Sudan Journal of Medical Sciences

Published date: Oct 16 2025

Journal Title: Sudan Journal of Medical Sciences

Issue title: Sudan JMS: Volume 20 (2025), Issue No. 3

Pages: 404 - 408

DOI: 10.18502/sjms.v20i3.19274

Mohamed Nasr Elsheikhalmohamed1991@gmail.comPhysiology, Neuroscience & Behavioural Sciences, St. George’s University

Traditional healers remain central to healthcare in many African societies, including Sudan, where up to 80% of the population seek their guidance. These practitioners— ranging from herbalists and spirit mediums to Islamic healers like Fugara (Qur’anic healers) and sheikhs—offer care rooted in cultural traditions, social ties, and spiritual beliefs. Despite this, they are often marginalized by biomedical practitioners and viewed with suspicion because of concerns about safety, lack of standardization, and delays in seeking biomedical treatment. This article presents a more nuanced understanding of traditional healing through the lens of medical anthropology, which highlights cultural contexts, symbolic healing, explanatory models, and medical pluralism. In Sudan, where formal health systems have been weakened by conflict and resource limitations, the importance of traditional healers becomes particularly evident. Medical anthropology offers qualitative tools—such as ethnographic methods— to understand the lived experiences and health-seeking behaviors of individuals navigating multiple healthcare systems. The paper also critiques the power dynamics between Western biomedical systems and indigenous knowledge, discussing collaborative, culturally sensitive approaches rather than imposed interventions. Recent research challenges simple narratives about traditional healing, illustrating that access is not always based on cost or availability but on deeper social and symbolic meanings. Ultimately, the article suggests integrating traditional healers as partners in health care, not as competitors or obstacles.

Keywords: medical anthropology, traditional medicine, health behavior, healthcare disparities, qualitative research

[1] Msoka, E. F., Dwarampudi, S., Billings, R., Stone, R. J., Mwageni, R. E., Beavers, A., Mmbaga, B. T., & Gutnik, L. (2025). The role of traditional healers along the cancer care continuum in Sub-Saharan Africa: A scoping review. Archives of Public Health (Archives Belges de Santé Publique), 83(1), 35. Advance online publication. https://doi.org/10.1186/s13690-025-01521-7

[2] Al Safi, A. (2008). Traditional Sudanese medicine: A primer for health care providers, researchers, and students. Cairo: Independently published.

[3] Kunna, E., Yamamoto, T., & Fahal, A. (2021). The use of traditional medicines among mycetoma patients. Transactions of the Royal Society of Tropical Medicine and Hygiene, 115(4), 297–306. https://doi.org/10.1093/trstmh/traa135

[4] Gazi, M. I., Hamid, H. B., & Chowdhury, A. B. M. A. (2024). Push and pull factors influencing
[5] preference for traditional healing by jaundiced patients in Bangladesh. PLoS One, 19(11), e0312962. https://doi.org/10.1371/journal.pone.0312962

[6] Hu, Y., Wang, Z., Ni, K., & Yang, J. (2025). Challenges in traditional Chinese medicine clinical trials: How to balance personalized treatment and standardized research. Therapeutics and Clinical Risk Management, 21, 1085–1094. https://doi.org/10.2147/TCRM.S523279

[7] Sheehan, C. (2022). Psychological anthropology and medical anthropology: A brief history of ideas and concepts. Irish Journal of Psychological Medicine, 39(2), 115–120. https://doi.org/10.1017/ipm.2021.34

[8] Helman, C. (1984). Introduction: The scope of medical anthropology. In C. Helman (Ed.), Culture, health and illness. CRC Press.

[9] Sánchez-Villagra, M. R. (2022). Claude Lévi-Strauss as a humanist forerunner of cultural macroevolution studies. Evolutionary Human Sciences, 4, e31. https://doi.org/10.1017/ehs.2022.30

[10] Kleinman, A. (1980). Patients and healers in the context of culture: An exploration of the borderland between anthropology, medicine, and psychiatry. Comparative Studies of Health Systems and Medical Care, 5. https://doi.org/10.1525/9780520340848

[11] Durie, M. (2004). An Indigenous model of health promotion. Health Promotion Journal of Australia, 15(3), 181–185. https://doi.org/10.1071/HE04181

[12] Sundararajan, R., Mwanga-Amumpaire, J., King, R., & Ware, N. C. (2020). Conceptual model for pluralistic healthcare behaviour: Results from a qualitative study in southwestern Uganda. BMJ Open, 10(4), e033410. https://doi.org/10.1136/bmjopen-2019-033410

[13] Kabyemela, M. (2020). Traditional medicine: A complementary and accommodating health services delivery system at the village level of Tanzania. African Studies Quarterly, 19(2), 1–16.

[14] World Health Organization (WHO). (2013, May 15). WHO traditional medicine strategy 2014-2023. WHO. https://www.who.int/publications/i/item/9789241506096

[15] Tabi, M. M., Powell, M., & Hodnicki, D. (2006). Use of traditional healers and modern medicine in Ghana. International Nursing Review, 53(1), 52–58. https://doi.org/10.1111/j.1466-7657.2006.00444.x

[16] Schurer, J. M., Admasu, M. T., Bonaventure, M., Hakizimana, D., Murara, E., MacDonald, L. E., & Rafferty, E. (2023). “I sold my towel and shoes to pay the traditional healer”: Careseeking costs and productivity losses among snakebite victims in Eastern Province, Rwanda. PLoS Neglected Tropical Diseases, 17(11), e0011768. https://doi.org/10.1371/journal.pntd.0011768

[17] McGlinchey, E., Ranchod, K., Stroebel, R., Lusizi, B., Galvin, M., Kleinhans, A. V., Fortea, J., Hoffman, J., & Makanya, S. (2025). Bridging perspectives: The value of collaboration between traditional healing practitioners and medical doctors in dementia research and care in South Africa. Alzheimer’s & Dementia: The Journal of the Alzheimer’s Association, 21(6), e70370. https://doi.org/10.1002/alz.70370

[18] Im, D., Pyo, J., Lee, H., Jung, H., & Ock, M. (2023). Qualitative research in healthcare: Data analysis. Journal of Preventive Medicine and Public Health [Yebang Uihakhoe Chi], 56(2), 100–110. https://doi.org/10.3961/jpmph.22.471

[19] Lakshman, M., Sinha, L., Biswas, M., Charles, M., & Arora, N. K. (2000). Quantitative vs qualitative research methods. Indian Journal of Pediatrics, 67(5), 369–377. https://doi.org/10.1007/BF02820690

[20] Elsheikh, M., & Ibrahim, M. (2024). Resilience in chaos: Sudanese actors shock absorber in catastrophes. Sudan Journal of Medical Sciences, 19(3), 292–295.