Traditional Healthcare Practices And Pimary Health Care Flashcards

1
Q

The healing art is an all-encompassing activity ranging from the services of the orthodox medical practitioners to those of the unorthodox healers.
True or false
What does Nabofa observe in 1996

A

Nabofa (1996) observes that while the orthodox healers use techniques that are based upon scientific investigations and applications, the traditional healers rely on the intuitive insight and faith of both the healer and his patients, which may defy empirical and scientific verifications.

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2
Q

Traditional disease causation theory

Name the Two broad domains of ethnological theories that are identifiable in the ethno medical system

A

Naturalistic ethnologies:

•Magico- religious domain:

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3
Q

Explain the naturalistic ethnologies

A
  • In this ethological theory, aliments are ascribed to causes pertaining to the empirical domain and exclude the intervention of a supernatural agent. Hence sickness may result from:
  • External factors – such as a faulty interaction with the environment, e.g. drinking polluted water, eating contaminated or bad food, atmospheric charges, inhaling dusts etc
  • Contagion through physical contact with a sick person e.g. Sexual relationship, inhaling a sick person’s breath, drinking from a sick person’s cup
  • Interpersonal conflict, e.g. Wounds provoked by fights and wife beating
  • Personal excesses, e.g. prolonged exposure to sun and rain, bathing in cold water, eating unripe crop, drinking immoderately
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4
Q

Explain the magico religious domain

A
  • In this domain of etiology for a disease, illnesses are attributed to God, nature and demonic spirits, ancestral ghosts, magical forces (evil eye, curse) and breach of social taboos or personal vows.
  • Violation of religious and social norms is thought to bring about divine retribution in the form of epidemics.
  • Ailments such as mental illness and epilepsy are routinely attributed to the action of an evil sprit.
  • The fear of evil eye and sorcery is wide spread in Ghana.
  • This phenomenon is known as “be3yie” among the Akan
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5
Q

Many ailments are routinely explained with in as empirical framework of illness etiology and treated with curative practices, which do not involve Magico-religious rituals.
•In this domain (secular healing) various levels of specialization exists, ranging from home remedies to professional treatment.true or false

A

True

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6
Q

Self care
•Self-care by household without the use of professional healers is common throughout Ghana. Several popular remedies for different illnesses exists.
Give three examples of this

A

For instance, remedies for headache include coffee and lemon tea drinking, and most ethnic groups place leaves in the nostrils to treat colds.
•Rheumatism and arthritis are treated with application of hot and dry leaves on the afflicted part of the body, in some population groups.
•Several skin problems are also treated at home, for example the Sidamo apply a poultice derived from butter and leaves to scabies caused burrows

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7
Q

What is CAM

Define faith healing and four things it can be

A

•Complementary and Alternative Medicine (CAM) is the use of treatments that are not commonly practiced by the medical profession

Faith Healing
•This is the use of suggestions, power and faith in God to achieve healing. Faith healing can be
•Self-treatment through prayer.
•Treatment by a lay person thought to be able to communicate with God.
•Treatment by an official church leader for whom healing is only one of many tasks.
•Healing obtained from a person/ religious leader or group of persons who practice healing fulltime without affiliation with a major religious organization.

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8
Q

Name and explain six types under CAM

A

Aromatherapy
Aromatherapy is the use of aromatic oils for relaxation.
•Acupuncture
Acupuncture is an ancient Chinese technique of inserting fine needles into specific points in the body to ease pain and stimulate bodily functions.
•Homeopathy
Homeopathy is the use of micro doses of natural substances to boost immunity.

Naturopathy
Naturopathy is based on the idea that diseases arise from blockages in a person‘s life force in the body and treatments like acupuncture and homeopathy are needed to restore the energy flow.
•Aryuveda
This is an Indian technique of using oil and massage to treat sleeplessness, hypertension and indigestion.

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9
Q

Name six categories of traditional healers

Explain what the first three do

A

The traditional healers can be categorized as follows:

i. the general practitioners;
ii. Oracle men/women;
iii. Bone setters
iv. Traditional birth attendants;
v. Psychiatrists;
vi. Massagers;
vii. The spiritual healers.

. The General Practitioners
•The general practitioners are healers skilled in different aspects in the management of various forms of problems in the community.
•They perform general services and they combine their knowledge of herbal medicine with their skills in divination.
ii. Oracle Men/Women
•These are healers endowed with the special skills of divination. They proffer reasons for the cause of problems

iii. Bone Setters
•These are versed in the art of “fixing” fractured bones with special reference to the hand and leg bones.

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10
Q

Explain what TBAs do as well as psychiatrists and name four surgical practices in traditional medicine

A

v. Traditional Birth Attendants
•These are mostly women who have special skills in the management and delivery of babies. They specialize in both pre-natal and post-natal services.
v. Psychiatrists
•The traditional psychiatrists skilfully manage mental problems of different types and severities.

Amputation
• Bone setting
•Circumcision
•Eye-brow cutting

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11
Q

Name four traditional practices in traditional medicine

Name four reasons the community uses traditional medicine

A

Bathing in thermal water
•Placing magical devices (like iron, amulet, etc.)
•Avoiding members from atresians
•Slaughtering of sacrificed animals.

Lack of awareness
•Inaccessibility of modern medicine
•Low economy
•Low satisfaction in health personnel

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12
Q

Name five agencies that report directly to the minister of healt

A
Ghana health service
Teaching hospitals 
Centre for plant medicine research 
Food and drugs authority 
Medical and dental council
Pharmacy council
Psychology council
Nursing and midwifery council
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13
Q

What is PHC(primary health care)

it forms an integral part of the country’s health system and the over all social and economic development of the country
•it is the first level of contact of individuals the family and the community with the national health system bringing health care as close as possible to where people live and work. True or false

A

essential health care based on practical, scientifically sound and socially acceptable methods and technology made universally accessible to individuals and families in the community through their full participation and at a cost that community and country can afford to maintain at every stage of their bdevelopment in the spirit of self reliance and self–determination

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14
Q

What is the history of primary health care

A

The New approach of PHC (Alma-Ata, Kazakiston international conference on PHC, 1978)
•It was declared that PHC is the key to the attainment by all people of the world by the year 2000 of a level of health that will permit them to head socially and economically productive life

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15
Q

State and explain the philosophies of PHC

A

Equity and justice
- equitable distribution of services, resources, health care
- if all cannot be served, priority for these in need individual and community
self– reliance
- personal responsibility for their own and their families health

Inter – relationship of health and development

  • Development is a multi-dimensional process involving changes in structure, attitude, and institutions as well as the acceleration of economic growth, reduction of in equity and eradication of absolute poverty.
  • Better health among adults means a bigger and better work force leads to increased productivity, on the other hand, a developed nations can provide a better health service for its citizens
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16
Q

What is equity and inter sectoral approach as principles of PHC

A

Principles of PHC
I. Equity-.
•Equitable distribution of services, resources and facilities for the entire population.

II Inter-sectoral approach- A joint concern and responsibility of sectors responsible for development in identifying problems, programmes and undertaking actions. Education, income supplementation, clean water, improved housing and sanitation, construction of roads and water ways, enhanced role of women have substantial impacts on health.

17
Q

Name four key health related sectors

State the three major determinants of health

A
  • public education and information
  • agriculture, commerce, industry
  • water, sanitation and housing
  • related to human behavior and human development.
  • related to human population and economic relationships.
  • related to human settlements and environmental control

Public education and information
Agriculture,food and nutrition
Public works,water,sanitation and housing

18
Q

Explain public education and information

A

•Teach local health problems in schools

  • Use locally produced learning materials
  • Organize refresher courses for teachers
  • Provide sanitary facilities and water in schools
  • Organize a school health (preventive) programme and interschool health competitions.

.Informal community education

  • Cultural activities, traditional media
  • Meetings or community based (mass) organizations
  • Guidelines for counselors and health committees
  • Adult literacy classes

•Public information for health

  • Publicize experiences of community health activities
  • Provide accurate information on health status and health problems
  • Organize training / orientation seminars for journalists
  • Diffuse health related legislation
  • Organize periodic awareness campaigns.
19
Q

Explain agriculture,food and nutrition

A

Promotion of household food security, local food crop production, fishing and animal husbandry

  • Training of farmers in new methods
  • Promotion of agricultural extension
  • Promotion of agricultural extension
  • Organize marketing for agricultural products
  • Food hygiene measures
  • Local weaning foods
  • Management and prevention of specific deficiencies
  • Organize conservation/ Storage of foodstuffs
  • Production of simple efficient agricultural technologies
  • Education/Management of pesticide use.
20
Q

Explain public works,water,sanitation and housing

A

• Clean drinking water

  • Protect and maintain existing supplies
  • Provides new water supplies, digging wells, etc.
  • Water use and conservation (in the house and education of public)
  • Check water quality

• Environmental sanitation

  • Drainage of surface rain water
  • Ensure adequate disposal of human excreta
  • Ensure adequate disposal of domestic waste
  • Ensure public education
  • Implement, legislative measures

Housing /building

  • Promote health protective housing improvements.
  • Prepare and promote standard designs of affordable housing
  • Demonstrate hygienic measures in hospital/health centers
  • Ensure prpecially affordable vector control devices
  • Ensure protection from environmental hazards
21
Q

Define community involvement as a principle of PHC

A
  • Community involvement is the process by which individuals and families assume responsibility for the community and develop the capacity to contribute to their and the community’s development. While the community must be willing to learn, the health system is responsible for explaining andadvising and providing clear information about the favorable and adverse consequences of the interventions being proposed as well as their relative costs.
22
Q

Name 8 components of elements of PHC and the six components added offer Alma-ATa declaration

A

Components of Elements of PHC

  1. Health education
  2. Promotion of food and proper nutrition
  3. Adequate supply of safe water and basic sanitation
  4. MCH including FP
  5. Immunization
  6. Prevention and control of locally endemic disease
  7. Rx of common diseases and injuries
  8. Provision of essential drugs

Components added after Alma-Ata declaration

  1. Mental health
  2. Oral health
  3. Control of ARI
  4. Control of HIV/AIDS and other STIs
  5. Occupational health
  6. Use of traditional medicine
23
Q

What’s re the approaches of primary health care

A

A.Comprehensive PHC (CPHC)
- Health is not merely the absence of disease
- Multi-sectoral approaches and community involvement
B. Selective PHC (SPHC) Announced by UNICEF to cut child mortality in the 3rd world.
- Growth monitoring
- ORS
- Breast feeding
- immunization
- Family planning
- Food supplement
- Female education

24
Q

What are the PHC strategies

A
PHC strategy
A. Changes in the health care system
- total coverage
- integrated system
- community involvement
- design planning, and management of health system

B. Individual and collective responsibility for health

  • decentralization of decision making
  • personal responsibility

C. Intersectoral action for health.

25
Q

State two advantages and four disadvantages of PHC

A

Advantage

  • Results achieved faster
  • Give more satisfaction
Disadvantage
– limited scope of activities
- disease oriented
- does not address priority problem
-little or no intersectoral collaboration