“A farmer in his late forties winces as he pulls off his shoe, exposing the black and red colouring of a diabetic foot ulcer. The affliction has been plaguing him for months. He’s been to see a specialist several times, but to no avail. Instead of improving, the ulcer has only worsened.
It’s a situation Dr. Krystle Fraser-Barclay encounters often in her work at a clinic based in the urban centre of Georgetown, Guyana. Located along the northeastern coast of South America, Guyana is one of only three counties in the Americas that until 2015 did not offer any training for family medicine professionals. Primary care was delivered through a clinic-based system in which patients rarely met with the same doctor, and rarely for more than one health issue. A new mother, for example, would need one appointment for her postnatal care, another for her baby, another for other related sexual health testing, and so on. By comparison, more than 90% of primary health care delivered in Canada is done through family doctors.”
Read more of this article featured in Academica’s Today’s Top Ten in Higher Ed on July 26, 2018.