Effects of Modern Healthcare Integration on the Role and Practice of Bukusu Traditional Healers in Bungoma County, Kenya

References

[1] Afolabi, M. O., & Darfour, B. (2020). Bridging the gap: Integrating traditional medicine and modern health care in West Africa. African Health Sciences, 20(2), 534–542.

[2] Blumer, H. (1969). Symbolic interactionism: Perspective and method. Prentice-Hall.

[3] Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3(2), 77–101.

[4] Bwire, G. M., Nyasulu, P., & Ssenyonga, R. (2020). Integrating traditional medicine into modern healthcare systems: Challenges and opportunities in East Africa. African Health Sciences, 20(2), 707–714.

[5] Chen, J., Liang, Z., Zhang, C., Zhang, H., Zhao, H., Zheng, Y., & Wang, J. (2024). Progress and challenges in integrated traditional Chinese and western medicine in China from 2002 to 2021. Frontiers in Pharmacology, 15, 1425940.

[6] Choi, J., Kleisiaris, C., Kontodimopoulos, N., Agrawal, S., Wang, J., & Chang, H. (2023). Integrating traditional and contemporary systems for health and well-being. Evidence-Based Complementary and Alternative Medicine, 2023, 6080925.

[7] Etikan, I., Alkassim, R., & Abubakar, S. (2016). Comparison of snowball sampling and sequential sampling technique. Biometrics & Biostatistics International Journal, 3(1), 55.

[8] Heale, R., & Twycross, A. (2015). Validity and reliability in quantitative studies. Evidence-Based Nursing, 18(3), 66–67.

[9] Liu, M., Zhang, W., & Chen, L. (2024). Integration of traditional, complementary, and alternative medicine into modern healthcare systems: A systematic review. Acupuncture and Herbal Medicine, 4(1), 89–98.

[10] Malati, D., Mwangi, E. M., & Wambugu, R. W. (2021). Traditional medicine integration in primary health care: Perspectives from health practitioners in rural Kenya. BMC Complementary Medicine and Therapies, 21, 10.

[11] Mead, G. H. (1934). Mind, self and society. University of Chicago Press.

[12] Mills, E., Cooper, C., Seely, D., & Kanfer, I. (2005). Lessons on integration from the developing world’s experience. BMJ, 331(7524), 1109–1112.

[13] Munthali, A., Mvula, P., & Moyo, C. (2021). Power relations and knowledge systems in integrating traditional medicine into national health systems in Malawi. International Journal of Health Policy and Management, 10(7), 384–394.

[14] Nyamongo, I. K., et al. (2021). Ethnographic approaches to the study of traditional medicine in East Africa. [Full bibliographic details to be confirmed.]

[15] Omwenga, E. O., et al. (2015). Demographic and ecological profile of Bungoma County, Kenya. [Full bibliographic details to be confirmed.]

[16] Owuor, B. O., & Kisangau, D. P. (2019). Kenyan medicinal knowledge: Cultural values and integration with modern health systems. Ethnobotany Research & Applications, 18, 1–11.

[17] Penkala, S., Benitez-Malvido, J., Mayer, A., & Cottingham, M. (2018). Integrating traditional and complementary medicine with national healthcare systems for universal health coverage in Asia and the Western Pacific. Health Systems & Reform, 4(1), 24–31.

[18] Ramathuba, D. U., Khoza, L. B., & Netshikweta, M. L. (2016). Integration of traditional healers into the national health care delivery system. African Journal of Nursing and Midwifery, 18(1), 92–105.

[19] Rostow, W. W. (1960). The stages of economic growth: A non-communist manifesto. Cambridge University Press.

[20] Tamang, S., Phuyal, P., Shrestha, B., Khadka, D., & Rimal, B. (2021). Medicine in motion: Opportunities, challenges and data analytics-based solutions for traditional medicine integration into western medical practice. Journal of Ethnopharmacology, 267, 113540.

[21] Thompson, R., Williams, G., & Smith, J. (2022). Traditional medicine contributions to pharmaceutical development: A 10-year review. Journal of Ethnopharmacology, 291, 115012.

[22] Waako, P. J., Kiguli, J., & Obuku, E. A. (2018). Integration of traditional medicine in Uganda: Policy, regulation and the role of pharmacists. African Journal of Pharmacy and Pharmacology, 12(4), 45–53.

[23] World Health Organization. (2023). WHO traditional medicine strategy 2025–2034. WHO Press.

@article{1719301,
      author = {Walubengo David Simiyu, Margaret Matisi},
      title = {Effects of Modern Healthcare Integration on the Role and Practice of Bukusu Traditional Healers in Bungoma County, Kenya},
      journal = {Iconic Research And Engineering Journals},
      year = {2026},
      volume = {9},
      number = {12},
      pages = {3210-3218},
      issn = {2456-8880},
      url = {https://www.irejournals.com/formatedpaper/1719301.pdf},
      abstract = {Traditional medicine remains central to healthcare for the majority of African populations, yet the expansion of biomedical services raises important questions about the place of indigenous healers within increasingly plural health systems. This study examined how the integration of modern healthcare affects the role and practice of Bukusu traditional healers (bamuni) in Bungoma County, Kenya. Guided by modernization theory and symbolic interactionism, the study adopted an ethnographic design and a mixed-methods strategy, drawing on questionnaires administered to medical practitioners and community members, key informant interviews with traditional healers, and focus group discussions, with a total sample of 100 respondents selected through purposive and snowball sampling. Quantitative data were analysed using descriptive statistics and qualitative data were thematically analysed. The findings revealed strong support for integration in principle but weak implementation in practice: 90% of medical practitioners and 89% of community members endorsed collaboration between the two systems, and 90% of community members continued to respect traditional healers, yet only 15% of practitioners had ever referred a patient to a healer and only 25% acknowledged the existence of clear referral guidelines. Mistrust between the systems was reported by 85% of practitioners, and 54% of community members felt government policy did not adequately support traditional medicine. Qualitative findings showed that healers are gaining social recognition through informal collaboration and public-health invitations, but describe this recognition as largely “tokenistic”, unsupported by licences, financing or referral protocols. Healers reported adapting their practice by adopting record-keeping and biomedical terminology while preserving spiritual diagnostic methods, and community members reported sequential and parallel rather than substitutive health-seeking. The study concludes that modern healthcare integration reshapes healer roles through negotiation rather than simple displacement, and recommends a formal policy framework that recognises traditional healers as legitimate partners, with standardised referral systems, joint training and sustained institutional support.},
      keywords = {Traditional Healers, Healthcare Integration, Medical Pluralism, Modernization.},
      month = {June},
      doi = {https://doi.org/10.64388/IREV9I12-1719301}
  }