Impact of an Integrated Approach Between Modern and Traditional Medicine on Fracture Management Outcomes in Mbandaka, Democratic Republic of the Congo: A Mixed-Methods Study
Abstract
Introduction
Fractures represent a major public health burden, particularly in low-resource settings where modern and traditional medicine coexist. In the Democratic Republic of the Congo (DRC), the lack of a formal integration framework between these two systems may compromise patient outcomes. This study evaluated the impact of an integrated approach combining modern and traditional medicine on fracture management outcomes in Mbandaka.
Methods
A mixed-methods cross-sectional study was conducted among 120 participants, including 90 patients with fractures, 18 healthcare professionals, and 12 traditional healers. Data were collected using structured questionnaires, observation forms, semi-structured interviews, and documentary analysis. Quantitative data were analyzed using descriptive statistics and chi-square tests (SPSS version 26). Qualitative data were analyzed thematically.
Results
Among patients, 46.7% used traditional medicine alone, 22.2% used modern medicine alone, and 31.1% used an integrated approach. Overall complete recovery was observed in 50% of cases, with 34.4% experiencing complications. However, the integrated approach showed the best clinical outcomes, with a recovery rate of 89.3%. A statistically significant association was found between treatment type and clinical outcomes (χ² = 17.00, df = 2, p < 0.001). Qualitative findings revealed that traditional medicine is preferred due to affordability, cultural acceptability, and geographic proximity, but it is associated with complications such as poor hygiene and improper immobilization. No formal collaboration exists between modern healthcare providers and traditional healers, despite expressed willingness from both parties.
Discussion
The integrated approach significantly improves fracture healing outcomes compared to either system alone. However, the lack of structured collaboration and regulatory frameworks limits optimal patient care. Cultural, economic, and structural factors strongly influence treatment choices.
Conclusion
The integrated approach between modern and traditional medicine yields superior fracture management outcomes in Mbandaka. Establishing a formal collaboration framework, training traditional healers, and strengthening modern healthcare infrastructure are urgently needed.
Keywords
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How to cite
Mboyo Bongoy, A. (2026). Impact of an Integrated Approach Between Modern and Traditional Medicine on Fracture Management Outcomes in Mbandaka, Democratic Republic of the Congo: A Mixed-Methods Study. SDF Journal of Public Health. https://sfoundation.one/articles/sdf-2026-0037-impact-of-an-integrated-approach-between-modern-and-traditional-medici