Assessment of the Neurosurgical Capacity in Ghana: Challenges and Opportunities

Abu-Bonsrah, Nancy; Totimeh, Teddy; Kanmounye, Ulrick Sidney; Banson, Mabel; Bandoh, Dickson; Sarpong, Kwadwo; Dadey, David; Adam, Abass; Nketiah‐Boakye, Frank; Dakurah, Thomas; Boakye, Maxwell; Haizel-Cobbina, Joseline; Ametefe, Mawuli; Bankah, Patrick; Groves, Mari L.

doi:10.1016/j.wneu.2022.08.120

Cited by 6 publications

(5 citation statements)

References 37 publications

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“…Neurosurgical workforce data were obtained for 210 nations through 42 included sources ( Supplemental Digital Content 2, Supplemental Table 1 , http://links.lww.com/NEU/E46). 1,17,18,22-61 A world map denoting total neurosurgeons per capita is shown in Figure 1. The color scale denotes countries in green if they have at least 1 neurosurgeon per 200 000 population as this has been described as the minimum requirement for essential neurosurgical workforce to address neurotrauma in low- and middle-income countries.…”

Section: Resultsmentioning

confidence: 99%

Women Neurosurgeons Worldwide: Characterizing the Global Female Neurosurgical Workforce

Vaca,

Theologitis,

Zygourakis

2023

Neurosurgery

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BACKGROUND AND OBJECTIVES: As the global neurosurgical workforce expands, so do the contributions of women neurosurgeons. Recent studies highlighted pioneering women leaders in neurosurgery and provided invaluable perspectives into the proportion of women neurosurgeons in regions across the world. To provide a broad perspective of global trends, this study aims to characterize the global female neurosurgical workforce and evaluate its association with countries' economic status, broader physician workforce, and global gender gap index (GGGI). METHODS: A literature search included studies dated 2016–2023 characterizing the neurosurgical workforce. Total neurosurgeons, neurosurgeons per capita, and percent of women neurosurgeons by country were collected or calculated from available data. Countries were stratified by World Health Organization (WHO) region, World Bank economic classification, WHO physician workforce, and GGGI. Poisson regressions and Spearman correlation tests were performed to evaluate the association between each country's percent of women neurosurgeons and their economic classification, WHO physician workforce, and GGGI. RESULTS: Neurosurgical workforce data were obtained for 210 nations; world maps were created demonstrating neurosurgeons per capita and proportion of women neurosurgeons. Africa had the fewest neurosurgeons (1296) yet highest percentage of women neurosurgeons (15%). A total of 94 of 210 (45%) countries met the minimum requirement of neurosurgeons needed to address neurotrauma. Compared with low-income countries, upper-middle–income and high-income countries had 27.5 times greater the rate of neurosurgeons per capita but only 1.02 and 2.57 times greater percentage of women neurosurgeons, respectively (P < .001). There was a statistically significant association between GGI and women neurosurgeons (P < .001) and a weak correlation between proportion of women in physician workforce and women neurosurgeons (P = .019, rho = 0.33). CONCLUSION: Much progress has been made in expanding the neurosurgical workforce and the proportion of women within it, but disparities remain. As we address the global neurosurgeon deficit, improving recruitment and retention of women neurosurgeons through mentorship, collaboration, and structural support is essential.

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Section: Resultsmentioning

confidence: 99%

Women Neurosurgeons Worldwide: Characterizing the Global Female Neurosurgical Workforce

Vaca,

Theologitis,

Zygourakis

2023

Neurosurgery

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“…Ghana, another Sub-Saharan African country with a population of 31 million, has only 25 neurosurgeons 9 . There is a huge disparity in access to neurosurgical services in Ghana, with neurosurgical services available in only four of the 16 regions.…”

Section: Rural Neurosurgical Service Gaps In Africamentioning

confidence: 99%

“…There is a huge disparity in access to neurosurgical services in Ghana, with neurosurgical services available in only four of the 16 regions. This means that more than 75 percent of Ghana’s population lacks total neurosurgery access, and there is no guarantee that the remaining 25 percent has equitable and up-to-date access 9 .…”

Section: Rural Neurosurgical Service Gaps In Africamentioning

confidence: 99%

Ailing neurosurgical services in rural Africa

Awuah

Adebusoye

Tenkorang

et al. 2023

International Journal of Surgery

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“…14 At the bedside, TCUS using PMMA can confirm bypass patency, allow quantitative flow measurements, and exclude postoperative hemorrhage, all of which are critical and time-sensitive outcomes (see Figure 1 and 2). 16 In neuro-oncology, TCUS allows monitoring of postcraniotomy tumor progression/recurrence and follow-up assessments in patients with glioma (see Figure 3). 17,18 Integrating technologies, such as hydrocephalus shunt devices, neuromodulatory devices, and wireless intracranial pressure monitors, into PMMA implants has the potential to expand the therapeutic applications of sonolucent implants.…”

Section: Transcranial Ultrasound and Sonolucent Implants: Current App...mentioning

confidence: 99%

Section: Transcranial Ultrasound and Sonolucent Implants: Current App...mentioning

confidence: 99%

Letter: The Role of Sonolucent Implants in Global Neurosurgery

Williams,

Abu-Bonsrah,

Lee

et al. 2023

Neurosurgery

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Assessment of the Neurosurgical Capacity in Ghana: Challenges and Opportunities

Cited by 6 publications

References 37 publications

Women Neurosurgeons Worldwide: Characterizing the Global Female Neurosurgical Workforce

Women Neurosurgeons Worldwide: Characterizing the Global Female Neurosurgical Workforce

Ailing neurosurgical services in rural Africa

Letter: The Role of Sonolucent Implants in Global Neurosurgery

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