1. A dermatologia em Angola: evolu��o e desafios
- Author
-
Ldia de Almeida-Voumard
- Subjects
Quality healthcare ,General Chemical Engineering ,Political science ,Humanities ,Social burden - Abstract
EnglishSkin diseases have only recently received more attention in Angola despite representing a considerable physical, psychological, professional and social burden across Africa. From 2007, a small group of dedicated Angolan dermatologists undertook to develop the discipline by founding the Angolan College of Dermatology and Venerology (CADV) and deploying a novel nationwide strategy. This work presents an overview of the local epidemiology of skin diseases and discusses the evolution of the discipline in Angola with particular regard to policies and institutional strategies, motivation of trainees and fellows, implementation of dynamic training programs and promotion of quality healthcare based on epidemiological priorities. It further highlights the role of the CADV in the promotion of the discipline and creation of partnerships. This has led to increased knowledge of the epidemiology, creation of training opportunities both in the capital and five regions, improved diagnostic and treatment facilities, promotion of clinical research and national and international networking. However, gaps still persist in all these areas exerting a negative impact on prevention, diagnosis and treatment of skin pathologies. The current challenge is to ensure the sustainability of the obtained results and ongoing actions at central and local levels, drawing lessons from the experience acquired to plan the next phase of development of the discipline. portuguesAs doencas de pele so recentemente receberam mais atencao em Angola, apesar de representar uma carga fisica, psicologica, profissional e social consideravel em toda a Africa. A partir de 2007, um pequeno grupo de dermatologistas angolanos dedicados comprometeu-se a desenvolver a disciplina, criando o Colegio Angolano de Dermatologia e Venereologia (CADV) e implementando uma nova estrategia a nivel nacional. Este trabalho apresenta o quadro geral da epidemiologia local das doencas da pele e discute a evolucao da disciplina em Angola, com particular atencao as politicas e as estrategias institucionais, a concepcao e implementacao de programas de formacao, assim como o aumento do acesso a cuidados de qualidade com base nas prioridades epidemiologicas. Destaca igualmente o papel do CADV na promocao da disciplina e criacao de parcerias. Essa estrategia levou a melhorar o conhecimento epidemiologico, a criar novas oportunidades de formacao na cidade capital e cinco regioes do pais, a prestar mais e melhores servicos e cuidados, a promover pesquisas e trocas de experiencias. Persistem contudo lacunas em todas essas areas, exercendo um impacto negativo na prevencao, diagnostico e tratamento das patologias da pele. O desafio actual e de garantir a sustentabilidade dos resultados obtidos e das accoes em curso a nivel central e local, tirando as licoes da experiencia adquirida para elaborar a proxima fase de crescimento da disciplina.
- Published
- 2021
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