Research and Training Programs

Building on the success of a pilot program training traditional healers to initiate HIV counseling and testing, the Vanderbilt Institute for Global Health and the University of Witwatersrand have partnered to expand healer-initiated HIV testing and linkage to care in South Africa.The study team will conduct a cluster, randomized, controlled trial comparing healer-initiated HIV counseling and testing to the standard of care in rural South Africa by utilizing an existing and trusted resource — traditional healers.

Traditional healers, community-based partners with the national health system of South Africa, are exposed to patient blood an average of 1,500 times during their careers due to the practice of delivering herbal remedies via herbs rubbed into dozens of sub-cutaneous cuts. The purpose of this proposal is to compare two implementation strategies to increase consistent use of PPE: (1) a health care worker provided training program followed by 3 educational outreach and coaching visits at the healer's place of practice vs.

In South Africa, HIV testing has been undermined by HIV stigma, distrust in the allopathic health system, a preference for traditional medicine, and distance to the health facility. South Africa has made progress towards their 90-90-90 goals, yet a substantial proportion of the population do not test regularly; only 33.9% of adults in rural Mpumalanga (our study site) underwent HIV testing in the past year.