Most traditional healers were already knowledgeable about HIV — some from personal experience — and were eager to get involved

The walls of Shadrack Mashabane’s hut in the rural South African town of Bushbuckridge are covered with traditional fabrics, with a small window the only source of light. What stands out among the herbs and medicines in glass bottles is a white box containing an HIV testing kit.

Mashabane is one of at least 15 traditional healers in the town who, in a pilot study, have been trained by University of Witwatersrand researchers to conduct HIV testing and counseling in an effort to ensure as many South Africans as possible know their status.

It’s part of the largest known effort in the country to involve traditional healers in a public health goal and study the results. Later this year, at least 325 other healers will undergo the training and become certified HIV counselors. Researchers will compare rates of HIV testing by healers and clinics.

Most traditional healers were already knowledgeable about HIV — some from personal experience — and were eager to get involved, researchers said.

South Africa has one of the highest rates of HIV in the world. Stigma remains in many communities around the disease and its treatment — even though HIV antiretroviral medication and pre-exposure prophylaxis are free. Concern about privacy at clinics also keeps people from seeking help.

Many people in rural areas see traditional healers as their first point of contact for illnesses, and the project hopes they can help change attitudes.

South Africa’s large younger population is a special concern. A government study released in December showed that people living with HIV had fallen from 14 per cent in 2017 to 12.7 per cent in 2022, but HIV prevalence rose among girls between 15 and 19, a phenomenon largely attributed to older men sleeping with them.