Evidence map›Paper›PMID 33947496›Full record

ArticleBJPsych open2021

Holy water and biomedicine: a descriptive study of active collaboration between religious traditional healers and biomedical psychiatry in Ethiopia.

Yonas Baheretibeb, Dawit Wondimagegn, Samuel Law

Abstract read
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Article in BJPsych open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

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23citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

Who cites it

23 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

3 authors.

Yonas BaheretibebDepartment of Psychiatry, School of Medicine, College of Health Sciences, Addis Ababa University, Ethiopia.
Dawit WondimagegnDepartment of Psychiatry, School of Medicine, College of Health Sciences, Addis Ababa University, Ethiopia.
Samuel LawDepartment of Psychiatry, Faculty of Medicine, University of Toronto, Canada.ORCID https://orcid.org/0000-0002-1918-8782

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundReligious and traditional healers remain the main providers of mental healthcare in much of Africa. Collaboration between biomedical and traditional treatment modalities is an underutilised approach, with potential to scale up mental healthcare.

aimsTo report the process and feasibility of establishing a collaboration between religious healers and psychiatrists in Addis Ababa, Ethiopia. To gain insight into the collaboration through studies of patient demographics, help-seeking patterns, nature of illness and receptivity of the project.

methodThis case study describes the process and challenges in establishing a collaborative psychiatric clinic for patients who are simultaneously receiving treatment with holy water, including an examination of basic clinical records of 1888 patients over a 7-year period.

resultsThe collaboration is feasible and has been successfully implemented for 8 years. A majority (54%) of the clinic's patients were seeing biomedical services for the first time. Patients were brought in largely by families (54%); 26% were referred directly by priest healers. Most patients had severe mental illness, including schizophrenia (40%), substance misuse (24%) and mood disorders (30%). A vast majority (92.2%) of patients reported comfort in receiving treatment with holy water and prayers simultaneously with medication, and 73.6% believed their illness was caused by evil spirit possession.

conclusionsA cross-system collaborative model is a feasible and potentially valuable model to address biomedical resource limitations. Provider collaboration and mutual learning are ultimately beneficial to patients with severe mental illness. Open-minded acceptance of cultural benefits and strengths of traditional healing is a prerequisite. Further study on outcomes and implementation are warranted.

Indexed as

anthropologyLow- and middle-income countriespsychosocial interventionsschizophreniatranscultural psychiatry

Identifiers

PMID33947496
PMCPMC8142542

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.