferred to other sources of support, it was also found to be positively associated with aged quality of life. Although familial support is a key determinant of chronically ill elderlies’ quality of life, measures guaranteeing elderly access to care must be put in place.

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Medical Sociology in Africa

Cited by 33 publications

References 266 publications

Beyond Wishful Thinking: The Promise of Science Engagement at the Community Level in Africa

Beyond Wishful Thinking: The Promise of Science Engagement at the Community Level in Africa

Continuity and Change in the Practice of Traditional Medicine in Modern Nigeria

Cultural Conception of ‘eniyan l’aso mi’ and the Changing Roles of Family in Social Production of Care for the Elderly in Yoruba Setting

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