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Building PRM in sub-Saharan Africa.

Abena Yeboaa Tannor1, Mary Elizabeth S Nelson2, Hannah K Steere3

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Summary

Rehabilitation care is lacking for 50% of people in low-income countries. A fellowship program trains Physical and Rehabilitation Medicine (PRM) physicians in Africa, addressing this critical gap.

Keywords:
GhanaSub-Saharan Africacurriculumfellowship programphysical and rehabilitation medicinetraining

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Area of Science:

  • Medical Rehabilitation
  • Global Health
  • Physician Training

Background:

  • Approximately 50% of individuals needing rehabilitation in low- and middle-income countries (LMICs) do not receive it.
  • Physical and Rehabilitation Medicine (PRM) physicians enhance functioning and quality of life, but are scarce in LMICs, especially sub-Saharan Africa.
  • A lack of PRM training programs exacerbates the specialist shortage in these regions.

Purpose of the Study:

  • To describe the establishment and implementation of a PRM fellowship program in LMICs.
  • To detail the process of engaging stakeholders and admitting fellows for rehabilitation medicine training.
  • To provide a model for developing PRM training in underserved regions.

Main Methods:

  • The International Rehabilitation Forum (IRF) developed and implemented a fellowship program in Ghana, Ethiopia, and Cameroon.
  • The process involved stakeholder engagement and establishing admission criteria for fellows.
  • The program aims to train local physicians in rehabilitation medicine.

Main Results:

  • The IRF fellowship program has been successfully implemented in three LMICs in sub-Saharan Africa.
  • Challenges identified include a shortage of PRM trainers, limited hands-on training logistics, and funding constraints.
  • The program shows promise for sustainable, locally-led rehabilitation training.

Conclusions:

  • The PRM fellowship program offers a viable solution to the specialist deficit in LMICs.
  • Addressing challenges in training capacity, resources, and funding is crucial for program expansion.
  • The ultimate goal is to empower locally trained fellows to lead and scale the program across Africa.