Abdullah Mohamed Ahmed, Elhassan Ghada H A
Department of Paediatrics and Child Health, Faculty of Medicine, University of Khartoum, Sudan.
Gaafar Ibnauf Children's Hospital, Khartoum, Sudan.
Sudan J Paediatr. 2021;21(2):116-122. doi: 10.24911/SJP.106-1610648000.
Non-communicable diseases including paediatric endocrine disorders are becoming another health burden in the developing countries. No published data on the magnitude of the problem and pattern of cases is available from Sudan as there was no organised paediatrics endocrinology service before 2005.The objective of this study was to see the number and pattern of cases which were seen over the first 10 years in our unit which was established from scratch in 2006. Before starting the unit, a situational analysis was made, and proposal showing the objectives and needs was written. Staff was trained, equipment, investigative facilities and medication were secured gradually, management guidelines and protocols were written taking into consideration the available facilities. A unit registry was created. The unit registry and medical records of patients seen between 2006 and 2015 were reviewed. During this period a total of 7,306 cases were seen, 4,735 endocrine and 3,131 diabetics. A separate unit solely devoted to paediatric endocrinology was established, and multidisciplinary staff including 13 paediatric endocrinologists, were trained. Nationwide diabetes program was established. Research work is being done. Currently, we have started a local paediatric endocrinology fellowship program. Pediatric endocrine problems are common in Sudan. We plan to make services available, accessible and affordable in all of the states of Sudan. This needs collaboration between the government and local and international societies.
包括儿科内分泌疾病在内的非传染性疾病正在成为发展中国家的另一项健康负担。由于2005年之前苏丹没有有组织的儿科内分泌服务，因此没有关于该问题的严重程度和病例模式的已发表数据。本研究的目的是了解2006年从零开始设立的我们科室在最初10年中所诊治的病例数量和模式。在科室成立之前，进行了情况分析，并撰写了一份表明目标和需求的提案。工作人员接受了培训，设备、检查设施和药物逐渐得到保障，管理指南和规程在考虑现有设施的情况下编写完成。创建了一个科室登记册。对2006年至2015年期间诊治的患者的科室登记册和病历进行了审查。在此期间，共诊治了7306例病例，其中4735例为内分泌疾病，3131例为糖尿病患者。设立了一个专门致力于儿科内分泌学的独立科室，并对包括13名儿科内分泌学家在内的多学科工作人员进行了培训。建立了全国糖尿病项目。正在开展研究工作。目前，我们已经启动了一个本地儿科内分泌学 fellowship 项目。儿科内分泌问题在苏丹很常见。我们计划在苏丹所有州提供可及、可获得且负担得起的服务。这需要政府与地方和国际社会之间的合作。
