https://padlet.com/rtsdak0041/Bookmarks Made with a lightning strike of genius en-us 2021-03-23 15:32:26 UTC 2025-11-01 18:52:12 UTC hello@padlet.com rtsdak0041 https://padlet.com/rtsdak0041/Bookmarks/wish/2266622298 Kleinman's Explanatory Models Approach (Kleinman & Benson, 2006)]]> 2022-08-21 18:00:22 UTC https://padlet.com/rtsdak0041/Bookmarks/wish/2266622298 rtsdak0041 https://padlet.com/rtsdak0041/Bookmarks/wish/2266639158 The mothers in the study belong to the AmaXhosa group (Cunnama & Honda, 2016:3)
This group of people have traditional practitioners that are associated with their culture as ports of healthcare access, in addition to the modern health practitioners in clinics (Cunnama & Honda, 2016:4).  This hints that their ethnicity is of importance to them and their identity. 

What do you call this problem (Kleinman & Benson, 2006:1674)?

• The article is clear in indicating that the mothers identify the illness as diarrhoea (Cunnama & Honda, 2016:6)

]]> 2022-08-21 18:20:41 UTC https://padlet.com/rtsdak0041/Bookmarks/wish/2266639158 rtsdak0041 https://padlet.com/rtsdak0041/Bookmarks/wish/2266644648 Their households and their children's lives are viewed as in danger because of how they believe that the diarrhoea may sometimes be associated with evil spirits and witchcraft (Cunnama & Honda, 2016:5). For some the health of their children is simply the one under threat because they believe the child has "diarrhoea because of the heat" (Cunnama & Honda, 2016:5). Mothers felt the need to protect their children from bad spirits (Cunnama & Honda, 2016:8)]]> 2022-08-21 18:38:30 UTC https://padlet.com/rtsdak0041/Bookmarks/wish/2266644648 rtsdak0041 https://padlet.com/rtsdak0041/Bookmarks/wish/2266647716 What do you believe is the cause of the illness? What course do you think the illness will take? How serious is it? What do you think the problem does inside your body? How does it affect your body and your mind? What do you fear most about this condition? What do you fear most about the treatment? (Kleinman & Benson, 2016:1674). 

There are mixed views about the causes of diarrhoea such as bad spirits, heat, witchcraft, etc., (Cunnama & Honda, 2016:4-8). This being the case, they would rather consult the medical officer when they suspect that it is medical related and traditional healers when they think it is supernatural (Cunnama & Honda, 2016:7). The effects of the diarrhoea on the baby would then differ depending on the cause of the illness and the effectivity of the treatment from the health practitioner they visited. For instance, the baby could get mental disorders from the evil spirits.



]]> 2022-08-21 18:48:54 UTC https://padlet.com/rtsdak0041/Bookmarks/wish/2266647716 rtsdak0041 https://padlet.com/rtsdak0041/Bookmarks/wish/2266658820 The people are not comfortable with traditional medicine, despite its perceived effectivity simply because  they are not sure which dosages of traditional medicine are good for their vulnerable children (Cunnama & Honda, 2016:8).
Mothers can be made anxious by the type of treatment used by the medical practitioner in treatment if they do not know much about it or it simply does not attract them at all (Cunnama & Honda, 2016:8)
The availability of the practitioners in their villages raises anxiety to seek healthcare for their children (Cunnama & Honda, 2016:8). ]]> 2022-08-21 19:23:49 UTC https://padlet.com/rtsdak0041/Bookmarks/wish/2266658820 rtsdak0041 https://padlet.com/rtsdak0041/Bookmarks/wish/2266665097 The mother' stressing of the need to consult a traditional healer in case that their child has been infected with a spirit (Cunnama & Honda, 2016:5) is a representation of how there exists a good relationship between the traditional clinician and the residents, and this has come about due to the cultural practises being taken serous in the the community as ports of health access.

Regardless of the trust they have on traditional healers, some parents are not bothered by going to medical clinicians as seen by those that link both traditional and modern care (Cunnama & Honda, 2016:7)]]> 2022-08-21 19:42:56 UTC https://padlet.com/rtsdak0041/Bookmarks/wish/2266665097 rtsdak0041 https://padlet.com/rtsdak0041/Bookmarks/wish/2266669777 Well the problems like singling out the patients and emphasising cultural difference among people as discussed by Kleinman and Benson (2016:1675) would still present when using the cultural competency approach. For one, in the article written by Cunnama & Honda (2016) the people of Eastern Cape are being described according to how they live and their health care seeking patterns, as much as there is variety in what we see, there is subtle compartmentalising of people into those who strictly stick with traditional medicine and those who use modern and those who use both. This is in an attempt to understand the patient groups but it also separates them and so poses a risk of stereotype and stigma, for example with those using traditional healers.]]> 2022-08-21 19:58:59 UTC https://padlet.com/rtsdak0041/Bookmarks/wish/2266669777 rtsdak0041 https://padlet.com/rtsdak0041/Bookmarks/wish/2266672268 This goes on to shed light on the various health seeking behaviours that exist in communities and micro-communities. We are to not only respect these differences but to also exercise the explanatory models approach method presented by Kleinman and Benson (2006:1673-1676) to avoid basing our treatment of persons on assumptions but interactively engage and find out about our patients because every single person is unique and different]]> 2022-08-21 20:06:05 UTC https://padlet.com/rtsdak0041/Bookmarks/wish/2266672268 rtsdak0041 https://padlet.com/rtsdak0041/Bookmarks/wish/2266675401 Cunnama, L. & Honda, A. 2016. A mother's choice: a qualitative study of mother's health seeking behaviour for their children with acute diarrhoea. BMC Health Services Research. 16(669):1-11.  DOI 10.1186/s12913-016-1911-7.

Kleinman, A. & Benson, P. 2006. Anthropology in the Clinic: The Problem of Cultural Competency and How to Fix It. PLoS Medicine. 3(10):1673-1676. ]]> 2022-08-21 20:18:15 UTC https://padlet.com/rtsdak0041/Bookmarks/wish/2266675401