Indigenous Healing Practices in Malawi

Simwaka, Andrew; Peltzer, Karl; Maluwa-Banda, Dixie

doi:10.1080/14330237.2007.10820162

Cited by 33 publications

(23 citation statements)

References 24 publications

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“…Malawi and were rarely found in our data (41). However, patients seek traditional based treatment for many conditions and researchers have consistently called for increasing integrative treatment (42)(43)(44)(45). Similar to our recommendations for provider sensitivity to patients' beliefs, these considerations should remain inclusive of patients' traditional or other spiritual beliefs related to depression.…”

Section: Discussion Overviewsupporting

confidence: 54%

The Role of Patient-provider Communication: a qualitative study of patient attitudes regarding co-occurring depression and chronic diseases in Malawi

Akiba

Zimba²,

Thom³

et al. 2020

Preprint

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Background: Globally, depression is a leading cause of morbidity and mortality particularly in Low and Middle-Income Countries (LMICs). The burden of non-communicable diseases (NCDs) are also increasing in LMICs, the conditions frequently co-occur and exacerbate NCD outcomes. Depression interventions alone are not effective at improving NCD outcomes, resulting in wide-reaching calls for integrated services. Integrated services are in a nascent phase in LMICs in general and in Malawi in particular. This manuscript serves to clarify Malawian patients’ attitudes and perceptions towards depression integration into routine NCD services. Methods: Ten District Hospitals were selected for data collection and 2 participants were interviewed from each site (N=20). An iterative approach to concept-driven coding was applied to facilitate the formation of similarities, differences, and connections between codes. Results: While patients infrequently described moderate depression as a medical condition, and held various attitudes regarding treatments, they agreed on the appropriateness of integrated services. Patients’ respect for their providers led them to support integration. Patients discussed how medical knowledge is highly regarded, revealing a power dynamic with their providers. Patients further acknowledged the importance of a provider’s communication in shaping a patient’s feelings about depression. Conclusions: Training and interventions that facilitate providers’ abilities to transfer their medical knowledge, use strategies to channel their power, and engage patients in a meaningful and collaborative relationship will be key to successfully integrating depression treatment into Malawian NCD clinics. Trial Registration: This work served as part of formative data collection for National Institute of Mental Health (NIMH) Trail NCT03711786 registered on 10th October, 2018

show abstract

Section: Discussion Overviewsupporting

confidence: 54%

The Role of Patient-provider Communication: a qualitative study of patient attitudes regarding co-occurring depression and chronic diseases in Malawi

Akiba

Zimba²,

Thom³

et al. 2020

Preprint

View full text Add to dashboard Cite

show abstract

“…Traditional means of treatment for mental health are relatively common in Malawi and were rarely found in our data (Maclachlan, Nyirenda and Nyando, 1995). However, patients seek traditional based treatment for many conditions and researchers have consistently called for increasing integrative treatment (Courtright et al, 1994;Brouwer et al, 1998;Zachariah et al, 2002;Simwaka, Peltzer and Maluwa-Banda, 2007). Similar to our recommendations for provider sensitivity to, and inclusion of patients' Christian faith in medical treatment, the same accommodations should be made for patients' traditional beliefs.…”

Section: Addressing the Patient-provider Power Dynamicsupporting

confidence: 54%

Power and medical knowledge: a qualitative study of attitudes regarding co-occurring depression and chronic diseases in Malawi

Akiba

Zimba²,

Thom³

et al. 2019

Preprint

View full text Add to dashboard Cite

Background : Globally, depression is a leading cause of morbidity and mortality particularly in Low and Middle-Income Countries (LMICs). The burden of non-communicable diseases (NCDs) are also increasing in LMICs, the conditions frequently co-occur and exacerbate NCD outcomes. Depression interventions alone are not effective at improving NCD outcomes resulting in wide-reaching calls for integrated services. Integrated services are in a nascent phase in LMICs in general and in Malawi in particular. This manuscript serves to clarify Malawian patients’ and providers’ attitudes towards depression integration into routine NCD services. Methods : Ten District Hospitals were selected for data collection. Thirty-nine participants were interviewed. An iterative approach to concept-driven coding was applied to facilitate the formation of similarities, differences, and connections between codes. Results : While patients infrequently described moderate depression as a medical condition, and held various attitudes regarding treatments, they agreed on the appropriateness of integrated services. Patients’ respect for their providers led them to support integration. Patients discussed how medical knowledge is highly regarded, revealing a power dynamic with their providers. Both patients and providers further acknowledged the power of a provider’s communication in shaping a patient’s feelings about depression. Conclusions : Training and interventions that facilitate providers abilities to effectively transfer their medical knowledge, use strategies to channel their power, and engage patients in a collaborative relationship will be key to successfully integrating depression treatment into Malawian NCD clinics and other integrative care settings in the region. Trial Registration : This work served as part of formative data collection for National Institute of Mental Health (NIMH) Trail NCT03711786 registered on 10 th October, 2018

show abstract

“…Traditional means of treatment for mental health are relatively common in Malawi and were rarely found in our data [41]. However, patients seek traditional based treatment for many conditions and researchers have consistently called for increasing integrative treatment [42][43][44][45]. Similar to our recommendations for provider sensitivity to patients' beliefs, these considerations should remain inclusive of patients' traditional or other spiritual beliefs related to depression.…”

Section: Strengths and Limitationsmentioning

confidence: 72%

The role of patient-provider communication: a qualitative study of patient attitudes regarding co-occurring depression and chronic diseases in Malawi

et al. 2020

View full text Add to dashboard Cite

Background: Globally, depression is a leading cause of morbidity and mortality particularly in Low and Middle-Income Countries (LMICs). The burden of non-communicable diseases (NCDs) are also increasing in LMICs, the conditions frequently co-occur and exacerbate NCD outcomes. Depression interventions alone are not effective at improving NCD outcomes, resulting in wide-reaching calls for integrated services. Integrated services are in a nascent phase in LMICs in general and in Malawi in particular. This manuscript serves to clarify Malawian patients' attitudes and perceptions towards depression integration into routine NCD services. Methods: Ten District Hospitals were selected for data collection and 2 participants were interviewed from each site (N = 20). An iterative approach to concept-driven coding was applied to facilitate the formation of similarities, differences, and connections between codes. Results: While patients infrequently described moderate depression as a medical condition, and held various attitudes regarding treatments, they agreed on the appropriateness of integrated services. Patients' respect for their providers led them to support integration. Patients discussed how medical knowledge is highly regarded, revealing a power dynamic with their providers. Patients further acknowledged the importance of a provider's communication in shaping a patient's feelings about depression. Conclusions: Training and interventions that facilitate providers' abilities to transfer their medical knowledge, use strategies to channel their power, and engage patients in a meaningful and collaborative relationship will be key to successfully integrating depression treatment into Malawian NCD clinics. Trial registration: This work served as part of formative data collection for National Institute of Mental Health (NIMH) Trail NCT03711786 registered on 10th October, 2018.

show abstract

Indigenous Healing Practices in Malawi

Cited by 33 publications

References 24 publications

The Role of Patient-provider Communication: a qualitative study of patient attitudes regarding co-occurring depression and chronic diseases in Malawi

The Role of Patient-provider Communication: a qualitative study of patient attitudes regarding co-occurring depression and chronic diseases in Malawi

Power and medical knowledge: a qualitative study of attitudes regarding co-occurring depression and chronic diseases in Malawi

The role of patient-provider communication: a qualitative study of patient attitudes regarding co-occurring depression and chronic diseases in Malawi

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