Dissertations / Theses on the topic 'African traditional healing'

Thesis (M. COM. (Accounting)) -- University of Limpopo, 2015
Cost accounting has been seen as one of the most effective management tools in strengthening an organisation’s performance through effective decision making and systematic cost accounting formulation and implementation. Although cost accounting was more prevalent in the private sector and public sector, it is still insubstantial and unpopular in African traditional healing in the sense that there is limited literature or evidence that supports the use of cost accounting in African traditional healing. The main aim of this the study is to examine the need of cost accounting practices in African traditional healing and the reason for its partial application. In so doing, this requires examining the necessity of cost accounting practices’ adoption to improve product and service pricing in African traditional healing, examine the reasons for the partial application of cost accounting practices in African traditional healing and to suggest or recommend how the adoption of cost accounting practices can improve product and service pricing in African traditional healing. This research was undertaken with the traditional healers in the Makhuduthamaga Local Municipality. Data were collected through the focus group interview which was conducted with African traditional healers. One focus group interview was conducted with seven African traditional healers consisting of six females and one male participant. The research findings revealed that there is a need to facilitate decisions in traditional healing through cost accounting principles regarding the appropriate costing of products and services of the traditional healers through the provision of accurate cost accounting information in traditional healing. However, there were also a number of factors that encouraged traditional healers to use cost accounting in the context of African Traditional Healing and have confidence in integrated cost accounting in traditional healing.

Includes abstract.
Includes bibliographical references.
The introduction of the Traditional Health Practitioners Act 22 of 2007 has made lawful the practice of traditional healing. As everyone has the right of access to health care services, the question of whether the state bears a duty to reasonably provide access to traditional healing as an element of its public health care service, is raised. In a democratic society, law must be responsive to the needs of the populace. Ethnographic fieldwork demonstrates that traditional healing is used not in opposition to, but as a complementary twin of, biomedicine. Considering this, it shall be argued that economically, socially and medically, the incorporation of traditional healing into the public health care service is neither appropriate nor required by the Constitution.

Aim of the study: Despite the extensive traditional use of Croton gratissimus Burch. var. gratissimus for medicinal purposes, scientific studies validating the therapeutic properties of this indigenous plant are lacking. As the bark, roots and leaves of C. gratissimus are used separately as well as in combination, this study focused on determining antimicrobial efficacies of the plant parts independently and in combination to assess possible pharmacological interactions (e.g. synergy, antagonism). Material and Methods: The hydro-distilled leaf essential oil and extracts of bark, root and leafwere comparatively assessed for antimicrobial activity by means of microdilution minimum inhibitory concentration (MIC). The fractional inhibitory concentrations (FIC) were determined for the leaf and root (1:1), bark and root (1:1), leaf and bark (1:1) combination. Isobolograms were plotted to demonstrate interactions between various ratios of the roots and leaves. Results: The MIC and FIC results indicated variable efficacies for the various plant part combinations, the greatest of which was noted for Cryptococcus neoformans in the root and leaf combination (MIC 0.4 mg/ml and FIC of 0.4). Isobolograms indicated the greatest synergy for Bacillus cereus, Candida albicans and Cryptococcus neoformans. Conclusion: The observed synergistic interactions clearly indicate that the reductionist approach may often be short-sighted and that biological activity may be improved through combination therapy, where different complex metabolic pools collectively contribute to the enhanced effect.

The history of African Independent Churches (AICs) in Southern Africa goes back for more than a hundred years. They have proliferated geographically and demographically in Africa more than the mainline churches could ever have imagined. They have grown to be as widespread and as influential as the African mainline churches. The reason for this growth is that the AICs are the churches of African indigenous people. They are launched by Africans from a background of an African traditional and cultural frame of reference. The most significant reason is that the founders of these churches are not Westerners, but Africans. Western missionaries find it difficult to understand the AICs from their perspective. Thus the Western churches describe the AICs as sectarian, separatist, syncretist, nativitist, and so on. Nevertheless, some scholars are attempting to view the AICs in positive ways. The fact that these two different churches have never acknowledged each other as true churches is a big challenge for Christian missions in Namibia. Each group has been viewing and judging the other party through suspicious eyes from their own perspective, each driving the other to block the channel of reconciliation before the presence of God. With the aim of solving this problem, this thesis attempts to answer the following questions about the AICs in Namibia: • What are the reasons that the AICs in Namibia have been seceded from mission churches? • What are the activities in civil society in which the AICs in Namibia are currently involved? • Do the AICs engage in any activities which go against the Word of God? • What causes other churches to be suspicious of the AICs? • What level of enculturation is inherent to the AICs in Namibia? In other words, what is the relationship between the liturgies of the AIC and African traditional religion and African culture? • What makes the AICs in Namibia regard themselves as a church? Would it be possible for the AICs and the mainline churches in Namibia to cooperate in Christian missionary work? • What is a possible Korean missionary perspective on this particular situation? This will be dealt throughout this thesis from a Korean missionary missional perspective.
Thesis (PhD)--University of Pretoria, 2014.
tm2015
Science of Religion and Missiology
PhD
Unrestricted

Thesis (MA. (African Languages)) -- University of Limpopo, 2012
Ngudo ino yo sengulusa ndeme ya u thusa ṅwana ho sedzwa nḓila ya Tshivenḓa, sa izwi maitele aya a tshi khou ngalangala musalauno. Ngudo iyi yo sumbedza uri u thusiwa hu kha ḓi vha hone naho mathusele a hone o fhambana, sa izwi zwi tshi bva kha thendelano ya muṱa. Ho wanala uri kha muthuso hu shumiswa vhathu vhofhambanaho u fana na vhomaine, vhakegulu, vhafunzi kana ha tou rengwa mishonga ine ya shumiswa kha u thusa ṅwana. Ngudo yo dovha ya sumbedza mvelelo mmbi dza u sa thusa ṅwana na mvelelo mbuya dza u thusa ṅwana.

This study aimed to collate and analyse academic literature with regards to possible African perspectives on psychological distress. The purpose of conducting the literature review was to explore thirty years of critical arguments supporting and refuting an African perspective on psychopathology. Literature (e.g. Bhugra&Bhui, 1997) appeared to suggest that some of the relatively recent views regarding psychopathology fail to adequately address psychological distress as it presents in Africa. A systematic literature review was selected as the methodology for this study, and the specific method of the review was research synthesis (Gough, 2004; Popay, 2005). Reviewed literature was sourced between the years 1980 and 2010. The theoretical point of departure was integrative theory, thus falling within the postpostmodern framework. As such, literature regarding psychological theory formed a substantial part of the research, including literature relating to psychodynamic theory, cognitive-behavioural theory, postmodernism, phenomenology, existentialism, critical theory, and systemic patterning (Becvar&Becvar, 1996). These theories formed part of the analysis, thereby allowing contextual analysis as the interpretive method. The review’s themes highlighted the following outcomes: current psychiatric nosology employed a universalistic approach to diagnosis and intervention, thus limiting cultural conceptions of mental illness; holistic intervention requires the inclusion of traditional epistemological tenets; collaboration between modern practitioners and traditional healers would probably better meet the patient’s needs; and that culture-fit assessment and treatment often indicated improved prognosis. The outcomes evidenced the operation of an African perspective on psychopathology. In fact, much of the reviewed literature also suggested culture-contextual perspectives on psychopathology. Furthermore, the way in which lack of cultural coherence appears to exist between patients and some clinicians suggested that diagnostic flaws may be a relatively frequent occurrence. Potential benefits of the investigation include increased awareness that culture-related conceptualisation be further explored in the clinical field; that future researchers use the current review as a foundational reference for primary investigations; that contemporary clinical classificatory systems be reviewed in terms of cultural applicability; and that clinicians reconsider the diagnostic process in terms of culture-fit manifestations of psychopathology.
Thesis (PhD)--University of Pretoria, 2012.
Psychology
unrestricted

Thesis (MPA (Public Management and Planning))--University of Stellenbosch, 2010.
ENGLISH ABSTRACT: The Department of Health estimates that 80 percent of South Africans consult traditional healers before consulting modern medicine. The aim of this study is to investigate the extent of the use of traditional medicine in local communities in the Limpopo Province, and add value to a draft policy that was introduced by the Minister of Health. (South Africa, Department of Health 2007a) Traditional healers are regarded as an important national health resource. They share the same cultural beliefs and values as their patients. They are respected in their communities. In South Africa, traditional healers have no formal recognition as health care professionals. Despite the advantages of modern medicine, there is a dramatic evolution in traditional medicine developing and developed countries. In recognition of the value that traditional medicine has added to people’s health needs, government organisations have realised the gap and needed to embark on public participation to bring to light the solution, by implementing a relevant policy (Matomela 2004). According to research done by Pefile (2005), positive outcomes that resulted from the use of traditional medicine include a more holistic treatment, a wider choice of health care that suits people’s needs, and scientific advancement, this paves a way forward for a policy to be put into place for the legal recognition of traditional medicine. New legislations have been brought about in regulating traditional medicine and practitioners. This paper provides a synopsis of government initiatives to close the gap and address the concerns of integrating traditional and modern medicine. The thesis addresses the challenges involved in incorporating the two disciplines for the best possible impact of local communities in accessing their rights as vested in the constitution. The study is a qualitative study where relevant practicing traditional healers, users, Western doctors, nurses, managers and government policy makers were interviewed regarding the draft policy on traditional medicine. This was to obtain information on the challenges, gaps and possible solutions regarding the integration of African traditional medicine into the health care system of Southern Africa. Findings show the following: a majority of traditional healers do not agree to scientific trialling and testing on the herbs that they prescribe, and Western doctors feel that traditional healers should only treat patients spiritually unless they have a scientifically tested scope and limitations on their field. The study also found that traditional healers want to be registered and integrated into the health care system, but do not agree to have regulated price fixing. Other conclusions included that the communities seek traditional help for cultural reasons and more benevolent purposes, but are changing their focus towards seeking medical help from clinics where it is provided for them. However, people within the communities are still confused whether to seek traditional or western medicine and therefore seek both. It was found that medications are not readily available in district clinics and hospital waiting times force people into seeking traditional help. Nurses, doctors and caregivers acknowledge that traditional healers are hampering the health care of patients by delaying hospital treatment of patients hence progressing illnesses. However, they also state that traditional healers help people spiritually and mentally. Therefore policy makers have found solutions to educate healers and create regulatory boards to limit and create a scope of practice for traditional healers. Recommendations and solutions for the relevant policy are as follows: It is recommended that traditional health practitioners should only be allowed to practice and train over the age of 21. They must be prohibited from certain procedures, for example: drawing blood, treating cancers, and treating AIDS/HIV. They should only be allowed to practice midwifery if they have had training. They should be prohibited from administering injections and supervised drugs, unless trained at a tertiary level traditional healers can be used as home caregivers, spiritual healers, and traditional advice counselling entities in the communities. Traditional healers must be prevented from referring to themselves as a ‘doctor’ or ‘professor’. This misleads people into believing that they are allopathic doctors. ‘Traditional health practitioners’ must realise that they are holistic healers, and must be addressed as such. A strong recommendation is to rename ‘traditional health practitioners’ as ‘spiritual practitioners’. With regards to regulations, it must be imperative that every practicing traditional health practitioner be registered annually with the relevant board. A good suggestion is for traditional health practitioners (THP) to attend formal training courses, under an experienced herbalist, and it should be documented on paper. A written record of the location of practice, and specialty must also be documented. There must be policies on health and safety, hygiene and sterility that need to be in place. It is suggested that training on patient confidentially must be taught and implemented. A code of conduct and a standard of professional ethics must also be implemented. Health and safety regulations pertaining to the profession and the citizens must be listed. Efforts towards dispelling myths and making people aware, thereby filtering out the positive side of the traditional medicine (e.g. medical benefits with some herbs), and rooting out the ‘quack’ practices (e.g. the use of amulets around a patient’s body to cure diseases) should be practiced. Pertaining to co-operative relationships between modern medical doctors and traditional practitioners, it is recommended that the use of exchange workshops between the two professionals needs to be developed. Also scientific information and technology must be available to traditional healers. A continued professional development (CPD) programme should be a mandatory requirement, as for all other health care professionals. It seems the development of traditional hospitals, in which a scope of practice is defined, can be used as a recovery ward and a spiritual guidance centre. The above recommendations will encourage a healthier, safer and transparent health care system in South Africa, where all disciplines of medicine co-exist in one National Health Care System.
AFRIKAANSE OPSOMMING: Nadat navorsing deur die Departement van Gesondheid gedoen is, is daar gevind dat 80 persent van Suid-Afrikaners tradisionele genesers besoek. Die doel van hierdie navorsing is om ondersoek te doen na die gebruik van tradisionele medisyne deur landelike gemeenskappe in die Limpopo Provinsie, en om ook ‘n bydrae te lewer tot die konsepbeleid wat deur die Minister van Gesondheid bekendgestel is (South Africa, Department of Health 2007a). Tradisionele genesers kan beskou word as ‘n belangrike hulpbron in die nasionale gesondheidsdiens. Hulle deel in kulturele gelowe en waardes van hulle pasiente en word ook gerespekteer in hulle gemeenskappe. Suid-Afrika egter, gee geen erkenning aan tradisionele genesers of die feit dat hulle in die gesondheidsdiens is nie. Ondanks die feit van moderne geneesmiddels, is daar ‘n dramatiese evolusie wat besig is om plaas te vind in die Westerse Wêreld. Die erkenning en waarde van tradisionele medisyne wat bydra tot mense se gesondheidkwaliteit, het daartoe gelei dat Staatsorganisasies begin insien het dat daar ‘n gaping is en dat publieke peilings gedoen word om ‘n oplossing te vind en ‘n beleidsdokument saam te stel wat tradisionele genesers insluit (Matomela 2004). Die ondersoek wat Pefile (2005) gedoen het, het positiewe resultate getoon by die gebruik van tradisionele medisyne wat ‘n holistiese behandeling in ‘n wyer verskeidendheid van medisyne insluit by gebruikers. Ook die wetenskaplike vooruitgang van tradisionele medisyne het daartoe bygedra dat ‘n beleidsdokument in plek gesit word vir die wettige erkenning daarvan. Nuwe wetgewing is in werking gestel om beheer uit te oefen oor tradisionele genesers en tradisionele medisyne. Hierdie dokument verskaf ‘n sinopsis van die Staat se inisiatiewe om die gaping tussen moderne medisyne en tradisionele medisyne aan te spreek en ook om landelike gemeenskappe toe te laat om hulle reg uit te oefen soos wat in die Grondwet vervat is. Die studie is kwalitatief waar relevante praktiserende tradisionele genesers, verbruikers, Westerse dokters, verpleegkundiges, bestuurders en staatsdiensbeleidvormers ondervra is oor ‘n konsep beleidsdokument oor tradisionele medisyne. Dit was gedoen om informasie rakende die uitdaging , gapings en 'n moontlike oplossing te vind vir die integrasie van Afrika se tradisionele medisyne in die gesondheidsorgsisteem van Suidelike Afrika. Belangrike bevindings sluit die volgende in: die meerdeerheid tradisionele genesers stem nie saam dat wetenskaplike toetse gedoen word op kruie wat hulle voorskryf nie; tradisionele genesers will geregisteer en geïntegreer word in die gesondheidsorgsisteem maar stem nie saam oor prysregulering en prysvasstelling nie; Westerse dokters is van mening dat tradisionele genesers net pasiënte geestelik moet kan behandel tensy hulle ‘n wetenskaplik getoetse doel en beperkings in hulle veld het; Westerse dokters glo dat tradisionele genesers dwarsboom die gesondheidsorgsisteem deurdat hulle behandeling vetraag; die gemeenskap soek tradisionele hulp op vir kulturele redes en ander welwillendheidsredes maar gaan soek mediese hulp by klinieke waar dit aan hulle verskaf word; mense van gemeenskappe is verward en raadpleeg beide tradisionele genesers en Westerse dokters vir hulp; sommige medisyne is nie altyd by klinieke beskikbaar nie en mense sien nie kans om in lang rye te wag by hospitale nie en dit noop dat hulle tradisionele medisyne gebruik; verpleegkundiges en gesondheidswerkers erken dat tradisionele genesers mense vertraag om gesondheidsorg en behandeling by hospitale te kry, maar verstaan ook dat tradisionele genesers aan mense geestelike hulp verleen; en besleidskrywers moet oplossings vind om tradisionele genesers op te voed en om komitees te stig wat tradisionele genesers se ruimte van praktisering in toom te hou. Die volgende word as voorstelle tot aanpassing van die genoemde beleidsdokument geïdentifiseer:- Tradisionele genesers mag alleenlik praktiseer en opleiding verskaf na die ouderdom van 21 jaar. Hulle moet verbied word om sekere prosedures, byvoorbeeld die trek van bloed; behandeling van HIV/VIGS; om voor te gee dat hulle mediese praktisyns is; om vroedvroue te wees slegs indien gekwalifiseer daartoe; om inspuitings toe te dien en medisyne uit te reik slegs indien hulle tersiëre opleiding gehad het. Tradisionele genesers se dienste kan gebruik word as gemeenskapsgesondheid hulpwerkers, geestelike genesers, en kan tradisionele advies en begeleiding aan die gemeenskap lewer. Tradisionele genesers moet belet word om die titels “Dokter” en “Professor" te gebruik. Tradisionele genesers moet daarop let dat hulle holistiese genesers is en moet daarvolgens aangespreek word. Hulle moenie pasiënte mislei deur voor te gee dat hulle allopatiese geneeshere is nie. “Tradisionele genesers” moet hernoem word na “geestelike genesers”. Tradisionele genesers moet by ‘n erkende organisasie geregistreer word en moet so-ook jaarliks registrasie hernu. Formele onderrig wat deur ‘n ervare kruiegeneser aangebeid word moet bygewoon en gedokumenteer word. ‘n Geskrewe rekord van die ligging van die praktyk en betrokke spesialisering moet bygehou word. Beleidsvoorskrifte wat verband hou met gesondheid en veiligheid, hygiene en sterilisasie moet in die tradisionele gesondheidgeneserspraktyk geïmplementeer word. Opleiding in pasiëntkonfidensialiteit moet aangeleer en toegepas word. Samewerking en werkswinkels tussen moderne mediese dokters en tradisionele gesondheidgenesers moet geïmplementeer en ontwikkel word. Mediese wetenskapsinligting en tegnologie moet aan tradisionele genesers bekendgemaak word. Voorts moet ‘n voortgesette professionele ontwikkelingsprogram (POP) aan alle gesondheidswerkers voorgeskryf word. Dit blyk wenslik te wees om tradisionele hospitale tot stand te bring waar die bestek van praktyk gedefinieer word. Sulke hospitale kan dien as plekke waar pasiënte aansterk en geestelike onderskraging geniet. ‘n Etiese kode en standaard vir professionele etiek moet geskep word vir tradisionele genesers. Gesondheids- en sekureitsregulasies moet van toepassing wees en geïmplementeer word. Pasiënte moet ingelig word oor die wegdoen van mites en fabels. Daardeur kan die positiewe sy van tradisionele medisyne (byvoorbeeld mediese voordele van kruie), en uitroei van “kwakke” (byvoorbeeld dra van gelukbringers om die lywe), verdryf word. Dit sal die aanmoediging van ‘n gesonder, sekuriteitbewuste en deursigtige gesondheidsorg sisteem bewerkstellig in Suid-Afrika waar alle dissiplines van medisyne saam bestaan in die Nasionale Gesondheidsorgsisteem.

This thesis aimed to explore the various legislative provisions that have affected traditional health practice in South Africa. The discussion is limited to the period dating from 1891 to 2004. The relevance of this period is that during the 19th and early 20th centuries traditional healing has gone through some turmoil as the governments of that period promulgated legislation, which curtailed the practice of traditional healing. This study focused on the art of traditional healing in a legislative context.

"The aim of this paper is to highlight the human rights dimension in the protection of traditional healing practices (THP) in Malawi. At first glance there might not seem to be considerable human rights issues involved. However, the scourge of the HIV/AIDS pandemic entails that traditional health practitioners have a crucial role to play in ensuring the right to health. Furthermore, THP represent an important component of the cultural tapestry of Malawian life. It is this combined cultural and health import that prompts this study. ... This paper explores the relationship between THP and the progressive realisation of the right to health. An investigation is made of the extent to which suppression of THP impacts the right to health in an attempt to discern whether there is a need to regulate and protect these practices. There is some tension between THP, as a cultural right, and the right to health given that THP have the potential to infringe peoples' right to health. However, there is also an intersection between the two rights since health is integrally related to culture and to cultural practices. A person's place in their culture is an essential part of their self-identity, so that if a culture is at risk, that person's psychological and emotional health is also at risk. Consequently this paper will consider the meaning, content and role of the right to culture (is it a collective or individual right?) and whether THP are part of culture, deserving protection as such. ... This paper is divided into five chapters. The introductory chapter provides an overview of the objectives of the study and a definition of THP. The chapter also discusses the research methodology employed in the paper and reviews the main literary works consulted by the author. To establish that THP form an aspect of culture, it is necessary to examine the qualities of THP and compare those to the qualities of recognised forms of culture. The second chapter comprises of an investigation of the legal provisions relating to culture and the various concepts of culture in human rights law. An attempt is then made to place THP within the context of the right to culture. The relationship between THP and the right to health is discussed in the third chapter. In this study it is suggested that the core minimum content of the right to health includes the right to an accessible and acceptable primary health source, and that this implies a right to access THP. The chapter attempts to show that non-regulation impedes THP thus violating the state's obligation to respect the right to health. In the fourth chapter there is an evaluation of the South African Traditional Health Practitioners Act of 2004 (the TH Act). Essentially, the law in Malawi defines and licenses the 'practice of medicine' in terms that entrench the medical profession and that exclude all other forms of healing as the 'unauthorised' practice of medicine, a crime. This chapter considers whether the South African legislation is a model for the inclusion of THP. More specifically, whether the development of THP as a form of culture is captured by the TH Act and whether Malawi can draw guidance from this legislation. The fifth and final chapter concludes the paper. The chapter reverts to the original research questions, the concepts propounded in the paper and the various conclusions drawn to establish whether the original problems presented have been resolved. This concluding chapter also contains recommendations to the Government of Malawi ensuing from the study." -- Introduction.
Thesis (LLM (Human Rights and Democratisation in Africa)) -- University of Pretoria, 2005.
Prepared under the supervision of Prof. Nii Ashie Kotey at the Faculty of Law, University of Ghana
http://www.chr.up.ac.za/academic_pro/llm1/dissertations.html
Centre for Human Rights
LLM

This dissertation explores discourses about culture and illness in the talk of mental health professionals and indigenous healers. It represents an attempt to situate the issue of indigenous healing in South Africa within a particular strand of critical discourse analytic research. In the context of current deliberations on the value, or otherwise, of indigenous healing in a changing health and specifically mental health system, the talk of both mental health practitioners and indigenous healers as they conceptualise “disorder”, and discuss possibilities for collaboration, is chosen as a specific focus for this study. Disputes over what constitutes “disorder” both within mental health, and between mental health and indigenous healing are an important site in which the negotiation of power relations between mental health professionals and indigenous healers is played out. The results of this study suggest that despite the construction of cogent commendations for the inclusion of indigenous healing in mental health, it remains largely marginalised within talk about mental health practice. While this study reproduces to some extent the marginalisation of indigenous healing discourse, it also examines some of the discursive practices and methodological difficulties implicated in its marginalisation. However, in the context of “cultural pride strategies” associated with talk about an African Renaissance, indigenous healing may also function as a site of assertion of African power and resistance in its construction as an essentially African enterprise. At the same time, it may achieve disciplinary effects consonant with cultural pride strategies, in constructing afflictions in terms of neglect of, or disloyalty to cultural tradition. These results are discussed in terms of the methodological difficulties associated with interviewing and discourse analysis of translated texts, which contributes to difficulties with articulating indigenous healing discourse in a way that challenges the dominant psychiatric discourses implicated in its marginalisation within mental health. It concludes with recommendations for future research which addresses indigenous healing discourse in its own terms, and examines its operation as a disciplinary apparatus in South African society.

Xhosa psychiatric nurses stand unique at the interface between Western mental health care and indigenous healing in South Africa. They stem from a cultural history that is embedded within traditional health care discourses and yet are trained and work within a Western psychiatric model. In embodying the intersection between these two paradigms, they are faced with the challenge of making sense of such an amalgamation. These nurses' views are thus valuable in reflecting this intersection and illustrating many of the central concerns that surround it. This study explicates the views of these nurses toward traditional healers and their potential role in mental health care in South Africa. In addition, it illuminates some of the cultural dynamics at work amongst these subjects as they struggle to make sense of their unique cultural position. Using a questionnaire-based methodology, the views of Xhosa psychiatric nurses in a psychiatric hospital in the Eastern Cape, toward traditional healers and their role in mental-health care, were examined. The findings reveal that the vast majority of these nurses believe in traditional cosmology, involve themselves in traditional ritual practices and regularly visit traditional healers as patients. In suggesting ways in which indigenous healing and Western mental health care can work together, 75% of the nurses were in favour of a general referral system between the hospital and traditional healers, most (77%) agreed that certain patients would be better off being treated by both the hospital and traditional healers than they would if they were only being treated by the hospital alone, and 85% of the subjects agreed that patients who are already seeing traditional healers should check if psychiatric medication might help them. These findings indicate that these nurses operate across two healing systems which are at this point not conceptually compatible. This results in deep cultural tension for the nurses. In being entangled in the dialectical tension created in this context, the nurses manage the incongruencies in three general ways: a) Most, in one form or another, incorporate beliefs from both systems into an integrative model, b) some assimilate their cultural belief system into the Western mental health paradigm, throwing off their beliefs in traditional healing, and c) others remain ambivalent in the dialectic between traditional and Western health care discourses. Although this may suggest that these nurses reside within a cultural milieu that is somewhat unhealthy, at another level, in managing and containing the incompatibility between the two systems, these nurses ensure a space for on-going and healthy critique of the underlying assumptions involved in this health care malaise.

Thesis submitted in fulfilment of the requirements for the degree Doctor of Technology: Tourism Management Faculty of Business at the Cape Peninsula University of Technology, 2012
There are 11 thermal springs in the Western Cape, seven of which have been developed into eight resorts. Only one of these resorts has a focus on health and wellness, with appropriate facilities, with the others functioning primarily as family leisure resorts. Internationally there has been a move by traditional thermal spring resorts to begin offering a combination of health (medical and wellness) services in combination with leisure activities. In light of current international trends, as well as perceived domestic needs, it appears that the Western Cape‟s thermal spring resources are not being optimally utilized as tourist attractions, neither for domestic nor for international tourist markets. This research sets out to evaluate the potential for health tourism development of thermal springs in the Western Cape. It analyses relevant aspects of both the supply and demand sides of thermal spring tourism in the Western Cape. A database is compiled of thermal spring resorts and undeveloped thermal springs in the Western Cape, which includes facilities and services, and relative locations with respect to tourist attractions and tourism routes. The mineral and radon gas contents of the respective thermal waters are measured and discussed in relation to known medicinal properties. A questionnaire-based survey was undertaken, involving 383 respondents at six resorts, and activity-based market segmentation was carried out using k-means cluster analysis. A four-segment user profile (typology) of current visitors, based on activity preferences, was compiled. It was found that there is considerable potential for the development of thermal spring health (medical and wellness) tourism products in the Western Cape, based on available resources. A framework for thermal spring health tourism product development in the Western Cape is proposed, and recommendations are made for future development and marketing. Key recommendations include the development of balneological treatments, and radon therapies, at certain resorts, and investigating of the availability of local resources that could be incorporated into medical or wellness tourism products.

For the past three decades, there has been a rapid growth of African Pentecostal Christianity on America’s Christian religious scene. In general, researchers in Christian mission studies have concluded that the flow of Christian religious currents from Africa and other Third World countries to the West is something of a Christian mission in reverse process. Using agency and invention of tradition as the theoretical leads, this study explores the roles lay immigrants played in the rooting of the Christian Restoration Ministries International (CRMI), a Ghanaian founded charismatic church, in Miami, as a case study of how African Pentecostal churches originate in America. The study also shows how the Christian Restoration Ministries International (CRMI), practices an invented version of Ghanaian Pentecostalism. The study is field-work based. It concludes that the so called reverse mission thrives on the crucial roles of lay African migrant worshipers and their inventiveness.

Tendo em vista a compreensão dos significados atribuídos às infeções oportunistas pelos pacientes HIV+ entre os moçambicanos da etnia Tsonga do distrito de Xai-Xai e a consequente busca de atendimento nas redes tradicionais de cura, na pesquisa adotamos uma metodologia qualitativa com caráter etnográfico. Embora Xai-Xai seja a capital de Gaza, importante província de Moçambique, ali, os Tsonga ainda estão muito inseridos nas redes tradicionais de cura. Por outro lado, a rede do Sistema Nacional da Saude se faz também presente e não muito precária, relativamente ao resto do país. Essa peculiaridade nos levou a indagação central do trabalho: no que concerne aos pacientes HIV+ será que os serviços de saúde do distrito da cidade de Xai-Xai dispõem de estruturas de acolhimento tão adequadas aos pressupostos ontológicos da cultura local quanto as redes tradicionais de cura? A nossa hipótese é a de que o desajuste de um acolhimento inadequado aos pacientes Tsonga impele-os a intensificar a busca de cuidados alternativos à medicina convencional nas redes tradicionais. A metodologia que escolhemos permitiu-nos compreender as vivências dos pacientes não somente a partir das questões apresentadas verbalmente, mas também podemos acompanhar as suas práticas cotidianas relacionadas a busca de cura. A pesquisa fez nos perceber que a ausência do diálogo entre a biomedicina e as redes tradicionais de cura influência em grande medida o elevado número de óbitos e a não retenção dos pacientes em Tratamento antiretroviral- Tarv mesmo com as constantes reinvenções de políticas de assistência aos pacientes HIV+. A situação colonial dessa relação se consubstância na negação ou subalternização do conhecimento local mesmo por atores nativos que atuam no sistema nacional de saúde.
In order to understand the meanings attributed to opportunistic infections by HIV+ patients among the Tsonga Mozambicans in the Xai-Xai district and the consequent search for care in the traditional healing networks, a qualitative methodology with an ethnographic character was used in the research. Although Xai-Xai is the capital of Gaza, a major province in Mozambique, the Tsonga are still very much embedded in traditional healing networks. On the other hand, the network of the National Health System is also present and not very precarious, relative to the rest of the country. This peculiarity has led us to the central inquiry of the work: as far as HIV + patients are concerned, the health services of the Xai-Xai city district have reception facilities that are as appropriate to the ontological presumptions of the local culture as the traditional cure? Our hypothesis is that the mismatch of inadequate care for Tsonga patients prompts them to intensify the search for alternative care to conventional medicine in traditional networks. The methodology we chose allowed us to understand the patients' experiences not only from the questions presented verbally, but we can also follow their daily practices related to the search for cure. The research made us realize that the absence of dialogue between biomedicine and traditional healing networks greatly influences the high number of deaths and non-retention of patients in antiretroviral treatment-TARV even with the constant reinvention of HIV+ patient care policies. The colonial situation of this relationship is consubstantiated in the negation or subalternization of local knowledge even by native actors who work in the national health system.

This study sought to ascertain the role that is played by traditional healers in healthcare delivery among the Nguni people of South Africa. Its objective is to ascertain who the traditional healers are, how they are trained for the profession, how they practice their profession including how people consult with them, how they gather information relevant to identify the problems of their clients, what interventions are put in place once health problems have are identified and generally the role traditional healers play in the wellbeing and upliftment of living conditions of their communities. Three traditional healers were interviewed and observed, generating important information for the study. The study found out that traditional healers are respected traditional or community leaders whose main contribution to the community is practicing healthcare delivery by which they bring well-being to the generality of the people. Traditional healers are called to their profession by their ancestors. The training of traditional healers is by apprenticeship with experienced renowned traditional healers and the training takes place between two and six years. Training takes place in the skills of diagnosis or the gathering of information, through observation, interviews, divination and the interpretation of dreams to arrive at a decision as to the probable healthcare needs or health problems of patients. Traditional healers are generally trained to be capable of identifying different kinds of problems affecting people, whether these be physical, mental or interpersonal relationship problems. Training in skills to intervene in health matters are provided including herbal medication, interpersonal interactions and as in group healing or ritual ceremonies as well as training in the skills of prevention of ill-health and promotion of health. Other skills in which traditional healers are trained include those of advocacy, mobilization and being custodians of the people's traditional culture. Traditional healers are generally trusted for their competency and the efficacy of their intervention strategies and this explains the reason for the people's generally positive behaviour tendency towards the utilization of traditional healer's services. Traditional healers generally bring about well- being to the people in their communities.
Thesis (M.Ed.) - University of KwaZulu-Natal, 2007.

The aim of this thesis is to assess the nature of African Traditional healing system with special reference to Mpondo culture. It is a case study of the Mpondo people of the Eastern Cape. The focus of the study was on the historical facts, the cultural background, the religious experiences and the traditional healing system of this people. Stimulated by the fact that Mpondo people appear to be a marginalized group, undermined and sometimes sidelined, the research seeks to set the record straight. A lack of documented information about this people is the major contributing factor to their lost identity. This stems from the fact that very little has been written about them. Even when such writings are found, they often contain distorted information. In some books, they are mistakenly represented as amaXhosa or a Xhosa sub-group. They are mostly regarded as having no culture, no language or identity. In terms of language, isiXhosa is taught at schools in Mpondoland. This research is an attempt to raise awareness about the reality of the situation of the Mpondo people. Without this knowledge, the Mpondo people can not regain their lost identity, people-hood, humanity and dignity. Through this knowledge, a dehumanised people can fight for their rights. AmaMpondo need to rediscover the spirit of Africanness, so that they know that they belong to Africa. As T Mbeki puts it, Africa needs to be refounded as a space that is centred neither on the market nor on the fortress, but rather on what geographer Paul Wheatley called, its "ceremonial complex" (Mbeki, T., 20 in Chidester). The Mpondo people were primarily dehumanised by the Cape Colonial government. Precolonial Mpondo culture and its post-colonial history was examined. Dehumanising factors among Mpondo came in the form of labels and insults. Their religion was referred to as "pagan" whilst they were at times called "kaffirs", a Malaysian term meaning a non-believer. Now is the time for the revival of the Mpondo as a people of Africa, 'for a country that frowns on its culture by calling us savage and barbarians is a lost country' (Mutwa, p 22, Sunday Tribune, 16 .July 2000). This research sought to investigate the means and ways of restoring the lost dignity of the Mpondo people. In chapter two and three, a survey of Mpondo culture, their world view their religion and their identification of diseases and their treatment was made. Out of this survey it has been indicated that not all was destroyed by the encroachment of the western civilization. "Christianity and western medicine functioned as a secularising ferment in Africa, dethroned the traditional healer, replacing witchcraft, causation with medical history and introducing modem hygiene" (Jansen G.) Mpondo people still practise and believe in their healing system. This shows that although the foundations have been shaken, the base on which to rebuild its culture is still firm. What is now needed is to resist all forms of cultural expression. Sound reconstruction and reconciliation is the end goal of the research. Cultural reconstruction is the basis for sound reconciliation. Because the forces that be, broke the basis of a reconciled and organised society, there is a need to commence with the reconstruction of the people's culture. Cultural reconstruction becomes central particularly in a country which is threatened by social evils, such as a high crime rate, poverty, incurable or death threatening diseases such as HlV/AIDS and unemployment. Without reconciling the people with their culture and African Traditional Religion, any attempt to solve the above mentioned problems may not be easily achieved. Such a construction should not be confused with what Chidester calls '1:he construction of an inventory of Mrican traditional religion which recalls colonial efforts to create systematic boundaries within which African populations were contained. Enclosed within a stable secure and unchanging religious system" (Chidester 2000 : 15). The point at issue here is the reconstruction of a people's culture, based on its natural dignity. Such reconstruction should aim at the international marketing of the people's culture. The thesis is a pointer to the seriousness of the demand for the speedy reconstruction of religion and medical practice. ''The time is past when western medicine was the much praised vehicle for the propagation of the gospel to foreign cultures - missionaries are the heavy artillery of the missionary army" (Walls 1982 : 22). Healing and African Traditional Religion should be a base of such a reconstruction process. First and foremost, African Traditional Religious researchers who are adherents and practice the religion, should take a lead in such a process. This refers to the people on the ground who must be directly be involved. For, ''the non-western voices have not spoken or intervened in this debate" (Jansen G : 09). This may sound racial or ethnic, but the fact of the matter is that most • of the time, the people on the ground have not as yet surfaced, conscientised and organised as a religious group. What is needed is the democratisation of all cultural councils so that more funds are generated for the development of African Traditional Religion standards. It should be taught at schools. More air time on radio and television stations should also be allocated to African Traditional Religion. As in the rest of sub-Saharan Africa, studies of the recent democratisation wave have so far tended to limit themselves to the role of the churches and to the lesser extent to Islamic communities. ATR has not received the attention it deserves (Schoffieers : 405). The reconstruction of African Traditional Religion and African Traditional Healing systems are the only positive step towards the proper representation of African culture. This will contribute to the recent efforts to positively represent the traditional religious heritages of South Africa. If it is motivated by Christian acculturation or even Africanist revitalization, the process runs the risk of perpetuating the colonial legacy to the extent that it repeats the inventory approached or abstracts the mentality of 'ubuntu' or African humanity, from political, social and economic relations (Chidester : 2000 : 15). Formations such as the NACATR (National Council of African Traditional Religion) and THO (Traditional Healers Organization) are in line with the promotion of African culture based on religion and healing just as the constitution of South Africa demands. ''The primary objects of the commission for the promotion and protection of the rights of cultural religious and linguistic communities are (a) to promote and respect the rights of cultural religious and linguistic communities, (b) to promote and develop peace, friendship, humanity, tolerance, national unity among religious and linguistic communities on the basis of equality, non-discrimination and freedom of association, and (c) to recommend the establishment or recognition in accordance with national legislation of a cultural or other council or councils for a community or communities in South Africa (The Constitution of the Re.public of South Africa 1996 Chapter 9: 101).
Thesis (Ph.D)-University of Durban-Westville, 2001.

This research work is set out to investigate healing practised in Africa today. There are many ways of healing in African; others are classified as foreign because they came out of Africa especially from European influence while others are considered local or traditional. The research shall dig out the influence of what is known as foreign methods or approaches of healing in Africa today and what African healing can learn from other methods of healing practised today. There shall be contemporary stories and facts about the situation of healing today and relevant statistics where necessary. The research also comes out with appropriate suggestions on how to combat contemporary illnesses of today. This includes what should be improved and how. This work covers the whole of Africa.
Philosophy & Systematic Theology
M.Th. (Systematic Theology)

Philosophiae Doctor - PhD
There has recently been a lot of interest in the role of traditional healers in various cultures. This study explores the merit of an integrative approach between western based psychological practices in South Africa and what is known as traditional African healing. In order to do so, this study aims to present the epistemological views of Jungian analytical theory and African healing practices. The purpose is to ascertain whether or not there are sufficient commonalities to allow for relatedness between these two worlds. Jungian analytical thought and practice is reviewed with particular reference to the collective unconscious, archetypes, complexes and dream interpretation as a pathway to individuation. The traditional healer's pervasive role within the context of the African cosmology is explored with particular reference to the understanding of the role of the ancestors, the causes of illnesses and the use of dreams, symbols and rituals in the healing process. The importance of the sacred in both healing modalities is presented. The study employs a qualitative research design with the phenomenological approach as an example of one of the traditions of this design. Interviews with five traditional healers comprise the data for the study. The data is analyzed according to the procedure recommended by Moustakas (1994). The interviews focused specifically on eliciting information regarding the calling and the training process of the traditional healer. It is proposed that the two approaches to healing investigated in this study present possible mechanisms to bridge the divide between the westernized approaches to healing and that of the non-technical practitioner. It is further proposed that this will have implications for the broadening of the training and implementation of psychology in South Africa today.

Religion and culture always go together. From the very first day a new person is brought out into this world, s/he starts learning how to live with her or his people, and starts learning their beliefs and values. The person grows up with this knowledge, and it forms a part of his/her life. These beliefs and values are unquestionable from the perspective of that person. They are accepted as natural and normative. If s/he, for example, is brought up in a culture in which kneeling is a form of showing respect, s/he will internalise this, and will always kneel when the act of showing respect is required. For another person who is brought lip in a different culture where standing lip, for example, is regarded as the way of showing respect, kneeling or sitting before a respected individual or occasion can be regarded by a such person as an impoliteness. As we can see, cultural values are subjective, and they are appropriate for the people of a specific culture in which they were fashioned and accepted as normative. What often happens is that when two different cultures meet there is a collision between them, and what often happens is that the one which is supported by power smashes the other and imposes its normative rules on it. When Christianity came to Africa, it was full charged by European way of viewing the world, and in its worldview, anything which was not within the European cultural nornlative frame, was something to get rid of Consciously or unconsciously, Christianity was used as a powerful tool for the West's cultural domination over Africans. The Church demonised African culture, and regarded it as a prototype of anti-Christianity. To become Christians, Africans were required to forsake their life style and assimilate the Western style of living. Things such as drums, xylophones, which were part of African culture, were associated with the demons and thus banned from the lives of the "faithful" African Christians. The memorial ceremonies, which were held for our ancestors, were understood as being a form of idolatry, whereas the church's memory of the saints was regarded as something very Christian. And, if the African culture and practices were abominable for the Western Christian missionaries, its traditional health care system was seen as the ultimate manifestation of the evil. [t is with the desire of reclaiming the legitimacy of African traditional health care system for Africans that 1 set out to examine healing from a cross-cultural perspective, and above all healing in the Bible, and specially Jesus' healings in order to see what is abominable with African traditional medicine.
Thesis (M.Th.)-University of Natal, Pietermaritzburg, 2002.

Abstract A study on the essential oil chemistry and microbiological activity of South African indigenous medicinal plants with the aim of establishing a scientific rationale for their anti-infective properties was undertaken. For the purpose of this study, nine medicinal aromatic plants were selected. The hydrodistilled essential oil was analyzed by gas chromatography combined with mass spectrometry (GC-MS) and various techniques were used to document the antimicrobial activity. Disc diffusion studies on Myrothamnus flabellifolius indicated highest activities against the fungal test organisms Cryptococcus neoformans and Aspergillus niger with radial inhibition zones of 8 mm and 10 mm respectively. The highest antimicrobial activity noted in the minimum inhibitory concentration (MIC) assay was for C. neoformans (2 mg/mL). Time-kill studies demonstrated the death kinetic progression on M. flabellifolius essential oils where the killing rate was greatest for Candida albicans. Osmitopsis asteriscoides, a plant used traditionally for cuts and swellings showed highest disc diffusion antimicrobial efficacy against Staphylococcus aureus (3 mm) and C. neoformans (3 mm). The MIC study indicated highest susceptibilities (4 mg/mL) for Escherichia coli and Staphylococcus epidermidis. Death kinetics for the three organisms studied demonstrated that the killing rate was greatest for C. albicans. The role of the two major constituents (1,8-cineole and (-)-camphor) act synergistically to enhance antimicrobial activity. Disc diffusion assays undertaken on Artemisia afra showed highest activity against Candida tropicalis (5 mm). In the MIC assay the highest susceptibility was against Serratia odorifera (4 mg/mL). Time-kill assays on Artemisia afra showed a concentration dependent bactericidal activity, with evidence that the major constituents independently and in combination were not responsible for the overall activity of the plant. Lippia javanica, a plant used to treat coughs, colds and bronchitis, indicated highest susceptibility against the respiratory pathogen Klebsiella pneumoniae (5 mm) with the disc diffusion assay. The MIC assay indicated highest susceptibilities (4 mg/mL) against C. neoformans and E. coli. Death kinetic assays for three test organisms showed that the killing rate was the greatest for K. pneumoniae. The time-kill study for L. javanica in combination with A. afra demonstrated that the oils in combination act synergistically against K. pneumoniae. The antimicrobial activity of the essential oils and extracts were determined for Helichrysum cymosum subsp. cymosum where the extracts demonstrated at least a six times greater MIC efficacy than the essential oils. Using column chromatography, the antimicrobially active compound was isolated from H. cymosum subsp. cymosum and identified as helihumulone. The traditional use of plants as a treatment for infectious diseases is not always restricted to a single part of the plant as was noted in the study on Croton gratissimus var. subgratissimus, where the leaf, bark and root extracts were investigated singularly and combined in various ratios to establish possible interaction. The MIC and fractional inhibitory concentration (FIC) results indicated variable efficacies for the plant combinations. The greatest synergistic profile was noted for C. neoformans in the leaf and root combination (MIC 0.4 mg/mL and FIC of 0.4). Further isobologram combination studies were thereafter conducted on varying ratios of leaf and root extracts, indicating greatest synergy for Bacillus cereus, Enterococcus faecalis, C. albicans and C. neoformans. While seasonal variation had very little impact on the MIC results obtained from Heteropyxis natalensis, the ratio of the two major compounds (1,8-cineol and limonene) fluctuated on a monthly basis. Moderate antimicrobial activity (3.0-16.0 mg/mL) was found for most pathogens with higher sensitivities for C. neoformans. The geographical variation of H. natalensis essential oil indicated similar profiles for Gauteng, Nelspruit and Waterberg samples. The Lagalametse sample, however, showed distinct variation both chemically and microbiologically where efficacy was higher than in all other samples. The impact of the enantiomeric configuration was investigated for limonene in combination with 1,8- cineole with (+/-)-limonene in combination with 1,8-cineole having the most significant synergistic ratios against Pseudomonas aeruginosa. The antimicrobial activities of the non-volatile and volatile fractions of Tarchonanthus camphoratus and Plectranthus grandidentatus, singularly and in combination demonstrated that the volatile constituents contribute to the total efficacy of the plant. Isobologram representation of the combination of various ratios of T. camphoratus and P. grandidentatus essential oil and non-volatile extracts devoid of essential oils present a predominant synergistic profile for all pathogens studied. A comparative study on five indigenous oils (M. flabellifolius, O. asteriscoides, H. natalensis, A. afra and L. javanica) was undertaken with five popular commercial oils (Lavendula angustifolia, Thymus vulgaris, Melaleuca alternifolia, Mentha piperita and Rosmarinus officinalis). The highest antimicrobial activity was noted for Thymus vulgaris in the MIC assay, followed by M. flabellifolius, O. asteriscoides and M. alternifolia. With the time-kill assay, M. flabellifolius showed the most rapid cidal effect against all three pathogens tested. The comparative evaluation of commercial essential oils with indigenous oils validated the use of South African aromatic plants for their anti-infective properties.

The purpose of this research was to investigate what traditional healing practices African immigrants are using and have ceased to use, during the process of resettlement into Canadian society. An additional purpose was to investigate the participants' reasons for using or not using their traditional healing practices. One aim of the study was to provide information about these traditional differences and the ways in which professionals in the social service sector acknowledged African immigrants and have been helpful to them. Another aim of the study was to identify whether, and in what ways, professionals have been helpful. The study is important not only for social workers and human service professionals, but also for African immigrants themselves as well as for African immigrant community groups within Victoria. The African immigrants' traditional practices and the ways in which they adapt and resettle into the new society remain unknown in the literature. Perhaps, the African immigrants common challenges and their unique traditional approach to resettlement into the Canadian society have not yet captured the full attention of social work and human service professionals. This study was grounded in structural theory, migration theory, settlement theory and adaptation theory in order to draw theoretical understanding of the relationship between immigrants resettlement process and their experiences. The research was qualitative and exploratory. It included a participatory interview design. Twenty African immigrants from five different regions of Africa participated in the study. Two distinct traditional practices were identified (i.e. material tradition and non material tradition) which are the foundation of African immigrants traditional healing practices. This research has found that the use or abstention of traditional healing practices in re-settlement depends on the participants reasons for migration. There were distinct differences in the use or non-use of traditional healing practices between those who planned (economic), and those who were forced (political) to migrate

The Zionist type of churches under the African Independent Churches have proven to be a force to be reckoned with against the more organized ecclesiastical movements (in particular the Mission Churches). This can be seen in their emphasis around matters related to culture and its methods of healing. As s result this led to the migration of people from the mission churches to these churches and threatened their existence in Botswana. The mission churches have been experiencing the decline in their membership to the Zionist churches because of the lack of openness to the cultural and the value systems of Batswana in Botswana. Mission churches were left with an option of doing introspection and finally acknowledging their failures to contextualise their theology and Christianity among the people they serving. Mission churches ended up opening their doors to the needs of their members.
Christian Spirituality, Church History and Missiology
M.Th. (Church History)

This study takes the concept of ubuntu, which means humanness and applies it to healthcare issues in general, and women's health, in particular. Ubuntu is based on the reality of interdependence and relatedness. It is a philosophy or way of life that finds its roots and meaning in humanity. The values espoused in ubuntu emphasize caring, sharing, reciprocity, co-operation, compassion and empathy in recognition that for human beings to develop, flourish and reach their full potential, they need to conduct their relationships in a manner that promotes the well-being of others. The values championed in ubuntu are what inform and shape African cultural, social, political and ethical thought and action.
Thesis (Ph.D.)-University of KwaZulu-Natal, Pietermaritzburg, 2007.

General practitioners (GP’s) are often the first point of entry when seeking medical treatment. They are responsible for treating members of the community and thus their understanding and conceptualisation of mental illness will influence patient care. Additionally, GP’s religious and cultural affiliations play an influential role in the aetiology and treatment of mental illness. Thus this study explored perceptions of mental illness in a sample of 10 Muslim GP’s (5 male, 5 female) of Indo-Pak ancestry in the Lenasia area (Johannesburg, South Africa). Semi structured interviews were conducted with each GP which entailed 37 questions related to the GP’s context, GP’s perceptions of mental illness, the understanding of religion and culture, the treatment of mental illness and the aspect of spiritual illness. Thematic content analysis was used to analyse the data. From the results obtained, eight themes were salient; namely definitions and aetiology of mental illness as understood by GP’s, the role of culture, the assimilated identity, Islamic beliefs regarding mental illness, GP’s beliefs regarding spiritual illness, collaboration and referral to other healthcare professionals and finally influential factors affecting GP’s. Based on the above themes it can be concluded that more awareness regarding the stigmatization of mental illness needs to be addressed. Furthermore, it is vital that healthcare professionals possess an understanding of the use of traditional healing as a mode of treatment amongst certain South African population groups. This study therefore paves the way for further research regarding the incorporation of cultural beliefs into mainstream theory.

MAAS
Centre for African Studies
Healing practices and health related rituals play a vital role in most religious groups including African Traditional Religion, Christianity, Islamic and Hinduism. This phenomenon of healing has been a challenge to religious institutions as well as African based churches. This study examined and analysed the healing practices within mega-churches in relation to the health related aspects. It appears that healing practices performed in those churches make them popular and enhance their growth in membership numerically. The study focuses on the philosophy and theological understanding of both mega-churches and mainstream churches. It is ostensible that healing, as a phenomenon, cannot be separated from core African culture, values and practices. Current church healing practices seems to be a more practical and accessible alternative way to deal with sickness as medical facilities has become inexorably costly especially to poor community who have no access to efficient medical amenities. Underprivileged members of society are drawn to religious healing practices because healers such as prophets, pastors and apostles dangle the capacity to heal people from all kind of ailments. Poor communities become a target because they are victims of government and the department of health malfunctions which are depicted by the poor and below standard medical services in those underprivileged communities. Most people in those communities believe that the above-mentioned emerging prophets and apostles from mega-churches are anointed and possess special power to heal them as well as to redeem them from life’s harsh realities. In the context of current healing practices, the researcher discovered that there is a need to probe and analyse the aforesaid practices particularly whereby healing seekers seems to have not receive what they anticipated from those mega-churches. The study exposes inappropriate healing dynamics conceived in the selected mega-churches within African tradition context. This study followed a qualitative approach, in which participants from both mega-churches and mainline churches were interviewed. The study further points out some perceived challenges affecting current healing practices in the selected mega-churches of Vhembe district of Limpopo Province. The study employed Interpretative Phenomenological Analysis strategy to analyse the data for the study.
NRF

The traditional health care system as it prevails in South Africa is part of African culture and intricately linked with the African world view. It embraces traditional norms and values that have survived to this day. In this sense it is more than a constituent part of medical pluralism which has become a global phenomenon. The role of the traditional healer is far more extensive than that of the modern medical doctor. He advises on all aspects of life, including physical, psychological, spiritual, moral and legal matters. He shares the client's world view. He understands the significance of ancestral spirits, the belief in supernatural forces and the reality of witches. It is in this context that modern scientific medicine has not been able to replace traditional medicine, and arguably never will. Traditional medicine is faced with enormous challenges at present. Firstly, the traditional social order is fast disappearing, making way for the state and the individual whose rights as contained in the Bill of Rights of the 1996 Constitution of the Republic of South Africa may seriously clash with traditional norms. Secondly, especially in an urban environment, the healer may encounter stiff competition from more progressive colleagues and modern physicians. Thirdly, scientific medicine basically regards traditional activities as unscientific, unregulated, often harmful and sometimes fatal. Fourthly, anti-witchcraft legislation hinders the traditional practitioner to deal with witches in the culturally appropriate manner. Traditional medicine will not go away. It is therefore necessary to find ways and means to see it practised in a safe and competent manner. As healers agitate for official recognition, it will be regarded as their corresponding duty to professionalise the traditional sector, create a traditional medical council and establish a register of bona fide healers who possess stipulated qualifications and are subject to rules of conduct and discipline. The modern and traditional sectors are essentially complementary and should be accommodated within a legal framework of official health care that protects healers and healed alike. The legal implications of this strategy are discussed in a global as well as regional African context.
Jurisprudence
LL.D.

Herbal medicines remain integral part of indigenous health care system in Ghana. Most conventional health medicines are directly or indirectly derived from plants or herbs. Despite its significant role in modern medicine indigenous herbal practices has been on the low light for some time due to perceived antagonistic relationship that exists between practitioners of herbal medicine and their counterpart in the conventional system. Using an indigenous knowledge discursive framework, the thesis examined the relevance of herbal medicine to the contemporary Ghanaian society. The thesis also examined the tension between the indigenous herbal practitioners and their orthodox counterparts. The thesis noted that for health care system in Ghana to be effective, there is a need for collaborate relations between these two practitioners. Also, it was noted that for health care system to be effective in Ghana, spirituality has to be central in the works of the herbal practitioners.

This research sought to investigate the impact of a belief in witchcraft as an explanation for all the ills in the Hlubi community and South African societies in general - which becomes a good tool for inadequate governments. Our approach in this study has been interdisciplinary and the utilization of comparative analysis and a combination of phenomenological and qualitative research models. Economic problems create social tensions and are manifested in various ways, including witchcraft craze. The Hlubi scenario found parallels in Europe and America. Witchcraft and ancestors are considered to be the main causes of diseases but nature and ecological or environmental dangers are other factors. Pragmatic and obvious response to such phobias is seen in the protective and preventive devices provided by isangoma, amaqhira, amaxhwere, inyanga and faith healers. It is hypothesized that as long as all existential needs exist in Hlubi society witchcraft will continue to be with us, perhaps forever.
Religious Studies & Arabic
DLITT ET PHIL (REL STUD)

Text in Afrikaans
Hierdie is 'n verkennende studie wat die Tsonga se persepsies omtrent seksualiteit ondersoek. Daar is gekonsentreer op die etiese en sosio-kulturele aspekte van die seksualiteit ten einde riglyne aan die Christelike kerk te verskaf. Die kwalitatiewe navorsingsmetode is gebruik. In hoofstukke twee en drie word breedvoerig verlag gedoen oor die Tsonga se seksuele persepsies en gebruike. Eerstens word gekyk na die nie-Christelike Tsonga en dan na die Christelike Tsonga. Die nie-Christelike Tsonga se seksualiteit is deurspek van rnitiese gebruike en gelowe. Die Christelike Tsonga het minder van die rnitiese maar toon weinig konforrnasie tot die tradisionele Christelike waardes. Uit die tradisionele Afrikareligie is 'n bepaalde etiek oorgeerf. Hierdie etiese beginsels verskil aansienlik van die Christelike etiek. Die Christelike etiek is 'n normatiewe etiek waar die motief vir 'n bepaalde handeling net so belangrik is as die handeling self. Die oorgeerfde Afrika-etiek stel minder belang in die intensies van die persoon wat die handeling uitvoer. Wat saak maak is die gevolge van 'n handeling. Die vraag word gevra waarom die Christelike Tsonga nie nader aan die aanvaarde Christelike norme beweeg het nie. Daar word bevind dat oorgelewerde sosiale tradisies, gebruike en waardes groter invloed op die seksualiteit uitoefen as godsdiens. Die is veral die proses van vervreemding, wat die Tsongakultuur tans ondergaan, wat lei tot 'n toestand van kontakarmoede en 'n gebrek aan singewing. Kan die kerk enige bydrae lewer tot die seksualiteit van die Tsonga? Daar is bevind dat die Christelike sending 'n fasiliterende bydrae daartoe kan lewer dat die Tsonga-gelowige, 'n lokale teologie van die seksualiteit tot stand kan bring. Dit is belangrik dat die Tsongagemeenskap self die teoloog moet wees. Op hierdie manier kan die Christelike godsdiens wel 'n verrykende bydrae lewer tot die seksualiteit by die Tsonga.
This is a investigative study that researches the Tsonga perception of sexuality. Emphasis has been placed on the ethical and socio­ cultural aspects of sexuality in order to provide guidelines to the Christian church. The qualitative method of research was used. In chapters two and three a detailed account of the Tsonga's sexual perceptions and practices is given. Firstly the non-Christian Tsonga was studied and then the Christian Tsonga. The non-Christian Tsonga's sexuality is interspersed with mythical practices and beliefs. The Christian Tsonga have less of the mythical but show little conformation to the traditional Christian values. From the traditional African religions a specific ethic was inherited. These ethical principles differ substantially from the Christian ethics. The Christian ethic is a normative ethic where the motive for an action is as important as the action itself. The inherited African ethic is less interested in the intentions of the person doing the action. The consequence of the action is what matters. The question is asked why the Christian Tsonga did not move closer to the accepted Christian norms. It was found that the inherited social traditions, uses and values exert more influence on the sexuality than the religion. It is above all the process of alienation that the Tsonga culture is presently enduring, that leads to a situation of poor contact and a lack of purpose. Can the church deliver any contribution towards the sexuality of the Tsonga? It was found that the Christian mission could make a facilitating contribution towards the Tsonga believers, enabling them to bring about a local theology of sexuality. It is important that the Tsonga community should be its own theologian. In this manner the Christian religion can make an enriching contribution towards the sexuality of the Tsonga.
Christian Spirituality, Church History and Missiology
Th. D. (Sendingwetenskap)

There are two independent streams of health care in South Africa: traditional healing and Western medicine. Proposals to formally integrate the two streams have been made by the World Health Organization and by the South African Department of Health. In this study, the philosophical background behind each of the two health care models is discussed, as well as literature on the possible integration of the two systems. It has not been clear if Western-trained health-care practitioners would be prepared to work with traditional healers. The purpose of this study was therefore to examine health care practitioners’ opinions, attitudes, knowledge and experiences with traditional healers, and to determine to what extent these variables would predict their intentions to work with these healers. A Within-Stage Mixed Model design was used, and data were collected using a selfdeveloped questionnaire. A total of 319 health care practitioners from State hospitals and clinics in Gauteng and Limpopo provinces participated in the study. The results of the study revealed significant differences between groups of health care practitioners in terms of their opinions, attitudes, experiences and intentions to work with traditional healers. Psychiatric nurses and psychiatrists showed more positive opinions, more positive attitudes, more knowledge and more willingness to work with traditional healers than do general nurses and physicians. Psychiatric and general nurses also had more experiences with traditional healing than did psychiatrists and physicians. The results also revealed that attitudes, knowledge, opinions and experiences predict Western health care practitioners’ intentions to work with traditional healers, with attitudes being the strongest and experiences the weakest predictors. Health care practitioners’ views of traditional healing were contradictory and ambivalent in many instances. This implies that integration of the two health care systems will be complex, that the current potential to integrate the systems is weak and that such integration can only be realised with considerable effort from all stakeholders.
Psychology
D. Litt. et Phil. (Psychology)

MAAS
Centre for African Studies
The study sought to explore the use of traditional healing modalities in the provision of mental illness in the Vhembe district of Limpopo province. Traditional medicine has been used for thousands of years by indigenous people in South Africa and Africa as a whole, and demonstrated efficacy in treating a wide range of health issue. Many of the medicines in contemporary biomedical treatment are derived from plants and herbs used by indigenous people throughout the world. The objectives of the study were to describe the profile of the clients that visit the traditional healers, to explain traditional healers’ diagnostic strategies of mental illness, to explain the traditional healing treatment modalities in the treatment of various forms of mental illness and to discuss traditional healers’ prevention methods of mental illness. The study was guided by indigenous theory of health and illness as a theoretical framework, and for supporting the literature, a theory of African perspective theory was used. A qualitative research approach was used in order to have an in-depth understanding of the modalities of traditional healing in the provision of mental health care. Case study approach was used. Participants were selected purposively around Vhembe district in Limpopo province and snowball sampling technique was applied in order to identify and recruit relevant participants. The researcher conducted semi -structured interviews to gather the relevant data. Data analysis was based on the interpretative philosophy that aimed at examining meaning and symbolic content of qualitative data. Thematic analysis method was employed. The findings of the study confirmed that traditional healing is still widely used in the communities in the provision of mental illness and that there are a variety of diagnostic, treatment and prevention methods in the provision of mental illness. The findings also show that as much as there are challenges facing traditional healing in treatment of mental illness, there is a need to introduce their modalities in the healthcare system of South Africa, Africa and the whole world. Programs that aim to educate the communities about traditional healing modalities should also be established by the Department of Health and the relevant stakeholders such as traditional healers’ organizations.
NRF

This study was undertaken to explore trainee and registered psychologists' perceptions of indigenous healing, its recognition, its inclusion in the formal mental health care system, and its role in the mental health care system. A qualitative, exploratory, and descriptive study was conducted in Durban. Unstructured interviews and focus group interviews were conducted with registered and trainee psychologists respectively. Data was analyzed using thematic content analysis. Based on the findings the following conclusions were drawn: In comparison to student psychologists, intern and registered psychologists held more positive views about indigenous healing, its recognition, its role, and its inclusion into the formal health care sector. Most participants reported that they would not refer to indigenous healers unless a client made an explicit request; registered psychologists were more confident about their ability to collaborate with indigenous healers; and most participants reported a need for more knowledge on indigenous healing. The implications of these findings are discussed.
This study was undertaken to explore trainee and registered psychologists' perceptions of
Thesis (M.A.)-University of KwaZulu-Natal, Durban, 2007.
Thesis (M.A.)-University of KwaZulu-Natal, Durban, 2007.

PhD (Sociology)
Department of Sociology
The purpose of the study was to investigate the influence of traditional healing practices on anti-retroviral treatment adherence in Vhembe District. This qualitative study used an explorative design to envisage the aim. A cross-sectional snowball sample was used to draw a sample of 9 participants from the 4 municipalities of Vhembe District. The data collection methods were; in-depth interviews, focus group discussions and key informants’ interviews. The 3 data collection techniques ensured triangulation for more complete and well-validated outcomes of the study. The researcher used the Van Manen method to analyse data. Contrary to popular belief that THPs promote non-adherence among people living with HIV/AIDS (PLWHA), the study found out that the majority of Traditional Healing Practitioners (THPs) encourage and positively influence PLWHA to adhere to anti-retroviral treatment. Apart from a minority of participants who claimed to cure HIV/AIDS, the majority acknowledged and admitted that traditional healing practices do not cure HIV/AIDS but it only heals opportunistic infections. As a result, the majority of THPs influences PLWHA to adhere to anti-retroviral therapy (ART). However, the positive influence of THPs is challenged by individual and social-cultural factors that are beyond THPs’ control which influence treatment adherence such as; traditional and cultural beliefs, side effects of ARVs, nurses’ attitude, inconveniences, lack of transport, personal choices, lack of trust in ARVs and fear of loss of the Disability Grant. It is on this backdrop that study findings prompted devising of a model and a 5 phase support program for intervention.
NRF

Sickness is a problem that has not escaped any society and thus is on the agenda of every culture. Since time immemorial cultures have searched for answers to the questions raised by the phenomenon of sickness but none have provided solutions, as it has become clear that sickness is part of our human existence. Many people have resorted to religion in search consolation in times of affliction and the Roman Catholic Church is not immune to this expectation, as we see many leaving the church in search of healing in the African Traditional Religions and other Christian churches because they feel that the church is inadequately dealing with the problem. In this study the author undertakes a research journey within the Diocese of Witbank of the RCC to investigate as to why the church’s healing ministry is not effective. Through engagement with participants in the research field and relevant literature the author discovered that the RCC is seen to be suspicious of the African worldview and consequently does not take its members’ fears and frustrations around the phenomenon of sickness serious as it judges them to be superstitious. This suggests that there is nothing that Western Christianity can learn from African cultures maintaining its superior attitude and further alienating indigenous communities. The author suggests that in order for the RCC to responds with relevance to this problem it needs to reconcile the Christian worldview, which is western, with the African worldview. He puts high on the agenda of Christian theology the urgent call to African theologians to develop an African theology that will give birth to a genuine African Christianity. In conclusion as a solution the author proposes an integrated and intercultural healing ministry for the Diocese of Witbank. This model is aimed at appropriating African values, idioms and language in the RCC to create an atmosphere where the church is seen as a welcome guest who comes bearing gifts but at the same time expects to be taken care of by its host.
Philosophy, Practical and Systematic Theology
M. Th. (Pastoral Therapy)

Indigenous Knowledge (IK) is in danger of being obliterated due to a number of factors, such as the lack of interest from younger generations, low life expectancy where people die before transferring it to the next generation and it not being documented. This is due to the fact that IK, by its very nature, is generally known to have been passed on from generation to generation through oral tradition. This qualitative study utilised the organisational knowledge conversion theory to investigate the acquisition, transfer and preservation of IK by traditional healers in the Limpopo Province of South Africa with the view to develop a framework to provide understanding on how IK is acquired, transferred and preserved by traditional healers. The study adopted hermeneutic phenomenology research method and utilised snowball sampling technique to determine the population of this study which consisted of indigenous healers from the Limpopo Province. Data were collected through interviews with traditional healers, observations, as well as document analysis. Data were analysed and interpreted thematically according to the objectives of the study. The study revealed that knowledge of traditional healing is mainly acquired through observations, imitations, following orders and performing tasks practically. In addition to that, collaboration was highlighted as one of the driving forces behind effective transfer and acquisition of knowledge among healers. The major finding to this study was that ancestors are believed to be the ones preserving this knowledge of traditional healing and they pass it down to the chosen ones through dreams, visions and so on. The study concludes that traditional healers also preserved their knowledge orally and commonly shared and acquire knowledge during interactions with other healers. Furthermore, traditional healing is marginalised and not properly regulated in South Africa. It is recommended that key stakeholders should play an active role in ensuring that traditional healing is incorporated into the country’s healthcare system. This way traditional healing can help reduce a heavy burden on public health sector in terms of treating patients. A further study on integrating traditional healing into mainstream healthcare system in South Africa is recommended.
Information Science
D. Litt. et Phil. (Information Science)

Medicinal plants of Thulamela municipality are experiencing challenges due to human activities, resulting in some of the medicinal plants becoming difficult to find, declining, endangered or even extinct. Unsustainable harvesting is threatening the survival of certain medicinal plant species used as a source of primary healthcare in the area. This study investigates aspects related to traditional healers' perceptions with regard to collection, ethnobotanical importance and conservation status of indigenous medicinal plants used by traditional healers around Thulamela municipality. Information on medicinal plants was gathered by means of semi-structured interviews, field walks, personal observation and a literature review. A total of 90 medicinal plant species, which belong to 47 families, from a total of 82 genera commonly used by traditional healers to treat different ailments, were recorded. About 87% of traditional healers indicated that some medicinal plants are difficult to find; only 13% of healers did not experience difficulties in finding some medicinal plants.
Environmental Sciences
M. Sc. (Ornamental Horticulture)

Tertiary institutions in South Africa have become culturally diverse and the question of the counseling services available to students from diverse cultural backgrounds is inevitable. The study investigated the views of different stakeholders of the University of KwaZulu–Natal (UKZN) on the incorporation of traditional healing into student counseling services. In-depth, open ended interviews and focus group discussions were held with purposefully-chosen students, psychologists, a traditional healer and deans of student services. Data were analyzed qualitatively using thematic analysis. The participants highlighted the potential usefulness of traditional healing especially in dealing with culture-bound syndromes and students’ identity issues. The logistics of having traditional healing services in spaces modeled along Western influences, as well as ethical issues were identified as the main challenges. The findings are discussed in relation to indigenous knowledge systems and the constitutional imperatives on cultural diversity.
Thesis (M.Soc.Sc.)-University of KwaZulu-Natal, Pietermaritzburg, 2011.