Consultation of traditional bone setters instead of doctors: Is it a sociocultural and educational or social insurance problem?

Gölge, Umut Hatay; Kaymaz, Burak; Kömürcü, Erkam; Eroglu, Mehmet; Göksel, Ferdi; Nusran, Gürdal

doi:10.1177/0049475514566531

Cited by 6 publications

(4 citation statements)

References 12 publications

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“…This is most likely because of the failure of TBS treatment or complications. 15,16 Ideally, the school teachers should set an example for the students, parents, and society. However, in this study, we found a strong belief in the TBS practice, which might help increase the popularity of TBS.…”

Section: Discussionmentioning

confidence: 99%

“…Some studies reported that patients' decision to attend TBS and not hospital is mainly due to the dependence on their sponsors for treatment in addition to cultural beliefs. 3,4 According to Omololu B et al Since several efforts in society as poverty or lack of education are not the major causes of seeking the help of the traditional healers, but probably the culture and traditional beliefs. 5 Serious TBS complications like limb gangrene are avoidable.…”

Section: Introductionmentioning

confidence: 99%

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Knowledge, Attitude and Practice of Public School Teachers Regarding Traditional Bone Setters, Khartoum Locality

Hassan¹,

Shumo²,

Abdelhai³

2022

JBMS

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Background: In Sudan, traditional bone setting (TBS) is still popular and has serious complications. Therefore, awareness and education are essential for TBS. School teachers having a close association with students and parents could be an appropriate medium for health education about TBS after evaluating their awareness. Objectives: To review the knowledge, attitude, and practice among public school teachers toward TBS practice. Methodology: A community-based cross-sectional descriptive study 588 school teachers participated from Khartoum locality, Sudan. Data were collected using self-administered questionnaires. Results: Of 588 participants, 246 (41.8%) were males and 342 (58.2%) were females having the age range between 22 and 65 years, and (69.2%) received bachelor’s degrees. Around 249 (42.4%) believed that all/some of the TBSs had good basic knowledge and 331 (56.3%) participants thought that all/ some of the TBSs had clinical knowledge and skills. Half of the participants 300(51%) believed that some/all TBSs knew about trauma complications and 283(48.1%) participants believed that all/some of TBSs can make an accurate diagnosis. The two main reasons for the popularity of TBS were the cost (60%) and illiteracy (52.9%). Most of the teachers (79.8%) will take their injured students directly to the hospital. (41%) teachers visited TBS for themselves, and around 51% showed their commitment to TBS. Most teachers (96%) said that they will advise parents to take their child to the hospital, while only 4% said they will advise taking them to the TBS. In a situation, if the parents insist on taking their child to TBS, the majority (67.7%) teachers will advise the parents to take their students to the hospital. Conclusion: The study demonstrates that most participants’ knowledge level was below expectations and they have a positive attitude and strong beliefs toward the traditional bone setters. Making awareness in society is essential by organizing educational programs introducing how orthopedic hospitals are better for fracture treatment than traditional bone setters.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Knowledge, Attitude and Practice of Public School Teachers Regarding Traditional Bone Setters, Khartoum Locality

Hassan¹,

Shumo²,

Abdelhai³

2022

JBMS

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“…7,14,16 Studies in Turkey and India also indicated high rates of complications due to the activities of traditional bone setters. 22,37 The high rate of failure has been linked to the methods used by traditional bone setters which are not based on scientific knowledge and basic principles of infection prevention and control. 5,6,18,22,30 To this end, there have been calls to educate and train the traditional bone setters in effective management of open and closed fractures.…”

Section: Discussionmentioning

confidence: 99%

Are Medical Students willing to Patronize Traditional Bone Setters in the Future? A Study among Medical Students of Ebonyi State University Abakaliki, Nigeria

Ossai¹,

Agu²,

Eze³

et al. 2021

J. Com. Med. and PHC

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Background: A large proportion of fractures are still managed by traditional bone setters in developing nations. The study was designed to determine the willingness to patronize traditional bone setters in the future among medical students of Ebonyi State University Abakaliki, Nigeria.Methods: This was a descriptive cross-sectional study of all preclinical and clinical medical students of the university. Information was obtained using a pretested, self- administered questionnaire. Data were analyzed using IBM SPSS statistical software version 22.0 and level of statistical significance was determined by a p value of < 0.05.Results: A total of 385 students participated in the study (response rate; 83.7%). Mean age of respondents was 23.2±3.4 years. One quarter of the respondents, 82 (25.0%) have patronized traditional bone setters before. About half indicated that traditional bone setters receive more patronage than orthopedic surgeons, however three-quarters of them preferred services of Surgeons. Two-thirds opined that bone setters have more treatment failures, and only 72 (18.7%) were willing to patronize traditional bone setters in future. Major reasons to patronize them included skilled/good service delivery, 34 (47.2%) and low cost, 21 (29.2%). Predictor of willingness to patronize traditional bone setters in future was previous use of traditional bone setters, (AOR=8.3, 95%CI: 4.7-14.9, p<0.001)Conclusion: The practice of traditional bone setting is widespread and enjoys much acceptance in the society despite high rates of treatment failures associated with it. Thus, there is the need to monitor the activities of traditional bone setters to enhance competence and encourage referral.

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“…Thus, many aspects relate to the health and disease process. There is a pragmatic identification and orientation about these aspects, since they guide the way society and management behave in the context of health, directly affecting those individuals most affected 36,37 .…”

Section: The Influence Of Sociocultural Aspects In the Construction Omentioning

confidence: 99%

Sociocultural aspects of health and disease and their pragmatic impact

Alves

Oliveira

2018

J. Hum. Growth Dev.

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Introdução: Diversos fatores estão envolvidos no processo de saúde e doença e importantes pontos se relacionam a aspectos socioculturais os quais necessitam ser entendidos e interpretados para entendimento de um arcabouço mais geral que envolve a saúde.Objetivo: Analisar os aspectos socioculturais relacionados ao processo de saúde e doença.Método: Trata-se de um estudo de revisão reflexiva. Foram construídas categorias temáticas para o desenvolvimento dos resultados e discussão segundo a análise de Bardin.Resultados: Os aspectos socioculturais influenciam na saúde da população fundamentado na criação de trabalho no campo da saúde pública.Conclusão: Muitos aspectos estão envolvidos no processo de saúde e doença. Todos impactam de alguma forma em algum contexto na saúde pública e por isso devem ser analisados e considerados.

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Consultation of traditional bone setters instead of doctors: Is it a sociocultural and educational or social insurance problem?

Abstract: Although improvements have occurred in the access to and utilisation of healthcare services, consultation by patients of bone setters seems to be a sociocultural and educational issue rather than a problem of lack of medical insurance.

Cited by 6 publications

References 12 publications

Knowledge, Attitude and Practice of Public School Teachers Regarding Traditional Bone Setters, Khartoum Locality

Knowledge, Attitude and Practice of Public School Teachers Regarding Traditional Bone Setters, Khartoum Locality

Are Medical Students willing to Patronize Traditional Bone Setters in the Future? A Study among Medical Students of Ebonyi State University Abakaliki, Nigeria

Sociocultural aspects of health and disease and their pragmatic impact

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