Implementing a Locally Made Low-Cost Intervention for Wound and Lymphedema Care in Western Kenya - 21/11/20

Doi : 10.1016/j.det.2020.08.009

Aileen Y. Chang, MD ^a,^b,^⁎ , Margaret Mungai, BSN ^c, Sarah J. Coates, MD ^a,^d, Tiffany Chao, BS ^e, Haji Philip Odhiambo ^a, Phelix M. Were, BS ^a, Sara L. Fletcher, PharmD, MPH ^f, Toby Maurer, MD ^a,^g, Rakhi Karwa, PharmD ^a,^h, Sonak D. Pastakia, PharmD, MPH, PhD ^a,^h
^a Academic Model Providing Access to Healthcare (AMPATH), Eldoret, Kenya
^b Department of Dermatology, University of California, School of Medicine, P.O. Box 4606 Eldoret, Kenya 30100
^c Clinical Services, Moi Teaching & Referral Hospital, PO Box 3, Code 30100, Eldoret, Kenya
^d Department of Dermatology, University of California, San Francisco School of Medicine, 1701 Divisadero Street, Suite 4-20, San Francisco, CA 94143-0316, USA
^e University of California, Irvine School of Medicine, 1001 Health Sciences Road, Irvine, CA 92617, USA
^f Drug Use Research and Management, Oregon State University College of Pharmacy, 2730 SW Moody Avenue, CL5CP, Portland, OR 97201, USA
^g Indiana University School of Medicine, 545 Barnhill Drive, Emerson Hall 139, Indianapolis, IN 46202, USA
^h Purdue University College of Pharmacy, Fifth Third Bank Building, 640 Eskenazi Avenue, Indianapolis, IN 46202-2879, USA

^∗Corresponding author. 1001 Potrero, Building 90, Ward 92, San Francisco, CA 94110.1001 PotreroBuilding 90Ward 92San FranciscoCA94110

Résumé

In Western Kenya, the burden of chronic wounds and lymphedema has a significant impact on functionality and quality of life. Major barriers to provision of care include availability, affordability, and accessibility of bandages. At the Academic Model Providing Access to Healthcare, dermatologists and pharmacists collaborated to develop a 2-component compression bandage modeled after the Unna boot, using locally available materials, that is distributed through a revolving fund pharmacy network. In partnership with nursing, use of these bandages at a national referral hospital and a few county facilities has increased, but increasing utilization to an expanded catchment area is needed.

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Keywords : Africa, Kenya, Wound care, Lymphedema, Bullous drug reaction, Resource-limited setting, Low- and middle-income countries, Revolving fund pharmacy

Plan

Lymphedema from Kaposi sarcoma

Neuropathic ulcer

Bullous drug reaction

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Vol 39 - N° 1

P. 91-100 - janvier 2021 Retour au numéro

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Novel Diagnostics for Kaposi Sarcoma and Other Skin Diseases in Resource-Limited Settings
Devon E. McMahon, Linda Oyesiku, Aggrey Semeere, Dongkyun Kang, Esther E. Freeman

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Implementing a Locally Made Low-Cost Intervention for Wound and Lymphedema Care in Western Kenya - 21/11/20

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