In most African communities, the concept of disease goes beyond physical and mental pain. To many, societal imbalance, bad-luck, poverty and misery, misfortune, continuous unemployment and a host of others are treated as diseases. Despite biomedical attempts to explain and treat diseases, an ancient system of healing (traditional medicine) continues to thrive in Africa. The World Health Organization (WHO) has since recognized and encouraged governments to accept traditional medicine as an alternative healthcare; to adopt healthcare policies that will promote traditional medicine. Despite this call for recognition, most governments are still reluctant to officially incorporate traditional healing into healthcare policies. Countries which have recognized the relevance of traditional medicine face greater challenges on modalities to control and include traditional medicine into mainstream healthcare. This study is concerned with the role and contribution of African traditional medicine to healthcare, in an era of biomedicine. It provides a public and self assessment of traditional healers. The study also raises concerns on the need for healthcare policies that will enhance cooperation between traditional healing and biomedicine. Information was obtained through the use of questionnaires, in depth and face-to-face interviews with respondents. The actual field research was conducted in Qokolweni location in the King Sabatha Dalindyebo (KSD) district municipality of Eastern Cape Province, Republic of South Africa. Findings reveal that traditional healers handle and manage complex hospital diagnosed health conditions. It also reveals that perceptions on disease aetiology influence health seeking behaviour. It is therefore necessary to understand the efforts of traditional healers in order to formulate healthcare policies that would officially involve them in the mainstream healthcare in South Africa. It is noticeable that traditional healing is not only limited to Qokolweni. It occurs mutatis mutandis else wherein the Eastern Cape and in the whole of South Africa.

This thesis is concerned with plants, chronic illness and medicine in Oku, Northwest Region, Cameroon. I focus on patient strategies to obtain effective medical outcomes, and on how such outcomes may be obtained through seeking traditional medicine in Oku. I argue that biomedical notions of efficacy do not appropriately represent the central and diverse roles that plants play in traditional medicine nor do they correctly represent how people in Oku evaluate the efficacy of plant-based traditional medicine. I argue instead that efficacy must be understood in terms of the emic concept of power. This power is understood to be located in the Oku landscape, which is still uniquely forested and said to embody powerful ancestral spirits. With plants as the primary tangible material of power, and traditional doctors in Oku as those who claim exclusive rights to manipulate and disperse such power, I discuss traditional medicine in Oku as a system wherein power from the natural landscape is drawn upon to challenge harmful powers feared to derive from the social arena. Using the pragmatic and phenomenological approaches, I show how patients evaluate the efficacy of a medical treatment based on their bodily experiences, and how their actions, as revealed in their therapeutic trajectories, reveal their satisfaction or dissatisfaction with a given diagnosis and/or therapy. I discuss how enduring illness generates and exacerbates bodily, treatment-outcome, social, and psychological uncertainties. In this context, effective outcomes can be understood as those which address and limit these uncertainties and anxieties while offering ways to imagine hopeful prognoses. This thesis then outlines the major sources of uncertainty, people’s responses to such uncertainties, and what people might achieve in terms of limiting uncertainties by seeking traditional medicine in Oku.