Perception of Western healthcare

Some migrant Muslims will have originated from countries where health services are scarce, where there is limited or no disability support, or where health systems differ significantly from that of New Zealand. As a result people may not be aware of either the existence of, or function of rehabilitative or clinical services and consequently not seek care. Some people may expect to have traditional remedies and treatments included in care whilst others who have previously been denied healthcare might believe that Western medicine has the power to cure any condition, resulting in disappointment.

Some consider mental health and other significant disabilities taboo and will not come forward with these conditions for healthcare.

However many Muslims from Middle Eastern countries who have easier access to western medicine accept biomedical explanations and are familiar with rehabilitation programmes, especially those who originate from war torn areas. Some may hold this acceptance alongside religious or folk explanations. Islam teaches the sacredness of human life and enjoins followers as a primary duty, to take care of their bodies and health.

If clients are hesitant about proposed intervention plans, or reluctant to attend healthcare appointments, check whether cultural or religious needs are being met. Cultural support can be included or consulted to assist in identifying problems and developing alternative plans.

Implications for practice

Some people may be reluctant to receive assistance if they perceive congenital disability as the will of Allah. This could affect prospects for children with autism, Down's syndrome or developmental disabilities. Clinicians will need to ensure the family understands that the goal of the healthcare intervention is quality of life rather than possibilities of improvement or 'cure'.

Those who view acquired disabilities as illness for which Allah provides a cure may be disappointed when there is no improvement, or it is slow.