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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...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2020
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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 |
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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 |
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