“Xilala is only treated with a good hand”: a study on the treatment of malnutrition in Mozambique

Detalhes bibliográficos
Autor(a) principal: Janete Ismael Mabuie Gove
Data de Publicação: 2021
Outros Autores: Rubia Carla Formighieri Giordani, Vitor Henrique de Siqueira Jasper, Arune Estavela, Islândia Bezerra
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Cadernos de Saúde Pública
Texto Completo: https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/7870
Resumo: In Mozambique old and new evils of body and spirit intertwine, thus allowing particular contours to modern life. Traditional diseases are reconfigured along the lines of a new thinking, and what Western medicine calls malnutrition is defined as xilala by the local traditional thinking. This study aimed to understand the point of view of both caregivers (mothers and grandmothers) of children participating in a Nutritional Rehabilitation Program and ethnomedicine experts, who find themselves entangled in a complex set of relationships through which different forms to comprehend body, health, and disease circulate. The supplement, as an object, has a life of its own and takes on new meanings when it leaves the hospital. When its use happens at home, it acquires a particularity: it becomes food. Thus, it ceases to be something inert and impersonal, which is a feature of standard medicine of the health institution. The local view centered on ethnomedicine is based on the certainty that a situation affecting a child cannot have a healing outcome if not by traditional medicine. Biomedical rationality erected from the confluence of the biological and technical sciences with their scientific postulates does not constitute the authorized discourse in this context.
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spelling “Xilala is only treated with a good hand”: a study on the treatment of malnutrition in MozambiqueMalnutritionTraditional MedicinePublic PolicyIn Mozambique old and new evils of body and spirit intertwine, thus allowing particular contours to modern life. Traditional diseases are reconfigured along the lines of a new thinking, and what Western medicine calls malnutrition is defined as xilala by the local traditional thinking. This study aimed to understand the point of view of both caregivers (mothers and grandmothers) of children participating in a Nutritional Rehabilitation Program and ethnomedicine experts, who find themselves entangled in a complex set of relationships through which different forms to comprehend body, health, and disease circulate. The supplement, as an object, has a life of its own and takes on new meanings when it leaves the hospital. When its use happens at home, it acquires a particularity: it becomes food. Thus, it ceases to be something inert and impersonal, which is a feature of standard medicine of the health institution. The local view centered on ethnomedicine is based on the certainty that a situation affecting a child cannot have a healing outcome if not by traditional medicine. Biomedical rationality erected from the confluence of the biological and technical sciences with their scientific postulates does not constitute the authorized discourse in this context.En Mozambique los viejos y nuevos demonios del cuerpo y el espíritu se entrelazan, permitiendo así conformar las particularidades de la vida moderna. Las enfermedades tradicionales se reconfiguran a lo largo de líneas nuevas de pensamiento, y lo que la medicina occidental denomina malnutrición se define como xilala por el pensamiento tradicional local. El objetivo de este estudio fue comprender el punto de vista de ambos proveedores de cuidados (madres y abuelas) de niños que participaban en el Programa de Rehabilitación Nutricional y expertos en etnomedicina, que se encuentran a sí mismos enmarañados en un complejo conjunto de relaciones, a través de las cuales existen diferentes formas de entender el cuerpo, la salud y la trasmisión de enfermedades. El suplemento alimenticio, como un objeto, tiene vida por sí mismo y toma nuevos significados cuando abandona el hospital. Cuando su consumo se produce en casa, adquiere una particularidad: se transforma en comida. Por ello, cesa de ser algo inerte e impersonal, que es una característica de la medicina estándar de una institución de salud. El punto de vista local centrado en la etnomedicina está basado en la certeza de que la situación que afecta al niño no puede tener un resultado curativo, si no es mediante la medicina tradicional. La racionalidad biomédica se erigió a partir de la confluencia de las ciencias biológicas y técnicas con sus postulados científicos, pero no constituye un discurso autorizado en este contexto.Em Moçambique, males velhos e novos do corpo e espírito se entrelaçam, permitindo contornos particulares na vida moderna. As doenças tradicionais são reconfiguradas em linha com um novo pensamento, e aquilo que a medicina ocidental chama de desnutrição é definida como xilala de acordo com o pensamento tradicional local. O estudo buscou compreender o ponto de vista das cuidadoras (mães e avós) de crianças participando em um Programa de Reabilitação Nutricional e de especialistas em etnomedicina, que se encontram emaranhados em um conjunto complexo de relações através das quais circulam diferentes maneiras de compreender o corpo, a saúde e a doença. Enquanto objeto, o suplemento alimentar tem vida própria e assume novos significados quando sai do hospital. Quando seu uso ocorre no domicílio, adquire uma particularidade: torna-se alimento. Portanto, deixa de ser algo inerte e impessoal, que é uma característica da medicina convencional nas instituições de saúde. A visão local centrada na etnomedicina tem como base a certeza de que a situação que aflige uma criança não pode ter a cura como desfecho, a não ser através da medicina tradicional. A racionalidade biomédica construída pela confluência das ciências biológicas e técnicas, com seus postulados científicos, não constitui o discurso autorizado nesse contexto.Reports in Public HealthCadernos de Saúde Pública2021-08-13info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlapplication/pdfhttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/7870Reports in Public Health; Vol. 37 No. 7 (2021): JulyCadernos de Saúde Pública; v. 37 n. 7 (2021): Julho1678-44640102-311Xreponame:Cadernos de Saúde Públicainstname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZenghttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/7870/17612https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/7870/17613Janete Ismael Mabuie GoveRubia Carla Formighieri GiordaniVitor Henrique de Siqueira JasperArune EstavelaIslândia Bezerrainfo:eu-repo/semantics/openAccess2024-03-06T15:30:13Zoai:ojs.teste-cadernos.ensp.fiocruz.br:article/7870Revistahttps://cadernos.ensp.fiocruz.br/ojs/index.php/csphttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/oaicadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br1678-44640102-311Xopendoar:2024-03-06T13:09:02.008463Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ)true
dc.title.none.fl_str_mv “Xilala is only treated with a good hand”: a study on the treatment of malnutrition in Mozambique
title “Xilala is only treated with a good hand”: a study on the treatment of malnutrition in Mozambique
spellingShingle “Xilala is only treated with a good hand”: a study on the treatment of malnutrition in Mozambique
Janete Ismael Mabuie Gove
Malnutrition
Traditional Medicine
Public Policy
title_short “Xilala is only treated with a good hand”: a study on the treatment of malnutrition in Mozambique
title_full “Xilala is only treated with a good hand”: a study on the treatment of malnutrition in Mozambique
title_fullStr “Xilala is only treated with a good hand”: a study on the treatment of malnutrition in Mozambique
title_full_unstemmed “Xilala is only treated with a good hand”: a study on the treatment of malnutrition in Mozambique
title_sort “Xilala is only treated with a good hand”: a study on the treatment of malnutrition in Mozambique
author Janete Ismael Mabuie Gove
author_facet Janete Ismael Mabuie Gove
Rubia Carla Formighieri Giordani
Vitor Henrique de Siqueira Jasper
Arune Estavela
Islândia Bezerra
author_role author
author2 Rubia Carla Formighieri Giordani
Vitor Henrique de Siqueira Jasper
Arune Estavela
Islândia Bezerra
author2_role author
author
author
author
dc.contributor.author.fl_str_mv Janete Ismael Mabuie Gove
Rubia Carla Formighieri Giordani
Vitor Henrique de Siqueira Jasper
Arune Estavela
Islândia Bezerra
dc.subject.por.fl_str_mv Malnutrition
Traditional Medicine
Public Policy
topic Malnutrition
Traditional Medicine
Public Policy
description In Mozambique old and new evils of body and spirit intertwine, thus allowing particular contours to modern life. Traditional diseases are reconfigured along the lines of a new thinking, and what Western medicine calls malnutrition is defined as xilala by the local traditional thinking. This study aimed to understand the point of view of both caregivers (mothers and grandmothers) of children participating in a Nutritional Rehabilitation Program and ethnomedicine experts, who find themselves entangled in a complex set of relationships through which different forms to comprehend body, health, and disease circulate. The supplement, as an object, has a life of its own and takes on new meanings when it leaves the hospital. When its use happens at home, it acquires a particularity: it becomes food. Thus, it ceases to be something inert and impersonal, which is a feature of standard medicine of the health institution. The local view centered on ethnomedicine is based on the certainty that a situation affecting a child cannot have a healing outcome if not by traditional medicine. Biomedical rationality erected from the confluence of the biological and technical sciences with their scientific postulates does not constitute the authorized discourse in this context.
publishDate 2021
dc.date.none.fl_str_mv 2021-08-13
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dc.identifier.uri.fl_str_mv https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/7870
url https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/7870
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/7870/17612
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dc.publisher.none.fl_str_mv Reports in Public Health
Cadernos de Saúde Pública
publisher.none.fl_str_mv Reports in Public Health
Cadernos de Saúde Pública
dc.source.none.fl_str_mv Reports in Public Health; Vol. 37 No. 7 (2021): July
Cadernos de Saúde Pública; v. 37 n. 7 (2021): Julho
1678-4464
0102-311X
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reponame_str Cadernos de Saúde Pública
collection Cadernos de Saúde Pública
repository.name.fl_str_mv Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ)
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