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Author Pemunta, Ngambouk Vitalis, author.

Title Biomedical hegemony and democracy in South Africa / by Ngambouk Vitalis Pemunta, Tabi Chama-James Tabenyang.

Publication Info. Leiden ; Boston : Brill, [2021]

Item Status

Description 1 online resource
Series International comparative social studies, 1568-4474 ; volume 51
International comparative social studies ; v. 51. 1568-4474
Bibliography Includes bibliographical references and index.
Summary "In Biomedical Hegemony and Democracy in South Africa Ngambouk Vitalis Pemunta and Tabi Chama-James Tabenyang unpack the contentious South African government's post-apartheid policy framework of the ''return to tradition policy''. The conjuncture between deep sociopolitical crises, witchcraft, the ravaging HIV/AIDS pandemic and the government's initial reluctance to adopt antiretroviral therapy turned away desperate HIV/AIDS patients to traditional healers. Drawing on historical sources, policy documents and ethnographic interviews, Pemunta and Tabenyang convincingly demonstrate that despite biomedical hegemony, patients and members of their therapy seeking group often shuttle between modern and traditional medicine thereby making both systems of healthcare complementary rather than alternatives. They draw the attention of policy-makers to the need to be aware of ''subaltern health narratives'' in designing health policy"-- Provided by publisher
Contents Foreword -- Acknowledgements -- List of Illustrations -- Abbreviations -- Local Words and Expressions -- 1 Prelude: the Globalization of Traditional Knowledge Systems -- 1.1 Introduction -- 1.2 Definition of Concepts -- 1.3 The International Context of TCAM Practices -- 1.4 Different but Complimentary? -- 1.5 Lay Out of Work -- 2 Subject Matter, Method and Theoretical Framework -- 2.1 Introduction -- 2.2 Choice of Study Area -- 2.3 Methodological and Theoretical Framework -- 2.4 Data Analysis -- 2.5 Ethical Considerations and Reflexivity -- 2.6 Theoretical Framework -- 2.7 Conclusion -- 3 Traditional Medicine, Colonialism and Apartheid in South Africa -- 3.1 Introduction -- 3.2 Biomedical Capitalism -- 3.3 Colonialism, Biomedical Hegemony and Alternative Healthcare -- 3.4 The Pre-Colonial Era -- 3.5 The Colonial Era -- 3.6 The Post-Colonial Era -- 3.7 Conclusion -- 4 Democracy, Witchcraft and Traditional Medicine -- 4.1 Introduction -- 4.2 The HIV / AIDS Policy Context, Traditional Medicine and Democracy -- 4.3 The Lingering Socioeconomic Inequalities of the Apartheid Era -- 4.4 The "Return to Tradition" Policy -- 4.5 Shortages of Human Resources for Health -- 4.6 The Adoption of Democracy and the Promotion of Cultural Rights -- 4.7 Traditional Medicine as Cure and a Curse for HIV / AIDS -- 4.8 The Preference for Traditional Healers -- 4.9 Biomedical Hegemony? -- 4.10 Conclusion -- 5 The Sociocultural Context of HIV / AIDS in the Eastern Cape Region -- 5.1 Introduction -- 5.2 The Eastern Cape Region and the Legacy of Apartheid Era Policies -- 5.3 The Sociocultural Context of HIV / AIDS -- 5.3.1 Labour-related Migration -- 5.3.2 Gender Identity and Unprotected Sex -- 5.3.3 Multiple Partnering and Intergenerational Relationships -- 5.3.4 Gender Inequality and Gender-based Violence -- 5.3.5 Teenage Pregnancies -- 5.3.6 Substance Abuse.
5.3.7 Cultural Factors: Initiation Rituals -- 5.3.7.1 Ukuthwala -- 5.3.7.2 Virginity Testing -- 5.4 Conclusion -- 6 The Debate on the Integration of Traditional Medicine into the Mainstream Healthcare Delivery System in South Africa -- 6.1 Introduction -- 6.t2 The Debate for and against Traditional Medicine -- 6.3 Primary Healthcare and the Changing Pattern of Disease -- 6.4 Traditional Medicine and the HIV / AIDS Pandemic -- 6.5 Conclusion -- 7 "African Diseases" and the Epistemology of South African Healers' Knowledge -- 7.1 Introduction -- 7.2 The African Concept of Health -- 7.3 The Process of Becoming a Healer -- 7.4 Typology of African Traditional Healers -- 7.4.1 Disease as Prelude to Divinership -- 7.5 Prospects for the Integration of Traditional Medicine into Official Healthcare -- 7.6 Enhancing Cooperation between Traditional Healers and Biomedicine -- 7.7 Conclusion -- 8 The Integration of Modern and Traditional Medicine in Qokolweni Location -- 8.1 Introduction -- 8.2 Respondents' Opinions on Traditional Medicine -- 8.3 Opinions on Traditional Medicine -- 8.3.1 Case Study 1: Vuyo (Fictitious Name) -- 8.3.2 Case Study 2: Bate (Fictitious Name) -- 8.3.3 Case Study 3: Monde (Fictitious Name) -- 8.4 Perception of Nurses and Traditional Healers -- 8.5 Conclusion -- 9 The Daily Use of Traditional Medicine in Qokolweni Location -- 9.1 Introduction -- 9.2 The African Concept of Health -- 9.3 The Concept of Traditional Medicine in Qokolweni -- 9.4 The Use of Traditional Medicine in Qokolweni -- 9.5 Attitudes and Perceptions towards African Traditional Medicine in Qokolweni -- 9.6 Users of African Traditional Medicine -- 9.7 Recommendations -- 9.8 Conclusion -- Bibliography -- Index.
Local Note eBooks on EBSCOhost EBSCO eBook Subscription Academic Collection - North America
Subject Medical care -- South Africa.
Traditional medicine -- South Africa.
Alternative medicine -- South Africa.
Medical anthropology -- South Africa.
South Africa -- Politics and government.
Alternative medicine
Medical anthropology
Medical care
Politics and government
Traditional medicine
South Africa
Added Author Tabenyang, Tabi Chama-James, author.
Other Form: Print version: Pemunta, Ngambouk Vitalis. Biomedical hegemony and democracy in South Africa. Leiden ; Boston : Brill, 2021 9789004436411 (DLC) 2020038830
ISBN 9004436421 (ebook)
9789004436428 (electronic bk.)
9789004436411 (hardback)