In our tradition people believe in qolle spirits (the spirit of individuals) is a guardian from illness and cause of illness. These forces also have the ability to heal one from these spells. Map of Tehuledere Woreda, South Wollo Zone, Amhara Regional State, North-eastern Ethiopia, 2014 [15]. However the outcomes from this study may not be representative of the encounters of perception of illness causation of other ethnic backgrounds. Finally the themes were incorporated into a conceptual model of the participants and their beliefs and perceptions in illness causation [18]. They speak Amharic, Ethiopias official language. The .gov means its official. Provided by the Springer Nature SharedIt content-sharing initiative. Peterson DR. Prev Chronic Dis. This level of familiarity would have increased the comfort participants felt sharing with the researchers. . The ascription of misfortunes to natural objects pervaded by spirits (e.g., qolle or quteb) was observed to be common in the study population. The study was approved by the Ethical Review Committee in the College of Health Sciences Addis Ababa University, with either in writing or verbally (for those who were illiterate) consent to participate in the study being obtained from all study participants. Epub 2022 Jan 7. A valuable and interesting world survey of aboriginal theories of disease causation has been made by Clements.1 The types and distributions of ithe theories which he pre-sents embrace well the main methods of interpreting disease in simpler societies; yet the basic analysis of disease causation concepts which he employs needs a little further 2023 BioMed Central Ltd unless otherwise stated. Epub 2016 Sep 11. THEORIES CONCERNING THE CAUSATION OF DISEASE. These small organisms, too small to see without magnification, invade humans, other animals, and other living hosts. Some live healthy from their childhood without [enough] food or health care. 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. 2003;9(6):649. Cookies policy. This study aimed to explore the socio-cultural context of indigenous beliefs regarding ill-health among five Tehuledere communities found in the Amhara Regional State of Ethiopia. A qualitative ethnographic method was conducted in Tehuledere Woreda, an administrative unit in the north-east of Ethiopia [14] (see Fig. 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 . 13. The provision of culturally competent health care is an important professional issue recognized by the pioneer genetic counselors in the Philippines. 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]. If God wants you to live healthy, then you live healthy [Female, Study Community # 1]. Approval of the study was obtained from the Ethical Review Committee of Addis Ababa University, College of Health Sciences (#037/13/PSP). A belief of disease causation where it is thought illness is caused by misbehavior or intervention of a supernatural being. Similar to Murdock, a key category of causes of ill-health was the supernatural described by members of the study community as forces capable of putting spells on human beings. Qallicha: A person known, among traditional Muslim Ethiopians, to have special spiritual power and knowledge; he is believed to be capable of forecasting the future as well as revealing hidden facts, causing illnesses and resolving individuals problems. Data obtained from observations and conversations were recorded in field notes, photographs, and audio-recordings. The views presented in the article are of the authors and do not necessarily express the views of the funding organization. The move towards a new public health police. Table 1 presents the Filipino words depicting the cultural beliefs and their corresponding English translation. 0 Nigeria | 80 views, 8 likes, 0 loves, 1 comments, 2 shares, Facebook Watch Videos from Catalyst Specialist Health Consult CSHC: Various Cultural theories of Disease causation in Nigeria 36 0 obj <> endobj Parks textbook of preventive and social medicine. Some of key informants also observed that susceptibility to certain diseases such as epilepsy, infertility and mental illness runs in certain families through generations. J Hum Lact. Department of Pharmaceutics and Social Pharmacy, School of Pharmacy, College of Health Sciences, Addis Ababa University, P.O. BMC Public Health 17, 124 (2017). Google Scholar. We found that the causes of ill-health were constructed and negotiated within the socio-cultural context of the study communities. Pain occurs when one of the substances presents either a deficiency or an excess, or is separated in the body and not mixed with others. Oman Med J. It would seem that any apprehensiveness is likely to have been eased, by the generally friendly and mutually respectful rapport most people have with their respective health extension workers. Many respondents identified lying as a cause of ill-health. Traditional health care delivery in contemporary Africa. It is a commonly held view, both from the Nigerian literature and from anecdotal evidence, that life is . 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]. As part of this endeavor, we will describe in this paper seven common Filipino cultural beliefs: namamana, lihi, sumpa, gaba, pasma, namaligno, and kaloob ng Diyos. Having God/Allah in ones life was thought to lead to health and wellbeing. noted that such explanations of disease causation are widely found in non-western societies and have perhaps attracted most attention due to their radical departure from those prevailing in Modern Western Societies. For the followers of indigenous faith, ones health status is not balanced without the nature-spirit connection. Interviews lasted 11.25h, were conducted in the informants private homes or while sitting in public spaces in the villages (See Additional file 1 for the complete interview guide). Correlated with personalistic etiologies are the belief that all misfortune, disease included, is explained in the same way; illness, religion, and Nature of qualitative evidence. Park, K. (n.d.). Accessibility Triangulation of different data collection techniques including focus group, semi-structured interview data, observations and informal interviews with study participants was a strength of the study. Chronic Malnutrition begins before birth due to poor maternal health, it can also be as a result of poor breast feeding, infections and lack of availability of proper nutrients in a developing child. Epidemiology(Fifth edition.). State Department guidelines note that staff with confirmed brain injuries from the disease are eligible for over $180,000 (150,000) each. All qualitative data from participant observations, in-depth interviews, fieldwork, personal memos and informal conversations were organized using NVivo 10 computer software. Correspondence to Article Theories of illness causation derive from the underlying cognitive orientation of a cultural group, and therapeutic practice usually follows the same cultural logic. Disobeying elders causes ailment. Disease etiologies in non-western medical systems. sharing sensitive information, make sure youre on a federal For the followers of indigenous faith, ones wellbeing status is not subject to change without the nature-spirit association. During the time of the study, the Woreda had 2 health centers and 17 health posts. Antibiotic alternatives in veterinary therapeutics. Of the 54 accidental deaths, 31 (57%) were caused by RTAs. I have seen people become amputees and paralyzed [Male, Study Community # 1]. TWIO. J Genet Couns. Weve updated our privacy policy so that we are compliant with changing global privacy regulations and to provide you with insight into the limited ways in which we use your data. The culture of a people is their identity as it affords them due recognition. He carefully reflected on how the data collection process influenced his own perceptions, and how other people respond to him. In: Fox JP, Hall CE, Elveback LR, editors. Ethiop J Health Dev. It states that microorganisms known as pathogens or "germs" can lead to disease. Thousand Oaks: Sage; 2001. p. 187200. Many become sick from the filth on the sharp equipment [Male, Study Community # 4]. 1983;17(16):120511. 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. Why Covid lab-leak theory is so disputed. They also articulated the role of natural causes and social relationships in maintaining good health. Multifactorial causation of disease theory was proposed by Pettenkofer. (3) ecosocial theory and related multi-level frameworks. MHK, TG, and HB all participated in the study design and data analysis. Unit 10: Causation z ti f Ci t i lCriteria for causality Association vs. Causation zDifferent models zDifferent Philosophies zHills' Criteria D A S hDr. As part of this endeavor, we will describe in this paper seven common Filipino cultural beliefs: namamana, lihi, sumpa, gaba, pasma, namaligno, and kaloob ng Diyos. Geneva: Jossy-Bass World Wide Review; 2007. endstream endobj startxref For example, the qallicha Oxford: Clarendon; 1964. The first is the monocausal view and emerges from the "conquest" of the infectious diseases. Early coding, concurrently with data collection, was conducted primarily in Amharic and included multiple readings of the text which were followed by detailed coding and sub-coding schemes around identified issues or themes [14]. International Classification of Disease: Revision 9th Clinical Modification. 5th, Millennium edition U.S Department of Health and Human Services; 2000. A Descriptive and Phenomenological Exploration of the Spiritual Needs of Chinese Children Hospitalized with Cancer. Our analysis of the relationships of supernatural, natural and social elements to ill-health causation may provide useful input for the drafting and implementation of primary health care strategies at both local and global levels. In total 20 individuals, with age range of 3775 years old, participated in in-depth interviews including 11 men and 9 women. It appears that you have an ad-blocker running. Bishaw M. Attitudes of modern and traditional medical practitioners toward cooperation. I/C Epidemiology; Centre for Animal Disease Research A. 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). Health education and care solutions found to be effective in one system may not work as well in other settings [32]; however, some of the lessons learned from this study may be applicable to other cultural contexts with similar beliefs. Beliefs on the causes of birth defects as perceived by mothers of children with birth defects in a tertiary care hospital in the Philippines. 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. The sociobiology theory puts forth the idea that biology is the basis for . Theory of illness causation is an important issue in all biomedical sciences, and solid etiological explanations are needed in order to develop therapeutic approaches in medicine and preventive interventions in public health. What are Demonic and divine Theory and Ecological theory of disease? HENLE-KOCH POSTULATES Henle and Koch have postulated that Each disease will be caused by a . J Racial Ethn Health Disparities. The link between lying and ill health appears to be unique in this culture. The disease is said to pass onto seven generations. Cite this article. 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. 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]. Germs cause disease. When Louis Pasteur and Robert Koch discovered and developed what would later be called the germ theory in the 1860s, this was a radical, then revolutionary ideaone so good . 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. Participants ranged in age from approximately 35 to 79years, with a mean of 42years. If health care workers ignore, or ridicule the spiritual beliefs held by community members they risk alienating the very people they seek to treat. Functionalists also study culture in terms of values. He worked as a Lecturer at St. Xaviers College, Maitighar, Kathmandu, Nepal, from Feb 2015 to June 2019. These forces are believed to have unlimited power. 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