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Collaboration with traditional healers in HIV/AIDS prevention - unaids

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Project* Effectiveness Ethical soundness Efficiency Susta<strong>in</strong>ability Relevance of approach<br />

Traditional and<br />

Modern Health<br />

Practitioners<br />

Together aga<strong>in</strong>st<br />

<strong>AIDS</strong> (THETA)<br />

Uganda<br />

1992<br />

- 200 <strong>traditional</strong> <strong>healers</strong> tra<strong>in</strong>ed <strong>in</strong> 7<br />

districts s<strong>in</strong>ce 1993<br />

- Traditional <strong>healers</strong> ga<strong>in</strong>ed knowledge<br />

<strong>in</strong> <strong>HIV</strong>/<strong>AIDS</strong> and STD transmission,<br />

<strong>prevention</strong> and care<br />

- Traditional <strong>healers</strong> ga<strong>in</strong>ed<br />

counsell<strong>in</strong>g, teach<strong>in</strong>g, leadership and<br />

record-keep<strong>in</strong>g skills.<br />

- Tra<strong>in</strong>ed <strong>traditional</strong> <strong>healers</strong> provid<strong>in</strong>g<br />

regular community <strong>AIDS</strong> education<br />

- Traditional <strong>healers</strong> distribut<strong>in</strong>g<br />

condoms<br />

- Traditional <strong>healers</strong> make <strong>in</strong>creased<br />

referrals to biomedical health providers<br />

- THETA produces a newsletter,<br />

<strong>in</strong>itiated a speakers’ bureau, conta<strong>in</strong>s<br />

a library on <strong>traditional</strong> medic<strong>in</strong>e and<br />

<strong>AIDS</strong>, and produced 2 videos<br />

- Conducted a study on the<br />

effectiveness of herbal treatment for<br />

opportunistic <strong>in</strong>fections.<br />

- Research results<br />

are fed back to<br />

<strong>healers</strong> and<br />

community<br />

- Patient<br />

confidentiality is<br />

emphasized <strong>in</strong><br />

tra<strong>in</strong><strong>in</strong>g programmes<br />

- Agreement signed<br />

<strong>with</strong> M<strong>in</strong>istry of<br />

Health<br />

- Traditional <strong>healers</strong><br />

have worked <strong>with</strong><strong>in</strong><br />

the hospital for<br />

herbal study<br />

- Patients sign<br />

<strong>in</strong>formed consent<br />

form<br />

- Mutual respect is<br />

emphasized from the<br />

beg<strong>in</strong>n<strong>in</strong>g<br />

- Adm<strong>in</strong>. tightly<br />

controlled and<br />

reports produced<br />

quarterly<br />

- Costs per <strong>traditional</strong><br />

healer client range<br />

between US$0.24<br />

and US$0.71<br />

- US$21/day per<br />

<strong>traditional</strong> healer<br />

tra<strong>in</strong>ed<br />

- Estimated total<br />

number of<br />

beneficiaries range<br />

from 150, 000 to<br />

400,000 per year *<br />

- Healers don’t receive<br />

salaries<br />

- Strong l<strong>in</strong>ks are built <strong>with</strong><br />

community leaders <strong>in</strong> each<br />

district (i.e. local council,<br />

secretaries for women, etc)<br />

for support<strong>in</strong>g cont<strong>in</strong>u<strong>in</strong>g<br />

healer activities<br />

- Traditional <strong>healers</strong> <strong>in</strong>volved<br />

<strong>in</strong> the tra<strong>in</strong><strong>in</strong>g have formed<br />

their own associations that<br />

undertake various activities,<br />

<strong>in</strong>clud<strong>in</strong>g community <strong>AIDS</strong><br />

education and drama,<br />

tra<strong>in</strong><strong>in</strong>g of fellow-<strong>healers</strong>,<br />

and ‘persons liv<strong>in</strong>g <strong>with</strong><br />

<strong>HIV</strong>/<strong>AIDS</strong>’ support groups<br />

- THETA tra<strong>in</strong>ed <strong>traditional</strong><br />

<strong>healers</strong> <strong>in</strong>volved <strong>in</strong> national<br />

policy bodies (National Drug<br />

Authority)<br />

- Objectives clearly stated and based on<br />

basel<strong>in</strong>e <strong>traditional</strong> <strong>healers</strong>’ surveys and<br />

community basel<strong>in</strong>e assessments<br />

- Objectives and implementation follow<br />

the National <strong>AIDS</strong> Programme strategy<br />

- Implementation of district activities is<br />

area-specific and based on feasibility<br />

assessments carried out <strong>in</strong> several<br />

possible sites before each new district is<br />

chosen<br />

()#&

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