Anaesthesia services and the education of anaesthetists in Nepal: a model for sustainable development?

A new partnership for anesthesia training in Zambia: reflections on the first year

“…4 The most extensively described initiatives are the Nepalese and Rwandan programs, both of which are affiliated with the Canadian Anesthesiology Society International Education Foundation. 2,[5][6][7][8][9][10][11] Nevertheless, there also exist relatively unpublicized North-South partnerships such as those in Malawi, Kenya, Ethiopia, Madagascar, and Uganda. Each residency program differs in its detail as each responds to a dissimilar national situation and functions at a different point in its development; 12 nonetheless, the programs generally share the same fundamental issues of functioning in underresourced environments that lack postgraduate educational infrastructure and have a geographically dispersed faculty.…”

Anesthesia and the role of short-term service delivery in developing countries

“…The Canadian Anesthesiologists' Society International Education Fund (CASIEF) has made significant contributions of this nature over the past 20 plus years. 1 Such advances have not, however, made short-term projects obsolete. The "fishing rods" are still inadequate in number and unevenly distributed.…”

“…Starting in the 1980s, the CASIEF established a training program in Kathmandu, the capital city of Nepal. 1 Not surprisingly, to date many of the anesthesiologists trained through this program practice in urban areas. Studies in developing countries reveal that trained health care workers gravitate to major cities and training centres, just as in Canada.…”

Science journals and global outreach initiatives in developing countries

“…In time, it is hoped that Rwanda will become self-sufficient in training its own anesthesiologists and in retaining them to provide anesthesia services throughout the country, using a template which has been highly successful with the CASIEF initiative in Nepal. [2][3][4] In contrast to a program development approach, a second special article in this issue focuses on the challenges, logistics and benefits of providing temporary anesthesia services in areas of developing countries which have extremely limited access to anesthetic and surgical services. In this article, 5 Dr. Froese reflects from her personal experiences in developing countries in identifying the ongoing need for anesthesiologists to be involved in short-term surgical projects in areas of greatest need, as a result of woefully inadequate number of physicians and their geographic maldistribution.…”

“…Nous espérons qu'avec le temps le Rwanda deviendra autosuffisant dans la formation de ses propres anesthésiologistes et pourra les garder afin de fournir des services d'anesthésie partout dans le pays, sur la base d'un programme modèle très réussi de la FÉI SCA au Népal. [2][3][4] En contraste à l'approche du programme de développement, le deuxième article spécial de ce numéro se concentre sur les défis, la logistique nécessaire et les avantages de l'offre de services d'anesthésie temporaires dans les zones des pays en voie de développement qui n'ont qu'un accès extrêmement limité à des services anesthésiques et chirurgicaux. Dans cet article, 5 (HINARI), qui a été fondé par l'Organisation mondiale de la Santé en collaboration avec certaines des maisons d'édition les plus importantes, afin que les pays en voie de développement bénéficient d'un accès gratuit à une vaste collection de la littéra-ture mondiale en santé et en recherche biomédicale.…”