TITLE:
Factors Influencing the Patronage of Traditional Bone Setters for Childhood Fall-Related Injuries: What Matters in the Patient’s Charter
AUTHORS:
Nicholas A. Siaw
KEYWORDS:
Orthopedic Care, TBS, Childhood Injuries, Treatment Complications, Patients Charter
JOURNAL NAME:
Open Journal of Applied Sciences,
Vol.15 No.7,
July
25,
2025
ABSTRACT: Despite the availability of modern orthopaedic services in Ghana, Traditional Bone Setters (TBS) remain the preferred option for many caregivers treating childhood fall-related injuries. This study examines the persistent reliance on traditional bone setters (TBS) despite the well-documented risks associated with their practices, including malunion, infections, and the development of gangrene. Employing a cross-sectional exploratory design, qualitative data were gathered from caregivers, TBS practitioners, healthcare professionals, and community leaders in New Juaben North and South Municipalities. The study’s findings indicate that the preference for traditional bone setters (TBS) is primarily influenced by deep-rooted cultural trust, spiritual convictions, financial constraints, and apprehension toward formal medical interventions, particularly concerns about amputations and the application of metallic implants. Caregivers viewed TBS services as more affordable, spiritually compatible, and more effective in terms of healing outcomes. Additionally, widespread ignorance of the Ghana Health Service Patients’ Charter and limited awareness of healthcare rights hinder informed decision-making. These insights highlight how cultural beliefs, economic inequities, and systemic mistrust shape health-seeking behaviors. Study recommends a multi-sectoral response involving culturally sensitive health education, better regulation of TBS practices, improved access to affordable orthopaedic care, and active promotion of the Patients’ Charter. Such interventions are crucial for minimizing complications from traditional trauma care and fostering a more inclusive, culturally responsive healthcare system in the study area.