A Focus Group Analysis of the Sangoma's view of Cervical Cancer knowledge, attitudes and HPV vaccine acceptance in Johannesburg, SA

Sangomas are traditional healers that play an integral role in the health care of traditional Nguni society members in Southern Africa. This is true even in large cities like Johannesburg, where due to their intimate relationship with local women, incorporating Sangomas into women's health programs is integral when trying to prevent cervical cancer, even if these women also seek westernized care. This cancer, easily prevented by routine pap smears, still remains the leading cause of cancer related deaths among women in developing countries, and 1 out of 26 deaths in South Africa. In areas where community health workers or traditional healers are consulted, it is important to understand their stance and knowledge of disease and treatments in order to develop prevention messages for cervical cancer and other diseases. During November-December 2008, a pilot study exploring women's knowledge about STDs, cancer risk, vaccine acceptance, and maternal-child communication about STDs and cervical cancer was implemented. Over 75 women from Alexandra, a Black township in Johannesburg, were recruited. The study also recruited Sangomas and utilized focus groups to examine their understanding of cervical cancer, HPV and other STDs, the HPV vaccine, and treatment. Sangomas' perception of their role to inform women about cervical cancer and their interaction and cooperation with western medicine in care coordination and vaccination was also examined. Qualitative methods will be used to identify reoccurring patterns and themes. Recommendations for increasing access to care and formulating future women's health programming in South Africa, especially in undeserved areas, will be presented.