{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,25]],"date-time":"2026-04-25T03:09:05Z","timestamp":1777086545365,"version":"3.51.4"},"reference-count":43,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2024,4,10]],"date-time":"2024-04-10T00:00:00Z","timestamp":1712707200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Tropical Med Int Health"],"published-print":{"date-parts":[[2024,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Scabies is an underdiagnosed skin infestation caused by the <jats:italic>Sarcoptes scabiei<\/jats:italic> mite. The infection causes severe itching and a skin rash but can be effectively treated using topical or systemic drugs. Scabies outbreaks are commonly reported in resource\u2010poor countries, including Ghana. Traditional healers play an important role in primary care in rural areas. The role of these traditional healers in the management of scabies has so far not been explored. The aim of this study was therefore to investigate the perceptions of traditional healers regarding the causation and management of scabies.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A phenomenological qualitative approach was employed. Traditional healers in the Asante Akim North and Central districts in Ghana were approached with an interview request. Using a semi\u2010structured interview protocol, 15 traditional healers were interviewed. The results were coded and analysed, after which seven themes were extrapolated.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Scabies infections were frequently reported by traditional healers. Itching and skin rash were unanimously regarded as the major symptoms of scabies. The majority acknowledged the infectious nature of scabies, but no participant reported the causative organism. A dichotomous disease classification was noted, consisting of \u2018natural\u2019 and \u2018spiritual\u2019 variants each with a unique disease profile and management requirements, as reported by the traditional healers. All but two traditional healers reported to treat scabies using almost exclusively herbs and spiritual rituals.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The majority of traditional healers were open to collaboration with allopathic healthcare providers. Collaboration could broaden the primary care network in rural areas, but mistrust and lack of transparency form potential barriers to collaboration. We, therefore, emphasise the need for additional efforts to investigate strategies for future collaboration.<\/jats:p><\/jats:sec>","DOI":"10.1111\/tmi.13989","type":"journal-article","created":{"date-parts":[[2024,4,10]],"date-time":"2024-04-10T23:16:05Z","timestamp":1712790965000},"page":"477-488","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Traditional healers' perception on scabies causation and management in <scp>Ghana<\/scp>"],"prefix":"10.1111","volume":"29","author":[{"given":"Jian M.","family":"Tehrani","sequence":"first","affiliation":[{"name":"Department of Internal Medicine\/Infectious Diseases University Medical Centre Groningen  Groningen The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ingmar A.","family":"Vos","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine\/Infectious Diseases University Medical Centre Groningen  Groningen The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robin","family":"Kisabacak","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine\/Infectious Diseases University Medical Centre Groningen  Groningen The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marten K.","family":"Topper","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine\/Infectious Diseases University Medical Centre Groningen  Groningen The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jonathan","family":"Steinhorst","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine\/Infectious Diseases University Medical Centre Groningen  Groningen The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Richard Odame","family":"Phillips","sequence":"additional","affiliation":[{"name":"Kumasi Centre for Collaborative Research Kwame Nkrumah University of Science and Technology  Kumasi Ghana"},{"name":"School of Medicine and Dentistry Kwame Nkrumah University of Science and Technology  Kumasi Ghana"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kabiru Mohammed","family":"Abass","sequence":"additional","affiliation":[{"name":"Agogo Presbyterian Hospital  Agogo Ghana"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Samuel","family":"Osei\u2010Mireku","sequence":"additional","affiliation":[{"name":"Agogo Presbyterian Hospital  Agogo Ghana"},{"name":"The Trust Hospital  Accra Ghana"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Charles Owusu","family":"Anokye","sequence":"additional","affiliation":[{"name":"Agogo Presbyterian Hospital  Agogo Ghana"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joseph K.","family":"Adu Poku","sequence":"additional","affiliation":[{"name":"Agogo Presbyterian Hospital  Agogo Ghana"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ymkje","family":"Stienstra","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine\/Infectious Diseases University Medical Centre Groningen  Groningen The Netherlands"},{"name":"Department of Clinical Sciences Liverpool School of Tropical Medicine  Liverpool UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yaw Ampem","family":"Amoako","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine\/Infectious Diseases University Medical Centre Groningen  Groningen The Netherlands"},{"name":"Kumasi Centre for Collaborative Research Kwame Nkrumah University of Science and Technology  Kumasi Ghana"},{"name":"School of Medicine and Dentistry Kwame Nkrumah University of Science and Technology  Kumasi Ghana"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,4,10]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1159\/000495290"},{"key":"e_1_2_9_3_1","unstructured":"World Health Organization.Scabies. 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