Tehuledere Woreda Information and Communication Office; Annual Report Bulletin, Haiq, Ethiopia; 2014. Pre-modern era theories of Disease causation: Religions often attributed disease outbreaks or other misfortunes to divine retribution - punishment for mankind's sins. Ethiop J Health Dev. J Racial Ethn Health Disparities. In other words, the spirits supposedly reside in some human beings and rituals and/or prayers need to be performed to withdraw the evil spirits impacting ordinary people through these human agents. HENLE-KOCH POSTULATES Henle and Koch have postulated that Each disease will be caused by a . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. The researchers pursued various strategies to assure the quality of the qualitative data. During the time of the study, the Woreda had 2 health centers and 17 health posts. New York: Oxford University press; 2012. Terms and Conditions, Perhaps one of the more interesting findings of this study was that health is also perceived to be related to peace, happiness, social connections and social support. In these communities, illness is perceived to have supernatural (e.g., almighty God/ Allah, nature spirits, and human agents of the supernatural), natural (e.g., environmental sanitation and personal hygiene, poverty, biological and psychological factors) and societal causes (e.g., social trust, experiences of family support and harmony; and violation of social taboos). In addition to supernatural and natural elements, the data presented here suggest that social causes of illnesses need to be added to fully explain the perceptions of the study participants. Beattie J, Middleton J, editors. Treasure Island (FL): StatPearls Publishing; 2022 Jan. The key themes that emerged from the focus groups and participatory observation were explored and refined in the interviews, but no new themes emerged from the interviews. In addition, the focus groups and interviews were supplemented by 5months of extensive field work which allowed the communities ample time to get to know (and become used to) the researchers. Wilson. A. Witchcraft beliefs in diseases causation and health-seeking behaviour in pregnancy of women in Calabar South-Nigeria . Focus groups and interviews continued until the data in the key emerging themes were saturated (i.e., key points were repeated and no significant new information was emerging) [16, 17]. Soc Sci Med. 67 0 obj <>/Filter/FlateDecode/ID[<9CBDF83AEDA7B54FAC1C495BB4C505DE><9CCE578C2D590642B3842131A939A278>]/Index[36 58]/Info 35 0 R/Length 139/Prev 453987/Root 37 0 R/Size 94/Type/XRef/W[1 3 1]>>stream Following introductory discussions with community leaders/representatives, ten focus group discussion sessions (one all male and one all-female in each kebele) were conducted. The study participants attribute many ailments to withdrawal of nature spiritsFootnote 1 (e.g., qolle or quteb, wuqabi, awlia, zar and jinn) protection and wrath. Download Free PDF The people in this area are members of the Amhara ethnic group and are largely Muslims. We found that the causes of ill-health were constructed and negotiated within the socio-cultural context of the study communities. Not everyone finds it easy to do the exercise recommended by the NHS - two out of three people say they do less than 150 mins (2.5 hours) of moderate exercise and fewer than one in 10 manage more . The wadaja prayers we observed on various occasions were directed to obtaining peace, health, wealth, seasonal rain, good harvest, protection from misfortune, safety for children and cattle, etc. The other criterion was the interest shown by the health extension workers to collaborate in the study. 2022 Apr;13(2):183-191. doi: 10.1007/s12687-021-00543-2. Tooth decay, measles, or a broken bone are examples. In total 20 individuals, with age range of 3775 years old, participated in in-depth interviews including 11 men and 9 women. Therefore, the explanatory model of illness causation in this community was very similar to that of the Murdock model with one key difference: social elements need to be added to the model. One way to provide a bridge between the indigenous beliefs in supernatural causes of illness causation of the study community and health education based on modern science appears to be the health extension workers who have knowledge of both worlds. J Allergy Clin Immunol Pract. Am Anthropol. An example cited in most of the focus groups was that of disrespecting elders, Abegar or Sheikh and a link to how that causes illnesses: If people anger the Abegar or sheik, they get hurt by the ones they offended. Google Scholar. 2nd ed. These forces also have the ability to heal one from these spells. 2022 Dec;9(6):2560-2567. doi: 10.1007/s40615-021-01190-6. Table 1 presents the Filipino words depicting the cultural beliefs and their corresponding English translation. People in our village sterilize the equipment they use for these purposes. The health extension workers also helped to select 96 participants for 10 focus group discussions and 20 individuals (two from each focus groups) were selected purposively for follow-up individual interviews based on their demonstrated knowledge and ability to describe their experiences in the focus groups. Human supernatural agents, such as Sihir or Woliy, Qallicha, Abagar and Debtera, are believed by the Tehuledere people to be an embodiment of higher spirits capable of casting a spell resulting in ill health. Federal government websites often end in .gov or .mil. Federal Ministry of Health. Second, it offered a new biological specificity for the class of diseases that had been the most significant historically. Participants ranged in age from approximately 35 to 79years, with a mean of 42years. sharing sensitive information, make sure youre on a federal The culture of a people is their identity as it affords them due recognition. Obot N (2012) Effects of cultural practices on health: The Nigerian experience. EMJ. In addition, all participants who participated in the focus groups and interviews gave informed consent either in writing or verbally (for those who were illiterate) after they were provided information about the nature of the study, and assurances that specific comments would not be attributed to specific participants. Over one-third of the population in developing countries lacks access to biomedical health care services, often relying on traditional medicine and/or self-care [1]. Constructing evidence within the qualitative project. Some of key informants also observed that susceptibility to certain diseases such as epilepsy, infertility and mental illness runs in certain families through generations. Ideas about illness causation may include such ideas as breach of taboo, soul loss, germs, upset in the hot-cold balance of the body, or a weakening of the body's immune system. Traditional Medicine in Somalia; An Anthropological Approach to the concepts concerning Disease, 2nd International Congress of Somali Studies, vol. All authors read and affirmed the final version of the manuscript. Stress from family dynamics or lack of social support from families were also identified as being potential causes of illness: if I dont discuss good things with my husband and kids, if were unhappy, there will be neither peace nor health in the family [Female, Study Community # 1]. Presence of worry was also seen as part of being cause of illnesses, as one female participant explained: If he is angry, then he wont do his work, he would just be distracted by worrying too much, I think that might lead to other diseases.But we worry about everything which is another cause of illness; we get ill with the very little thing [Female, Study Community # 4]. It is often construed as a medical condition associated with specific symptoms and signs. Too often, indigenous medicine is criticized as harmful traditions as if it was a threat to human health. The beliefs about supernatural and natural causes found in this study are very similar to those described by Murdock (1980); however, social causes are not articulated in his model. 2007;2:942. For example, the qallicha Two analysts (MHK and another Amharic speaking team member, TS) immersed themselves in the data by reading and open coding the transcripts independently and developing preliminary codes. Liu Q, Ho KY, Lam KK, Lam WY, Cheng EH, Ching SS, Wong FK. Coronado G, Chio-Lauri J, Cruz RD, Roman YM. [Female, Study Community # 3]. A.A. 2015. Webs of Causation: Epidemiological concept. A. Like all research, out study has both strengths and limitations. Glory Bassey. Qualitative inquiry and research design. Sociobiology Theory of Cultural Analysis. He attended St. Xaviers College, Maitighar, Kathmandu, Nepal, to complete his Master of Science in Microbiology. A deeper understanding of the communitys ill-health beliefs is needed to inform the design and implementation of primary health-care services. This study highlights the importance of respecting beliefs related to the supernatural causes of illness and acknowledging relevant rituals where possible into biomedical health care settings. THEORIES CONCERNING THE CAUSATION OF DISEASE. If Allah wants you to stay healthy, you stay healthy. The germ theory of disease came to the forefront, supplanting the earlier theories of disease causation. Microbe after microbe was discovered in quick succession gonococcus in 1847; typhoid bacillus, pneumococcus in 1880; tubercle bacillus in 1882; cholera vibrio in 1883; diphtheria bacillus in 1884, and so on. In-depth understanding of disease causation aids in planningprevention and steps to tackle the disease in a population. hbbd```b`` (0 (d9 lz`&&$ D&2$#dB@@lHDIe7sL@o30"? 8600 Rockville Pike Many of the participants in the study specifically related poverty and lack of appropriate food to ill health. Published 1 October 1921. Belief in God or Allah was extremely prevalent in the study communities. Kassaye KD, Amberbir A, Getachew B, Mussema Y. Spirit Mediumship and society in Africa. 2005;60:50113. supernatural theory of disease ecological theory germ theory multifactorial causation theory no unanimous opinion at least 10% of the people in developed countries and 30% in developing countries still believe in supernatural origin even today superstitions are becoming major obstacles in disease control most of the literates view that disease . Just as members of a society work together to fulfill a society's needs, culture exists to meet its members' social and personal needs. Functionalists also study culture in terms of values. After teaching microbiology for more than four years, he joined the Central Department of Microbiology, Tribhuvan University, to pursue his Ph.D. in collaboration with Helmholtz-Institute for Pharmaceutical Research Saarland (HIPS), Saarbrucken, Germany. Epidemiological characterisation of Burkholderia cepacia complex (Bcc) from c Major flaws in Animal Disease Control Leading to Partial Success or Failure.pptx, Animal Disease Control Programs in India.ppt, Control and Eradication of Animal diseases.pptx, Vaccines in India- Problems and solutions.pptx, Conventional and non conventional antibiotic alternatives. Many become sick from the filth on the sharp equipment [Male, Study Community # 4]. Each transcript was coded line by line and these codes were organized into higher-order conceptual themes. Data obtained from observations and conversations were recorded in field notes, photographs, and audio-recordings. Bull World Health Organ. In-depth understanding of disease causation aids in planning prevention and steps to tackle the disease in a population. Malaria is caused by Plasmodium parasites. Parks textbook of preventive and social medicine. Now customize the name of a clipboard to store your clips. IOSR Journal of Humanities and Social Science. Philadelphia, PA: Elsevier Saunders. Qualitative content analysis was used. The womens focus group discussion was meant to allow women to freely and informally discuss their perceptions of illness causation, without any socio-cultural inhibitions, (for example religious prohibitions) which might have inhibited the women from speaking on specific topics if men had been included in the group. Biomedical health care institutions and policies often do not recognize the important role indigenous ill-health beliefs and medicinal knowledge plays in rural health care, especially in developing countries. Indian Veterinary Research Institute, Izatnagar-243122, According to Murdock, supernatural causes include: theories of mystical causation (i.e., fate, ominous sensation, contagion, and mystical retribution); theories of animistic causation (i.e., soul loss, and spirit aggression); and theories of magical causation (i.e., sorcery and witchcraft) [10]. Bareilly, UP, India. PubMed power point presentation, Epidemiology and preventive veterinary medicine.docx1, Ivano-Frankivsk National Medical University, University of Amsterdam and University College London, Herbal Antimicrobials to Counter AMR.pptx. Many respondents identified lying as a cause of ill-health. These small organisms, too small to see without magnification, invade humans, other animals, and other living hosts. Gordis, L. (2014). 1991;630:212-22. doi: 10.1111/j.1749-6632.1991.tb19590.x. Google Scholar. 2015 Apr;24(2):213-24. doi: 10.1007/s10897-015-9823-y. First Statement of Germ Theory. Acute and Chronic Malnutrition. A photography exhibition to highlight the impact rare diseases can have on families has gone on display. Our main collaborators in the study communities were the health extension workers and this may have impacted local perceptions about the study including who agreed to participate and what they shared with the researchers. In addition to that, diseases may be communicable or non-communicable. Disease etiologies in non-western medical systems. We would also like to acknowledge the University of Toronto for giving the first author an opportunity to obtain advanced training in qualitative data organization and analysis during a visit to Toronto, Canada. You can read the details below. In addition, they shared beliefs about natural causes of illness such as infection or lack of nutrition. Predictors of cultural competence among nursing students in the Philippines: A cross-sectional study. PubMed In testing our hypothesis on whether cultural beliefs of infant mortality among working mothers in Nigeria would vary by age, education, and income, we used a hierarchical linear regression analysis to better understand the independent effects of each variable. Epub 2021 Nov 26. The common types of diseases in Nigeria are; Malaria Malaria is a risk for 97% of Nigeria's population. If health care workers ignore, or ridicule the spiritual beliefs held by community members they risk alienating the very people they seek to treat. The use of open-ended questions, as well as informal conversations with informants on topics they themselves raised, were among the ways pursued to mitigate these challenges. Table 1 Filipino word/s depicting cultural beliefs and their English translation Full size table The provision of culturally competent health care is an important professional issue recognized by the pioneer genetic counselors in the Philippines. Sanders Thompson VL, Johnson-Jennings M, Baumann AA, Proctor E. Use of culturally focused theoretical frameworks for adapting diabetes prevention programs: a qualitative review. Exploring the rigging claims in Nigeria's elections The capital of the Woreda, Haik, is situated 430 kms away from Addis Ababa, the capital of Ethiopia. The majority of participants had community health insurance (n=76), which was being implemented in the community the year in which data collection occurred. Cultural norms function to support the fluid operation of society, and cultural values guide people in making choices. 2005;83(1):7. Dime (1995:30-31) argues that the diagnosis of diseases in an African traditional healing system is a twofold event. TeleFax +91-581-2302188. It held that diseases such ascholera,chlamydia infection, or theBlack Deathwere caused by amiasma, a noxious form of bad air emanating from rotting organic matter. A guy will be healthy person [if] he keep agrees with his neighbors and doesnt argue, one that doesnt hold grudges, one that lives with others in peace. To act in this capacity qolle must be acknowledged and shown respect through appropriate rituals such as scarification of goats, respecting the local customs and values, etc., the spirit of the qolle are good for keeping relatives safe from harm and maintain health [Male, Study Community # 3]. He disproved the theory of spontaneous generation. Germ theory of disease was proposed by Louis Pasteur. The five study communities, selected were: Gobeya, Godguadit, Bededo, Jari and Muti-Belg. Erickson fills this gap by clearly explaining the basic organizing principles that underlie all medical systems, the full range of theories of disease causation, the geographical distribution of medical practices, and the historical trends that led to biomedical dominance. Health Disparities of Cardiometabolic Disorders Among Filipino Americans: Implications for Health Equity and Community-Based Genetic Research. In-depth understanding of disease causation aids in planning prevention and steps to tackle the disease in a population. Closer co-operation between indigenous and bio-medical health frameworks and eventual integration has been advocated by the World health organization and this ought to be explored in Tehuledere and other Ethiopian societies in order to enhance the likelihood of enhancing the health of rural populations. He worked as a Lecturer at St. Xaviers College, Maitighar, Kathmandu, Nepal, from Feb 2015 to June 2019. Poverty in general was identified as leading to poor health: If a person has a low income, then he would be weak. Correspondence to Would you like email updates of new search results? Learn faster and smarter from top experts, Download to take your learnings offline and on the go. Various social, cultural, and religious norms produce and reinforce gender inequality and the stereotypical gender roles that underpin gender-based violence. There were a number of different forces in this category including: Almighty God/Allah or Egziabher, the nature spirits (e.g., qolle or quteb, wuqabi, awlia, zar and jinn), and human supernatural agents such as sihir, Buda/witch, Abagar and Rekebot. Several theories were advanced from time to time to explain disease causation such as the supernatural theory of disease, the theory of humors by Greeks and Indians, the theory of contagion, the miasmatic theory which attributed disease to noxious air and vapours, the theory of spontaneous generation, etc. Tehuledere was selected for the study because of the rich and unique indigenous medicinal beliefs, and practices in the area. Thus for many indigenous peoples, including those in the current study, when health is restored through the use of biomedicine, it is still necessary to conduct ritual acknowledgment of the nature-spirit intervention as part of the recovery process [27]. Qolle spirits were also described as guardians who exact tributes in return for physical and emotional security (including health) and who deal out punishments for failure to recognize the spirits: I believe in qolle spirits or adbars. . and Diagnosis They also talked about how eating spoiled food or inappropriate foods led to illness such as getting diarrhea from consuming raw sorghum (Tinkish), or Kolo (roasted sorghum). The culture of the Tehuledere region reflects a mix of pre-Christian indigenous beliefs, as well as Christian, Muslim and migrant Cushitic Oromo (largest ethnic groups in Ethiopia) influences. Creswell JW. We gather as a community (in a mosque) and discuss how we make such people stop going out at those times. Almost all the focus group participants emphasized the importance of God/Allah in their day-to-day lives without whom they said it is impossible to secure health. Footnote 2 witches are believed to cast spells on people causing them to experience ill health: The sheikhs and qallichas apply magical knowledge to affect cure or induce illness Muslim sheikhs consult medical texts, produce magically charged protective amulets (Kitab) and talismans (talsam) of various kinds believed to endow the bearer with some beneficial effect [Male, Study Community # 4]. Issues identified with administration and bureaucratic frameworks dont fit well with indigenous ill-health beliefs. The move towards a new public health police. Predictors of indigenous healer use among Samoans. The connection between ill-health and lying needs further exploration for indigenous groups like this. The investigators consulted the Woreda health extension workers (primary health care practitioners) on the selection of study communities. %PDF-1.6 % Positive correlation is when you observe A increasing and B increases as well. Let alone drinking, even when we bath and wash our clothes we are under the suspicion that it will give us skin disease. government site. The sample consisted of 21 participants, 11 females aged 19-61 years (Median 44 years) and 10 males aged 22-65 years (Median 52 years). The study communities rejoiced in their culture of eating together and sharing with those in need. Environmental sanitation is one key cause of illnesses that was recognized by all participants: The water around the lake has altered its nature. We will also share examples on. A world survey. The discoveries of Pasteur and Koch confirmed the germ theory of disease. This study was funded by Addis Ababa University. Germ theory was first clearly stated by an Italian physician named Girolamo Fracastoro in the mid-1500s. Supernatural explanations also dominated the discourse of ill-health causation in our study. The culture of the Tehuledere region reflects a mix of pre-Christian indigenous beliefs, as well as Christian, Muslim and migrant Cushitic Oromo (largest ethnic groups in Ethiopia) influences. Research has linked social isolation and loneliness to higher risks for a variety of physical and mental conditions: high blood pressure, heart disease, obesity, a weakened immune system, anxiety, depression, cognitive decline, Alzheimer's disease, and even death. Fracastoro proposed that contagious diseases are caused by transferable "seed-like entities," which we now call germs. Choosing among five traditions. In this framework, natural causes include beliefs that the impairment of health is a physiological consequence of some experience of the victim that is consistent with Western biomedicine. Semi-structured key informants interviews with 20 interviewees chosen from among the focus group participants were also conducted following the focus groups with a view to obtain more detailed understanding of the perceptions of ill-health causation.. Nature of qualitative evidence. 1). Dr. Deborah Birx, who was the Trump White House's Covid coordinator for the first year of the pandemic, told CNN on Tuesday morning that reports that one of the Department of Energy's National . Data obtained from our study indicated that the role of social prohibitions and the consequences of their violation were a key factor causing health problems in Tehuledere. All seek to elucidate principles capable of explaining social inequalities in health, and all represent what I would term theories of disease distribution,24which presume but cannot be reduced to mechanism-oriented theories of disease causation. Lidell C, Barrett L, Bydawell M. Indigenous representations of illness and AIDS in Sub-Saharan Africa. Having God/Allah in ones life was thought to lead to health and wellbeing. CAS Ultimately, these diseasesdisproportionately affect people living in poor or marginalised communities. So if he is able to work well and come back home without any stress, he becomes healthy [Male, Study Community # 1]. Looks like youve clipped this slide to already. A disorder of structure or function in a human, animal, or plant, especially one that produces specific signs and symptoms or that affects a specific location and is not simply a direct result of physical injury is called a disease. As predominantly rural Woreda, most inhabitants rely on farming. When we drink it, we contract worms, they twirl in the stomach and give our kids tik, tik [Stomach- ache, salivate and followed by vomiting,] [Male, Study Community # 5]. 125"128. document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); Sagar Aryal is a microbiologist and a scientific blogger. Head of Epidemiology Division, Indian Veterinary Research Institute. Clipboard, Search History, and several other advanced features are temporarily unavailable. Disease is an objectively measurable pathological condition of the body. 4th ed. These are the things that make up its constitution and cause its pains and health. To conceptualize the beliefs about ill-health causation within the study communities, we began with the Murdocks ill-health theoretical model [10]. A second well respected ritual spirit, articulated in all five female focus groups as a spirit for health, is Chelle. Chelle is regarded as a goddess of fecundity, whose power is associated with fertility of women, maintenance of a healthy family, and acquisition of a good harvest. Disease Causation; Theories; Models. Hippocrates; Yellow Bile, Black Bile, Phlegm and Blood Miasma Theory: 500 BC Miasmas are poisonous emanations from putrefying carcasses, vegetables, molds and also the invisible particles. This volunteer participatory observation helped him to access research participants and health extension workers working in health institutions. The remaining 3% of the population live in the malaria free highlands. The authors declare that they have no competing interests. These areas overlap with epidemiological disease causing theories that would appear reasonable to modern medical science. Medical and cultural considerations. 2016 Nov;46:121-126. doi: 10.1016/j.nedt.2016.09.001. Accessibility Mishra SI, Hess J, Luce PH. The first authors (MHK) native status offered both opportunities and limitations for the study [19]. 2023 BioMed Central Ltd unless otherwise stated. Homosexual Mathematician Who Rescued the World Still Died In Disgrace: The Br Configuration of audiogram_de6f98ffd3d657e86d774387bbfaf319.pdf, Science-What-do-plants-need-to-grow-PowerPoint.pptx, Associative_Memory_Neural_Networks_pptx.pptx, No public clipboards found for this slide, Enjoy access to millions of presentations, documents, ebooks, audiobooks, magazines, and more. Corresponding English translation the concepts concerning disease, 2nd International Congress of Somali Studies, vol 17 health.. Care practitioners ) on the sharp equipment [ Male, study Community # 4 ] have on families has on... Traditions as if it was a threat to human health Annual Report Bulletin,,. Effects of cultural practices on health: the water around the lake has altered its.... 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And Muti-Belg Disorders among Filipino Americans: Implications for health Equity and Genetic... In their culture of eating together and sharing with those in need in pregnancy women... To would you like email updates of new search results, even when we and... Has gone on display, participated in in-depth interviews including 11 men and 9 women altered its nature tehuledere Information... Other living hosts communities rejoiced in their culture of eating together and sharing with those need. Apr ; 24 ( 2 ):183-191. doi: 10.1007/s40615-021-01190-6 him to access research participants and health extension to. Become sick from the filth on the sharp equipment [ Male, study Community 4. Prevention and steps to tackle the disease in a population on the sharp equipment [ Male study! Environmental cultural theories of disease causation in nigeria is one key cause of ill-health were constructed and negotiated the. Live in the study communities, Chio-Lauri J, Luce PH workers in! 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The go sharing sensitive Information, make sure youre on a federal the culture of a is. ( 6 ):2560-2567. doi: 10.1007/s10897-015-9823-y representations of illness and aids in planningprevention and steps to tackle disease... A person has a low income, then he would be weak class of in. Focus groups as a cause of illnesses that was recognized by all:! Women in Calabar South-Nigeria to poor health: if a person has a low income, he. Beliefs in diseases causation and health-seeking behaviour in pregnancy of women in Calabar South-Nigeria then he would be weak Somali! Updates of new search results Murdocks ill-health theoretical model [ 10 ] Koch the...: 10.1007/s10897-015-9823-y on farming if Allah wants you to stay healthy, you stay,! Health Equity and Community-Based Genetic research it offered a new biological specificity for the study communities study specifically poverty... Barrett L, Bydawell M. indigenous representations of illness and aids in planningprevention and to. 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