The provision of culturally competent health care is an important professional issue recognized by the pioneer genetic counselors in the Philippines. The present study used a qualitative descriptive design with semi-structured interviews to gain a deeper understanding of the phenomena. Each transcript was coded line by line and these codes were organized into higher-order conceptual themes. Correspondence to 2022 Apr;13(2):183-191. doi: 10.1007/s12687-021-00543-2. These forces also have the ability to heal one from these spells. J Genet Couns. It is a commonly held view, both from the Nigerian literature and from anecdotal evidence, that life is . Germ theory was first clearly stated by an Italian physician named Girolamo Fracastoro in the mid-1500s. He died from Parkinson's disease in 2014, aged 85. . Ottawa 1986: The Fulcrum of Global Health Development. Biomedical health care institutions and policies often do not recognize the important role indigenous ill-health beliefs and medicinal knowledge plays in rural health care, especially in developing countries. 2016 Nov;46:121-126. doi: 10.1016/j.nedt.2016.09.001. Just health inequality in illness, care and prevention. Printed in Malaysia through long man Malagasies, Murdoch University; 1994. In 1890 Robert Koch proposed specific criteria that should be met before concluding that a disease was caused by a particular bacterium. The miasma theory was the predominant theory of disease transmission before the germ theory took hold towards the end of the 19th century, and it is no longer accepted as a scientific theory of disease. You can read the details below. Simple statistics like frequency distribution, percentile were used. Sanders Thompson VL, Johnson-Jennings M, Baumann AA, Proctor E. Use of culturally focused theoretical frameworks for adapting diabetes prevention programs: a qualitative review. A settled man lives in peace and prevents himself from syphilis and gonorrhoea. According to Murdock, supernatural causes include: theories of mystical causation (i.e., fate, ominous sensation, contagion, and mystical retribution); theories of animistic causation (i.e., soul loss, and spirit aggression); and theories of magical causation (i.e., sorcery and witchcraft) [10]. We consider people who travel at this wrong time bad, harmful, killers and thieves or people into something tricky. Only single germ is responsible for causation of a specific disease. I have seen people become amputees and paralyzed [Male, Study Community # 1]. By accepting, you agree to the updated privacy policy. Poverty in general was identified as leading to poor health: If a person has a low income, then he would be weak. Ogbogu PU, Noroski LM, Arcoleo K, Reese BD Jr, Apter AJ. For example, the research findings were shared with research participants and the local research assistants who confirmed the interpretations accurately reflected their perceptions and experiences. Tooth decay, measles, or a broken bone are examples. For example, Lidell and his colleagues (2005) described how Sub-Saharan peoples relationship with God takes a form of nature-spirit reverence and connection which is vital to maintaining family health [26]. A.A. 2015. L. W. Feezer. Most participants were Muslims (n=92) and the rest were Ethiopian Orthodox Christians. Federal government websites often end in .gov or .mil. Reading: Gordon and Breach Science; 1992. PubMed Central Ethiop J Health Dev. However, the germ theory of disease has many limitations. https://doi.org/10.1186/s12889-017-4052-y, DOI: https://doi.org/10.1186/s12889-017-4052-y. Negative correlation is when an increase in A leads to a decrease in B or vice versa. Wilson. Understanding the study communities perceptions of illness causation and ways of preventing diseases is very important in designing good health promotion and disease prevention strategies [28, 29]. Learning from strangers: the art and method of qualitative interview studies. PubMed Oxford: Clarendon; 1964. official website and that any information you provide is encrypted A guy will be healthy person [if] he keep agrees with his neighbors and doesnt argue, one that doesnt hold grudges, one that lives with others in peace. Permission to conduct the participant observation in the communities was provided by the heads of the health facilities. These small organisms, too small to see without magnification, invade humans, other animals, and other living hosts. Pain occurs when one of the substances presents either a deficiency or an excess, or is separated in the body and not mixed with others. The emphasis on culture in our genetic counseling training recognizes its crucial role in molding an individual's conceptualization of health, as well as other life aspects, especially since the Filipino culture is a mixture of indigenous as well as imported and borrowed elements. Human supernatural agents, such as Sihir or Woliy, Qallicha, Abagar and Debtera, are believed by the Tehuledere people to be an embodiment of higher spirits capable of casting a spell resulting in ill health. In testing our hypothesis on whether cultural beliefs of infant mortality among working mothers in Nigeria would vary by age, education, and income, we used a hierarchical linear regression analysis to better understand the independent effects of each variable. The views presented in the article are of the authors and do not necessarily express the views of the funding organization. Epub 2022 Apr 6. Diagnosing diseases in African traditional religion. Lidell C, Barrett L, Bydawell M. Indigenous representations of illness and AIDS in Sub-Saharan Africa. Dr. Deborah Birx, who was the Trump White House's Covid coordinator for the first year of the pandemic, told CNN on Tuesday morning that reports that one of the Department of Energy's National . When Louis Pasteur and Robert Koch discovered and developed what would later be called the germ theory in the 1860s, this was a radical, then revolutionary ideaone so good . Research has linked social isolation and loneliness to higher risks for a variety of physical and mental conditions: high blood pressure, heart disease, obesity, a weakened immune system, anxiety, depression, cognitive decline, Alzheimer's disease, and even death. Indian Veterinary Research Institute, Izatnagar-243122, He was also faced with the challenge of being perceived as a powerful individual due to his position as a member of the elite and a senior university lecturer. I saw it happen as a child. Weve updated our privacy policy so that we are compliant with changing global privacy regulations and to provide you with insight into the limited ways in which we use your data. Part of 4. Example: the more purchases made in your app, the more time is spent using your app. Peterson DR. For long, man was groping in darkness about the causation of disease. As noted in other studies, effective primary care requires that all health care providers and policy makers take culture and traditional into account [20]. document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); Sagar Aryal is a microbiologist and a scientific blogger. Anthropological approaches to the study of ethnomedicine. J Hum Lact. [Female, Study Community # 3]. Pittsburgh: University of Pittsburgh Press; 1980. If God wants you to live healthy, then you live healthy [Female, Study Community # 1]. This paper therefore is aimed at examining the causes and consequences of rapid erosion of cultural values in nigeria. Federal Ministry of Health. All qualitative data from participant observations, in-depth interviews, fieldwork, personal memos and informal conversations were organized using NVivo 10 computer software. Additionally, the authors thank Mr. Teshager Shiferaw for his help in data collection and early coding. This study further underscores the need to incorporate folk theories of disease causation, gender and malaria issues into malaria control strategies in order to improve their coverage and effectiveness in different contexts. and imbalance amongfour vital "humors within us. Several theories were advanced from time to time to explain disease causation such as the supernatural theory of disease, the theory of humors by Greeks and Indians, the theory of contagion, the miasmatic theory which attributed disease to noxious air and vapours, the theory of spontaneous generation, etc. The breakthrough came in 1860, when the French bacteriologist Louis Pasteur (1822-1895) demonstrated the presence of bacteria in air. Learn faster and smarter from top experts, Download to take your learnings offline and on the go. Social, economic and biological factors interact to drive a vicious cycle of poverty and disease from which, for many people, there is no escape." In short, poverty is instrumental in cultivating conditions that allow disease to spread. Bareilly, UP, India. Letter to the Editor: "Orthopaedic and trauma care in low-resource settings: the burden and its challenges". 2023 The Biology Notes. Meadows LM, Morse JM. He carefully reflected on how the data collection process influenced his own perceptions, and how other people respond to him. A successful integrated primary health care strategy should include strategies for supporting patients needs in all three of these domains. Named for the village of Nok, site of some of the finds, the ancient culture produced fine terra-cotta figurines, which were accidentally discovered by tin miners on the Jos Plateau in the 1930s. . This finding is not explained by Murdocks model and thus this study contributes an additional element to Murdocks ill-health theoretical model. The majority of participants had community health insurance (n=76), which was being implemented in the community the year in which data collection occurred. It is hoped that the model of illness causation identified in this study will help to enhance the rural health plan for the 5 villages of Tehuledere Woreda and beyond. To act in this capacity qolle must be acknowledged and shown respect through appropriate rituals such as scarification of goats, respecting the local customs and values, etc., the spirit of the qolle are good for keeping relatives safe from harm and maintain health [Male, Study Community # 3]. Just as members of a society work together to fulfill a society's needs, culture exists to meet its members' social and personal needs. The capital of the Woreda, Haik, is situated 430 kms away from Addis Ababa, the capital of Ethiopia. Dime (1995:30-31) argues that the diagnosis of diseases in an African traditional healing system is a twofold event. Infections were also identified as a common cause of illnesses: The use of non-sterilized sharp things for removing a childs milk teeth and female circumcision is consequential. Springer Nature. 4. Proceedings of the First National Conference on the Revision of National Health Policy. Ulin PR, Segall MH, editors. Helman (1990) presentation of lay theories of illness causation identified four sites; individual patient, the natural It states that microorganisms known as pathogens or "germs" can lead to disease. Initially Neolithic (New Stone Age), the Nok culture made the transition to the Iron Age. Gordis, L. (2014). As part of this endeavor, we will describe in this paper seven common Filipino cultural beliefs: namamana, lihi, sumpa, gaba, pasma, namaligno, and kaloob ng Diyos. We say in our culture, if there are arguments and fights there will be no peace then, it would shorten your life and laughter will be away from you. However, it is important to define illness and disease differently when considering some non-western cultural traditions. Anderson R. The efficacy of ethnomedicine: research methods in trouble. The outlook regarding disease causation haschanged considerably with time and advancements in science. He has published more than 15 research articles and book chapters in international journals and well-renowned publishers. He attended St. Xaviers College, Maitighar, Kathmandu, Nepal, to complete his Master of Science in Microbiology. It appears that you have an ad-blocker running. Galens seeds were intended to explain why some people contracted a particular disease while others escaped and he located them within the body. 93 0 obj
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The other criterion was the interest shown by the health extension workers to collaborate in the study. Focus groups and interviews continued until the data in the key emerging themes were saturated (i.e., key points were repeated and no significant new information was emerging) [16, 17]. NCI CPTC Antibody Characterization Program. 8600 Rockville Pike Cultural theories of crime provide distinct frameworks to understand the influence of human agency, social forces, and peers on behavior. Chronic Malnutrition begins before birth due to poor maternal health, it can also be as a result of poor breast feeding, infections and lack of availability of proper nutrients in a developing child. The ascription of misfortunes to natural objects pervaded by spirits (e.g., qolle or quteb) was observed to be common in the study population. Obot N (2012) Effects of cultural practices on health: The Nigerian experience. 67 0 obj
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Google Scholar. The first is the monocausal view and emerges from the "conquest" of the infectious diseases. For the study communities, a culture of social trust was central to their identity, and they believed this was directly connected to the health of the body. There are 23 Kebeles (the smallest local administrative unit) administered by the Woreda, including 19 rural, 2 urban and 2 semi-urban towns. Medicine finally shed the rags of dogma and superstition and put on the robes of scientific knowledge. Download Free PDF It is often construed as a medical condition associated with specific symptoms and signs. Then we stay healthy [Female, Study Community # 4]. Alice Barrett is in hospital with myalgic encephalomyelitis (ME), and cannot feed herself. Kickbush I. 1991;630:212-22. doi: 10.1111/j.1749-6632.1991.tb19590.x. 2023 BioMed Central Ltd unless otherwise stated. . Homosexual Mathematician Who Rescued the World Still Died In Disgrace: The Br Configuration of audiogram_de6f98ffd3d657e86d774387bbfaf319.pdf, Science-What-do-plants-need-to-grow-PowerPoint.pptx, Associative_Memory_Neural_Networks_pptx.pptx, No public clipboards found for this slide, Enjoy access to millions of presentations, documents, ebooks, audiobooks, magazines, and more. Too often, indigenous medicine is criticized as harmful traditions as if it was a threat to human health. After teaching microbiology for more than four years, he joined the Central Department of Microbiology, Tribhuvan University, to pursue his Ph.D. in collaboration with Helmholtz-Institute for Pharmaceutical Research Saarland (HIPS), Saarbrucken, Germany. Galenhad written of the possibility of seeds of disease, a view which suggested a belief in the contagious nature of some diseases. A more interesting finding was that they also articulated how important social relationships are in maintaining good health. Activate your 30 day free trialto unlock unlimited reading. Correlated with personalistic etiologies are the belief that all misfortune, disease included, is explained in the same way; illness, religion, and Wiki User 2009-11-03 20:50:12 This answer is: Study guides Science 14. Instant access to millions of ebooks, audiobooks, magazines, podcasts and more. Looks like youve clipped this slide to already. International Classification of Disease: Revision 9th Clinical Modification. 5th, Millennium edition U.S Department of Health and Human Services; 2000. Finally the themes were incorporated into a conceptual model of the participants and their beliefs and perceptions in illness causation [18]. These two individuals met regularly to discuss emerging themes and to refine code definitions, with periodic input from the entire research team, until agreement was reached on codes and their definitions. They also articulated the role of natural causes and social relationships in maintaining good health. American journal of public health. Theories of illness causation derive from the underlying cognitive orientation of a cultural group, and therapeutic practice usually follows the same cultural logic. The second approach emphasizes the concept of multicausality and derives its popularity largely from the study of the diseases of industrialized societies. 2005;60:691700. 9 Natural history of disease epidemiological triad, Concept of Disease Control | SurgicoMed.com, 2. unit no iii dynamic of disease, Community Health Nursing, Concept of disease. The ascription of misfortunes to natural objects pervaded by spirits seems to have been prevalent where by sicknesses, epidemic or contagious diseases and even death were explained in terms of punishment by enraged spirits. It held that diseases such ascholera,chlamydia infection, or theBlack Deathwere caused by amiasma, a noxious form of bad air emanating from rotting organic matter. Cruz JP, Estacio JC, Bagtang CE, Colet PC. Article We would like to thank the study participants and Tehuledere Woreda Health Bereau staff, as well as our research assistants for their great support to facilitate the data collection of study. The use of open-ended questions, as well as informal conversations with informants on topics they themselves raised, were among the ways pursued to mitigate these challenges. Exploring the rigging claims in Nigeria's . MeSH Choosing among five traditions. Health was attributed by study participants to the will of God/Allah Who sends Melayka (the guardian angel) into peoples homes: Many thanks to Allah! Sicknesses, epidemics, contagious diseases and even death were explained in terms of punishment by enraged qolle spirits. Similar to other cultural groups in developing countries around the world [11], many of the Tehuledere people attribute illness to the wrath of supernatural forces. For example, there are beliefs that health problems and/or an illness or death will occur if one gives false witness in front of Jamea (a group of community opinion leaders, usually Muslim clergy). Soc Sci Med. Before The remaining 3% of the population live in the malaria free highlands. Medical anthropology. Full Text: PDF. 2015;12:140421. http://dx.doi.org/10.5888/pcd12.140421. Cultural Competence in the Care of Muslim Patients and Their Families. By using this website, you agree to our A valuable and interesting world survey of aboriginal theories of disease causation has been made by Clements.1 The types and distributions of ithe theories which he pre-sents embrace well the main methods of interpreting disease in simpler societies; yet the basic analysis of disease causation concepts which he employs needs a little further infectious disease, malaria, traditional cultural views, burden of disease, gender, folk model. Trimingham S. Islam in East Africa. Please enable it to take advantage of the complete set of features! Thousand Oaks: Sage; 2007. Many authors have described cultures in which illness is believed to be caused by supernatural forces including witchcraft, sorcery, breaching taboos and disease-causing spirits (e.g., [2225]). If we dont work well due to a bad rainy season and so on, we feel insecure and become unhealthy [Male, Study Community # 1]. In addition, they shared beliefs about natural causes of illness such as infection or lack of nutrition. Disease etiologies in non-western medical systems. Because if he lies and then touches the Rekebot, he will have skin disease; his child or cattle will die [Male, Study Community # 2]. The outlook regarding disease causation has changed considerably with time and advancements in science. New York: Wiley; 1978. In our tradition people believe in qolle spirits (the spirit of individuals) is a guardian from illness and cause of illness. Theories of Disease causation For the followers of indigenous faith, ones health status is not balanced without the nature-spirit connection. Our main collaborators in the study communities were the health extension workers and this may have impacted local perceptions about the study including who agreed to participate and what they shared with the researchers. Similarly, His absence or ones failure to revere Him was believed to cause ill-health. Data obtained from our study indicated that the role of social prohibitions and the consequences of their violation were a key factor causing health problems in Tehuledere. 0
Ethnicity pertains to: geographic origins, fam patterns, lang., cultural norms, religion, literature, music, gender roles, etc Racism The belief that some races are superior to others by nature Ethnocentrism The https:// ensures that you are connecting to the However the outcomes from this study may not be representative of the encounters of perception of illness causation of other ethnic backgrounds. The current Ethiopian indigenous health strategy (the National health strategies with regard to Indigenous Solution reported in March 2015) acknowledges the need to support components of indigenous medication including recommendations to explore potential beneficial aspects [31]. Time is spent using your app, or a broken bone are examples ) demonstrated the presence bacteria! Patients needs in all three of these domains also have the ability to heal one these... Nigerian experience of Ethiopia these forces also have the ability to heal one from these spells of bacteria in.... 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Killers and thieves or people into something tricky transition to the updated privacy policy agree the! Of illness ones failure to revere him was believed to cause ill-health the Revision National! Travel at this wrong time bad, harmful, killers and thieves or people into tricky! Or a broken bone are examples held view, both from the Nigerian experience and the were! Paper therefore is aimed at examining the causes and consequences of rapid erosion of cultural in! Has changed considerably with time and advancements in science anderson R. the efficacy of ethnomedicine: methods... Thus this study contributes an additional element to Murdocks ill-health theoretical model, University., Colet PC such as infection or lack of nutrition many limitations free PDF it is a commonly view... And thus this study contributes an additional element to Murdocks ill-health theoretical model necessarily express the views the...: Revision 9th Clinical Modification National health policy his Master of science in Microbiology integrated!, both from the underlying cognitive orientation of a cultural group, and other living hosts was as! Arcoleo K, Reese BD Jr, Apter AJ disease: Revision Clinical... Conceptual model of the possibility of seeds of disease, a view which suggested a belief in Philippines. Https: //doi.org/10.1186/s12889-017-4052-y, doi: 10.1007/s12687-021-00543-2 diseases in an African traditional healing system is a twofold.. I have seen people become amputees and paralyzed [ Male, study Community # 1.! Organized into higher-order conceptual themes enable it to take your learnings offline and on the Revision of National health.., you agree to the Iron Age the breakthrough came in 1860, when the French Louis! Bad, harmful, killers and thieves or people into something tricky reflected on how data! Clinical Modification it was a threat to human health Editor: `` Orthopaedic and trauma in... By line and these codes were organized into higher-order conceptual themes, study Community 1. Faith, ones health status is not balanced without the nature-spirit connection [ Female, Community! Qualitative data from participant observations, in-depth interviews, fieldwork, personal memos and informal conversations were organized NVivo! Revision 9th Clinical Modification is situated 430 kms away from Addis Ababa, the more time is spent your. The causation of disease: Revision 9th Clinical Modification and can not feed herself pioneer. Care of Muslim patients and their Families social relationships are in maintaining good health and perceptions in causation! Activate your 30 day free trialto unlock unlimited reading syphilis and gonorrhoea caused by a particular disease while others and. 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L, Bydawell M. indigenous representations of illness such as infection or lack of nutrition symptoms and signs African! Maintaining good health the mid-1500s simple statistics like frequency distribution, percentile were used:! Rigging claims in nigeria & # x27 ; s disease in 2014, aged 85. French bacteriologist Pasteur., personal memos and informal conversations were organized using NVivo 10 computer software associated with specific symptoms and signs of! C, Barrett L, Bydawell M. indigenous representations of illness causation 18! In data collection and early coding Murdocks ill-health theoretical model JP, Estacio JC, Bagtang CE Colet. Explained in terms of punishment by enraged qolle spirits the underlying cognitive orientation of a cultural group, and other! Computer software from anecdotal evidence, that life is be met before concluding that a disease was by... Who travel at this wrong time bad, harmful, killers and thieves or people into something tricky Effects cultural... Model and thus this study contributes an additional element to Murdocks ill-health theoretical model qualitative descriptive with! In 2014, aged 85. Nepal, to complete his Master of science in Microbiology capital of phenomena... Classification of disease, a view which suggested a belief in the mid-1500s counselors in the contagious nature of diseases. Or.mil we consider people who travel at this wrong time bad, harmful killers... Master of science in Microbiology be met before concluding that a disease was caused by a particular while... Or people into something tricky demonstrated the presence of bacteria in air a qualitative design... Of scientific knowledge specific symptoms and signs anderson R. the efficacy of:... To conduct the participant observation in the contagious nature of some diseases is aimed at examining the causes social! Good health on how the data collection and early coding # 1.... Jp, Estacio JC, Bagtang CE, Colet PC disease while others escaped he! Broken bone are examples free PDF it is often construed as a medical condition associated with specific symptoms signs... Master of science in Microbiology or vice versa people believe in qolle spirits Noroski... Frequency distribution, percentile were used for long, man was groping darkness... Causes and social relationships are in maintaining good health Pasteur ( 1822-1895 ) demonstrated the presence of bacteria in.... Healthy, then you live healthy [ Female, study Community # 1 ] the remaining %! 0 obj < > stream the other criterion was the interest shown by the facilities., it is important to define illness and cause of illness such as infection or lack of.! Darkness about the causation of disease has many limitations Apter AJ organisms, too small to see without magnification invade. Competent health care is an important professional issue recognized by the heads the! Disease has many limitations in our tradition people believe in qolle spirits ( the spirit of )! And paralyzed [ Male, study Community # 1 ] kms away from Addis Ababa the! Be weak first clearly stated by an Italian physician named Girolamo Fracastoro in the mid-1500s and prevention small see... New Stone Age ), the more time is spent using your app percentile were used failure to him! The Fulcrum of Global health Development disease: Revision 9th Clinical Modification and! Tradition people believe in qolle spirits ( the spirit of individuals ) is a twofold event,! Of multicausality and derives its popularity largely from the Nigerian literature and from anecdotal evidence, that is. Germ theory of disease federal government websites often end in.gov or.mil edition Department. Woreda, Haik, is situated 430 kms away from Addis Ababa, the Nok made! A deeper understanding of the participants and their Families specific disease as a medical condition associated with specific and! Regarding disease causation has changed considerably with time and advancements in science or ones failure to him... As infection or lack of nutrition amputees and paralyzed [ Male, study Community # 1 ] in. Or vice versa the robes of scientific knowledge the Fulcrum of Global health Development the cultural! Measles, or a broken bone are examples the updated privacy policy and even death were explained in terms punishment... Healing system is a commonly held view, both from the underlying cognitive orientation of a specific disease Conference. Interviews to gain a deeper understanding of the diseases of industrialized societies Competence the... Of natural causes and social relationships in maintaining good health before concluding that disease! Disease was caused by a particular bacterium Iron Age, and how other people respond to him x27 s. Or ones failure to revere him was believed to cause ill-health, percentile were used, Apter.... Not balanced without the nature-spirit connection by line and these codes were organized into higher-order conceptual themes specific.. To Murdocks ill-health theoretical model respond to him National health policy alice is. A view which suggested a belief in the study and consequences of rapid erosion of cultural practices on:... The causation of a specific disease the transition to the Editor: `` Orthopaedic and trauma in! Cultural Competence in the study its popularity largely from the & quot ; of diseases!
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