Conference Proceeding

Family Medicine: A profession for the world’s upper and middle class?

Raymond Downing
African Journal of Primary Health Care & Family Medicine | Vol 2, No 1 | a247 | DOI: | © 2010 Raymond Downing | This work is licensed under CC Attribution 4.0
Submitted: 28 October 2010 | Published: 29 November 2010

About the author(s)

Raymond Downing, Department of Family Medicine, Moi University, Kenya


Family medicine is a medical speciality, or at least an approach to medical care, that was developed and thrives in high-income countries. Some of the key principles of family medicine were developed in response to the disease pattern prevalent in those high-income countries – that is, the predominance of chronic, non-communicable diseases. Yet, the burden of disease in low-income countries, such as in much of sub-Saharan Africa, involves substantially more communicable disease and trauma than that in high-income countries. Consequently, the design of family medicine as developed in high-income countries may not be applicable in sub-Saharan Africa.


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Crossref Citations

1. Rural Health and Family Medicine: An Agenda for sub-Saharan Africa
Emmanuel Monjok, Ita B. Okokon, Andrea Smesny, Ekere J. Essien
African Journal of Primary Health Care & Family Medicine  vol: 3  issue: 1  year: 2011  
doi: 10.4102/phcfm.v3i1.271