Like Armand, we also felt that the report from Pakistan on 'diabetic foot' was very important. As a result we shared the following on the blog list of the Nigerian Medical Forum (NMA blog):
A while ago we shared on this blog questions about the lack of the specialty of Vascular Surgery in Nigeria and we attracted no response - we ask again do we have the specialty of vascular Surgery in Nigeria. It would be nice to know because anecdotes have it that too many limbs are going to tragic loss when they could have been salvaged if the specialty was present and active - as NCDs are 'silently' killing and maiming millions of Nigerians, even as communicable infections remain a major risk too.!
Apparently another LMIC suffers the same challenge, - READ ON courtesy of HIFA:
'Pakistan's soaring rates of 'diabetic foot'
Around 150,000 to 200,000 Pakistanis lose a limb due to complications from diabetes every year, according to estimates.
The vast majority of amputations can be prevented through early treatment, but poor healthcare and a lack of awareness means that for many in Pakistan, it's not possible to save the leg.''
Africa Center for Clin Gov Research & Patient Safety
@ HRI West Africa Group - HRI WA
Consultants in Clinical Governance Implementation
Publisher: Health and Medical Journals
8 Amaku Street Housing Estate, Calabar
Cross River State, Nigeria
HIFA profile: Joseph Ana is the Lead Consultant and Trainer at the Africa Centre for Clinical Governance Research and Patient Safety in Calabar, Nigeria. In 2015 he won the NMA Award of Excellence for establishing 12-Pillar Clinical Governance, Quality and Safety initiative in Nigeria. He has been the pioneer Chairman of the Nigerian Medical Association (NMA) National Committee on Clinical Governance and Research since 2012. He is also Chairman of the Quality & Performance subcommittee of the Technical Working Group for the implementation of the Nigeria Health Act. He is a pioneer Trustee-Director of the NMF (Nigerian Medical Forum) which took the BMJ to West Africa in 1995. He is particularly interested in strengthening health systems for quality and safety in LMICs. He has written Five books on the 12-Pillar Clinical Governance for LMICs, including a TOOLS for Implementation. He established the Department of Clinical Governance, Servicom & e-health in the Cross River State Ministry of Health, Nigeria in 2007. Website: www.hriwestafrica.com Joseph is a member of the HIFA Steering Group: http://www.hifa.org/people/steering-group
jneana AT yahoo.co.uk