The walk without limbs
In a country as diverse as South Africa, sickness and health often mean different things to different people – so much so that the different health definitions and health belief models in the country seem to have a profound influence on the health-seeking behaviour of the people who are part of our...
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| Format: | Online |
| Sprache: | Englisch |
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2021
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| Online-Zugang: | ONIX_20200512_9781928523123_7 |
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| author | Mji, Gubela Alperstein, Melanie Bongokazi Mlenzana, Nondwe Galloway, Karen Ohajunwa, Chioma Ned, Lieketseng Tshabalala, Ntombekhaya |
| author_browse | Alperstein, Melanie Bongokazi Mlenzana, Nondwe Galloway, Karen Mji, Gubela Ned, Lieketseng Ohajunwa, Chioma Tshabalala, Ntombekhaya |
| author_facet | Mji, Gubela Alperstein, Melanie Bongokazi Mlenzana, Nondwe Galloway, Karen Ohajunwa, Chioma Ned, Lieketseng Tshabalala, Ntombekhaya |
| author_sort | Mji, Gubela |
| collection | Directory of Open Access Books |
| description | In a country as diverse as South Africa, sickness and health often mean different things to different people – so much so that the different health definitions and health belief models in the country seem to have a profound influence on the health-seeking behaviour of the people who are part of our vibrant, multicultural society. This book is concerned with the integration of indigenous health knowledge (IHK) into the current Western--orientated Primary Health Care (PHC) model. The first section of the book highlights the challenges facing the training of health professionals using a curriculum that is not drawing its knowledge base from the indigenous context and the people of that context. Such professionals will later recognise that they are walking without limbs in matters pertaining to health. The area that was chosen for conducting the research was KwaBomvana in Xhora (Elliotdale), Eastern Cape province, South Africa. The people who reside there are called AmaBomvana. The area where the Bomvana peoples reside is served by Madwaleni Hospital and eight surrounding clinics. Qualitative ethnographic, feminist methods of data collection supported the research done for Section 1 of the book. Section 2 comprises the translation and implementation of PhD study outcomes and had contributions from various researchers. In the critical research findings of the PhD study, older Xhosa women identify the inclusion of social determinants of health as vital to the health problems they managed within their homes. For them, each disease is linked to a social determinant of health, and the management of health problems includes the management of social determinants of health. For them, it is about the health of the home and not just about the management of disease. They believe that healthy homes make healthy villages, and that the prevention of the development of disease is related to the strengthening of the home. Health and illness should be seen within both physical and spiritual contexts; without health, there can be no progress in the home. When defining health, the older Xhosa women add three critical components to the WHO health definition, namely, food security, healthy children and families, and peace and security in their villages. Prof. Mji further proposes that these three elements should be included in the next revision of the WHO health definition because they are not only important for the Bomvana people where the research was conducted, but also for the rest of humanity. In light of the promise of National Health Insurance and the revitalisation of PHC, this book proposes that these two major national health policies should take cognisance of the IHK utilised by the older Xhosa women. In addtion to what this research implies, these policies should also take note of all IHK from the indigenous peoples of South Africa, Africa and the rest of the world, and that there should be a clear plan as to how the knowledge can be supported within a health care systems approach. |
| format | Online |
| id | doab-20.500.12854ir-28300 |
| institution | Directory of Open Access Books |
| language | eng |
| publishDate | 2021 |
| publishDateRange | 2021 |
| publishDateSort | 2021 |
| publisher | AOSIS |
| publisherStr | AOSIS |
| record_format | ojs |
| spelling | doab-20.500.12854ir-283002026-05-19T05:42:32Z The walk without limbs Mji, Gubela Alperstein, Melanie Bongokazi Mlenzana, Nondwe Galloway, Karen Ohajunwa, Chioma Ned, Lieketseng Tshabalala, Ntombekhaya Mji, Gubela Africa ancestor reverence Bomvana community culture indigenous health knowledge healers thema EDItEUR::V Health, Relationships and Personal development::VX Mind, body, spirit::VXH Complementary therapies, healing and health::VXHT Traditional medicine and herbal remedies In a country as diverse as South Africa, sickness and health often mean different things to different people – so much so that the different health definitions and health belief models in the country seem to have a profound influence on the health-seeking behaviour of the people who are part of our vibrant, multicultural society. This book is concerned with the integration of indigenous health knowledge (IHK) into the current Western--orientated Primary Health Care (PHC) model. The first section of the book highlights the challenges facing the training of health professionals using a curriculum that is not drawing its knowledge base from the indigenous context and the people of that context. Such professionals will later recognise that they are walking without limbs in matters pertaining to health. The area that was chosen for conducting the research was KwaBomvana in Xhora (Elliotdale), Eastern Cape province, South Africa. The people who reside there are called AmaBomvana. The area where the Bomvana peoples reside is served by Madwaleni Hospital and eight surrounding clinics. Qualitative ethnographic, feminist methods of data collection supported the research done for Section 1 of the book. Section 2 comprises the translation and implementation of PhD study outcomes and had contributions from various researchers. In the critical research findings of the PhD study, older Xhosa women identify the inclusion of social determinants of health as vital to the health problems they managed within their homes. For them, each disease is linked to a social determinant of health, and the management of health problems includes the management of social determinants of health. For them, it is about the health of the home and not just about the management of disease. They believe that healthy homes make healthy villages, and that the prevention of the development of disease is related to the strengthening of the home. Health and illness should be seen within both physical and spiritual contexts; without health, there can be no progress in the home. When defining health, the older Xhosa women add three critical components to the WHO health definition, namely, food security, healthy children and families, and peace and security in their villages. Prof. Mji further proposes that these three elements should be included in the next revision of the WHO health definition because they are not only important for the Bomvana people where the research was conducted, but also for the rest of humanity. In light of the promise of National Health Insurance and the revitalisation of PHC, this book proposes that these two major national health policies should take cognisance of the IHK utilised by the older Xhosa women. In addtion to what this research implies, these policies should also take note of all IHK from the indigenous peoples of South Africa, Africa and the rest of the world, and that there should be a clear plan as to how the knowledge can be supported within a health care systems approach. 2021-02-10T13:22:54Z 2021-02-10T13:22:54Z 2020-05-12T09:24:54Z 2019 book ONIX_20200512_9781928523123_7 OCN: 1226206578 http://library.oapen.org/handle/20.500.12657/37695 9781928523109 9781928523116 https://directory.doabooks.org/handle/20.500.12854/28300 eng open access image/jpeg image/jpeg image/jpeg image/jpeg Attribution-NonCommercial-ShareAlike 4.0 International Attribution-NonCommercial-ShareAlike 4.0 International Attribution-NonCommercial-ShareAlike 4.0 International Attribution-NonCommercial-ShareAlike 4.0 International https://library.oapen.org/bitstream/20.500.12657/37695/1/978-1-928523-12-3.pdf https://library.oapen.org/bitstream/20.500.12657/37695/1/978-1-928523-12-3.pdf https://library.oapen.org/bitstream/20.500.12657/37695/1/978-1-928523-12-3.pdf https://library.oapen.org/bitstream/20.500.12657/37695/1/978-1-928523-12-3.pdf AOSIS 10.4102/aosis.2019.BK98 10.4102/aosis.2019.BK98 c47a1220-d848-4e78-88cd-74f293e3d4f4 9781928523109 9781928523116 458 Durbanville open access |
| spellingShingle | Africa ancestor reverence Bomvana community culture indigenous health knowledge healers thema EDItEUR::V Health, Relationships and Personal development::VX Mind, body, spirit::VXH Complementary therapies, healing and health::VXHT Traditional medicine and herbal remedies Mji, Gubela Alperstein, Melanie Bongokazi Mlenzana, Nondwe Galloway, Karen Ohajunwa, Chioma Ned, Lieketseng Tshabalala, Ntombekhaya The walk without limbs |
| title | The walk without limbs |
| title_full | The walk without limbs |
| title_fullStr | The walk without limbs |
| title_full_unstemmed | The walk without limbs |
| title_short | The walk without limbs |
| title_sort | walk without limbs |
| topic | Africa ancestor reverence Bomvana community culture indigenous health knowledge healers thema EDItEUR::V Health, Relationships and Personal development::VX Mind, body, spirit::VXH Complementary therapies, healing and health::VXHT Traditional medicine and herbal remedies |
| topic_facet | Africa ancestor reverence Bomvana community culture indigenous health knowledge healers thema EDItEUR::V Health, Relationships and Personal development::VX Mind, body, spirit::VXH Complementary therapies, healing and health::VXHT Traditional medicine and herbal remedies |
| url | ONIX_20200512_9781928523123_7 |
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