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[In process citation].

B Diaby1, E Kroa, A Niaré

  • 1Institut National d’Hygiene Publique, INHP Abidjan, Cote d’Ivoire. diabygn@yahoo.fr

Le Mali Medical
|September 6, 2012
PubMed
Summary
This summary is machine-generated.

Traditional healers in Abidjan possess knowledge of malaria symptoms and treatments, often using herbal remedies. They recognize severe malaria and refer patients to modern facilities, highlighting potential for collaboration to reduce child mortality.

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Area of Science:

  • Medical Anthropology
  • Public Health
  • Traditional Medicine

Background:

  • Malaria is a major health burden in Africa, particularly affecting young children and pregnant women.
  • Traditional medicine is widely accessed in Africa due to its availability and affordability.
  • A gap exists between traditional healers' practices and modern medicine, impacting patient management.

Purpose of the Study:

  • To assess traditional healers' knowledge, attitudes, and practices regarding malaria in Abidjan.
  • To explore the potential for collaboration between traditional and modern medicine for optimal malaria case management.

Main Methods:

  • A cross-sectional study involving 60 traditional healers in Abidjan using individual interviews.
  • Data collected via questionnaires on socio-demographics, malaria knowledge, diagnostic practices, and therapies.
  • Interviews conducted in local languages, with translator assistance if needed.

Main Results:

  • Most healers were herbalists (66.7%) or naturopaths (25%), with few spiritualists (8.3%).
  • Commonly cited malaria causes included mosquito bites (16.7%), food, sun, and fatigue.
  • Healers recognized key malaria symptoms like fever (100%) and dark urine (86%), and classified malaria into three forms.
  • Herbal medicine (95%) was the primary treatment, with fever reduction as a healing sign.
  • 90% referred severe malaria cases to modern health facilities, and 68.3% practiced malaria prophylaxis.

Conclusions:

  • Traditional healers' clinical malaria descriptions align with modern medicine, though etiological reasoning is culturally influenced.
  • Management relies on medicinal plants, with referrals for treatment failures.
  • Integrating traditional healers into malaria control efforts, especially for early detection and referral, can reduce severe malaria-related child mortality.