title: Progress made towards enhancement of rheumatology education and practice in Zambia: review of an ILAR-supported project.
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.
authors.affiliation: Department of Paediatrics and Child Health, University of Zambia School of Medicine, P.O. Box 50110, Lusaka, Zambia, Jameschipeta@smuth-mru.org.zm.
authors.forename: James
authors.initials: J
authors.lastname: Chipeta
authors.forename: Panganani
authors.initials: P
authors.lastname: Njobvu
authors.forename: Paul E
authors.initials: PE
authors.lastname: McGill
authors.forename: Richard
authors.initials: R
authors.lastname: Bucala
mesh_terms: D003906:Developing Countries; D004501:Education, Medical / Q000639:trends*; D006297:Health Services Accessibility / Q000639:trends*; D006801:Humans; D007390:International Agencies; D012216:Rheumatic Diseases / Q000453:epidemiology* / Q000628:therapy*; D012219:Rheumatology / Q000193:education*; D015024:Zambia / Q000453:epidemiology
references.citation: Best Pract Res Clin Rheumatol. 2008 Aug;22(4):583-604
references.pmid: 18783739
references.citation: Best Pract Res Clin Rheumatol. 2009 Oct;23(5):643-53
references.pmid: 19853829
references.citation: Pediatr Rheumatol Online J. 2013 Sep 14;11(1):33
references.pmid: 24034206
references.citation: Curr Osteoporos Rep. 2005 Sep;3(3):84-91
references.pmid: 16131427
references.citation: Best Pract Res Clin Rheumatol. 2006 Apr;20(2):201-21
references.pmid: 16546053