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WORLD ANTHROPOLOGICAL UNION

CONGRESS 2024​

Paper

Navigating Diverse Understandings of Childbirth Complications: Experiences of Traditional Healers working as Professional Nurses in Johannesburg Hospitals.

presenters

    Bongiwe Tenze

    Nationality: South Africa

    Residence: South Africa

    Presence:Face to Face/ On Site

    Dr Gabriel Gyang Darong

    Nationality: Nigeria

    Residence: South Africa

    Rhodes University

    Presence:Face to Face/ On Site

Keywords:

Childbirth complications; traditional healers; nurses; hospital; caesarean

Abstract:

As biomedicine is the major health strategy used in hospital settings, the understanding and management of childbirth complications are primarily biomedically-oriented. However, many Black South Africans consult traditional healers before, during, or after receiving biomedical therapy for health disorders that they believe are better addressed traditionally. Traditional healers are thus critical in the health-seeking of such community members. The aim of the study was to investigate how traditional healers working as professional nurses understand and navigate childbirth complications in hospitals around Johannesburg. The theoretical lens/framework the study used was hermeneutical phenomenology and social identity theory to explore the lived experiences as well as to understand how the professional nurses’ identities as traditional healers navigate their roles when dealing with the complications of childbirth. The study was a qualitative study, which used a phenomenological design. To target this hard-to-find group, snowball sampling was used. Data was generated through semi-structured interviews with healthcare providers who have the dual identities of being traditional healers working as professional nurses. An Interpretive Phenomenological Analysis was used in analysing the generated data. The study shows that traditional healers who serve as professional nurses have a distinct viewpoint on delivery difficulties that differs from nurses who are not traditional healers or vice versa. The findings show that their cultural and medical expertise may transform how delivery is managed, reducing the use of caesarean sections, and opting for a more holistic approach to managing childbirth complications. This approach, in turn, contributes to the development of health programs that bring access to good-quality health services and holistic healing within the hospital space. It is thus recommended that the perspectives and approaches conceived by such a category of nurses be critically considered for the development of policies that give room for collaborative and holistic approaches to maternal care and childbirth.