Specialized dermatological care for marginalized populations and education at the primary care level: is community dermatology a feasible proposal?
Article first published online: 16 OCT 2012
© 2012 The International Society of Dermatology
International Journal of Dermatology
Volume 51, Issue 11, pages 1345–1350, November 2012
How to Cite
Estrada, R., Chavez-Lopez, G., Estrada-Chavez, G. and Paredes-Solis, S. (2012), Specialized dermatological care for marginalized populations and education at the primary care level: is community dermatology a feasible proposal?. International Journal of Dermatology, 51: 1345–1350. doi: 10.1111/j.1365-4632.2012.05546.x
- Issue published online: 16 OCT 2012
- Article first published online: 16 OCT 2012
Skin diseases have a very high frequency either in developed as well as in undeveloped countries. Guerrero, Chiapas, and Oaxaca are the most impoverished states in Mexico, where 24% of the population lacks basic health care, and only 15% are estimated to have access to specialists. Community Dermatology program was founded in 1991 with the intention of improving the dermatological health of remote, marginalized inhabitants of the state of Guerrero. The program consists of a two-day visit to a pre-selected community; the first day includes a basic dermatology training course for local providers, and day 2 is a “Jornada”,which means a day of free medical consultation and treatment. Pityriasis albus Cloasma, vitiligo, and acne continue to be the most frequent diagnosed primary disorders, as in rural areas occupational obligations include prolonged sun exposure. The experience and success of Community Dermatology over the last 20 years has demonstrated that this model of healthcare delivery and instruction is economically feasible, provides practical and quantifiable benefits for the communities served, and could be emulated by other disciplines within medicine.