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Table 2 Local illness concepts, classification, and treatment

From: ‘This diarrhoea is not a disease …’ local illness concepts and their effects on mothers’ health seeking behaviour: a qualitative study, Shuhair, Yemen

Concept

Definition

Classification

Treatment

Senoon

It is believed to be caused by teething manifested by fever, with or without diarrhea, and chest problems, associated with poor appetite, hotness of child’s head, abrading and redness of gums, and excessive salivation

Sometimes not for medical treatment

Nothing or drugs

Lafkha

It is thought to be caused by having a Demon inside of child, or when the child comes under the power of a demon if he/she sits alone for a long time or goes outside during the night. It results in abnormal and strange behavior, loud crying and shouting, and hitting heads on the wall or ground.

Always not for medical treatment

Qur’an reading by Ashaikha as it expels the Demons out.

Halib

It is believed to be caused by dietary errors, manifested by watery diarrhea with or without vomiting

Always not for medical treatment

Ghutrah b

Didan

It is thought to be caused by worms and parasites. It is manifested by loss of appetite, nausea, vomiting, abdominal pain, with changes in the composition of stool and foul smell.

Sometimes not for medical treatment

Herbs or drugs

Raqaba

It is believed to be caused by falling down, manifested by vomiting and extreme tiredness with loss of appetite with or without fever and frequent stool.

Always not for medical treatment

Tarqeeb c

Ayn

It is an Islamic concept believed to be caused by an evil person’s gaze (eye) that is loaded with admiration which harms whoever is looked at, manifested by a prolonged illness of any type that fails to respond to any medical or traditional treatment

Always not for medical treatment

Qur’an and pouring the wash-water of the eye-giver on the eye receiver

  1. a Ashaikh is a religious healer.
  2. b Gutrah is hot oil applied to soles, umbilicus and possibly, the head to treat halib.
  3. c Tarqeeb is massage done in a specific manner by a traditional healer or the grandmothers for raqaba.