Table 2

Example of spiritual and traditional providers active in Sierra Leone and their practices and functions

Type of spiritual and traditional providerProvider practiceFunction
Pepper doctorOffers medication for conditionPrincipally offers biomedical treatment
HerbalistOffers diagnosis of the condition and herbal-based treatments (eg, lotions)Limited biomedical element (eg, lotion) and distinguishable diagnostic and treatment step, traditional healer
Moray man and/or alpha manDiagnosis includes religious elements of care, recitation of incantations (eg, alpha man uses Koran during practice) and additionally may offer non-conventional ‘medicine’ or potential referrals to other providersModerate biomedical element of care and distinguishable diagnosis, treatment and referral steps; spiritual and traditional healer
Church or mosqueOffer prayer and gives you blessed water and oil to rubNo biomedical elements, completely spiritual
Yabai woman (soothsayer)Consults the person and determines who cast a spell on them, bewitches the spell-casterNo biomedical elements, completely spiritual