Traditional medicine in reproductive health: A social justice analysis in Allandale village, Mpumalanga province, South Africa

Abstract

This study investigates the role of traditional medicine in addressing reproductive health needs in Allandale Village, Mpumalanga Province, through the lens of social justice. The research explores how indigenous healing practices intersect with principles of equity, cultural relevance, and access to reproductive healthcare in a context marked by structural inequality and limited biomedical services. In many rural South African communities, traditional medicine remains the primary source of reproductive health support due to its accessibility, affordability, and alignment with cultural values. Therefore, by investigating how indigenous healing practices interact with the concepts of equity, cultural relevance, and access to reproductive healthcare in a setting that is socially and economically marginalized, this study fills a crucial need. Guided by an ethnomedical framework, the study adopts a qualitative approach to assess whether traditional medicine enhances or constrains women's reproductive autonomy and health outcomes. Participants included local women aged 18 to 50 who actively use or engage with traditional reproductive health practices. The findings reveal that traditional healers play a crucial role in preventive care, fertility regulation, and postpartum support, with many women expressing confidence in the efficacy and cultural resonance of indigenous treatments. However, the study also highlights tensions between traditional and biomedical systems, including gaps in regulation, safety assurance, and gender dynamics. From a social justice perspective, the research argues for a pluralistic health policy that recognises and supports indigenous knowledge systems, promotes collaboration between biomedical professionals and traditional healers, and ensures that all women, especially those in marginalised rural areas, have access to safe, effective, and culturally appropriate reproductive healthcare. The study findings underscore traditional medicine’s role and further contribute to broader discussions on health equity globally by underscoring the importance of integrating culturally grounded, community driven healthcare approaches into national and international health systems to address persistent disparities and promote inclusive, context sensitive reproductive health solutions to women reproductive health. The study concludes with a call for the strengthened implementation of the Traditional Health Practitioners Act 22 of 2007 and the development of community-led, rights-based models of health integration.

Keywords: {'name': 'Traditional medicine, reproductive health, indigenous knowledge systems, social justice, ethnomedicine, health equity.'}

Authors & affiliations

Ophilile Mdhluli
University of Fort Hare

Valery. B Ferim Valery B Ferim
University of Fort Hare

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