Washington University in St. Louis, Department of Anthropology.
EcoleNormaleSuperieure N'Djamena.
Afr Health Sci. 2022 Jun;22(2):612-620. doi: 10.4314/ahs.v22i2.70.
Traditional bonesetters are the main providers of fracture treatment and trauma care in much of Africa. However, there is a paucity of literature on bonesetters in Chad.
Our study sought to investigate Chadian bonesetter practices, their relationship to the community, and the complex local perspectives on trauma care in Am Timan, Chad.
Thirty-three semi-structured interviews were conducted with community members, traditional bonesetters, and physicians in Am Timan using a constructivist grounded theory approach. Responses were coded, categorized, and compared within and across study populations to identify themes.
Most community members (n=25) interviewed preferred bonesetters for trauma care due to their affordability, continuity and convenience of care, and the community's fear of Western medical practices. Although the Chadian bonesetters' fracture management mirrored bonesetters in neighboring African countries, the Chadian bonesetters have a much wider scope of practice, including treatment for both medical and spiritual ailments. Both Jabari (n=6) and physicians (n=2) emphasized the need for more training and collaboration.
As in much of Africa, bonesetters perform a major role in providing trauma care in Chad. Our research identifies an opportunity to maximize trauma care in Chad through dialogue, training, and collaboration between bonesetters and physicians.
在非洲的许多地区，传统接骨师是骨折治疗和创伤护理的主要提供者。然而，乍得的接骨师相关文献却很少。
我们的研究旨在调查乍得接骨师的实践、他们与社区的关系，以及在乍得阿蒂姆安（Am Timan）地区对创伤护理的复杂地方观点。
采用建构主义扎根理论方法，对阿蒂姆安的社区成员、传统接骨师和医生进行了 33 次半结构化访谈。通过对研究人群内和跨人群的编码、分类和比较，确定了主题。
大多数接受访谈的社区成员（n=25）更喜欢传统接骨师进行创伤护理，因为他们负担得起、治疗过程连续、方便，而且社区对西医治疗方法心存恐惧。尽管乍得的接骨师在骨折管理方面与非洲邻国的接骨师相似，但乍得的接骨师的实践范围更广，包括治疗医学和精神疾病。贾巴里（n=6）和医生（n=2）都强调需要更多的培训和合作。
与非洲的许多地区一样，在乍得，接骨师在提供创伤护理方面发挥着重要作用。我们的研究发现，通过接骨师和医生之间的对话、培训和合作，乍得的创伤护理有机会得到最大程度的改善。
