Utilization of Traditional Healers Services for the Management of Fractures in the Town of Ngaoundere

Résumé

RESUME Introduction. Dans les pays en voie de developpement, particulierement au Cameroun, la population utilise encore largement la medecine traditionnelle pour soigner les fractures. L’objectif de notre etude etait d’etudier les facteurs favorisant les consultations chez les guerisseurs traditionnels et les consequences de ce comportement sur la prise en charge. Methodologie. Il s’agit d’une etude descriptive, transversale sur une periode de six (6) mois. Nous avons collige 102 patients. La collecte des donnees a eet faite au niveau des registres de consultation et des registres de compte rendu operatoire. Resultats. Le sexe masculin representait 70,59%. Dans 35,30% il s’agissait des patients jeunes. Les accidents de la voie publique etaient la cause la plus frequente (77,45%). Les conducteurs de motos etaient majoritaires (30,40%) et leurs jeunes passagers (etudiants et ecoliers). Le manque des moyens financiers a ete evoque dans 53,92% des cas come facteur favorisant. En outre, 63,73% des enquetes disaient etre mal accueillis dans les formations sanitaires. Les complications les plus frequentes etaient la necrose cutanee (38,24%) et la gangrene (28,43%). Conclusion. L’importance de la prise en charge des fractures par les guerisseurs traditionnels est due a la fois a des raisons economiques et culturelles, et a la mauvaise qualite des soins dans les services de sante publics. Toutefois, cette prise en charge comporte des complications. L sensibilisation des usagers et des personnels de sante devrait contribuer a une meilleure frequentation des formations sanitaires en cas de fractures. ABSTRACT Aim. In Cameroon, lots of people still refer to traditional medicine for the cure bone fractures. Our study aimed to identify the factors that lead people to consult traditional healers for fracture repairs. Methods. We carried out a cross descriptive study for a period of six months. We enrolled 102 patients. Data collection was done by direct interviews of participants and consultation of outpatients and inpatients records and the register of surgical procedures. Our data of interest were sociodemographic data, circumstances of trauma, type of lesions, alleged reasons for consulting the traditional healers. Results. 72 patients (70.59%) were men and 30 (29.41%) were female. 36 (35.30%) patients were aged 15-30. The fractures were mainly caused by road traffic accident (77.45%) and concerned mostly motor taxi-cycle drivers (30.40%) and their young passengers. Lack of financial resources was raised by 53.92% of patients while 63.73% of them complained of not being well received in the hospitals. Common complications in case of treatment of fractures by traditional healers were skin necrosis (38.24%) and gangrene (28.43%). Conclusion. Inhabitants of Ngaoundere town usually choose to consult traditional healers in case of fracture because of economic constraints but equally because of their attachment to cultural values. The usage of their services is encouraged by the poor quality of the public health services. This occurs, despite the known complications that occur during the management of bone fractures by traditional healers. Actions to sensitize users and health personnel may contribute to improve frequentations of sanitary formation in case bone fractures.

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