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Collaboration Between Biomedical and Complementary and Alternative Care Providers: Barriers and Pathways.
Alberta S J van der Watt1, Gareth Nortje1, Lola Kola2
11 Stellenbosch University, Cape Town, South Africa.
Qualitative Health Research
|September 14, 2017
Summary
Distrust hinders mental healthcare collaboration between traditional, faith, and biomedical providers across Africa. Building trust requires education, policy, and shared responsibility for patient well-being.
Area of Science:
- Global Mental Health
- Cross-cultural Healthcare Studies
- Health Systems Research
Background:
- Collaborative care models are crucial for integrating diverse healthcare providers in mental health.
- Understanding inter-provider dynamics is essential for effective patient care in low-resource settings.
- Traditional, faith, and biomedical healers often coexist but rarely collaborate in mental healthcare.
Purpose of the Study:
- To explore the scope and perspectives of collaborative mental healthcare among traditional healers, faith healers, and biomedical providers.
- To identify barriers and facilitators to inter-professional collaboration in mental health services in Ghana, Kenya, and Nigeria.
- To gain cross-national insights into stakeholder views on effective collaboration for mental illness treatment.
Main Methods:
- Conducted semistructured focus group discussions with traditional healers, faith healers, biomedical providers, patients, and caregivers.
- Utilized thematic analysis to interpret transcribed qualitative data from three African nations.
- Examined the perspectives of four key stakeholder groups involved in mental healthcare delivery.
Main Results:
- Distrust, factionalism, charlatanism, and perceived superiority emerged as significant barriers to collaboration.
- Limited understanding of each other's roles and responsibilities further impeded collaborative efforts.
- Stakeholders viewed collaboration instrumentally, often prioritizing their own goals over shared patient well-being.
Conclusions:
- Effective collaboration in mental healthcare is undermined by deep-seated distrust and a lack of mutual respect.
- Pathways to improved collaboration include education, formal policy recognition, regulation, and acceptance of shared responsibility.
- A foundation of mutual responsibility for patient well-being is paramount for successful inter-professional collaboration in mental health.
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