This archive report was first published on 22 May 2020.
Published on May 22, 2020, Dr Angela Migowa, a consultant paediatric rheumatologist at Aga Khan University Hospital, sheds light on the scarcity of paediatric rheumatologists in sub-Saharan Africa.
Dr Migowa, who is also an assistant professor of paediatrics and child health at Aga Khan University, attributes the shortage to a lack of understanding about the specialty, as well as the misconception that ordinary rheumatologists can treat children.
She notes that the discipline is not considered lucrative, leading to a gap in training and a shortage of specialists who can diagnose and treat children with arthritis and related conditions.
Dr Migowa also highlights the challenges faced by patients, including misdiagnosis, prolonged suffering, and deformity in some cases.
She emphasizes the importance of correct and timely diagnoses, but notes that many patients are referred late, either after prolonged suffering or with advanced disease progression.
Dr Migowa also touches on cultural perceptions about paediatric rheumatology, stating that many societies in Kenya believe that rheumatic diseases are caused by witchcraft or bad omen.
She expresses her passion for paediatrics, citing the importance of investing in the well-being of children and the need to care for those suffering from chronic illnesses.
Dr Migowa also shares her experience as a teacher, highlighting the value of sharing knowledge and mentoring other healthcare providers.
She attributes her success to her ability to build strong networks and engage with those she serves, and offers advice to aspiring rheumatologists, encouraging them to follow their passion and serve humanity.
