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

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