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The Traditional and Western Healthcare systems are the recognized health systems in South Africa. The two healthcare systems continue to provide healthcare for South African Indigenous communities; therefore, the government’s imbalanced support of the healthcare systems has resulted in Western healthcare receiving extensive support while traditional healthcare receives little to no support despite being regarded as the primary healthcare for most Indigenous communities in the country. In light of this, understanding the strategies for integrating the two healthcare systems may establish an effective and balanced healthcare system that supports the health needs of the indigenous communities. However, there is little research regarding the potential strategies for integration from the indigenous people’s perspective. Therefore, this qualitative study explores strategies for integrating the South African Western and Traditional healthcare systems of the Ndebele indigenous people in the Vezubuhle indigenous community under the Thembisile Hani Local Municipality. The study employed purposive and snowball sampling techniques to sample 17 participants: five traditional health practitioners, 5 elderly Indigenous custodians, and 7 Indigenous community members. The qualitative data was generated using one-on-one semi-structured interviews and analysed using the thematic data analysis technique.

Indigenous communities possess rich traditions of conflict resolution rooted in their cultural values, collective decision-making, and community involvement. However, the imposition of Western legal frameworks and colonial histories has often disrupted these practices, leading to increased tensions and unresolved conflicts. This study explored conflict resolution within Indigenous communities, emphasizing the role of social work in facilitating culturally appropriate processes. The study employed a qualitative approach, incorporating interviews with Indigenous leaders, social workers, and community members, alongside a review of relevant literature on traditional practices and social work interventions. Social workers play a crucial role as facilitators, helping to navigate tensions and bridging gaps between traditional practices and contemporary needs. Challenges include a lack of cultural competency and the need for ongoing community engagement. The integration of Indigenous knowledge systems into conflict resolution practices enhance outcomes and foster healing. Social workers prioritize cultural humility and active listening, ensuring that Indigenous voices lead the resolution process. By supporting the reclamation of traditional conflict resolution methods and advocating for culturally sensitive practices, social workers empowered Indigenous communities, promote resilience, and facilitate more effective conflict resolution. This perspective underscores the necessity of collaboration, respect, and recognition of Indigenous sovereignty in all social work interventions.