Preference of Traditional Bone Setting and associated factors among trauma patients with fracture at Black Lion Hospital in Addis Ababa, Ethiopia: institution based cross sectional study

Abstract

Objective Despite the access and availability of modern health care, Traditional Bone Setting (TBS) has a big place as alternative health care. Hence, this study was aimed to assess the preference of Traditional Bone Setting and associated factors among patients with a fracture. Results A total of 224 patients known to have fractured at Black Lion Hospital, Addis Ababa was included in the study. This study revealed that 29.9% of the study participants had a preference for the Traditional Bone Setting. Hospital admission (AOR = 8.158, 95% CI 1.179, 56.439), Traditional Bone Setting center as first port of call after injury (AOR = 0.004, 95% CI 0.001, 0.090), knowledge (AOR = 9.448, 95% CI 1.481, 60.251) and perception (AOR = 0.026, 95% CI 0.003, 0.215) were statistically significant. The preference for the Traditional Bone Setting is high. Hospital admission, Traditional Bone Setting center as a first port of call after injury, knowledge, and perception were significantly associated with the preference of Traditional Bone Setting. In addition to deployment of trained in trauma professionals, working more on awareness creation and training are recommended.

Clinical Outcomes and Predictors of Patients with Fracture in Debre Markos Comprehensive Specialized Hospital, North West Ethiopia: A Prospective Cohort Study

“…One-third of the participants visited TBS and the majority of them (93%) visited because of traditional beliefs followed by fear of cost and amputation. is finding is consistent with the previous finding from Black Lion Hospital in Addis Ababa, Ethiopia [12]. is is likely due to the presence of strong cultural beliefs of the population in the study area.…”

“…Health workers, mainly the orthopaedic professionals in developing continents like Africa, face challenges caused by complications of fracture management by traditional bone setting practices [10]. e bone setting is one of the popular traditional medicines in Ethiopia, which is recognized to have attained a level of success comparable to that in modern medicine and the preference for the traditional bone setting is high although complications in the form of gangrene, nonunion, joint stiffness, and infections of limbs caused as a result of the traditional bone setting are quite common [11,12]. Splints may not be removed when pain increases after immobilization leading to compartment syndrome with its permanent sequelae such as gangrene and death as a result of tetanus and septicemia [9].…”

“Problems you can live with” versus emergencies: how community members in rural Ethiopia contend with conditions requiring surgery

“…Despite these positive developments in maternal surgical care, it is clear that patriarchal norms at home and within the health systems still exert influence, meaning that women's involvement in the decisionmaking process is minimal (Worku, Tewelde et al 2019). Similarly, although not mentioned by participants, the fact that injuries related to road traffic accidents have medico-legal implications in Ethiopia which require health facility-based management is likely to have influenced behaviours, encouraging people to access formal care for injuries related to this particular cause (Republic 2013).…”

“…It is evident that financial constraints have a huge contribution to not accessing or delaying surgical care in low and middle income countries (Bronsard, Geneau et al 2009, Ilbawi, Einterz et al 2013, Groen, Sriram et al 2014, van Loenhout, Delbiso et al 2017. Ethiopian communities perceive surgical care to be unaffordable (Worku, Tewelde et al 2019). This leads people to choose and explore other treatment modalities such as bone setters and religious healers.…”

Frequency of Complications among Trauma Patients Treated by Traditional Bone Setters Presented to Orthopedics Department, Gujranwala Teaching Hospital Gujranwala.

“…Particularly in urban areas, it is common for patients with fractures to initially seek treatment from traditional bone setters before consulting hospital services (8,9). Estimates suggest that between 10 to 40% of patients worldwide with fractures and dislocations receive care from non-professional practitioners (10,11).…”