IDEAS home Printed from https://ideas.repec.org/a/eee/socmed/v62y2006i11p2774-2785.html
   My bibliography  Save this article

Healing traditions and men's sexual health in Mumbai, India: The realities of practiced medicine in urban poor communities

Author

Listed:
  • Schensul, Stephen L.
  • Mekki-Berrada, Abdelwahed
  • Nastasi, Bonnie
  • Saggurti, Niranjan
  • Verma, Ravi K.

Abstract

Men's pre- and extra-marital sexual behavior has been identified as the primary factor in the growing HIV/STI epidemic among both males and females in India. One major barrier to reaching men has been their underutilization of public health services, which has severely limited programs geared to prevention and early case identification. A significant number of men in India have strong culturally-based sexual health concerns, much of which are derived from "semen-loss" and deficiencies in sexual performance. This paper reports on an ongoing Indo-US project that has focused on men's concerns about sexual health problems and assesses the services provided by non-allopaths in three low-income communities in Mumbai. Findings indicate that the primary health resources for these men are private, community-based non-allopaths, who identify themselves as ayurvedic, unani and homeopathic providers. The paper suggests that the combination of strong culturally-based sexual health concerns and the presence of private non-allopaths who manage these problems present a window of opportunity for intervention programs to address the challenge of HIV/STI prevention and early case identification in India.

Suggested Citation

  • Schensul, Stephen L. & Mekki-Berrada, Abdelwahed & Nastasi, Bonnie & Saggurti, Niranjan & Verma, Ravi K., 2006. "Healing traditions and men's sexual health in Mumbai, India: The realities of practiced medicine in urban poor communities," Social Science & Medicine, Elsevier, vol. 62(11), pages 2774-2785, June.
  • Handle: RePEc:eee:socmed:v:62:y:2006:i:11:p:2774-2785
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S0277-9536(05)00585-X
    Download Restriction: Full text for ScienceDirect subscribers only
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Filc, D., 2004. "The medical text: between biomedicine and hegemony," Social Science & Medicine, Elsevier, vol. 59(6), pages 1275-1285, September.
    2. Nordstrom, Carolyn R., 1988. "Exploring pluralism--The many faces of Ayurveda," Social Science & Medicine, Elsevier, vol. 27(5), pages 479-489, January.
    3. Saradamma, Rema Devi & Higginbotham, Nick & Nichter, Mark, 2000. "Social factors influencing the acquisition of antibiotics without prescription in Kerala State, south India," Social Science & Medicine, Elsevier, vol. 50(6), pages 891-903, March.
    4. Khare, R. S., 1996. "Dava, Daktar, and Dua: Anthropology of practiced medicine in India," Social Science & Medicine, Elsevier, vol. 43(5), pages 837-848, September.
    5. Janes, Craig R., 1999. "The health transition, global modernity and the crisis of traditional medicine: the Tibetan case," Social Science & Medicine, Elsevier, vol. 48(12), pages 1803-1820, June.
    6. Kamat, Vinay R. & Nichter, Mark, 1998. "Pharmacies, self-medication and pharmaceutical marketing in Bombay, India," Social Science & Medicine, Elsevier, vol. 47(6), pages 779-794, September.
    7. Pugh, Judy F., 2003. "Concepts of arthritis in India's medical traditions: Ayurvedic and Unani perspectives," Social Science & Medicine, Elsevier, vol. 56(2), pages 415-424, January.
    8. Marshall, Wende Elizabeth, 2005. "Aids, race and the limits of science," Social Science & Medicine, Elsevier, vol. 60(11), pages 2515-2525, June.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Carla F. Rodrigues, 2020. "Self-medication with antibiotics in Maputo, Mozambique: practices, rationales and relationships," Palgrave Communications, Palgrave Macmillan, vol. 6(1), pages 1-12, December.
    2. Das, Jishnu & Sanchez-Paramo, Carolina, 2003. "Short but not sweet - new evidence on short duration morbidities from India," Policy Research Working Paper Series 2971, The World Bank.
    3. Miller, Rosalind & Hutchinson, Eleanor & Goodman, Catherine, 2018. "‘A smile is most important.’ Why chains are not currently the answer to quality concerns in the Indian retail pharmacy sector," Social Science & Medicine, Elsevier, vol. 212(C), pages 9-16.
    4. Kielmann, Karina & Deshmukh, Deepali & Deshpande, Sucheta & Datye, Vinita & Porter, John & Rangan, Sheela, 2005. "Managing uncertainty around HIV/AIDS in an urban setting: Private medical providers and their patients in Pune, India," Social Science & Medicine, Elsevier, vol. 61(7), pages 1540-1550, October.
    5. Cross, Jamie & MacGregor, Hayley Nan, 2010. "Knowledge, legitimacy and economic practice in informal markets for medicine: A critical review of research," Social Science & Medicine, Elsevier, vol. 71(9), pages 1593-1600, November.
    6. Briggs, Charles L., 2011. "“All Cubans are doctors!” news coverage of health and bioexceptionalism in Cuba," Social Science & Medicine, Elsevier, vol. 73(7), pages 1037-1044.
    7. Kapil Babu Dahal, 2022. "Engrained with modernity: commodification, medicalisation, and cross-border medical travel for health care in Nepal," Palgrave Communications, Palgrave Macmillan, vol. 9(1), pages 1-9, December.
    8. Alba Antequera & Daeria O. Lawson & Stephen G. Noorduyn & Omar Dewidar & Marc Avey & Zulfiqar A. Bhutta & Catherine Chamberlain & Holly Ellingwood & Damian Francis & Sarah Funnell & Elizabeth Ghogomu , 2021. "Improving Social Justice in COVID-19 Health Research: Interim Guidelines for Reporting Health Equity in Observational Studies," IJERPH, MDPI, vol. 18(17), pages 1-12, September.
    9. Hoa, Nguyen Quynh & Ohman, Ann & Lundborg, Cecilia Stalsby & Chuc, Nguyen Thi Kim, 2007. "Drug use and health-seeking behavior for childhood illness in Vietnam--A qualitative study," Health Policy, Elsevier, vol. 82(3), pages 320-329, August.
    10. Muhammad Majid Aziz & Minghuan Jiang & Imran Masood & Jie Chang & Shan Zhu & Muhammad Ali Raza & Wenjing Ji & Caijun Yang & Yu Fang, 2019. "Patients’ Anticipation for the Pharmacies of Rural Communities: A Qualitative Study from Pakistan," IJERPH, MDPI, vol. 16(1), pages 1-14, January.
    11. Daniel Bennett & Wesley Yin, 2014. "The Market for High-Quality Medicine," NBER Working Papers 20091, National Bureau of Economic Research, Inc.
    12. Kamat, Vinay R., 2014. "Fast, cheap, and out of control? Speculations and ethical concerns in the conduct of outsourced clinical trials in India," Social Science & Medicine, Elsevier, vol. 104(C), pages 48-55.
    13. Céline Caillet & Chanvilay Sichanh & Gaëtan Assemat & Myriam Malet-Martino & Agnès Sommet & Haleh Bagheri & Noudy Sengxeu & Niphonh Mongkhonmath & Mayfong Mayxay & Lamphone Syhakhang & Maryse Lapeyre-, 2017. "Role of Medicines of Unknown Identity in Adverse Drug Reaction-Related Hospitalizations in Developing Countries: Evidence from a Cross-Sectional Study in a Teaching Hospital in the Lao People’s Democr," Drug Safety, Springer, vol. 40(9), pages 809-821, September.
    14. Chalker, J. & Ratanawijitrasin, S. & Chuc, N. T. K & Petzold, M. & Tomson, G., 2005. "Effectiveness of a multi-component intervention on dispensing practices at private pharmacies in Vietnam and Thailand--a randomized controlled trial," Social Science & Medicine, Elsevier, vol. 60(1), pages 131-141, January.
    15. Spicer, Neil J., 2005. "Sedentarization and children's health: Changing discourses in the northeast Badia of Jordan," Social Science & Medicine, Elsevier, vol. 61(10), pages 2165-2176, November.
    16. Rodrigues, Carla F., 2021. "Communicative trust in therapeutic encounters: users’ experiences in public healthcare facilities and community pharmacies in Maputo, Mozambique," Social Science & Medicine, Elsevier, vol. 291(C).
    17. Closser, Svea & Mendenhall, Emily & Brown, Peter & Neill, Rachel & Justice, Judith, 2022. "The anthropology of health systems: A history and review," Social Science & Medicine, Elsevier, vol. 300(C).
    18. Ahmed, Syed Masud & Hossain, Md. Awlad, 2007. "Knowledge and practice of unqualified and semi-qualified allopathic providers in rural Bangladesh: Implications for the HRH problem," Health Policy, Elsevier, vol. 84(2-3), pages 332-343, December.
    19. George, Asha & Iyer, Aditi, 2013. "Unfree markets: Socially embedded informal health providers in northern Karnataka, India," Social Science & Medicine, Elsevier, vol. 96(C), pages 297-304.
    20. Gilbert, Tal & Gilbert, Leah, 2004. "Globalisation and local power: influences on health matters in South Africa," Health Policy, Elsevier, vol. 67(3), pages 245-255, March.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:socmed:v:62:y:2006:i:11:p:2774-2785. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Catherine Liu (email available below). General contact details of provider: http://www.elsevier.com/wps/find/journaldescription.cws_home/315/description#description .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.