Cargando…

Can traditional bonesetters become trained technicians? Feasibility study among a cohort of Nigerian traditional bonesetters

BACKGROUND: Traditional bonesetters (TBS) provide the majority of primary fracture care in Nigeria and other low- and middle-income countries (LMICs). They are widely patronized and their services are commonly associated with complications. The aim of the study was to establish the feasibility of fo...

Descripción completa

Detalles Bibliográficos
Autores principales: Onyemaechi, Ndubuisi Onu, Itanyi, Ijeoma Uchenna, Ossai, Paulinus Okechukwu, Ezeanolue, Echezona Edozie
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7085192/
https://www.ncbi.nlm.nih.gov/pubmed/32197617
http://dx.doi.org/10.1186/s12960-020-00468-w
_version_ 1783508895460753408
author Onyemaechi, Ndubuisi Onu
Itanyi, Ijeoma Uchenna
Ossai, Paulinus Okechukwu
Ezeanolue, Echezona Edozie
author_facet Onyemaechi, Ndubuisi Onu
Itanyi, Ijeoma Uchenna
Ossai, Paulinus Okechukwu
Ezeanolue, Echezona Edozie
author_sort Onyemaechi, Ndubuisi Onu
collection PubMed
description BACKGROUND: Traditional bonesetters (TBS) provide the majority of primary fracture care in Nigeria and other low- and middle-income countries (LMICs). They are widely patronized and their services are commonly associated with complications. The aim of the study was to establish the feasibility of formal training of TBS and subsequent integration into the healthcare system. METHODS: Two focus group discussions were conducted involving five TBS and eight orthopaedic surgeons in Enugu Nigeria. Audio-recordings made during the focus groups were transcribed verbatim and analysed using a thematic analysis method. RESULTS: Four themes were identified: Training of TBS, their experiences and challenges; perception of traditional bonesetting by orthopaedic surgeons; need for formal training TBS and willingness to offer and accept formal training to improve TBS practice. Participants (TBS group) acquired their skills through informal training by apprenticeship from relatives and family members. They recognized the need to formalize their training and were willing to accept training support from orthopaedists. The orthopaedists recognized that the TBS play a vital role in filling the gap created by shortage of orthopaedic surgeons and are willing to provide training support to them. CONCLUSION: This study demonstrates the feasibility of providing formal training to TBS by orthopaedic surgeons to improve the quality of services and outcomes of TBS treatment. This is critical for integration of TBS into the primary healthcare system as orthopaedic technicians. Undoubtedly, this will transform the trauma system in Nigeria and other LMICs where TBS are widely patronized.
format Online
Article
Text
id pubmed-7085192
institution National Center for Biotechnology Information
language English
publishDate 2020
publisher BioMed Central
record_format MEDLINE/PubMed
spelling pubmed-70851922020-03-23 Can traditional bonesetters become trained technicians? Feasibility study among a cohort of Nigerian traditional bonesetters Onyemaechi, Ndubuisi Onu Itanyi, Ijeoma Uchenna Ossai, Paulinus Okechukwu Ezeanolue, Echezona Edozie Hum Resour Health Research BACKGROUND: Traditional bonesetters (TBS) provide the majority of primary fracture care in Nigeria and other low- and middle-income countries (LMICs). They are widely patronized and their services are commonly associated with complications. The aim of the study was to establish the feasibility of formal training of TBS and subsequent integration into the healthcare system. METHODS: Two focus group discussions were conducted involving five TBS and eight orthopaedic surgeons in Enugu Nigeria. Audio-recordings made during the focus groups were transcribed verbatim and analysed using a thematic analysis method. RESULTS: Four themes were identified: Training of TBS, their experiences and challenges; perception of traditional bonesetting by orthopaedic surgeons; need for formal training TBS and willingness to offer and accept formal training to improve TBS practice. Participants (TBS group) acquired their skills through informal training by apprenticeship from relatives and family members. They recognized the need to formalize their training and were willing to accept training support from orthopaedists. The orthopaedists recognized that the TBS play a vital role in filling the gap created by shortage of orthopaedic surgeons and are willing to provide training support to them. CONCLUSION: This study demonstrates the feasibility of providing formal training to TBS by orthopaedic surgeons to improve the quality of services and outcomes of TBS treatment. This is critical for integration of TBS into the primary healthcare system as orthopaedic technicians. Undoubtedly, this will transform the trauma system in Nigeria and other LMICs where TBS are widely patronized. BioMed Central 2020-03-20 /pmc/articles/PMC7085192/ /pubmed/32197617 http://dx.doi.org/10.1186/s12960-020-00468-w Text en © The Author(s) 2020 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Onyemaechi, Ndubuisi Onu
Itanyi, Ijeoma Uchenna
Ossai, Paulinus Okechukwu
Ezeanolue, Echezona Edozie
Can traditional bonesetters become trained technicians? Feasibility study among a cohort of Nigerian traditional bonesetters
title Can traditional bonesetters become trained technicians? Feasibility study among a cohort of Nigerian traditional bonesetters
title_full Can traditional bonesetters become trained technicians? Feasibility study among a cohort of Nigerian traditional bonesetters
title_fullStr Can traditional bonesetters become trained technicians? Feasibility study among a cohort of Nigerian traditional bonesetters
title_full_unstemmed Can traditional bonesetters become trained technicians? Feasibility study among a cohort of Nigerian traditional bonesetters
title_short Can traditional bonesetters become trained technicians? Feasibility study among a cohort of Nigerian traditional bonesetters
title_sort can traditional bonesetters become trained technicians? feasibility study among a cohort of nigerian traditional bonesetters
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7085192/
https://www.ncbi.nlm.nih.gov/pubmed/32197617
http://dx.doi.org/10.1186/s12960-020-00468-w
work_keys_str_mv AT onyemaechindubuisionu cantraditionalbonesettersbecometrainedtechniciansfeasibilitystudyamongacohortofnigeriantraditionalbonesetters
AT itanyiijeomauchenna cantraditionalbonesettersbecometrainedtechniciansfeasibilitystudyamongacohortofnigeriantraditionalbonesetters
AT ossaipaulinusokechukwu cantraditionalbonesettersbecometrainedtechniciansfeasibilitystudyamongacohortofnigeriantraditionalbonesetters
AT ezeanolueechezonaedozie cantraditionalbonesettersbecometrainedtechniciansfeasibilitystudyamongacohortofnigeriantraditionalbonesetters