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Indigenous Knowledge Program for Development



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Knowledge Pack : HIV-AIDS

This Knowledge Pack contains Indigenous Knowledge cases and other useful information related to HIV-AIDS. The indigenous knowledge pack is a tool that provides users with quick access to synthesized information by country or selected thematic area.

For more Information on the
Indigenous Knowledge Program
please contact: Reinhard Woytek

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IK Cases: HIV-AIDS
Health Cameroon: Traditional food preparations improve immune system of HIV-AIDS patients

Mozambique: Involving traditional healers in the prevention of HIV-AIDS

Tanzania: Traditional healers counsel of patients and effectively treat HIV-AIDS related symptoms


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Cameroon: Traditional food preparations improve immune system of HIV-AIDS patients

At the Mefopla Centre in Bamenda-Cameroon, the immune system of AIDS patients is boosted by indigenous medicinal plants with enzyme rich food. These include oils from plants like Soya, cashew and Shea butter saturated fats, wild fruits. Vegetables with high fiber content, which the patients are encouraged to consume, are helpful in cleansing the system. Though this diet and nu-tritional therapies do not cure the disease, they however improve the immune system. The therapy also involves the elimination of stress bound foods and liquids from patients' diet such as coffee, black tea, sugar, salt, white flour as well as concentrated carbohydrate white rice. The treatment fares well and helps to reduce the physical and psychological symptoms that go with the disease like rashes, blisters, respiratory syndromes and stress/depression. Comparative studies show

Lesson
: Natural juices, and traditional food and medicinal preparations can improve the immune system of AIDS patients and may be far less tedious in relation to their effects and cheaper than a treatment based purely on medication.

Source
: Dr. Wirmum Clare Kinyuy, Mefopla Re-search Center; CIKO

Contact
: ngwasiri@camnet.cm


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Mozambique: Involving traditional healers in the prevention of HIV-AIDS

Ethno-medical research in Mozambique has deepened biomedical understanding of beliefs and practices related to sexually transmitted diseases (STD) in Southern Africa, and assisted in the de-sign of culturally meaningful AIDS communication strategies. The resulting AIDS/STD prevention programs have attempted to teach biomedical concepts to traditional healers by using symbols, metaphors and etiological concepts already in use to explain familiar, locally recognized sexually transmitted illnesses. This has aided greatly in healers' understanding of unfamiliar biomedical concepts and has laid the groundwork for how traditional healers will promote behavior change among their clients, as well as new technologies such as condoms.

Lesson
: Involvement of traditional knowledge workers (healers) in awareness creation in a psy-chologically and socially sensitive area like sexuality has a higher impact at a lower cost.

Source
: Green, E.C. Tropical Doctor, Supl. 1, p.1-4, 1997: Participation of traditional healers in AIDS prevention programs
Contact: egreendc@aol.com



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Tanzania: Traditional healers counsel of patients and effectively treat HIV-AIDS related symptoms

Wadigo and Washambaa AIDS patients in the Tanga Region in Northeast Tanzania seek advice and treatment from local healers. Various plant-based applications as well as counseling have proven to reduce the impact of secondary infestations on AIDS patients substantially. Patients with AIDS in the Tanga region, state that they feel less pain from AIDS related symptoms after local treatment as compared to treatments received in the hospitals. Observed improvements included disappearance of skin problems, increase in appetite, return of vision strength within two weeks only. Because of a survey indicating traditional healers' better access to patients the regional AIDS working group is re-considering its approach to treatment and counseling of AIDS and STD pa-tients. The counseling and treatment was also reported as more affordable for poorer people.

Lesson
: Integrating local healers in AIDS prevention and mitigation strategies increases effectiveness of approach and access for poorer patients.

Source
: MARECIK Amand Hayman, Tan-zania Wildlife Ecology and Conservation; for more info contact D. Scheinman

Contact
: tanga4@twiga.com


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Global Addresses of IK Centers


Addresses of IK Centers (PDF)

Link to the Addresses of Other IK Centers and CIRAN's IK-Pages
Nuffic/CIRAN IK Development Monitor and Addresses of Other IK Centers


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Bank Sources

Indigenous Knowledge for Development Link to the Homepage of the Indigenous Knowledge for Development Program of the Africa Region

Database of Indigenous Knowledge and Practices Link to the Database of Practices of the Indigenous Knowledge for Development Program of the Africa Region

IK Notes Newsletter Link to the IK Notes of the Indigenous Knowledge for Development Program of the Africa Region

An Introduction to the
Microfinance Institutions Contact List

External Sources

Register for Best Practices in Indigenous Knowledge Link to the database of Best Practices of UNESCO

Nuffic/CIRAN IK Development Monitor and Addresses of Other IK Centers Link to the Addresses of Other IK Centers and CIRAN's IK-Pages

 Please send feedback or comments to rwoytek@worldbank.org

Should you know of other indigenous knowledge practices that have helped or may help to improve Bank programs, please share them with us. We will enter your contribution into the IK-Database.

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Bank Projects with IK

HIV / AIDS Control Project

The HIV/AIDS Control Project will support Uganda's National Strategic Framework, which aims at reducing the spread of HIV infection, mitigate the health, and socioeconomic impact of HIV/AIDS at individual, household, and community levels, and strengthen the national capacity to respond to the epidemic. The project components will: 1) support HIV control activities, coordinated by the Uganda AIDS Commission (UAC), which would include capacity building to enhance UAC role. Implementation of legal initiatives will be promoted concerning ethical and human rights issues related to HIV/AIDS, and, project support to HIV-related research, and knowledge management will be coordinated, within different line ministries, and other national government agencies, as well as with civil society organizations, and the private sector; 2) support district initiatives, carried out by district authorities, or the private sector, which include raising awareness on prevention, and mitigation of HIV/AIDS, training, and, provision of related diagnosis, treatment, and care services; and, 3) support community- and civil society-led HIV control initiatives, targeting support to orphans, and the most vulnerable, as well as promoting, and providing home-based care through community-based information, education, and communication on preventing the transmission of HIV/AIDS and sexually transmitted infections

Full Report: PAD



Population and Aids Control Project
The overall objectives of the Population and AIDS control Project are to: a) enhance the onset of fertility decline by increasing the prevalence of modern methods of contraception; and b) slow the spread of Human Immunodeficiency Virus (HIV) infections by promoting behavioral change and treating Sexually Transmitted Diseases (STDs). To this end, the project will support policies and investments designed to support the implementation of the Government's population policy by improving quality of, and access to, family planning (FP) and maternal and child health care services nationwide; promoting information, education, and communication programs in the areas of population, FP and women's rights; and strengthening institutions in charge of implementing the national population policy and of planning, managing and evaluating FP programs. The project will also strengthen the national capacity to contain the spread of HIV, Acquired Immune-Deficiency Syndrome (AIDS), STDs by strengthening the institution in charge of implementing the national AIDS program and the health system's capacity to deal with AIDS needs; promoting safer health practices and behavioral change through information, education, and communications campaigns; promoting the use of condoms; treating STDs; and strengthening clinical management and community care. Finally, the project will encourage private sector and non-governmental organizations participation in population, FP and HIV/AIDS/STD programs by establishing a fund to provide grant financing for projects in those areas.

Full Report: SAR


District AIDS and Reproductive Health (DARE) Project

The Decentralized Reproductive Health and HIV/AIDS Project will improve mother, and child health through integral delivery services in reproductive health, child survival, and HIV/AIDS care, and, slow the increased HIV ratio, by decentralizing management delivery services to, and within districts. The components will: 1) support the Government in implementing its decentralization policy, by improving fiscal decentralization, building capacity at provincial, district, and sub-district levels, as well as improving planning and financial management, organizational restructuring, and systems development. Activities include the application of new resource allocation criteria, based on an objective, transparent, poverty-focused rationale; recurrent budgets, simplified to allow increased discretionary control in resource allocation; and, capacity building, to focus on financial management training for District Health, Hospital and Rural Management Boards; 2) focus on the medical aspects of the HIV/AIDS epidemic, to also include preventive medicine, based on behavior interventions, contraceptive uses, blood testing, etc, with special attention to the poor, adolescent, and women; and, 3) address reproductive health, on such issues as family planning, safe motherhood, child survival, and sexually transmitted infections. Training, and procurement of drugs, and equipment will be financed.

Full Report: PAD



Health Sector Development Project

The Health Sector Development Program Project aims to improve resource management and quality of health services through sector reforms and institutional capacity building. The project consists of four components. 1) Strengthening Service Delivery will improve access, quality, and efficiency of district-based primary health care services; improve financial viability of secondary and tertiary referral hospital services to support primary level curative services; and promote private sector involvement in delivery of health services. 2) Strengthening the MOH and Central Support Systems will strengthen Ministry of Health's (MOH) capacity and systems for policy development, analysis and national planning, development of guidelines for national policy implementation, performance monitoring and evaluation, and development and enforcement of legislation. This component will also strengthen the national support systems for drugs and medical supplies, physical infrastructure, and health management information system. It will also develop human resources to implement health reforms effectively. 3) Health Financing will broaden financing options and improve financial management for increased financial self-sufficiency and sustainability. 4) National HIV/AIDS Fund will intensify national effort to prevent HIV infection and mitigate the adverse effects of AIDS in a multi-sectoral manner.

Full Report: PAD





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IK Contribution Format

Should you know of other indigenous knowledge practices that have helped or may help to improve Bank programs, please share them with us. We will enter your contribution into the IK-Database.

You could structure your contribution by using the following format:  

1. Country:Where is the practice applied (country and location)?

2. Domain:

In which sector is the practice applied (agriculture, health, social development etc.)?

3. Technology:

What technology (e.g. soil erosion control, childcare, institutional development etc.)?

4. Bearers of Knowledge:

By whom is the practice applied (e.g. Washambaa, local healers, women's group of a given village etc.)?

5. Source: Where can we inquire further?

 Primary provider information (probably yourself or your institution)

Secondary providers of information

Add references to literature, web sites, names of individuals or organizations that can corroborate the practice.

Include addresses of primary and secondary providers of information.

6. Descriptive headline of practice:

One to two lines capturing the main features of a practice.

7. Summary:

Describe the main features of the practice and explain (not more than 200 words).

8. Lessons:

Answer three key questions related to efficacy and impact of the practice.

 - Why it is important for the local community?

- Why might it be beneficial to other communities?

 - Why should development organizations learn more about this practice?

9. Methods used to capture information:

How was the practice identified, recorded and documented?

          

NB: The IK database is an open, on-line resource for information on indigenous knowledge practices. The database acts as a referral system and does not disclose the technical details of practices or applications. Most practices in the database have been reported elsewhere in publicly accessible information sources. As is the principle of a referral database the provider of information could be asked by users of the database to provide further information or pointers as regards details of the practice. It is to the discretion of the provider of information and the inquirer to negotiate the terms of the exchange of knowledge. No information provided will be made public without the consent of the provider.

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