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ETHICAL CONSIDERATIONS IN AFRICAN TRADITIONAL MEDICINE: A RESPONSE TO NYIKA

机译:非洲传统医学中的伦理考虑:对NYIKA的回应

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Like other so-called ‘parallel’ practices in medicine, traditional medicine (TM) does not avoid criticism or even rejection. Nyika’s article ‘Ethical and Regulatory Issues Surrounding African Traditional Medicine in the Context of HIV/AIDS’ looks at some of the issues from a traditional Western ethical perspective and suggests that it should be rejected. I respond to this article agreeing with Nyika’s three major criticisms: lack of informed consent, confidentiality and paternalism. However, as traditional healers are consulted by over 70% of South Africans before any other type of healthcare professional, a blanket negation of TM is not possible, nor is it politically feasible. A pragmatic approach would be to work within the current structures for positive change. I point out that, as all cultural practices do, TM will change over time. Yet, until some regulations and change occur, the problem of harm to patients remains a major concern.
机译:与其他所谓的“平行”医学实践一样,传统医学(TM)不能避免批评甚至拒绝。尼卡(Nyika)的文章“艾滋病毒/艾滋病背景下非洲传统医学的道德和法规问题”从传统的西方道德角度审视了一些问题,并建议应予以拒绝。我回应这篇文章,同意尼卡(Nyika)的三大批评:缺乏知情同意,保密和家长式批评。但是,由于70%以上的南非人会先于传统治疗师咨询其他类型的医疗保健专业人员,因此不可能完全否定TM,这在政治上也不可行。务实的方法是在当前结构内努力实现积极变化。我指出,正如所有文化习俗一样,TM会随着时间而改变。然而,直到发生一些规定和变化之前,对患者的伤害问题仍然是主要关注的问题。

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