Who Are The Traditional Healers Treating Mental Illnesses In Rural Ethiopia? A population-Based Descriptive Study

Abstract

Background Ethiopia is a traditional country with a pluralistic health care system where people use the traditional health care systems in combination with the modern health care. In view of this, we assessed the profile of faith and traditional healers and their experience in treating people with mental illness in rural district Ethiopia so that inform the health minister to consider working towards integration with modern biomedical care to improve access. . Methods We conducted a descriptive cross-sectional study among 173 traditional healers in Sodo district of Ethiopia. Data were collected through face-to-face interviews by trained enumerators using pretested structured questionnaires and analyzed using SPSS version 20. Result The median age of traditional and faith based healers was 55 (IQR= 48.5, 67 years), about a third (29.5%) of them were female and 54(31.2%) earned their living exclusively from traditional healing practice. Eighty six (48.6%) healers didn't attend formal education. Four types of healers were identified- herbalists accounted for 59% (n=102), faith healers were 36 (20.8%) mixed herbal and faith practitioners were 19(11.0%) and 16 (9.2%) were diviners. Most, 119(69%) had been practicing for an average of 15 years. Half of healers entered into the healing practice due to family kinship, whereas 26(15%) because of ancestral spirit. Seventy one (41%) of the healers reported that they have ever treated patients with mental illness in their lifetime. Sixty three(36.4%) reported that they had treated mental illness within the past one year, of which 30(47%) treat only mental illness while 33(52%) treat both mental and physical illnesses. All faith healers and divine healers reported treating mental illness while 11(57.9%) of mixed healers, and no herbalists reported treating mental illness. Only 58(33.5%) believed that mental illness can be cured completely. Conclusion Significant proportion of traditional healers manages mental illness and remains an important part of the healthcare system in the rural setting of Ethiopia. Herbalists believed that biomedical treatments are preferable for mental illnesses, while faith healers and diviners believed traditional practices alone or in combination with biomedical practices is the treatment of choice.