Abstract
Within the community-orientated primary care module for training family physicians at the Kamuzu University of Health Sciences in Malawi, a relationship was formed between Nkhoma Mission Hospital’s Family Medicine Department and the Diamphwe Community Health Centre (HC) to strengthen the continuity of healthcare and capacity team building. The initial focus was on improving the management of hypertension and diabetes in terms of diagnosis, tracking of the patients in a registry and timely referral to secondary care facilities The relationship has received positive support from Diamphwe healthcare workers, which then improved the management of non-communicable diseases and patient care at Diamphwe. It has also shown how family medicine physicians can improve HC capacity through support and mentorship.
Highlights
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Most rural care in Malawi is provided by clinical officers, who have undergone a 3-year clinical training, and by medical assistants, who have undergone a 2-year clinical training
The programme is offered by the Kamuzu University of Health Sciences Department of Family Medicine, with a vision of improving holistic community and district healthcare.[7]
Summary
Read online: Scan this QR code with your smart phone or mobile device to read online. Within the community-orientated primary care module for training family physicians at the Kamuzu University of Health Sciences in Malawi, a relationship was formed between Nkhoma Mission Hospital’s Family Medicine Department and the Diamphwe Community Health Centre (HC) to strengthen the continuity of healthcare and capacity team building. According to a report from the Ministry of Health, 70% of cases referred for tertiary care could have been managed at primary care or district hospitals.[4] Challenges in gatekeeping, as well as limitations in resources, time and training, often limit the ability of rural healthcare providers to appropriately address chronic diseases and complicated cases.
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