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Item Perception and utilization of traditional orthopaedic services by orthopaedic patients in Ilorin, Kwara State, Nigeria(2016-09) Owumi, B. E.; Taiwo, P. A.; Victor, K.Despite considerable advancement in modern medical practice and its relative availability Nigerian urban cities, orthopaedic patients have continued to utilize traditional orthopaedic services. This study focused on the persistent utilization of traditional bone setters (TBS) by orthopaedic patients in Ilorin. Health belief model was adopted as theoretical basis for the study. Both quantitative and qualitative methods were combined: Multistage sampling technique was used to select respondents from the study area. Questionnaire was administered to a total of357 patients, while purposive sampling was used to select 7 patients and 14 practitioners for Indepth Interview (IDI). Majority of the respondents aged between 21 and 60 years (73.1%) were males (74.5%) and had secondary and tertiary education (76.6%). Findings revealed that the incidence of orthopaedic cases was higher in urban and semi-urban areas where most of the respondents (80.2%) resided. Patients also believed that the use of supernatural methods and therapies gave TBS an advantage over modem medicine and that contrary to the views of modem medical science, TBS treatment is highly effective and does not result in complications as argued by modem medical practitioners. It was advocated that modem practitioners show positive disposition towards the integration of western and traditional orthopaedic practices. It was further recommended that capacity building be developed among traditional orthopaedic practitioners who are a major provider of orthopaedic care in Nigeria.Item The role of significant others in the utilization of traditional orthopaedic services in Kwara state, Nigeria(2016) Owumi, B. E.; Kolo, V. R.; Taiwo, P. A.Orthopaedic injuries contribute to most musculo-skeletal health challenges in developing societies partly due to increasing rate of technological advancement and its associated consequences. Despite the little recognition experienced, traditional orthopaedic service due to the 'severity of most orthopaedic injuries which sometimes 'left patients incapacitated, decision making regarding treatment is sometimes determined by significant others and has implication for patients well being. This forms the focuss of this paper which is hinged on the health belief model as framework for explanation. Both qualitative and quantitative methods were used to elicit data. Questionnaire was administered to 357 randomly selected orthopaedic patients, while In-depth Interview (IDI) was conducted with 7patients and 14 practitioners. Findings revealed that majority of the patients (73.1%) belonged to the active age group (21-60 years); were males (74.5%) who engaged in occupations that predisposed them to orthopaedic injuries. Referral was mainly effected by family members (43:2%), former TOSP's patients (35.4%), friends (13.0%), and members of practitioners’ ethnic groups (8.0%) who made these decisions because they were privy to effective treatment offered by the TOSPs. Intensive capacity building and collaboration with western practitioners was recommended for improved delivery of orthopaedic care.Item Utilization of traditional bone-setters in the treatment of bone fracture in Ibadan North Local Government(2013-05) Owumi, B. E.; Taiwo, P. A.; Olorunnisola, A. S.The World Health Organization had recommended the integration of traditional and modern medicine. However traditional medicine as well as traditional bone-setting had received poor recognition in Nigeria. This notwithstanding traditional bone-setters still enjoys patronage from the populace in Ibadan and the practitioners abound in almost eveiy part of the country. This study focused on the causes of fracture and utilization of traditional bone setters in Ibadan under the explanation of the functionalism and modernization theories. The study adopted the quantitative and qualitative method, with the survey of eighty-eight (88) patients and In-depth interview administered to eight (8) traditional bone setters and (4) patients. Majority (69.5 percent) of the respondents fall within the age range of 18-47 years. Findings revealed that there were more (55.7%) male patients than female (44.3%). A huge majority (85.7 percent) reported by that the major causes of fractures of the respondents was road traffic accidents, especially through the motor-cycle, while friends had major influence in the selection of traditional bone setting as a form of treatment among the patients. All the patients responded that they are willing to recommend the traditional bone-setter who treated them to others. Traditional bonesetters are well patronized and found to be relevant in the treatment offractures in especially in Ibadan and in other communities in Nigeria. The study recommends maximum support and funding from governments in the training and establishment of traditional bone-setters in Nigeria. Integration of traditional medicines as well as traditional bone-setting with modem medicine should be encouraged in Nigeria.Item Perception and utilization of traditional orthopaedic services by patients in Ilorin, Kwara State, Nigeria(2016-09) Owumi, B. E.; Kolo, V. I.; Taiwo, P. A.Despite the relative availability of modern medical services in Nigerian urban cities, orthopaedic patients have continued to patronize Traditional orthopaedic practitioners (TOP) even in the midst of low recognition. This study focused on the persistent utilization of traditional orthopaedic services (TOS) by patients in Ilorin. Health belief model was adopted as theoretical basis for the study. Both quantitative and qualitative methods were combined Multistage sampling technique was used to select respondents from across the study area. Questionnaire was administered to a total of 357 patients, while In-depth Interview (IDI) was conducted with 7patients and 14 purposively selected TOP. Majority of the respondents aged between 21 and 60 years (73.1%) were males (74.5%) and had secondary and tertiary education (76.6%) which did not affect their perception of TOS. It was further revealed that incidence of orthopaedic cases was higher in urban and semi-urban areas where most of the respondents (80.2%) resided. Also, Patients also believed that the use of supernatural methods and materials gave traditional treatment higher efficacy than its modern counterpart without resulting in complications as had been argued by previous scholars. The study recommended that funding be increased, and capacity building be encouraged to equip traditional orthopaedic practitioners to fill the huge gap inherent in Nigeria's orthopaedic health care sub-sector.Item The role of significant others in the utilization of traditional orthopaedic services in Kwara State, Nigeria.(2016) Owumi, B. E.; Kolo, V. I.; Taiwo, P. A.Orthopaedic injuries contribute to most musculo-skeletal health challenges in developing societies partly due to increasing rate of technological advancement and its associated consequences. Despite the little recognition experienced, traditional orthopaedic service due to the 'severity of most orthopaedic injuries which sometimes 'left patients incapacitated, decision making regarding treatment is sometimes determined by significant others and has implication for patients well being. This forms the focuss of this paper which is hinged on the health belief model as framework for explanation. Both qualitative and quantitative methods were used to elicit data. Questionnaire was administered to 357 randomly selected orthopaedic patients, while In-depth Interview (IDI) was conducted with 7patients and 14 practitioners. Findings revealed that majority of the patients (73.1%) belonged to the active age group (21-60 years); were males (74.5%) who engaged in occupations that predisposed them to orthopaedic injuries. Referral was mainly effected by family members (43:2%), former TOSP's patients (35.4%), friends (13.0%), and members of practitioners' ethnic groups (8.0%) who made these decisions because they were privy to effective treatment offered by the TOSPs. Intensive capacity building and collaboration with western practitioners was recommended for improved delivery of orthopaedic care.