Evidence map›Paper›PMID 39948678›Full record

SynthesisArchives of public health = Archives belges de sante publique2025

The role of traditional healers along the cancer care continuum in Sub-Saharan Africa: a scoping review.

Elizabeth F Msoka, Sindhu Dwarampudi, Rebecca Billings, Rebecca J Stone, Rhodes E Mwageni, Autumn Beavers, Blandina T Mmbaga, Lily Gutnik

Abstract readSystematic Review
In one paragraph

Synthesis in Archives of public health = Archives belges de sante publique, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. Decolonising forensic odontology in Sub-Saharan Africa.Forensic science international. Synergy · 2025
    Review
  11. Article
  12. Article
  13. Review
  14. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Elizabeth F MsokaKilimanjaro Clinical Research Institute, P.O. Box 2225, Moshi, Tanzania. e.fbright@kcri.ac.tz.ORCID http://orcid.org/0000-0002-2352-3520
Sindhu DwarampudiDepartment of Surgery, University of Alabama at Birmingham Heersink School of Medicine, Birmingham, AL, USA.
Rebecca BillingsDepartment of Clinical, Academic, & Research Engagement, University of Alabama at Birmingham Libraries, Birmingham, AL, USA.
Rebecca J StoneDepartment of Implementation Science, Wake Forest University School of Medicine, Winston-Salem, NC, USA.
Rhodes E MwageniDepartment of Public Health, Kilimanjaro Christian Medical University College, Moshi, Tanzania.
Autumn BeaversDepartment of Surgery, University of Alabama at Birmingham Heersink School of Medicine, Birmingham, AL, USA.
Blandina T MmbagaKilimanjaro Clinical Research Institute, P.O. Box 2225, Moshi, Tanzania.ORCID http://orcid.org/0000-0002-5550-1916
Lily GutnikDepartment of Surgery, University of Alabama at Birmingham Heersink School of Medicine, Birmingham, AL, USA.ORCID http://orcid.org/0000-0001-8674-7655

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTraditional healers play a significant role in Sub-Saharan Africa's healthcare system, but little is known about their role across the cancer care continuum in this context. Given the prevalence of patients consulting healers, we aimed to elucidate their role and impact on cancer care delivery in Sub-Saharan Africa.

methodsFollowing the PRISMA reporting standards, all research focused on the role of traditional healers in the cancer care continuum in sub-Saharan Africa was included in this scoping review. Data sources assessed include PubMed, Cochrane Library, Embase, and CINAHL Plus with Full Text, Scopus, Sociological Abstracts, African Journals Online, African Index Medicus, and Google Scholar. Studies that lacked perspectives on the healers' role, focused solely on the actual herbal medicines, were written in non-English language, were not primary research, or the full-text was unavailable were excluded. Two reviewers performed screening and data extraction for each article, confirmed by a third reviewer.

resultsOne thousand four hundred seventy-one studies were identified, with 1437 screened and 191 full-texts reviewed. Of those, 158 were excluded, and 33 (comprising of 1564 healers) were included for final data extraction and analysis. Five studies (64 healers) showed their role in prevention, eleven (454 healers) in diagnosis, twenty-seven (1524 healers) in treatment, and two (25 healers) in palliative care in Sub-Saharan Africa. While some desired increased collaboration with the biomedical system and referred patients, others lacked trust and remained hesitant to provide referrals.

conclusionResults showed that traditional healers play an important role in cancer treatment. This provides an opportunity to leverage the skills of traditional healers to improve cancer outcomes, in a way that recognizes and respects local culture. Future research focused on improving the collaboration between traditional healers and the biomedical healthcare system may lead to strengthening the referral system and early detection and treatment of cancer. REGISTRATION: This study was registered on PROSPERO, CRD42022293055.

Indexed as

CancerComplementary and alternative medicine (CAM)DiagnosisPalliative carePreventionSub-Saharan AfricaTraditional HealersTreatment

Identifiers

PMID39948678
PMCPMC11823172

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.