Healing the Divide
By Karabo Marifi
Polokwane –
A Limpopo-based traditional herbalist Mpho Makhado is calling for stronger collaboration between the formal health system and the indigenous knowledge system to help address the country’s health challenges.
This plea comes as South Africa grapples with a dual healthcare landscape, where modern medicine often overlooks the rich heritage of traditional healing practices that have served communities for generations,
leaving many to wonder if blending the two could unlock better outcomes for patients facing chronic illnesses and limited access to clinics.
Makhado’s Call for Unity in Healing
Mpho Makhado, a respected herbalist from the Vhembe district in Limpopo, has long advocated for bridging the gap between Western medicine and African traditional practices.
He argues that indigenous knowledge, passed down through elders and rooted in natural remedies from local plants, holds valuable solutions for common ailments like diabetes, hypertension, and even mental health issues.
Makhado points out that many rural families turn to herbalists first because clinics are far away or overburdened, but without official recognition, these treatments remain on the fringes, missing chances to complement doctors’ work.
In his recent statements, Makhado shared stories of patients who benefited from combined approaches – for example, using herbal teas to manage side effects from antiretroviral drugs for HIV.
He stresses that collaboration could mean training doctors on safe herbal uses and certifying herbalists to work alongside clinics, ensuring patients get the best of both worlds.
For someone new to this, think of it as teaming up a family doctor with a knowledgeable granny who knows which backyard plant soothes a stomach ache – simple, but powerful when done right.
The Rich Heritage of Indigenous Medicine in South Africa
South Africa’s indigenous healing systems date back thousands of years, drawing from the knowledge of groups like the VhaVenda, where Makhado hails from, and others across the provinces.
Plants like African wormwood for fever or devil’s claw for pain have been used effectively, with some even exported for global pharmaceuticals.
Yet, colonial laws once banned these practices, and today, they face stigma as “unscientific” despite World Health Organization recognition of traditional medicine’s role in primary care.
Makhado’s call echoes a national push, with over 200,000 traditional healers serving 80 percent of the population for some health needs.
In Limpopo alone, herbal markets bustle with remedies for everything from skin conditions to fertility issues.
Studies show these methods can lower costs and reach remote areas where hospitals are scarce, but without integration, risks like harmful interactions with pills persist.
By recognising indigenous systems, the country could tap into this wealth, training healers on hygiene and referrals to boost safety.
Health Challenges Driving the Need for Collaboration
South Africa faces big health hurdles, from high rates of HIV and tuberculosis to rising diabetes linked to poor diets.
In rural Limpopo, where clinics are hours away, people often rely on herbalists for quick relief, but without teamwork, treatments can clash.
Makhado highlights how formal systems overlook cultural beliefs, like using ancestors in healing, leading patients to skip meds. Blending could mean clinics offering herbal options alongside pills, improving adherence and outcomes.
For families, this means better care – imagine a child with a cough getting both syrup from a doctor and a safe tea from a healer, speeding recovery.
Globally, countries like China integrate traditional and modern medicine, cutting costs by 30 percent in some cases. South Africa could follow, with pilot projects in provinces like Limpopo testing joint clinics to gather proof and build trust.
Barriers to Recognition and Paths Forward
Despite benefits, challenges remain. Laws require traditional medicines to meet safety standards, but testing is costly for small herbalists like Makhado.
Stigma from past fake healers harms the field’s image, while doctors sometimes dismiss indigenous methods as unproven.
Makhado calls for government funding for research, like university studies on local plants, to prove their worth and create standards.
Positive steps include the Traditional Health Practitioners Act of 2007, which registers healers, and recent talks on including them in national health insurance.
In Limpopo, initiatives like herbal gardens at clinics show promise, blending knowledge for better community health.
Makhado urges more training exchanges, where doctors learn about herbs and healers about modern diagnostics, fostering respect and teamwork.
Community Voices and the Bigger Picture
In Vhembe and other rural spots, people like Makhado are lifelines, treating ailments with affordable, accessible remedies.
Locals share stories of recoveries from chronic pains or infections using plants like aloe ferox or rooibos, which modern science now backs for anti-inflammatory effects.
For urban dwellers, recognising indigenous medicine could mean cheaper options in pharmacies, easing the load on public health.
This call from Makhado reflects a national yearning for inclusive health care that honours heritage while embracing science.
As South Africa faces rising medical costs and access gaps, blending systems could save lives and money, making healing a shared journey for all.
For now, Makhado’s voice adds to the chorus urging leaders to bridge the divide, turning traditional wisdom into a powerful tool for the country’s well-being.

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