In countries with limited access to allopathic medicine, the main source of health care is traditional medicine (TM). For centuries, traditional African healing has played an important role in the health care system in South Africa and elsewhere on the African continent.

This study investigates the pattern of use of traditional and alternative healers among psychiatric patients in Nelson Mandela Metropole. An interview schedule was applied to 254 subjects at six sites, enquiring about consultations with traditional and alternative healers in the past year. Multivariate analysis was performed to determine predictors of consultation.

South Africa is one of the few nations that have made significant progress to integrate
traditional and complementary medicine into the legislative framework for health
practitioners. Traditional medicine, represented by approximately 190 000 traditional
health practitioners, has sustained the health of millions of South Africans over centuries.