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Collaboration Between Biomedical and Complementary and Alternative Care Providers: Barriers and Pathways

We examined the scope of collaborative care for persons with mental illness as implemented by traditional healers, faith healers, and biomedical care providers. We conducted semistructured focus group discussions in Ghana, Kenya, and Nigeria with traditional healers, faith healers, biomedical care p...

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Published: 2017
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LEADER 00000njm a2000000a 4500
001 oai:repository.ui.edu.ng:123456789/12709
042 |a dc 
720 |a "Van der Watt, A.S.J.  |e author 
720 |a Nortje, G.  |e author 
720 |a Kola, L.  |e author 
720 |a Appiah-Poku, J.  |e author 
720 |a Othieno, C.  |e author 
720 |a Harris, B.  |e author 
720 |a Oladeji, B.D.  |e author 
720 |a Esan, O.B.  |e author 
720 |a Makanjuola, V.  |e author 
720 |a Price, L.N.  |e author 
720 |a Seedat, S.  |e author 
720 |a Gureje, O.  |e author 
260 |c 2017 
520 |a We examined the scope of collaborative care for persons with mental illness as implemented by traditional healers, faith healers, and biomedical care providers. We conducted semistructured focus group discussions in Ghana, Kenya, and Nigeria with traditional healers, faith healers, biomedical care providers, patients, and their caregivers. Transcribed data were thematically analyzed. A barrier to collaboration was distrust, influenced by factionalism, charlatanism, perceptions of superiority, limited roles, and responsibilities. Pathways to better collaboration were education, formal policy recognition and regulation, and acceptance of mutual responsibility. This study provides a novel cross-national insight into the perspectives of collaboration from four stakeholder groups. Collaboration was viewed as a means to reach their own goals, rooted in a deep sense of distrust and superiority. In the absence of openness, understanding, and respect for each other, efficient collaboration remains remote. The strongest foundation for mutual collaboration is a shared sense of responsibility for patient well-being. 
024 8 |a 1049-7323 
024 8 |a ui_art_van der watt_collaboration_2017. 
024 8 |a Qualitative Health Research, 27(14), pp. 2177-2188 
024 8 |a https://repository.ui.edu.ng/handle/123456789/12709 
653 |a caregivers 
653 |a caretaking 
653 |a culture 
653 |a cultural competence 
653 |a religion 
653 |a spirituality 
653 |a traditional 
653 |a folk 
653 |a medicine 
653 |a mental health and illness 
653 |a well-being 
653 |a qualitative research 
653 |a focus group discussion 
653 |a Africa 
245 0 0 |a Collaboration Between Biomedical and Complementary and Alternative Care Providers: Barriers and Pathways