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Limited access to orthopaedic specialists, high hospital costs and deeply rooted beliefs continue to push many Ghanaians toward traditional bone setters. But health experts warn the largely unregulated practice is leaving some patients with permanent deformities and lifelong disabilities.

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00:00In Tamale, a traditional bone setter carefully treats a fractured arm.
00:06His patient, Barkusu Yahya, was injured in a road accident.
00:10Instead of going to the hospital, she sought treatment from a bone setter,
00:14a choice many Ghanaians say is driven by cost, waiting times, and accessibility.
00:21It's costly and it will even delay. Not even the cost, right? It will delay us.
00:26Yahya's decision reflects a broader pattern.
00:30For some patients, even those who tend to the formal health system, recovery is long and uncertain.
00:37Teresa Adams underwent two surgeries after an accident, but says months later she is still struggling.
00:45I've gone there. I'm not healed.
00:48When I get up, then I'll know what they've done.
00:53They've done a perfect job on me.
00:56Disillusionment with hospital care continues to fuel demand for traditional bone setter.
01:02At his camp home in Yilona, near Tamale, Mahama Abdullahi trace more than 15 patients a day.
01:09Injuries range from fractures to severe trauma,
01:12with patients arriving from nearby communities in search of relief.
01:37But outcomes are not always positive.
01:40Salifu Inusa has lived with deformed Han for 12 years after being knocked down by a vehicle.
01:47He says months of treatment by traditional bone setters brought no improvement.
01:53Salifu Inusa, the previous doctor said most recently.
01:57Alistair Insta, I was living with a doctor and said that I was almost there.
02:10Alistair Insta, I have had a very few symptoms of a major pain in the life of two patients.
02:11In my case, the nurses die all the time are the same.
02:14I've always been in my life.
02:15In my routine, I was in my life.
02:22doctors say such cases often end up in hospitals sometimes too late to reverse the damage
02:29ghana has fewer than 80 trauma and orthopedic specialists for a population of more than 30
02:35million far below global benchmarks health professionals say the gap continue to push
02:41patients toward informal care they choose them because one financial constraint they don't have
02:53money to go to the hospital because they think when they go to the hospital it's very expensive
02:57and they can't afford to believe because they think that having a injury it doesn't come like that
03:09somebody's always behind despite the risk many patients say traditional bone setters remain
03:15faster cheaper and closer than hospitals I had an accident and I was sent to the hospital so
03:24you couldn't see any changes there and my family had to bring me here for now I can see lots
03:33of
03:33improvements with access to specialist care still limited and trust in the formal health system fragile
03:55traditional bone setters long embedded in Ghana's health care system are likely to remain a first
04:03top for many patients
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