Reasons for patronage of traditional bone setters

Abang, Innocent E.; Asuquo, Joseph; Ngim, Ne; Ikpeme, Ikpeme Asanye; Agweye, PU; Urom, SE; Anisi, Chukwuemeka; Mpama, Enagu

doi:10.4103/1117-6806.188993

Cited by 25 publications

(37 citation statements)

References 11 publications

(16 reference statements)

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“…That is, individual with highly paid jobs when ill have the likelihood to access good medical service than low paying jobs. In light of the assumption above, Abang (2016) , reiterated that occupational status enhances good access to medical services, and improves health and well-being.…”

Section: Resultsmentioning

confidence: 99%

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Income level and healthcare utilization in Calabar Metropolis of Cross River State, Nigeria

Archibong

Bassey

Isokon

et al. 2020

Heliyon

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Throughout the world, socio-economic status differentials of individuals have a lot of influence on privileges and opportunities enjoyed by society members. The different social and economic positions of individuals and income levels oftentimes hinder them from effective use of health care facilities. It is against this background, that the study was designed to investigate income differentials and its influence on utilization of healthcare services among the people of Calabar Metropolis in Cross River State, Nigeria. Relevant body of literature were reviewed and survey design method was adopted. The instruments used were the questionnaire, interview and Focus Group Discussions (FGD). A sample of 360 respondents was selected using a multi-stage sampling procedure for the study. Data was presented using simple percentage calculation while Chi-Square and ANOVA statistical tool was used to test and ascertain the relationship between income level and healthcare services usage at 0.05 level of significance. Findings of the study revealed that level of income and occupational status of individual influence health care service utilization among people in Calabar Metropolis. At the end of the study, several recommendations were made among which were a general improvement of socio-economic status of the people in areas of availability and compulsory education, employment opportunities as well as equitable distribution of income and minimizing cost of health care services for effective and equal utilization.

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Section: Resultsmentioning

confidence: 99%

“…According to Abang et al. (2016) the above issues have led to the preference of indigenous treatment and health care over modern medicine.…”

Section: Literature Reviewmentioning

confidence: 99%

Income level and healthcare utilization in Calabar Metropolis of Cross River State, Nigeria

Archibong

Bassey

Isokon

et al. 2020

Heliyon

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“…Trauma was seen to be the next leading indication of amputation to road traffic accidents as the commonest cause of trauma with mangled extremities and electrical injuries resulting in gangrenes or gunshots injuries being the other forms of trauma. Gangrene from traditional bonesetters' tourniquets was also seen because most patients patronized traditional bonesetters for treatment and application of tight splints to stabilize the fracture, which as part of their treatment resulted in gangrene; this has been reported by some authors [18]. Other causes included malignancy from osteosarcoma, peripheral vascular diseases, and infection from gas gangrene.…”

Section: Discussionmentioning

confidence: 96%

Indications and Pattern of Limb Amputation: A Tertiary Hospital Experience, South-South, Nigeria

Abang¹,

Asuquo²,

Anisi³

et al. 2018

Recent Advances in Biology and Medicine

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The aim of this paper was to study the indications and patterns of limb amputations in the University of Calabar Teaching Hospital, a retrospective study of 142 limb amputations performed in patients admitted to the University of Calabar Teaching Hospital, South-South, Nigeria. Data was obtained from theater records and the medical record department of the hospital after due ethical approval. The data spanned a period of 10 years (from January 2004 to December 2014). A total of 142 patients were seen. The age ranged from 8 to 87 years with a mean age of 46 years ± SD 17.9 years and a male to female ratio of 2.3:1. Adults accounted for 95.8% while 4.2% were children. Emergency procedures accounted for 47.9% of the amputations. Diabetic foot gangrene was the major cause of lower limb amputation 91 (64.1%), trauma accounted for 27 (19%) of these, 15.5% were due to road traffic accidents, and 3.5% were cases of gunshot injuries. Tumors and limb ischemia accounted for 9.2 and 2.8%, respectively. Electrical injury, industrial accidents, and ischemic limbs from tight tourniquet splints by traditional bonesetters were the common causes of upper limb amputations. Most of the amputations were on the lower limb (83.7%) with the left lower limb accounting for 47.8% and the right lower limb accounting for 35.9% .Upper limb amputations accounted for 15.4% with right and left upper limbs being 8.4 and 7.0%, respectively .Only one patient had bilateral lower limb amputation(0.7%). For the levels of amputation, the majority were below knee 54 (38%) followed by above elbow 38 (26.8%) amputations (Figure 1); others were ray amputation of the foot and hand as 28 (19.7%) and 8 (5.6%), respectively. The least was below elbow amputation 6 (4.2%). The study showed that 96% of the causes were potentially preventable, and that establishment of a prosthetic-orthotic center is needed in this part of the country.

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“…28,32,38 The role of family has been cited as a cause of delay and bad judgement in previous studies. 43,44 Individuals in a family live in symbiotic relationships where resources are shared and members are bound by emotions. 45 While it is true that family can impede health care, it can also nurture health by protecting against external threat.…”

Section: The Popular Sectormentioning

confidence: 99%

“…29 As a consequence, compared to professional biomedical services, the folk sector offers a more desirable option for many people in LMICs, irrespective of patients' socioeconomic status or level of education. 43,47 Scientific studies on bonesetters highlight the inadequacy of biomedicine (expensive, inaccessible, frequent delay, or poor staff attitudes) as a compelling reason for using traditional healers. 29,43,47 Folk healing has many merits.…”

Section: The Folk Sectormentioning

confidence: 99%

Putting Culture into Prehospital Emergency Care: A Systematic Narrative Review of Literature from Lower Middle-Income Countries

Tran

Lee

Sleigh

et al. 2019

Prehosp. Disaster med.

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Background:Prehospital emergency care is cost-effective for improving morbidity and mortality of emergency conditions. However, such care has been discounted in the public health system of many lower middle-income countries (LMICs). Where it exists, the Emergency Medical Service (EMS) system is grossly inadequate, unpopular, and misrepresented. Many EMS reviews in developing countries have identified systemic problems with infrastructure and human resources, but they neglected impacts of sociocultural factors. This study examines the sociocultural dimensions of LMICs’ prehospital emergency systems in order to improve the quality and impact of emergency care in those countries.Methods:Qualitative studies on EMS systems in LMICs were systematically reviewed and analyzed using Kleinman’s health system theory of folk, popular, and professional health sectors. Also, the three-delay model of emergency care – seeking, reaching, and receiving – provided a guiding framework.Results:The search yielded over 3,000 papers and the inclusion criteria eventually selected 14, with duplicates and irrelevant papers as the most frequent exclusion. Both user and provider experiences with emergency conditions and the processes of prehospital care were described. Sociocultural factors such as trust and beliefs underlay the way emergency care was experienced. Attitudes of family and community shaped service-seeking behaviors. Traditional medicine was often the first point of care. Private vehicles were the main transportation for accessing care due to distrust and misunderstanding of ambulance services.Conclusion:The findings led to the discussion on how culture is woven into the patients’ pathway to care, and the recommendation for any future development to place a far greater emphasis on this aspect. Instead of relying purely on the biomedical sector, the health system should acknowledge and show respect for popular knowledge and folk belief. Such strategies will improve trust, facilitate information exchange, and enable stronger healer-patient relationships.

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Reasons for patronage of traditional bone setters

Cited by 25 publications

References 11 publications

Income level and healthcare utilization in Calabar Metropolis of Cross River State, Nigeria

Income level and healthcare utilization in Calabar Metropolis of Cross River State, Nigeria

Indications and Pattern of Limb Amputation: A Tertiary Hospital Experience, South-South, Nigeria

Putting Culture into Prehospital Emergency Care: A Systematic Narrative Review of Literature from Lower Middle-Income Countries

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