Department of Family Medicine, Faculty of Medicine and Health Sciences, Université de Sherbrooke, Sherbrooke.
Afr J Prim Health Care Fam Med. 2021 Sep 30;13(1):e1-e3. doi: 10.4102/phcfm.v13i1.3047.
Family medicine has not received appropriate attention in the sub-Saharan African context. In particular, family medicine is rarely recognised as a medical speciality and most African countries are silent on the role of family medicine in their health systems. There is, however, an emerging interest in developing family medicine as a key component of primary healthcare. Postgraduate training in family medicine is progressing and many countries have already established specific training programmes. In addition, there have been attempts to define the importance of family medicine, which, we expect, this short report contributes to. Interviews were conducted with physicians, partners and beneficiaries of two international development projects funded by the Canadian government. The one project supports training of health professionals and the other education of healthy women and girls in the community. The objective was to document the strengthening of primary healthcare through the creation and adaptation of a new family and community medicine postgraduate medical programme (which includes both family and community medicine) emphasising field training, immersion in local communities and interdisciplinary collaboration. This article underlines the importance of family medicine in Mali by documenting how what is now termed family and community medicine can promote community-orientated health services. To do so, we use the examples of initiatives and actions done through two international health development projects.
家庭医学在撒哈拉以南非洲地区并未受到应有的重视。特别是，家庭医学很少被视为一种医学专业，大多数非洲国家对家庭医学在其卫生系统中的作用保持沉默。然而，人们对将家庭医学发展为初级卫生保健的一个关键组成部分越来越感兴趣。家庭医学的研究生培训正在取得进展，许多国家已经建立了专门的培训计划。此外，还试图定义家庭医学的重要性，我们希望这份简短的报告为此做出了贡献。我们对两名加拿大政府资助的国际发展项目的医生、合作伙伴和受益人进行了访谈。一个项目支持卫生专业人员的培训，另一个项目则在社区中对健康妇女和女孩进行教育。目的是通过创建和调整新的家庭和社区医学研究生医学课程（包括家庭医学和社区医学）来记录初级卫生保健的加强，该课程强调实地培训、深入当地社区和跨学科合作。本文通过记录现在所谓的家庭和社区医学如何能够促进以社区为导向的卫生服务，强调了家庭医学在马里的重要性。为此，我们通过两个国际卫生发展项目的举措和行动来举例说明。
