Perspectives of Health Care Providers in Rural Côte d'Ivoire on the Influence of Traditional Beliefs on the Management of Rheumatic Heart Disease: A Qualitative Study

Document Type

Journal Article

Publication Date

5-8-2025

Journal

Journal of transcultural nursing : official journal of the Transcultural Nursing Society

DOI

10.1177/10436596251331578

Keywords

Rural Côte d’Ivoire; acute; acute rheumatic carditis; ancestry; community health workers; cultural sensitivity; global health; group A streptococcus infection; health care; language; patient-centered care; perception of health care; providers; qualitative; research; rheumatic fever; rheumatic heart disease; traditional African medicine; traditional beliefs and practices

Abstract

INTRODUCTION: This article explores the positions of rural Côte d'Ivoire health care practitioners on the role of traditional beliefs in treating Rheumatic Heart Disease (RHD), a disease in which cardiovascular mortality is still high worldwide. Health care decisions in this region are hugely influenced by traditional African medicine (TAM). METHODS: A qualitative study was created using semi-structured interviews and focus groups with 24 health care experts. The themes and their significance were found using inductive thematic analysis. RESULTS: The integration of contemporary and TAM, community engagement and collaboration, improving patient education and awareness, consideration of cultural beliefs and practices in care delivery, and tackling delayed care and diagnosis are highlighted as the five main areas for development. DISCUSSION: The studies reveal possibilities for improving RHD control in rural Côte d'Ivoire. They emphasize the need for legislative action and cultural competency training to overcome challenges like cultural beliefs and budgetary constraints.

Department

School of Medicine and Health Sciences Student Works

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