Academic Model Providing Access to Healthcare (AMPATH), Eldoret, Kenya; Department of Dermatology, University of California, School of Medicine, P.O. Box 4606 Eldoret, Kenya 30100.
Clinical Services, Moi Teaching & Referral Hospital, PO Box 3, Code 30100, Eldoret, Kenya.
Dermatol Clin. 2021 Jan;39(1):91-100. doi: 10.1016/j.det.2020.08.009. Epub 2020 Oct 31.
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.
在肯尼亚西部,慢性伤口和淋巴水肿的负担对功能和生活质量有重大影响。提供护理的主要障碍包括绷带的供应、可负担性和可及性。在提供医疗保健的学术模式下,皮肤科医生和药剂师合作开发了一种 2 部分压缩绷带,模仿 Unna 靴子,使用当地可用的材料,通过循环基金药房网络分发。与护理合作,在国家转诊医院和一些县设施中使用这些绷带的情况有所增加,但需要将利用率提高到更广泛的集水区。