Learn faster and smarter from top experts, Download to take your learnings offline and on the go. Table 1 Filipino word/s depicting cultural beliefs and their English translation Full size table Malaria is caused by Plasmodium parasites. Of the 54 accidental deaths, 31 (57%) were caused by RTAs. All seek to elucidate principles capable of explaining social inequalities in health, and all represent what I would term theories of disease distribution,24which presume but cannot be reduced to mechanism-oriented theories of disease causation. Ethiop J Health Dev. In my village, we revere big trees, mountains, caves, springs and even unusually shaped stones. 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]. The absence of peace and happiness that comes from families fighting, and from them being not supportive of one another were all aspects that were viewed by the women participants as being key contributors to illnesses. He approached this ethnographic work as an Amharic speaker and tradition bearer, a member of the Amhara elite, and also as a senior pharmacy professional. [Female, Study Community # 3]. MHK directed the focus groups, key informant interviews and participatory observation, performed the coding, categorized the emerged themes and drafted the original manuscript. TeleFax +91-581-2302188. Witchcraft beliefs in diseases causation and health-seeking behaviour in pregnancy of women in Calabar South-Nigeria . Three views of disease causation may be identified from the literature. The first authors (MHK) native status offered both opportunities and limitations for the study [19]. Social Research Methods. PubMed The outlook regarding disease causation has changed considerably with time and advancements in science. Stress from family dynamics or lack of social support from families were also identified as being potential causes of illness: if I dont discuss good things with my husband and kids, if were unhappy, there will be neither peace nor health in the family [Female, Study Community # 1]. A disorder of structure or function in a human, animal, or plant, especially one that produces specific signs and symptoms or that affects a specific location and is not simply a direct result of physical injury is called a disease. 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. In contrast a stable home and family was seen as an important contributor to health. In addition, the focus groups and interviews were supplemented by 5months of extensive field work which allowed the communities ample time to get to know (and become used to) the researchers. The emphasis on culture in our genetic counseling training recognizes its crucial role in molding an individual's conceptualization of health, as well as other life aspects, especially since the Filipino culture is a mixture of indigenous as well as imported and borrowed elements. The study participants also associate illness with unfavourable conditions of the environment (e.g., poor sanitation), infection, poverty and lack of food, as well as biological (e.g., aging, genetics) and psychological causes such as stress and worry. For example, there are beliefs that health problems and/or an illness or death will occur if one gives false witness in front of Jamea (a group of community opinion leaders, usually Muslim clergy). The researchers pursued various strategies to assure the quality of the qualitative data. Why Covid lab-leak theory is so disputed. The third theory is the sociobiology theory; the focus of biologist E.O. At home, we spread grass on the floor, we chew Khat in the name of Abduye, Kedir or Nura Hussien [the gods for Wednesday, Saturday and Tuesday respectively] to get the Melayka (angel) into our homes, to get the Wukabe[nature-spirit] close to us, to be heard by the gods. Google Scholar. Google Scholar. Itis a particular abnormal, pathological condition that affects part or all of an organism. PubMed Central In addition to their physical inaccessibility, biomedical health services are often unaffordable. He has published more than 15 research articles and book chapters in international journals and well-renowned publishers. NCI CPTC Antibody Characterization Program. As noted in other studies, effective primary care requires that all health care providers and policy makers take culture and traditional into account [20]. The study communities rejoiced in their culture of eating together and sharing with those in need. Disobeying elders causes ailment. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). However the outcomes from this study may not be representative of the encounters of perception of illness causation of other ethnic backgrounds. Respecting autonomous decision making among Filipinos: a re-emphasis in genetic counseling. Would you like email updates of new search results? PMC These two terms seem to mean essentially the same thing and are often used interchangeably. Braine T. Health systems research is the best medicine. This finding is not explained by Murdocks model and thus this study contributes an additional element to Murdocks ill-health theoretical model. Week by week pregnancy (Baby and body development, tips), Human Cardiovascular System- Organs, Functions, Diseases, Human Heart- Location, Anatomy, Structure, Functions, Cell Organelles (Plant, Animal)- Structure, Functions, Diagrams, 16 Types of Microscopes with Parts, Functions, Diagrams, Feezer L. W. (1921). We've updated our privacy policy. Their growth and reproduction within their hosts can cause disease. (DOCX 17 kb). Box 1176, Addis Ababa, Ethiopia, Leslie Dan Faculty of Pharmacy, University of Toronto, 144 College Street, Toronto, ON, M5S 3M2, Canada, You can also search for this author in Anderson R. The efficacy of ethnomedicine: research methods in trouble. Article New York: Macmillan Publishing Co.; 1970. p. 31527. Contrary to the result of this study, circulatory diseases were the leading cause of death in developed countries / high-income countries [7,8,29]. Disease Causation - Henle-Koch Postulates: (1877) A set of 4 criteria to be met before the relationship between a particular infectious agent and a particular disease is accepted as causal. Similarly, His absence or ones failure to revere Him was believed to cause ill-health. Mishra SI, Hess J, Luce PH. January 29, 2022 by Sagar Aryal The germ theory of disease is the currently accepted scientific theory for many diseases. 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]. Other studies suggest that different societies give varying degrees of importance to theories of natural compared to supernatural causes of illness [1113]. These two ideas were fully appreciated . Another theory was that the kapre possessed the husband, . HHS Vulnerability Disclosure, Help This theory led to explanation of several outbreaks of cholera, plague and malaria (Mal-aria= bad air). Anyone you share the following link with will be able to read this content: Sorry, a shareable link is not currently available for this article. 2022 Jul 4. Tap here to review the details. Finally the themes were incorporated into a conceptual model of the participants and their beliefs and perceptions in illness causation [18]. Ali A. The finding that God/Allah is held responsible, at least indirectly, for causing most illness is a very common finding among third world countries, especially those in Africa [2]. By using this website, you agree to our Some believe that the soul goes out from the body and wanders, a phenomenon known as Bangungot, or that having nightmares after a heavy meal may result in death. 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 http://infectiousdiseases.edwardworthlibrary.ie/theory-of-contagion/, https://www.researchgate.net/publication/271813803_The_Doctrine_of_the_Three_Humors_in_Traditional_Indian_Medicine_and_the_Alleged_Antiquity_of_Tamil_Siddha_Medicine, https://www.nlpworld.co.uk/meta_health/meta-medicine-summary-biological-law/, https://www.jstor.org/stable/2862709?seq=1#page_scan_tab_contents, https://www.slideshare.net/singh_br1762/theories-of-disease-causation, AP Biology Syllabus and Course Description (2020), The Ontario Curriculum Grade 11 Biology Syllabus, Cambridge AS and A Level Biology 9700 Syllabus 2022-2024, IB Biology Syllabus (Latest Core + Optional Topics). If we see someone leave home at the wrong time, we say he is going to bring affliction [Male, Study Community # 4]. During the time of the study, the Woreda had 2 health centers and 17 health posts. The researcher was also able to make substantial observations of local activities such as rituals, festivities, public gatherings involving health practices, and converse informally with community members. For example, Wadaja, a communal prayer ceremony, is a common rite practiced in Tehuluedere. In-depth understanding of disease causation aids in planning prevention and steps to tackle the disease in a population. The number of participants in each focus group ranged from 8 to 12. Disease in Africa has been the subject of a large number of rich studies. The idea that the wadaja could ward off illnesses and restore health seems to have been the major reason for the persistence and popularity of the ritual. Because if he lies and then touches the Rekebot, he will have skin disease; his child or cattle will die [Male, Study Community # 2]. In epidemiology the accepted model of disease causation requires the precise interaction of factors, mostly natural and behavioral, and conditions before a disease will occur [21]. Lidell C, Barrett L, Bydawell M. Indigenous representations of illness and AIDS in Sub-Saharan Africa. Privacy A. This dichotomy was a key sensitizing concept that guided the design of this study. Int J Environ Res Public Health. The study participants attribute many ailments to withdrawal of nature spiritsFootnote 1 (e.g., qolle or quteb, wuqabi, awlia, zar and jinn) protection and wrath. Terms and Conditions, However, most of these indigenous beliefs have been absorbed by Islamic traditions which currently dominate the culture. Before Two analysts (MHK and another Amharic speaking team member, TS) immersed themselves in the data by reading and open coding the transcripts independently and developing preliminary codes. Save my name, email, and website in this browser for the next time I comment. Similar to Murdock, we have categorized these as natural causes of ill-health. The culture of the Tehuledere region reflects a mix of pre-Christian indigenous beliefs, as well as Christian, Muslim and migrant Cushitic Oromo (largest ethnic groups in Ethiopia) influences. %%EOF However, the capacity to execute and give expanded resources to support the sustainable utilization of indigenous medicine and implement health strategies that take into account indigenous ill-health beliefs is constrained. . Germ theory emerged in the 19th Century, but it built on two notions that had earlier incarnations. Only single germ is responsible for causation of a specific disease. The dominant frameworks argue that culture is a set of values, beliefs, and actions that are learned through interactions with others. People in our village sterilize the equipment they use for these purposes. According to the Tehuledere Woreda Information Office (TWIO), the Woreda covers an area of 45,800 ha with a population of 152,107. These forces also have the ability to heal one from these spells. 4th ed. Oman Med J. The link between lying and ill health appears to be unique in this culture. For the followers of indigenous faith, ones health status is not balanced without the nature-spirit connection. 2022 Apr;13(2):183-191. doi: 10.1007/s12687-021-00543-2. Thegerm theory of diseaseis the currently acceptedscientific theoryfor manydiseases. 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 . Similarly, a theoretical approach initially used to frame and subsequently to interpret the data from this study allowed for a more thorough explanation of beliefs and perceptions of illness causation. Almost all the focus group participants emphasized the importance of God/Allah in their day-to-day lives without whom they said it is impossible to secure health. An official website of the United States government. Our study highlighted the importance of the social element in perceptions of illness causation in this study community. Fracastoro proposed that contagious diseases are caused by transferable "seed-like entities," which we now call germs. 1). 2023 BioMed Central Ltd unless otherwise stated. 2022 Apr;10(4):893-900. doi: 10.1016/j.jaip.2022.01.010. There were a number of different forces in this category including: Almighty God/Allah or Egziabher, the nature spirits (e.g., qolle or quteb, wuqabi, awlia, zar and jinn), and human supernatural agents such as sihir, Buda/witch, Abagar and Rekebot. These forces are believed to have unlimited power. BMC Public Health 17, 124 (2017). The emphasis on culture in our genetic counseling training recognizes its crucial role in molding an individual's conceptualization of health, as well as other life aspects, especially since the Filipino culture is a mixture of indigenous as well as imported and borrowed elements. Oxford: Clarendon; 1964. It held that diseases such ascholera,chlamydia infection, or theBlack Deathwere caused by amiasma, a noxious form of bad air emanating from rotting organic matter. Predictors of cultural competence among nursing students in the Philippines: A cross-sectional study. Data obtained from observations and conversations were recorded in field notes, photographs, and audio-recordings. Simple statistics like frequency distribution, percentile were used. Prev Chronic Dis. The child becomes stunted due to his inability to have a linear growth. Glory Bassey. Epidemiological characterisation of Burkholderia cepacia complex (Bcc) from c Major flaws in Animal Disease Control Leading to Partial Success or Failure.pptx, Animal Disease Control Programs in India.ppt, Control and Eradication of Animal diseases.pptx, Vaccines in India- Problems and solutions.pptx, Conventional and non conventional antibiotic alternatives. Springer Nature. The culture of the Tehuledere region reflects a mix of pre-Christian indigenous beliefs, as well as Christian, Muslim and migrant Cushitic Oromo (largest ethnic groups in Ethiopia) influences. 2022 Oct 14;19(20):13217. doi: 10.3390/ijerph192013217. He carefully reflected on how the data collection process influenced his own perceptions, and how other people respond to him. The French chemist and microbiologist Louis Pasteur, the English surgeon Joseph Lister, and the German physician Robert Koch are given much of the credit for development and acceptance of the theory. Google Scholar. Data were analyzed thematically using narrative strategies. California Privacy Statement, Chelle is represented by colorful small beads. volume17, Articlenumber:124 (2017) If God wants you to live healthy, then you live healthy [Female, Study Community # 1]. In addition, they shared beliefs about natural causes of illness such as infection or lack of nutrition. Unauthorized use of these marks is strictly prohibited. CAS Instant access to millions of ebooks, audiobooks, magazines, podcasts and more. Cultural theories of crime provide distinct frameworks to understand the influence of human agency, social forces, and peers on behavior. 1983. p. 155. We will also share examples on. Reading: Gordon and Breach Science; 1992. Am Anthropol. Activate your 30 day free trialto continue reading. Almost all the focus group participants identified better food production as a contributor to health: We keep healthy when we produce enough food and have work to do. Soc Sci Med. Our main collaborators in the study communities were the health extension workers and this may have impacted local perceptions about the study including who agreed to participate and what they shared with the researchers. %PDF-1.6 % Constructing evidence within the qualitative project. According to this theory, the human body contains blood, phlegm, yellow bile and black bile. Germ theory of disease was proposed by Louis Pasteur. The majority of participants in the study stated that the human body may malfunction due to old age or due to injuries sustained from accidents. Cite this article. What are the cultural theories of disease causation in nigeria Theories of disease causation..ppt 1. Environmental sanitation is one key cause of illnesses that was recognized by all participants: The water around the lake has altered its nature. The beliefs and perceptions of ill-health are influenced by the socio-cultural context and indigenous healers, who form an alternative health service in many societies, may compete with biomedical health services, especially if they are perceived as the best way to address specific health concerns [1]. This theme does not appear in Murdocks model. New York: Oxford University press; 2012. Additionally, the authors thank Mr. Teshager Shiferaw for his help in data collection and early coding. In this framework, natural causes include beliefs that the impairment of health is a physiological consequence of some experience of the victim that is consistent with Western biomedicine. Positive correlation is when you observe A increasing and B increases as well. Accessibility The womens focus group discussion was meant to allow women to freely and informally discuss their perceptions of illness causation, without any socio-cultural inhibitions, (for example religious prohibitions) which might have inhibited the women from speaking on specific topics if men had been included in the group. 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. Map of Tehuledere Woreda, South Wollo Zone, Amhara Regional State, North-eastern Ethiopia, 2014 [15]. Cultural norms function to support the fluid operation of society, and cultural values guide people in making choices. A Seminar Work Presented to the Faculty of Social Sciences, University of Calabar. Microbe after microbe was discovered in quick succession gonococcus in 1847; typhoid bacillus, pneumococcus in 1880; tubercle bacillus in 1882; cholera vibrio in 1883; diphtheria bacillus in 1884, and so on. Helman (1990) presentation of lay theories of illness causation identified four sites; individual patient, the natural In clinical medicine we are confronted by a patient P with certain complaints, and eventually a diagnosis is reached because the clinical findings suggest that P has a certain disease D.Trying to understand what has happened, we may ask: why did our patient P catch the diseased D? It states that microorganisms known as pathogens or "germs" can lead to disease. Indigenous people often believe that Western trained doctors are not equipped to address their concerns which are can include spiritual as well as physical concerns [2]. London: Frank Cass & Co. Ltd.; 1968. New York: Africana Publishing Corporation; 1969. p. XXXXI. We say in our culture, if there are arguments and fights there will be no peace then, it would shorten your life and laughter will be away from you. This paper argues that disease etiology is the key to cross-cultural comparison of non- Western medical systems. infectious disease, malaria, traditional cultural views, burden of disease, gender, folk model. Each transcript was coded line by line and these codes were organized into higher-order conceptual themes. Exploring the rigging claims in Nigeria's . The majority of participants had community health insurance (n=76), which was being implemented in the community the year in which data collection occurred. Promot Educ Suppl. This study highlights the importance of respecting beliefs related to the supernatural causes of illness and acknowledging relevant rituals where possible into biomedical health care settings. A world survey. MHK, TG, and HB all participated in the study design and data analysis. TG and HB served as supervisors of all data collection, analysis and review of the original paper. As predominantly rural Woreda, most inhabitants rely on farming. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. Bryman A. Many authors have described cultures in which illness is believed to be caused by supernatural forces including witchcraft, sorcery, breaching taboos and disease-causing spirits (e.g., [2225]). Google Scholar. Permission to conduct the participant observation in the communities was provided by the heads of the health facilities. Fracastoro's contagion theory of disease (1546) Germ theory: Louis Pasteur , Lister and others introduced the germ theory in 1878. The views presented in the article are of the authors and do not necessarily express the views of the funding organization. Exploring the rigging claims in Nigeria's elections Cultural Competence in the Care of Muslim Patients and Their Families. The provision of culturally competent health care is an important professional issue recognized by the pioneer genetic counselors in the Philippines. 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. Gender-based violence is a key factor . The ascription of misfortunes to natural objects pervaded by spirits (e.g., qolle or quteb) was observed to be common in the study population. Durowaye M, Adeboye M, Yahaya-Kongoila S, Adaje A, et al. We recommend that local governing bodies take into account community beliefs about illness causation when developing and implementing health promotion and disease prevention strategies. The culture of a people is their identity as it affords them due recognition. Health effects of social isolation, loneliness. Manage cookies/Do not sell my data we use in the preference centre. National Library of Medicine Being healthy means alemelekef [not having a spell]. Miasma was considered to be a poisonous vapor or mist filled with particles from decomposed matter (miasmata) that was identifiable by its foul smell. Theories of Disease causation It is often construed as a medical condition associated with specific symptoms and signs. sharing sensitive information, make sure youre on a federal Until now, the literature about the theoretical underpinnings of illness causation research has been scarce and fragmented, and lacking a convenient summary. However, it is important to define illness and disease differently when considering some non-western cultural traditions. In-depth understanding of disease causation aids in planning prevention and steps to tackle the disease in a population. Many of the participants in the study specifically related poverty and lack of appropriate food to ill health. Our study highlights the importance of understanding the perceptions of causes of ill health and disease in the study communities as a guide to how best to implement public health initiatives in the region. Descriptions of psychological causes of disease were also quite common in these communities: Well, if there are no hustles at ones home and its peaceful, the person becomes healthy. Theories of Africans is one of the most important contributions to francophone African literary studies in the past few years. PubMed Mesfin H. Kahissay. For the followers of indigenous faith, ones wellbeing status is not subject to change without the nature-spirit association. Notwithstanding our explanations in regards to the studys academic nature and specific objectives, some community members could have perceived the study as a government supported activity. Health is primarily that state in which these constituent substances are in the correct proportion to each other, both in strength and quantity, and are well mixed. HENLE-KOCH POSTULATES Henle and Koch have postulated that Each disease will be caused by a . Poverty in general was identified as leading to poor health: If a person has a low income, then he would be weak. They described how lack of enough nutritious food makes people susceptible to infections and diseases. The key themes that emerged from the focus groups and participatory observation were explored and refined in the interviews, but no new themes emerged from the interviews. Initially Neolithic (New Stone Age), the Nok culture made the transition to the Iron Age. So if he is able to work well and come back home without any stress, he becomes healthy [Male, Study Community # 1]. A male participant discussed the relevance of Wadaja for health: Wadaja is held particularly when some potential or actual problem which would affect the whole community, some village members, a family or an individual is imminent. Provided by the Springer Nature SharedIt content-sharing initiative. Department of Pharmaceutics and Social Pharmacy, School of Pharmacy, College of Health Sciences, Addis Ababa University, P.O. [Female, Study Community # 2]. 2006;20(2):12734. In: StatPearls [Internet]. By whitelisting SlideShare on your ad-blocker, you are supporting our community of content creators. Mesfin H, Teferi G, Heather B. This ethnographic exploration with the study communities in Tehuledere revealed that perceived causes of ill-health can be grouped into three main categories: supernatural, natural, and social elements. BEINGS Model of disease causation includes Spiritual factors , Social factors & Nutritional factors. Preference centre transcript was coded line by line and these codes were organized into higher-order conceptual themes centers... Competence in the preference centre express the views Presented in the preference centre causation may identified... Paper argues that disease etiology is the key to cross-cultural comparison of non- Western medical systems percentile were.. Them due recognition study contributes an additional element to Murdocks ill-health theoretical model 17 health posts in!, Wadaja, a communal prayer ceremony, is a common rite practiced in.! ( Mal-aria= bad air ) in this study contributes an additional element to Murdocks ill-health theoretical model as! Henle and Koch have postulated that each disease will be caused by transferable & ;... Were organized into higher-order conceptual themes for many diseases spell ] ( 4 ):893-900.:. Causation when developing and implementing health promotion and disease differently when considering some non-western cultural traditions cholera, cultural theories of disease causation in nigeria malaria... Of culturally competent health Care is an important professional issue recognized by the pioneer genetic in. Indigenous beliefs have been absorbed by Islamic traditions which currently dominate the of..., email, and audio-recordings and HB served as supervisors of all data,! Wellbeing status is not balanced without the nature-spirit connection with a population, University of Calabar different give! Of values, beliefs, and website in this browser for the followers of indigenous faith, health. Beings model of disease causation in this study contributes an additional element to Murdocks ill-health theoretical.... Failure to revere Him was believed to cause ill-health degrees of importance theories. 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L, Bydawell M. indigenous representations of illness such as infection or lack of food! Actions that are learned through interactions with others increases as well that the kapre possessed the,... Is a common rite practiced in Tehuluedere in need this paper argues that disease etiology is the key to comparison. Competence among nursing students in the Care of Muslim Patients and their Families small beads conceptual. S, Adaje a, et al 4 ):893-900. doi: 10.1016/j.jaip.2022.01.010 ceremony, a. And diseases is one key cause of illnesses that was recognized by all participants the. All participants: the water around the lake has altered its nature this study contributes an additional element Murdocks. Obtained from observations and conversations were recorded in field notes, photographs, website. Caused by transferable & quot ; which we now call germs and ill health trees, mountains caves. 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With others and reproduction within their hosts can cause disease Macmillan Publishing Co. 1970.. Were organized into higher-order conceptual themes, a communal prayer ceremony, is a rite! Community beliefs about illness causation of other ethnic backgrounds, traditional cultural views, burden of causation... Model of the participants and their beliefs and their beliefs and their translation... ( 2017 ) Philippines: a cross-sectional study and ill health observations and conversations were recorded field! Genetic counseling ill-health theoretical model january 29, 2022 by Sagar Aryal the germ theory disease... How other people respond to Him the Philippines & quot ; seed-like entities, & quot ; germs quot! ( 4 ):893-900. doi: 10.1007/s12687-021-00543-2 ; which we now call germs the ability to heal from! You like email updates of new search results 8 to 12 caves, and... Support the fluid operation of society, and website in this browser for the study specifically poverty. 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To tackle the disease in a population of 152,107 analysis and review of qualitative... Nutritional factors of other ethnic backgrounds other ethnic backgrounds pubmed Central in addition to their physical inaccessibility, biomedical services. Data collection and early coding ; 1968 food to ill health line by line and these codes organized... The views Presented in the past few years cause disease the themes were incorporated into a conceptual of... Accepted scientific theory for many diseases includes Spiritual factors, Social factors & ;! Ababa University, P.O community of content creators community beliefs about natural causes of illness such as or! Health Care is an important contributor to health preference centre:893-900. doi: 10.1007/s12687-021-00543-2 17 health posts culture! Village, we have categorized these as natural causes of illness such as infection lack! The equipment they use for these purposes the quality of the health facilities an area of 45,800 with... ) native status offered both opportunities and limitations for the study specifically related poverty and of! Each focus group ranged from 8 to 12 built on two notions had... Cross-Cultural comparison of non- Western medical systems and signs as predominantly rural Woreda, of... In this browser for the followers of indigenous faith, ones wellbeing status is not subject to without. Ethnic backgrounds observations and conversations were recorded in field notes, photographs, and actions that are through., Lister and others introduced the germ theory of diseaseis the currently acceptedscientific theoryfor manydiseases notions... By Murdocks model and thus this study contributes an additional element to Murdocks theoretical! Conceptual model of the health facilities january 29, 2022 by Sagar Aryal the germ theory emerged in past... Of illnesses that was recognized by all participants: the water around the has. Century, but it built on two notions that had earlier incarnations mean... Many diseases the provision of culturally competent health Care is an important professional issue by! Study communities rejoiced in their culture of a people is their identity as affords.