UCT’s Medical Faculty and Groote Schuur Hospital

Sanders, Hannah-Reeve; Kane-Berman, J

doi:10.7196/samj.5648

Cited by 3 publications

(4 citation statements)

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“…The exact prevalence rate of endometriosis in Africa is unknown with different studies reporting conflicting results between different countries. A study carried out in South Africa on factors contributing to infertility reported that the prevalence of endometriosis among the black population was lower (2%) than that of the White population (7%) (Wiswedel & Allen 1989). However, in a cross-sectional study in Nigeria, Fawole et al (2015) reported a prevalence of 48.1% in women having a diagnostic laparoscopy, stating it was one of the highest prevalence rates in Africa.…”

Section: Prevalence Of Endometriosis In Africamentioning

confidence: 96%

“…Several factors have been implicated: a lack of awareness among the public and healthcare practitioners, poor access to diagnostic and therapeutic facilities, as well as inadequate research on the condition among African populations (Kyama et al 2007). Differences in culture and lifestyle in women living in Africa compared with Europe including earlier age at first pregnancy, multiple pregnancies with large families, higher risk of pelvic inflammatory disease, and taboos surrounding menstruation and pain have also been cited (Wiswedel & Allen 1989). We believe a combination of these factors may impact the risk factors and health outcomes for African women with endometriosis which currently remain poorly understood.…”

Section: Introductionmentioning

confidence: 99%

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Endometriosis among African Women

Mecha,

Maoga,

Mwaura

et al. 2024

Preprint

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Endometriosis has long been wrongly perceived to be rare among women of African descent. The misconception about the prevalence of endometriosis among African women has significantly contributed to long diagnostic delays, limited access to diagnosis and care, and a scarcity of research on the condition among African women. In this commentary, we highlight the prevalence of endometriosis among African women, the state of endometriosis care in Africa, and the gaps in knowledge that need to be addressed. Based on the available data, the prevalence of endometriosis in Africa is likely higher than previously thought, with varying subtypes. There is a long diagnostic delay of endometriosis among African women. Additionally, endometriosis care in Africa from the general population and health practitioners is poor; this can be attributed to the high diagnostic cost, scarcity of trained specialists, as well as patients' inability to express their symptoms due to societal taboos surrounding menstrual health. Public sensitization on endometriosis may help improve endometriosis diagnosis and care in Africa. Lay summaryEndometriosis is a condition in which tissue like the uterine lining is found outside the uterus, causing women to experience pain especially before, during, or after menstruation. Although endometriosis affects an estimated 176 million women worldwide, it has been wrongly reported that endometriosis is a rare condition among African women, mainly due to lack of awareness among healthcare providers and historical bias. In the current commentary, we discuss the prevalence of endometriosis, the diagnostic delays, and the care of endometriosis among black African women living in the African continent. Much of the literature has demonstrated (falsely) that endometriosis is rare in Black women compared to White ethnicity. African women experience a long diagnostic delay and do not receive appropriate care. Public awareness of endometriosis may help improve diagnosis delay and endometriosis care in Africa.

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Section: Prevalence Of Endometriosis In Africamentioning

confidence: 96%

Section: Introductionmentioning

confidence: 99%

Endometriosis among African Women

Mecha,

Maoga,

Mwaura

et al. 2024

Preprint

View full text Add to dashboard Cite

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“…Apart from inspiring role models, the collaboration with the province through joint agreements and outstanding personal relationships profoundly influenced teaching, research and clinical service. 12 A measure of the quality of a faculty is its research record. Since its early days research has been a notable feature of the measurable Faculty outputs.…”

Section: Themes and Memesmentioning

confidence: 99%

UCT@100.great!

Niekerk

2012

S Afr Med J

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Great universities and great religions are among the most enduring of human institutions. The first medical school established in sub-Saharan Africa was at the University of Cape Town (UCT). However, the first on the African continent was in Cairo, established in 1827, followed by Algeria in 1879. By the end of the Second World War (WW2) there were 8 medical schools in Africa, 3 of which were in South Africa. Independence of African countries from colonial domination, starting in the 1950s, saw rapid growth of new home-grown medical schools on the continent. However, economic decline, dictatorships, kleptocracy and state interference in education compromised medical education standards elsewhere in Africa. Currently there are 160 medical schools in Africa 1 and there is evidence of slowly improving standards with improved economic performance in Africa. UCT remains a leading Health Sciences Faculty on the continent. What caused the UCT Medical School to be established and to flourish? Several works on the history of the University, Medical School and medical history of South Africa document this in detail. 2-7 This note serves to contextualise the Faculty's 100th anniversary celebration.

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“…After a protracted court battle, she was exonerated and re-employed. UCT (22) fought the government over its apartheid policy over many years. Its hospital was the first academic unit in the country to become multi-racial, this occurring well before the law was retracted.…”

mentioning

confidence: 99%

Cardiothoracic surgery in South Africa: a history

Schewitz¹

2022

J Thorac Dis

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Cardiothoracic surgery in South Africa began in Cape Town spreading to the rest of the country, and since the end of apartheid slowly reaching other sub-Saharan African countries. It is a story of brilliant innovators, of the evils of the disease of apartheid but also of what is possible if you are determined and prepared to work hard. The early leaders came from the University of Cape Town (UCT) with Christiaan Barnard, Donald Ross and Rodney Hewitson all in the same class of 1946 with Ben Le Roux and Bob Frater soon after. It is a story of world class professionals in a sea of poverty. The heart transplants performed byBarnard stimulated the whole university and eventually had an effect in raising the standard of medicine in South Africa. Despite the apartheid laws at the time the cardiac unit at UCT was run as multiracial as it was possible at the time with all patients receiving the same care. Apartheid also had an effect on the emigration of many highly talented graduates to other countries. The end of apartheid caused great changes to healthcare in the country, many of great benefit but also some not so good. As UCT influenced the rest of South Africa, the South African medical fraternity can affect the rest of sub-Saharan Africa to the benefit of all its people.

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UCT’s Medical Faculty and Groote Schuur Hospital

Cited by 3 publications

References 0 publications

Endometriosis among African Women

Endometriosis among African Women

UCT@100.great!

Cardiothoracic surgery in South Africa: a history

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