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Erschienen in: Clinical Rheumatology 2/2016

01.02.2016 | Original Article

The UWEZO project—musculoskeletal health training in Kenya

verfasst von: J. Erwin, Anthony Woolf, Omondi Oyoo, Ingrid Cederlund, Lillian Mwaniki, Paul Etau

Erschienen in: Clinical Rheumatology | Ausgabe 2/2016

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Abstract

A major cause of disability and pain, musculoskeletal conditions (MSC) affect all aspects of people’s lives and have a significant socioeconomic impact. Access to early diagnosis, effective treatments and rehabilitation enables people with MSCs to maintain their mobility, to work and to have a good quality of life. Despite the significant impact of MSC on health, social and economic well-being in Africa, services for MSC health remain extremely under-resourced. The UWEZO project is a collaboration between Kenyan, UK and Swedish rheumatologists, patients and researchers. It aims to improve access to basic musculoskeletal health care at the local level in communities across Kenya through the development of a sustainable training programme to raise the knowledge and skills of health professionals working in the community in the early detection, diagnosis and management of MSC. A team of physicians and patients have been trained to deliver an MSC education programme to health providers working in 11 locations across Kenya. Over 500 health providers have been trained. The programme has the potential to be adapted for use in other low resource countries where access to care for musculoskeletal conditions is limited.
Literatur
1.
Zurück zum Zitat Chopra A, Abdel-Nasser A (2008) Epidemiology of rheumatic musculoskeletal disorders in the developing world. Best Practice Res Clin Rheumatol 22(4):583–604CrossRef Chopra A, Abdel-Nasser A (2008) Epidemiology of rheumatic musculoskeletal disorders in the developing world. Best Practice Res Clin Rheumatol 22(4):583–604CrossRef
2.
Zurück zum Zitat Adebajo AO, Davis P (1994) Rheumatic diseases in African blacks. Semin Rheum Dis 24:139–153CrossRef Adebajo AO, Davis P (1994) Rheumatic diseases in African blacks. Semin Rheum Dis 24:139–153CrossRef
3.
Zurück zum Zitat Louw QA, Morris LD, Grimmer-Somers K (2007) The prevalence of low back pain in Africa: a systematic review. BMC Musculoskelet Disord 8(105) Louw QA, Morris LD, Grimmer-Somers K (2007) The prevalence of low back pain in Africa: a systematic review. BMC Musculoskelet Disord 8(105)
4.
Zurück zum Zitat Akinpelu AO, Alonge TO, Adekanla BA, Odole AC (2009) Prevalence and pattern of symptomatic knee osteoarthritis in Nigeria: A community based study. Int J Allied Health Sci Pract 7 (3) Akinpelu AO, Alonge TO, Adekanla BA, Odole AC (2009) Prevalence and pattern of symptomatic knee osteoarthritis in Nigeria: A community based study. Int J Allied Health Sci Pract 7 (3)
5.
Zurück zum Zitat Jelsma J, Mielke J, Powell G et al (2002) Disability in an urban black community in Zimbabwe. Disabil Rehabil 24:851–859CrossRefPubMed Jelsma J, Mielke J, Powell G et al (2002) Disability in an urban black community in Zimbabwe. Disabil Rehabil 24:851–859CrossRefPubMed
6.
Zurück zum Zitat Parker R, Jelsma J (2010) The prevalence and functional impact of musculoskeletal conditions amongst clients of a primary health care facility in an under-resourced area of Cape Town. BMC Musculoskelet Disord 11 (2) Parker R, Jelsma J (2010) The prevalence and functional impact of musculoskeletal conditions amongst clients of a primary health care facility in an under-resourced area of Cape Town. BMC Musculoskelet Disord 11 (2)
7.
Zurück zum Zitat Vos T, Flaxman AD, Naghavi M, Lozano R et al (2012) Years lived with disability (YLDs) for 1160 sequelae of 289 diseases and injuries 1990–2010: a systematic analysis for the Global Burden of Disease Study 2010. Lancet 380(9859):2163–2197CrossRefPubMed Vos T, Flaxman AD, Naghavi M, Lozano R et al (2012) Years lived with disability (YLDs) for 1160 sequelae of 289 diseases and injuries 1990–2010: a systematic analysis for the Global Burden of Disease Study 2010. Lancet 380(9859):2163–2197CrossRefPubMed
8.
Zurück zum Zitat Reveille JD (2006) Rheumatologic complications of HIV infection. Best Pract Res Clin Rheumatol 20(6):1159–1179CrossRefPubMed Reveille JD (2006) Rheumatologic complications of HIV infection. Best Pract Res Clin Rheumatol 20(6):1159–1179CrossRefPubMed
9.
Zurück zum Zitat Richardson J, Hill AM, Johnston CJ et al (2008) Fracture healing in HIV-positive populations. J Bone Joint Surg (Br) 90(8):988–994CrossRef Richardson J, Hill AM, Johnston CJ et al (2008) Fracture healing in HIV-positive populations. J Bone Joint Surg (Br) 90(8):988–994CrossRef
10.
Zurück zum Zitat Geere JL, Hunder PR, Jagals P (2010) Domestic water carrying and its implications for health: a review and mixed methods pilot study in Limpopo Province, South Africa. Environ Heal 9:52CrossRef Geere JL, Hunder PR, Jagals P (2010) Domestic water carrying and its implications for health: a review and mixed methods pilot study in Limpopo Province, South Africa. Environ Heal 9:52CrossRef
11.
Zurück zum Zitat Naidoo S, Kromhout H, London L, Naidoo RN, Burdorf A (2009) Musculoskeletal pain in women working in small-scale agriculture in South Africa. Am J Ind Med 52(3):202–209CrossRefPubMed Naidoo S, Kromhout H, London L, Naidoo RN, Burdorf A (2009) Musculoskeletal pain in women working in small-scale agriculture in South Africa. Am J Ind Med 52(3):202–209CrossRefPubMed
12.
Zurück zum Zitat Schneider EM, Manabile E, Tikly M (2008) Social aspects of living with rheumatoid arthritis: a qualitative descriptive study in Soweto, South Africa—a low resource context. Health Qual Life Outcomes 6:54PubMedCentralCrossRefPubMed Schneider EM, Manabile E, Tikly M (2008) Social aspects of living with rheumatoid arthritis: a qualitative descriptive study in Soweto, South Africa—a low resource context. Health Qual Life Outcomes 6:54PubMedCentralCrossRefPubMed
13.
Zurück zum Zitat Reyes Llerena GA, Guibert TM, Hernandez Martinez AA, Gonzalez Otero ZA, Alcocer Varela J, Cardiel MH (2000) Prevalence of musculoskeletal complaints and disability in Cuba. A community-based study using the COPCORD core questionnaire. Clin Exp Rheumatol 18(6):739–742PubMed Reyes Llerena GA, Guibert TM, Hernandez Martinez AA, Gonzalez Otero ZA, Alcocer Varela J, Cardiel MH (2000) Prevalence of musculoskeletal complaints and disability in Cuba. A community-based study using the COPCORD core questionnaire. Clin Exp Rheumatol 18(6):739–742PubMed
14.
Zurück zum Zitat Tikly M, Zannettou N, Hopley MA (2003) A longitudinal study of rheumatoid arthritis in South Africans. MedGenMed 5(1):2PubMed Tikly M, Zannettou N, Hopley MA (2003) A longitudinal study of rheumatoid arthritis in South Africans. MedGenMed 5(1):2PubMed
15.
Zurück zum Zitat Colmegna I, Bartlett SJ, Oyoo GO (2010) The ILAR-East Africa initiative: current needs and progress in the globalization of rheumatology. Clin Rheumatol 30:2513 Colmegna I, Bartlett SJ, Oyoo GO (2010) The ILAR-East Africa initiative: current needs and progress in the globalization of rheumatology. Clin Rheumatol 30:2513
16.
Zurück zum Zitat Lambert J, Leonard K (2011) The Contribution of Traditional Herbal Medicine Practitioners to Kenyan Health Care Delivery. World Bank Health, Nutrition and Population (HNP) Discussion Paper Lambert J, Leonard K (2011) The Contribution of Traditional Herbal Medicine Practitioners to Kenyan Health Care Delivery. World Bank Health, Nutrition and Population (HNP) Discussion Paper
17.
Zurück zum Zitat Mullan F, Frehywot S (2007) Non-physician clinicians in 47 sub-Saharan African countries. Lancet 370:2158–2163CrossRefPubMed Mullan F, Frehywot S (2007) Non-physician clinicians in 47 sub-Saharan African countries. Lancet 370:2158–2163CrossRefPubMed
18.
Zurück zum Zitat Woolf AD, Walsh NE, Akesson K, The Bone and Joint Decade Undergraduate Curriculum Development Group (2004) Global core recommendations for a musculoskeletal undergraduate curriculum. Annal Rheum Dis 63:517–524CrossRef Woolf AD, Walsh NE, Akesson K, The Bone and Joint Decade Undergraduate Curriculum Development Group (2004) Global core recommendations for a musculoskeletal undergraduate curriculum. Annal Rheum Dis 63:517–524CrossRef
Metadaten
Titel
The UWEZO project—musculoskeletal health training in Kenya
verfasst von
J. Erwin
Anthony Woolf
Omondi Oyoo
Ingrid Cederlund
Lillian Mwaniki
Paul Etau
Publikationsdatum
01.02.2016
Verlag
Springer London
Erschienen in
Clinical Rheumatology / Ausgabe 2/2016
Print ISSN: 0770-3198
Elektronische ISSN: 1434-9949
DOI
https://doi.org/10.1007/s10067-015-2863-8

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