Abstract
The burden of non-communicable diseases such as musculoskeletal diseases in the developing world is often overshadowed by the more prevalent infectious diseases. Generally, there is gross underestimation of the burden of rheumatologic disease in the backdrop of scanty or indeed non-existent rheumatology services in these countries. Local studies conducted in the last two decades in Zambia have documented the increasing burden of rheumatologic conditions in the country. There are unfortunately negligible rheumatology services in the country both at tertiary or primary health-care facility levels. There is thus an urgent need to build capacity for these services so as to improve the care and management of rheumatic conditions. Here, we review progress made by an International League of Associations for Rheumatology (ILAR)-supported project that has run for the past 2 years (2012–2013) with the objective of enhancing paediatric and adult rheumatology education and practice so as to stimulate positive change in practice and related care services in Zambia. During this short time of the project, substantial progress has been made in the areas of paediatric and adult rheumatology services enhancement at the University Teaching Hospital, Lusaka: streamlining of referrals and follow-ups of rheumatology patients, laying foundations for short- and long-term medical education in rheumatology and raising public awareness of rheumatic diseases. The progress made by this grant underscores the suitability of the ILAR mission statement “think global, act local” demonstrating that even with minimum resources and networking, improvement of rheumatology care in developing countries is attainable.
Highlights
The burden of non-communicable diseases such as rheumatic illnesses in the developing world is often overshadowed by the more prevalent infectious diseases in these countries [1,2,3,4].Rheumatology education and practice in many SubSaharan African (SSA) countries remain to be largely uncharted, rudimentary and imprecise [1, 5]
& Formation of Rheumatic Diseases Association of Zambia (REDAZ) has led to increased understanding and tolerance by patients and their relatives of some of the system inefficiencies, which, for example, sometimes delay appointments or non-availability of service or medicines
There has been an increase in the numbers of patients coming to the rheumatic diseases clinics at University Teaching Hospital (UTH) directly from the community through referral or recommendation by fellow patients or patients’ relatives who are members of the association
Summary
The burden of non-communicable diseases such as rheumatic illnesses in the developing world is often overshadowed by the more prevalent infectious diseases in these countries [1,2,3,4]. Rheumatology education and practice in many SubSaharan African (SSA) countries remain to be largely uncharted, rudimentary and imprecise [1, 5]. The manifestations and impact of prevalent rheumatic diseases (RDs) on the individual and on African societies remain to be incompletely understood. Clin Rheumatol (2014) 33:1367–1372 and deliberate study of these diseases and of trends in their prevalence and manifestations is well-known. Explanations for regional, seasonal or other differences in prevalence or manifestation of disease could be elucidated, e.g. heritable or environmental. Appropriate diagnostic and management paradigms could be developed to suit the local situation
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