How Did This Project Come About?

Globally, around 5 million people die from injuries every year, and a staggering 90% of these deaths occur in low and middle-income countries. Millions more are left with temporary or permanent disability from injury, especially children.

In Ghana, where a quarter of the population is 10 years or younger, unintentional injury accounted for 37 deaths per 100,000 children under age 14 in 2010.

In one of the largest cities in Ghana, Kumasi, one third of the injured never receive medical care at a clinic or hospital. In rural Ghana, almost half of families do not seek care for an injured child. Furthermore, people who did not receive proper initial care for injuries experience greater associated morbidity/disability when proper care is eventually sought.

The paucity of adequate centres to manage paediatric trauma/fractures and a lack of properly trained paediatric trauma surgeons and other caregivers compounds the burden. The strong role of traditional bonesetters due to accepted traditions and poverty has led to poor outcomes, including paediatric amputations, a devastating but preventable clinical outcome.

AO Alliance recognizes that reducing the burden of paediatric injury and fractures demands both injury prevention and improvements in trauma and fracture care. The treatment of fractures in children in simple.

What Is The Project Goal?

The goal of ‘Paediatric fracture solutions for Ghana’ is to reduce disability, morbidity and mortality from paediatric musculoskeletal trauma through prevention education and by improving the clinical care provided by doctors, nurses, allied healthcare workers, first interveners and primary caregivers.

Our project aims to instill knowledge of trauma prevention strategies among parents and primary caregivers, as well as to provide appropriate fracture care education for various traditional and medical providers at various levels of care referral, from the community to tertiary-care trauma centres.

What Outcomes Do We Want To Achieve?

  • Develop the skills and motivation of healthcare workers using available resources for paediatric fracture care
  • Increase the quality and volume of paediatric fracture care in Ghana
  • Promote a culture of paediatric fracture care that prioritizes those most in need
  • Promote local paediatric fracture care and appropriate referral based on clinical need
  • Promote prevention education to children and primary caregivers
  • Measure the impact of AOA initiatives on the volume and quality of paediatric fracture care

How Will We Achieve Our Goals?

The Komfo Anokye Teaching Hospital (northern sector) and the Cape Coast Teaching Hospital (southern sector) will be the focus of our initial efforts to provide:

  • Clinical training of healthcare staff in the management of childhood injuries
    • Training will follow the paediatric injury curriculum from the AOA education task force
    • ‘Train-the-trainer’ programmes will empower local medical personnel
  • Pre-hospital care training for primary caregivers
  • Public education through the media (community-based education, basic first-aid training and communication campaigns).
    • Engaging, age-appropriate and locally relevant messaging will target caregivers, parents and children, to improve knowledge, attitudes and behaviours related to accident and injury prevention strategies.
    • Traditional bonesetters will also receive appropriate education through an outreach programme
  • Establishment of trauma registries at the two main centres
    • Careful epidemiological surveillance is important to support the development of innovative interventions in the future

Our Target Figures For Ghana

  • 200 healthcare workers/year trained in non-operative and operative fracture care
  • 80 residents undertaking AOA educational courses
  • 30 faculty undertaking faculty education programmes
  • 180 operating room personnel undertaking ORP courses