Strengthening dermatology capacity and competency in resource-limited settings: A viewpoint

Skin diseases are among the most common health conditions in low-resource-limited settings (RLS), yet dermatology remains an underserved specialty. The Global Burden of Disease Study 2021 ranked skin diseases among the top ten causes of non-fatal disease burden worldwide, but many RLS still face a severe shortage of dermatologists and dermatology training, alongside underdeveloped health infrastructure, and restricted access to diagnostics, treatments, and medications. In recognition of the impact of skin conditions on overall health and wellbeing, the World Health Assembly (WHA) passed a resolution prioritizing skin health as a global health priority earlier this year. The resolution aims to advance universal health coverage and strengthen primary care systems, recognizing that access to basic skin care is essential for achieving health equity. The WHO Neglected Tropical Diseases (NTD) Working Group on Capacity Strengthening and Training has developed a framework to guide the dissemination of dermatology resources. This framework emphasizes identifying the correct target audiences, including healthcare professionals, health ministry staff, community members, and people affected by skin conditions, with tailored tools and techniques for each group. Tools include hybrid models (both online and in-person) that are contextually appropriate, while techniques focus on sustainability, certification incentives, and ensuring resources are free, accessible, and maintain trust and quality through a grassroots approach. This article highlights key dermatological resources available to healthcare workers in RLS, with a focus on the Community Skin Health Journal. The journal's reach, usage, and effectiveness are evaluated, along with its recent challenges. Finally, we propose strategies to improve access and dissemination, ensuring that dermatology education and capacity strengthening efforts in RLS are impactful, scalable, and sustainable, with the goal of improving skin health for all.