Factors influencing patronage of traditional bone setters.

In clinical orthopaedic practice, many patients are seen presenting with complications after being treated by traditional bone setters (TBS). These complications do not seem to deter other patients from patronising the TBS rather than modern orthopaedic service (MOS). Basic beliefs about TBS in particular and traditional healers (TH) in general are likely to be responsible for their continuing popularity. One hundred and eighty adults and adolescents were surveyed by means of interviewer administered questionnaires at a popular motor park, traditional and modern health facilities. While 37% (n = 67) of the respondents believe that TBS are indispensable (cannot do without), 32.8% (n = 65) believe they are desirable (can do without though useful) and 11% (n = 20) thought they are nuisances and fraudsters. Forty three per cent of them felt that TBS are competent or very competent, 24% adjudged their practice satisfactory (good but with some deficiencies) and 23% believe they are either incompetent or very incompetent. Education did not seem to influence these beliefs as the expressed opinion on the indispensability/desirability of TBS by those who had no formal education was similar to that of those who had primary education, p > 0.5, and College/University education, p) 0.1. The services of the TBS were thought to be cheaper (n = 103) than MOS (n = 36) although more (n = 120) believe that doctors explain the causes of injuries and illness rather than TBS (n = 35). The community opinion of TBS, irrespective of educational status, is probably predominantly positive in addition to their services being thought to be cheaper than modern orthopaedic service, hence their continued relevance in the treatment of musculo skeletal injuries and diseases.