Sexually transmitted disease, ethnomedicine and health policy in Africa

• Published in: Social science & medicine (1982) Vol. 35; no. 2; pp. 121 - 130
• Main Author: Green, Edward C.
• Format: Journal Article
• Language: English
• Published: Oxford Elsevier Ltd 01.07.1992; Elsevier; Pergamon Press Inc
• Series: Social Science & Medicine
• Subjects: Acquired Immune Deficiency Syndrome; Acquired Immunodeficiency Syndrome - prevention & control; Africa; Africa - epidemiology; Africa AIDS STDS (or: venereal disease) traditional healers; AIDS; AIDS/HIV; Biological and medical sciences; Biomedicine; Female; Health care; Health Policy; Humans; Immunodeficiencies; Immunodeficiencies. Immunoglobulinopathies; Immunopathology; Male; Medical sciences; Medicine and religion; Medicine, African Traditional; Medicine, Alternative; Public health; Role; Sexually transmitted diseases; Sexually Transmitted Diseases - ethnology; Sexually Transmitted Diseases - psychology; Sexually Transmitted Diseases - therapy; STD; STDS (or: venereal disease); Sub Saharan Africa; Swaziland; traditional healers; Traditional Medicine; Treatment Methods; Tropical medicine; Venereal Diseases; Swaziland; Africa; traditional healers; AIDS; Africa; STDS (or: venereal disease); Belief; Human; Immunopathology; Sexual behavior; Hemopathy; Healer; Infection; Sexually transmitted disease; Health policy; Folk medicine; Viral disease; Cultural environment; Public health
• ISSN: 0277-9536; 1873-5347
• DOI: 10.1016/0277-9536(92)90159-N

Compared with both industrialized countries and other less developed parts of the world, most of sub-Saharan Africa suffers inordinately from sexually transmitted diseases (STDs). It has high prevalence rates of traditional STDs, such as gonorrhea and syphilis, and if accurate seroprevalence surveys were to be done it would probably prove to have the highest HIV serropositive incidence in the world. Unlike the pattern in the West, AIDS is primarily a heterosexually transmitted disease in Africa. This appears to be largely because of the prevalence of other untreated or improperly treated STDs. Therefore to lower the incidence of STDs would be to curtail the spread of HIV infection. The problem becomes how exactly to accomplish this. Most STD cases are never even presented at biomedical health facilities; they are presented to traditional healers and their patients seem to believe that traditional STD cures are more effective than ‘modern’ cures, although the former are probably biomedically ineffective. While there is scant ethnomedical literature on STDs in Africa, the present paper presents Swaziland findings and related evidence from other African societies that the ultimate cause of several common STDs is believed to be the violation of norms governing sexual behavior, requiring traditional rather than biomedical treatment. Traditional healers therefore need to be a central part of any scheme to lower the incidence of STDs.