Trauma-related amputations among children in Ghana

D.B, Alexis Buunaaim; Salisu, Waliu Jawula; Yempabe, Tolgou; Abdulai, S Hamdiyat

doi:10.32592/jsurgery.2019.7.4.103

Cited by 3 publications

(1 citation statement)

References 12 publications

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“…Also, Bediako-Bowan et al (2017) investigated the burden and characteristics of peripheral arterial disease in patients undergoing amputation in Korle Bu Teaching Hospital. Other studies like Buunaaim et al (2019) retrospectively examined the pattern of trauma-related amputations among children in Ghana. Regardless, Amoah et al (2018) maintained that amputation, aside from posing a physical challenge, elicited immense psychological and emotional challenge including the feeling of being a burden, being unimportant and being a useless entity for their families.…”

Section: Introductionmentioning

confidence: 99%

Experiences Following Amputation among Amputees and Their Caregivers: An Exploratory Study in a Developing Country

Ohenewa

Yendork

Amponsah

2022

Illness, Crisis & Loss

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Amputation is necessitated following an accident or a medical condition often to save a patient's life. Despite the existence of the procedure and the rising number of amputees in the Ghanaian context, the emotional experiences of both amputees and their caregivers following amputation has been largely ignored. This qualitative exploratory study explored the emotional experiences of amputees and their caregivers following amputation. Using a semi-structured interview guide, ten (10) amputees and ten (10) caregivers were interviewed. Findings revealed that caregivers and amputees experienced a built up of negative emotions following amputaion. There were slight disparities in the negative emotions experienced by amputees and their caregivers. However, for both amputees and their caregiver, the experience of gratitude and news breaking method influenced their emotional experiences. Implications of the findings are discussed.

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Section: Introductionmentioning

confidence: 99%

Experiences Following Amputation among Amputees and Their Caregivers: An Exploratory Study in a Developing Country

Ohenewa

Yendork

Amponsah

2022

Illness, Crisis & Loss

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Disparities in Access to Trauma Care in Sub-Saharan Africa: a Narrative Review

Alayande,

Chu,

Jumbam

et al. 2022

Curr Trauma Rep

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Purpose of Review Sub-Saharan Africa is a diverse context with a large burden of injury and trauma-related deaths. Relative to high-income contexts, most of the region is less mature in prehospital and facility-based trauma care, education and training, and trauma care quality assurance. The 2030 Agenda for Sustainable Development recognizes rising inequalities, both within and between countries as a deterrent to growth and development. While disparities in access to trauma care between the region and HICs are more commonly described, internal disparities are equally concerning. We performed a narrative review of internal disparities in trauma care access using a previously described conceptual model. Recent Findings A broad PubMed and EMBASE search from 2010 to 2021 restricted to 48 sub-Saharan African countries was performed. Records focused on disparities in access to trauma care were identified and mapped to de Jager’s four component framework. Search findings, input from contextual experts, comparisons based on other related research, and disaggregation of data helped inform the narrative. Only 21 studies were identified by formal search, with most focused on urban versus rural disparities in geographical access to trauma care. An additional 6 records were identified through citation searches and experts. Disparity in access to trauma care providers, detection of indications for trauma surgery, progression to trauma surgery, and quality care provision were thematically analyzed. No specific data on disparities in access to injury care for all four domains was available for more than half of the countries. From available data, socioeconomic status, geographical location, insurance, gender, and age were recognized disparity domains. South Africa has the most mature trauma systems. Across the region, high quality trauma care access is skewed towards the urban, insured, higher socioeconomic class adult. District hospitals are more poorly equipped and manned, and dedicated trauma centers, blood banks, and intensive care facilities are largely located within cities and in southern Africa. The largest geographical gaps in trauma care are presumably in central Africa, francophone West Africa, and conflict regions of East Africa. Disparities in trauma training opportunities, public–private disparities in provider availability, injury care provider migration, and several other factors contribute to this inequity. National trauma registries will play a role in internal inequity monitoring, and deliberate development implementation of National Surgical, Obstetrics, and Anesthesia plans will help address disparities. Human, systemic, and historical factors supporting these disparities including implicit and explicit bias must be clearly identified and addressed. Systems approaches, strategic trauma policy frameworks, and global and regional coalitions, as modelled by the Global Alliance for Care of the Injured and the Bellagio group, are key. Inequity in access can be reduced by prehospital initiatives, as used in Ghana, and community-based insurance, as modelled by Rwanda. Summary Sub-Saharan African countries have underdeveloped trauma systems. Consistent in the narrative is the rural-urban disparity in trauma care access and the disadvantage of the poor. Further research is needed in view of data disparity. Recognition of these disparities should drive creative equitable solutions and focused interventions, partnerships, accompaniment, and action.

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Experiences of persons with lower limb amputation after prosthetic rehabilitation in Ghana: A qualitative inquiry

Dordunu,

Adjei,

Kyei

et al. 2023

Prosthetics &Amp; Orthotics International

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Background: Lower limb amputations (LLAs) have long been associated with physical, social, and psychological consequences. Individuals with LLAs have challenges with mobility and often become isolated from their social networks. Disability rehabilitation technologies such as prosthetic devices are used to improve the mobility capabilities of lower limb amputees. To improve clinical outcomes, feedback from the prosthetic users is a key element to consider. Objectives: The study sort to explore the experiences of lower-limb prosthetic users after prosthetic rehabilitation in a prosthetic and orthotic rehabilitation center in the Eastern Region of Ghana. Study design: This study adopted an exploratory descriptive qualitative study design. Methods: A purposive sampling technique and semistructured interview guide was used to interview 17 participants by the first author. The social model of disability underpinned the study. Lower-limb prosthetic users (≥18 years) with unilateral LLA attending outpatient follow-up at a prosthetic and orthotic rehabilitation center were recruited. The interviews were audio recoded, transcribed verbatim, and analyzed using the procedure for thematic content analysis by Braun and Clarke (2013). Results: Participants reported injuries and tingling in their residual limb. Internal stigma resulting from negative comments and labeling from the public were reported. Prosthetic users experienced empathy and being treated as weaklings by their family/peers. Participants avoided relationships because of recurrent rejection, embarrassment, fear of sexual abuse, and exploitation. As a coping method, some participants chose to isolate themselves to avoid humiliation and public disgrace. Other coping mechanisms included watching television, listening to music, conversing with others, ignoring criticism, and having faith in God. Conclusion: Participants’ narrative in this study gave insight into the varied lived experiences on the individual level, family/peer level, and the coping mechanisms used. Challenges relating to discomfort from the prosthesis, internal stigma, relationship avoidance, and altered sexual life should be given much attention and used in implementing initiatives to improve clinical outcomes.

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Trauma-related amputations among children in Ghana

Cited by 3 publications

References 12 publications

Experiences Following Amputation among Amputees and Their Caregivers: An Exploratory Study in a Developing Country

Experiences Following Amputation among Amputees and Their Caregivers: An Exploratory Study in a Developing Country

Disparities in Access to Trauma Care in Sub-Saharan Africa: a Narrative Review

Experiences of persons with lower limb amputation after prosthetic rehabilitation in Ghana: A qualitative inquiry

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