Medical Anthropology in Africa: The Trouble with a Single Story

Mkhwanazi, Nolwazi

doi:10.1080/01459740.2015.1100612

Cited by 61 publications

(26 citation statements)

References 2 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Many important facets of palliative care such as morals and ethics, the importance of touch, and the impact of the provider-patient relationship, are not easily taught by conventional methods. Stories can provide an approach to subjects that might otherwise be uncomfortable, cause defensiveness in the learner, or be relegated to the optional curriculum because they are affective rather than cognitive [ [2] , [3] , [4] , [5] ].…”

Section: Introductionmentioning

confidence: 99%

The technique of story-telling in thyroid diseases including surgery; useful or not

Mayilvaganan

Bothra

Warsi

2019

Annals of Medicine and Surgery

View full text Add to dashboard Cite

Introduction In the modern day busy clinical practice, the communication between patient/relative and caregiver is at a minimal level. The patients and relatives feel apprehensive when advised about surgical/interventional treatment. Storytelling is such a technique of health communication made in common man language and can operate in a virtual environment. This study aims to unveil the efficacy of storytelling technique on patients undergoing Hemithyroidectomy for benign cytology. Materials & methods A story of a lady (cartoon version), aged 25 years, with a benign solitary thyroid nodule (STN), who underwent uneventful hemithyroidectomy was depicted in this movie including the history, clinical examination, investigations, counseling, and the operative procedure, and the running time of the animation movie is 4 min. For developing this movie, high-end graphic work station and various multimedia authoring tools like Adobe Flash, Photoshop, Captivate, Maya and Final Cut Pro, were used. The story was shown to patients with clinical STN who were provisional candidates for surgery. The patients filled in the evaluation of multimedia animation questionnaire at the time of discharge. Results 60 patients participated in the study. One form was disqualified due to incomplete filling. Mean age was 35.45 ± 12.8 years.55 (91.6%) were females. All patients were euthyroid. The mean weight of thyroid nodule was 40.80 ± 20.79 g. The final histopathology was colloid in the majority. All participants found the movie useful. In the questionnaire, the mean score for improved understanding of the disease was 73.9 ± 14.7, better organization of treatment was 78.6 ± 13.1 stimulated interest in the relatives was 70.8 ± 15.8 and saved unnecessary discussion with the consultant was 55.5 ± 7.8. Conclusion Story telling is a useful tool in health communication. With the widespread availability of high-speed internet and affordable mobile computing devices, story telling can be a useful tool to patients and relatives in decision making and in addition, saves valuable time of the treating consultant.

show abstract

Section: Introductionmentioning

confidence: 99%

The technique of story-telling in thyroid diseases including surgery; useful or not

Mayilvaganan

Bothra

Warsi

2019

Annals of Medicine and Surgery

View full text Add to dashboard Cite

show abstract

“…Le Me Af iVa ® est la sulta te d u e histoi e u i ue hi ula t des st ot pes o e des antiennes à la messe, et dont cet article seul ne suffit pas à rendre compte. Or, les stéréotypes restent incomplets et parviennent difficilement à rendre intelligible la complexité des mondes sociaux (Mkhwanazi, 2016). À l i e se du discours véhiculé sur le « pote tiel d adication » de la i gite e Af i ue, l histoi e des pid ies de i gite est u e histoire émaillée par les incertitudes de la science, que la technologie est i suffisa te à app he de .…”

Section: Resultsunclassified

Lueurs et leurres de la santé globale

Thiongane¹,

Graham²,

Broutin³

2017

anthropodev

View full text Add to dashboard Cite

Le projet Vaccins Méningite a permis à des millions d’Africains de disposer d’un vaccin peu coûteux, le MenAfriVac®, grâce à un transfert de technologie. Les récits de la biomédecine en ont fait une histoire à succès, un mythe sociotechnique anonyme et collectif dans lequel le MenAfriVac® revêt une efficacité magique. Les promoteurs du vaccin ont choisi la rhétorique de l’élimination de la méningite par un vaccin, occultant un contexte épidémiologique plus complexe, notamment la persistance d’épidémies, docu-mentées et dues à des sérogroupes autres que ceux ciblés par le MenAfriVac®. Cette contribution a pour objectif d’analyser la construction du succès autour du vaccin et les paradoxes qui poussent à être prudent face aux initiatives de santé mondiale plébiscitant une solution universelle et expéditive par la technologie. Nous verrons que la solution par le vaccin repose sur des repré-sentations clés de ce qu’est un succès. Ensuite, la contribution souligne que le MenAfriVac® est révélateur d’un type de « solution globale » privilégiant un émiettement des priorités et une visée à court terme de la santé publique.

show abstract

“…In contradistinction, the ethno-medicine aetiological ideal-type frames disease causation in relation to social phenomenawith social being inclusive of Bspirits and supernatural forces^-and are thus optimally treated through Bculturally sanctioned methods, herbs, incantation, and soothsaying^ (Ibeneme et al 2017, p 16). Both disease causation frames are cultural dispositions which are socially constructed perspectives people use to negotiate complex health/disease journeys (Mkhwanazi 2016). However, as with most ideal-types, realities on the ground are typically more nuanced.…”

Section: A Plausible Nonlinear Driver: Disease Causationmentioning

confidence: 99%

Re-Contextualizing Medical Pluralism in South Africa: a Research Schema for Indigenous Decision Making

Burman

2018

Syst Pract Action Res

View full text Add to dashboard Cite

The purpose of this article is to explain the rationale and development of a research schema that focuses on reducing the unintended consequences of medical pluralism in the context of communicable and non-communicable diseases in eastern and southern Africa. The research schema represents a contribution to the field of action-oriented research relating to the unintended consequences associated with medical pluralism that will be piloted in South Africa. The principle consequences of the unintended consequences of medically pluralism are delays in testing and treatment interruption. The research schema is framed through a resilience lens because the unintended consequences of medical pluralism bear the hallmarks of a complex 'wicked problem'. The resilience perspective will use grassroots agency as the initial referential axis of enquiry. From this start point, broader systemic influences will be contextualized from a realist perspective using the 'AART' model of enquiry as a guiding heuristic ('abduction, abstraction, retroduction and testing'). The 'abductive' component of the 'AART' model will facilitate a re-interrogation of broader systemic influences that sustain contemporary forms of medical pluralism as a precursor to the action-oriented phases. The methodological approach will include the application of proprietary software called SenseMaker® which was designed to enable research into complex anthropogenic phenomena. Analytically the re-interrogation aims to 'empower indigenous decision making alongside scientific data' as a mechanism to develop novel social practices that can reduce the unintended consequences associated with medical pluralism. The forthcoming pilot will ultimately be the judge of this theoretical contribution.

show abstract

Medical Anthropology in Africa: The Trouble with a Single Story

Cited by 61 publications

References 2 publications

The technique of story-telling in thyroid diseases including surgery; useful or not

The technique of story-telling in thyroid diseases including surgery; useful or not

Lueurs et leurres de la santé globale

Re-Contextualizing Medical Pluralism in South Africa: a Research Schema for Indigenous Decision Making

Contact Info

Product

Resources

About