The effect of traditional healer intervention prior to allopathic care on pediatric burn mortality in Malawi

Gallaher, Jared; Purcell, Laura N.; Banda, Wone; Charles, Anthony

doi:10.1016/j.burns.2020.06.013

Cited by 9 publications

(12 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

Section: Burden Of Diseases (Epidemiology)mentioning

confidence: 99%

“…Two studies examined the use of alternative treatments and first aid prior to hospital care [ 44 , 45 ]. One study by Gallaher et al found that 11% of burn patients used traditional medicine prior to presenting at the hospital, and those who seek traditional methods of burn care present later to the hospital than those who do not attempt first aid [ 44 ]. Another study by Broadis et al found that 69% of burn patients received first aid prior to hospital admittance but did not comment on timing of presentation relative to provision of first aid [ 45 ].…”

Section: Burden Of Diseases (Epidemiology)mentioning

confidence: 99%

Section: Barriers To Carementioning

confidence: 99%

“…Two studies reported on the barriers to seeking PRS, which related to inadequate knowledge [ 44 , 45 ]. Gallaher et al reported on a lack of medical literacy as a barrier to seeking and receiving burn-related care [ 44 ]. This study found that prior use of a traditional healer practitioner was associated with a delay in presentation to a burn center and an increased odds of mortality (OR 1.91, 95% CI 1.09, 3.33) [ 44 ].…”

Section: Barriers To Carementioning

confidence: 99%

See 3 more Smart Citations

A plastic and reconstructive surgery landscape assessment of Malawi: a scoping review of Malawian literature

et al. 2022

View full text Add to dashboard Cite

Background Plastic and reconstructive surgery (PRS) remains highly relevant to the unmet need for surgery in Malawi. Better understanding the current PRS landscape and its barriers may help address some of these challenges. This scoping review aimed to describe: (1) the scope and focus of the PRS literature being produced in Malawi and (2) the challenges, deficits, and barriers to providing accessible, high-quality PRS in Malawi. Methods This scoping review was conducted on four databases (SCOPUS, PubMed, Web of Science, EMBASE) from inception through September 1, 2020 following the PRISMA-ScR guidelines. Results The database search retrieved 3852 articles, of which 31 were included that examined the burden of PRS-related conditions in Malawi. Of these 31 articles, 25 primarily discussed burn-related care. Burns injuries have a high mortality rate; between 27 and 75% in the studies. The literature revealed that there are only two burn units nationally with one PRS specialist in each unit, compounded by a lack of interest in PRS specialization by Malawian medical students. Congenital anomalies were the only other PRS-related condition examined and reported in the literature, accounting for 23% of all pediatric surgeries in tertiary facilities. Conclusions There is a need to increase the country's capacity to handle burn reconstruction and other PRS-related conditions to reduce overall morbidity and mortality. Additional publicly funded research at the district and community level is warranted to determine the true burden of PRS disease in Malawi to derive health system strengthening and workforce capacity building strategies.

show abstract

Section: Burden Of Diseases (Epidemiology)mentioning

confidence: 99%

Section: Burden Of Diseases (Epidemiology)mentioning

confidence: 99%

Section: Barriers To Carementioning

confidence: 99%

Section: Barriers To Carementioning

confidence: 99%

See 2 more Smart Citations

A plastic and reconstructive surgery landscape assessment of Malawi: a scoping review of Malawian literature

et al. 2022

View full text Add to dashboard Cite

show abstract

“…An estimated 180,000 burn injury-associated deaths are reported every year, according to the World Health Organization. Sepsis and the accompanying invasive infection remain the primary causes of such burn deaths [4][5][6][7][8] . So, antibacterial treatment is essential for burn injury healing.…”

Section: Introductionmentioning

confidence: 99%

Fabrication of ultra-small GSH-AgNCs with excellent eschar penetration and antibacterial properties for the healing of burn infection wounds

Yang

Liu

et al. 2021

Preprint

View full text Add to dashboard Cite

There is evidence of bioburden as a barrier to chronic burn wound healing. Compared to traditional therapy, nanotechnology has availed a revolutionary approach to therapeutic and diagnostic applications in burns. In this article, we developed the glutathione-protected Ag nanoclusters (GSH-AgNCs) to manage burn wound infection. Owing to the specific structure, the GSH-AgNCs emitted strong red fluorescence under UV excitation, quantified via both in vivo and in vitro techniques. The GSH-AgNCs showed a significant inhibition potential on the proliferation of Staphylococcus aureus ( S. aureus ), Escherichia coli ( E. coli ) , Pseudomonas aeruginosa ( P. aeruginosa ) , and methicillin-resistant staphylococcus aureus (MRSA), hiding under the eschar. Of note, with 2-6nm particle size, GSH-AgNCs are effected in renal excretion, advocating for their biomedical and pharmacological applications.

show abstract

The role of indigenous healers in treating surgical conditions in the rural Eastern Cape of South Africa

Sangana,

Rodi,

Tshabalala

et al. 2024

World j. surg.

View full text Add to dashboard Cite

BackgroundIndigenous knowledge healers (IKHs) provide alternative healthcare to formal health services in rural South Africa, but there is a gap in knowledge regarding their treatment of surgical conditions. This study evaluated IKH surgical care and described their perspective of the dual health system.MethodsA cross sectional survey of IKHs in the Madwaleni Hospital catchment of the Eastern Cape, South Africa was conducted. Topics included the training and experience of IKHs, treatment of nine common surgical conditions, referral patterns, disease origin beliefs, benefits and limitations of care, and collaborative opportunities between the two health systems.ResultsThirty‐five IKHs completed the survey. IKHs were consulted by persons with all nine surgical conditions. The most common forms of treatment were application of an ointment on the affected site (88%) and oral medication (82%). Operative treatment was only done for abscess. Referrals to the formal healthcare sector were made for all surgical conditions. IKHs reported that they were limited by their lack of training and resources to perform operations. On the other hand, they perceived the treatment of the spiritual aspect of surgical disease as a benefit of their care. Thirty‐five (100%) IKHs were interested in closer collaboration with the formal health sector.ConclusionIKHs treat surgical conditions but refer to the formal health sector when diagnostic and operative services are needed. More research is needed to determine the potential advantages and disadvantages between the formal health sector and IKH collaboration.

show abstract

The effect of traditional healer intervention prior to allopathic care on pediatric burn mortality in Malawi

Cited by 9 publications

References 21 publications

A plastic and reconstructive surgery landscape assessment of Malawi: a scoping review of Malawian literature

A plastic and reconstructive surgery landscape assessment of Malawi: a scoping review of Malawian literature

Fabrication of ultra-small GSH-AgNCs with excellent eschar penetration and antibacterial properties for the healing of burn infection wounds

The role of indigenous healers in treating surgical conditions in the rural Eastern Cape of South Africa

Contact Info

Product

Resources

About