Abstract
ObjectiveDespite 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.ResultsA 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.
Highlights
Fracture can occur because of trauma like a road traffic accident or a fall [1, 2]
Preference of injury management and associated Factors This study showed 29.9% of them had a preference for Traditional Bone Setting (TBS) for injury management
It is lower than another study done in Ilorin, North Central Nigeria and Uyo, Nigeria which showed that 69.3% and 40% of study participants preferred TBS than modern medicine respectively [20, 21]
Summary
Fracture can occur because of trauma like a road traffic accident or a fall [1, 2]. Traditional medicine is a health practice and traditional knowledge and skill of medical aspects that passed over a generation before the era of modern medicine [3]. TBS, widely practiced all over the world before modern medicine comes into the picture, is a known procedure among Africans and it involves the use of splints and bamboo stick or rattan cane or palm leaf axis with cotton thread or old cloth [4]. Evidences from Ethiopia showed half of the amputations were performed due to gangrene applied by TBS [14]. There are increasing complications like gangrene associated with TBS as a result of tightly wrapped bamboo splint application [15]. The number of trauma patients with a fracture is dramatically increasing in
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