King Ceasor University, Uganda
Scientific Tracks Abstracts: J Dermatol Dis
Background Atopic Dermatitis (AD) is one of the most prevalent and growing chronic inflammatory skin diseases in African . AD care is limited in African due to lack of information about the disease amongst primary care workers, limited access to dermatologists, lack of proper training of healthcare workers and shortage of appropriate treatments  We designed and implemented Prisons Telederma project based on the recommendations of the International Society of Atopic Dermatitis. Our goal was to increase access to dermatologist-led care for prisoners with AD through teledermatology in Uganda. Approach We trained prison staff on AD diagnosis and treatment using an adapted American Academy of Dermatology (AAD) Childhood AD Basic Dermatology Curriculum. This training was followed by blended e-learning and webinars facilitated by Consultant Dermatologists with local knowledge of AD care practices, WhatsApp group discussions and sharing pigmented skin AD pictures and treatment via zoom meetings. We then used Store-and-forward Teledermatology . to share AD skin photos with senior dermatologists. Collected locap photos were used to drafted an iconographic atlas AD of pigmented skin for use as a job aid by general physicians. We monitored AD patients using a Patient Oriented Eczema Measure (POEM) tool . We held four advocacy meetings to persuade relevant stakeholders to increase supplies and availability of first-line AD treatments such as emollients in prison health facilities. Results 1. Draft iconographic atlas of the main dermatoses in pigmented skin 2. Increased proportion of prison physicians with adequate knowledge of AD and teledermatology from 20% to 80% 3. Increased proportion of prisoners with AD reporting improvement in POEM scores from 25% to 35% in one year. 4. Increased proportion of prisoners with AD seen by consultant dermatologist through teledermatology from 0% to 20% 5. Increased the availability of AD recommended treatments in prisons health facilities from 5% to 10%
Innocent Atuhe is the Director of the Centre for Research, Innovations and Commercialization at King Ceasor University. He is a Senior Physician and an international Health Care Quality Improvement Specialist with interests in new health care design and delivery. He is a trainer and mentor in quality improvement for the Ministry of Health and USAID. He is a researcher in use of telehealth to improve health care delivery in resource limited countries.