![]() This study showed 29.9% (95% CI 23.7, 36.6) of them had a preference for TBS for injury management. Preference of injury management and associated Factors In this study, knowledge was measured using eleven knowledge related questions and answering nine questions and above was used as a cutoff point to label them knowledgeable. Face-to-face exit interview was undertaken at the Orthopedic Department Adult OPD clinic. By taking the final sample size, patients were recruited in the study every three intervals and the first patient was selected by lottery method.ĭata were collected by two Nurses using a pretested structured questionnaire developed after reviewing literature. Therefore, on average 700 patients were expected to visit the OPD during the study period (7 weeks) and the sample size was 227 which is one-third of the total patients expected to be seen during the study period. On average 350 to 450 fractured patients were seen every month. Then, after considering a 10% for non-response rate, 227 sample sizes was taken using systematic random sampling. The sample size was determined using a single population proportion formula by considering: 95% confidence interval, 84% proportion of patients Preferring TBS as first-line treatment and 5% marginal error. However, Patients who seek medical care elsewhere before coming to the Hospital and patients with fractures other than upper extremity, lower extremity or pelvis were excluded from the study. Eighteen years and above trauma patients with fracture and visiting the outpatient department during the data collection period were included in the study. The Adult Orthopedic outpatient department sees around 10,000 patients a year out of which 5000 were patients with fractures. It is the largest government hospital serving about 370,000–400, 000 populations a year. Hospital-based cross-sectional study design was conducted in Black Lion Hospital, Addis Ababa from March 5 to April 30, 2018. ![]() Therefore, this study aimed to assess the preference of TBS and associated factors among patients with a fracture which can be an eye opener to integrate them into the primary health care system. However, there was no finding on the efficacy of TBS in comparison to modern medicine. Another study conducted in Addis Ababa showed the TBS as the leading cause of delay for modern treatment. ![]() ![]() A study from Black Lion Hospital showed 58% of amputations performed for gangrene were caused by TBS tight bamboo splint. The number of trauma patients with a fracture is dramatically increasing in Ethiopia due to majorly sharp rise in the incidence of road traffic accidents. There are increasing complications like gangrene associated with TBS as a result of tightly wrapped bamboo splint application. Įvidences from Ethiopia showed half of the amputations were performed due to gangrene applied by TBS. In several studies, the reason for the preference of TBS includes easy accessibility, cultural belief, quick service, cheaper fee, pressure from friends and families and utilization of incantation and concoctions. Evidences indicated that 80% of the people in SSA use traditional medicine as a first port. Despite the access and availability of modern health care, Traditional Bone Setting (TBS) has a big place as an alternative health care. ![]() Traditional bone setter is a lay practitioner who practices management of dislocations and fractures without having had any formal training. TBS, widely practiced all over the world before modern medicine comes into the picture, is also 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. 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. Fracture can occur because of trauma like a road traffic accident or a fall. ![]()
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