Endometriosis management in a low/middle income country – Integration of a multidisciplinary medical team and patient social support group

Charles Muteshi, Gilbert Mwaka, Andrew Duncan, Samuel Gitau, Prabu Kathiresan, Jumaa Bwika, Ahmed Yousef, Elsie Wandera
In: Journal of Endometriosis and Pelvic Pain Disorders · 2025 · vol. 17(2) , pp. 93–98 · doi:10.1177/22840265241312538 · W4406243693
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This paper describes the first endometriosis multidisciplinary team in a low/middle income country that integrates a medical team with a patient social support group.

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This paper describes a management model for endometriosis implemented in a low- and middle-income country setting. The authors detail the integration of a multidisciplinary medical team with patient social support groups to improve care delivery and outcomes. The study highlights the importance of combining clinical expertise with psychosocial resources to address the complex needs of patients in resource-limited environments. This paper is centrally about endometriosis, focusing on healthcare system organization and patient support structures rather than specific surgical or pharmacological interventions.

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Abstract

Endometriosis is a chronic condition that causes significant pain, subfertility and impairs the quality of life of affected women and girls. There is no known cure and management is tailored to specific individual circumstances. International best practice recommendation advocates managing severe endometriosis within centres of excellence with multidisciplinary team (MDT) of specialists. This type of care should focus on the chronic disease and biopsychosocial models. We describe a first and unique endometriosis MDT that incorporates patient social support group in a low and middle income country.
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endometriosis

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