Early Medical Records: Historically, voodoo practitioners and traditional healers in communities that lacked hospital access used dolls to record patient conditions and track treatments. Healers would stick pins into the doll's corresponding body parts to remember where a patient was experiencing pain or illness.
European Folk Magic: The concept of using dolls (or poppets) and needles to harm enemies actually originated centuries ago in European witchcraft traditions, which later merged with African diaspora beliefs in the Americas.