Improving capacity and access to neurosurgery in sub-Saharan Africa using a twinning paradigm pioneered by the Swedish African Neurosurgical Collaboration

Uche, Enoch Ogbonnaya; Mezue, Wilfred C; Ajuzieogu, Obinna V.; Amah, Christopher Chim; Onyia, Ephraim; Iloabachie, Izuchukwu; Ryttlefors, Mats; Tisell, Magnus

doi:10.1007/s00701-019-04207-6

Cited by 29 publications

(23 citation statements)

References 18 publications

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“…In Tanzania and Uganda, Weill Cornell and Duke University are running global neurosurgery fellowships in partnership with local training programs (24). Furthermore, in West Africa, Nigerian and Swedish centers have expanded the local neurosurgical capacity following the successful implementation of a twinning program (25).…”

Section: Practice and Educationmentioning

confidence: 99%

Needs of Young African Neurosurgeons and Residents: A Cross-Sectional Study

Kanmounye¹,

Robertson

Thango

et al. 2021

Front. Surg.

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Introduction: Africa has many untreated neurosurgical cases due to limited access to safe, affordable, and timely care. In this study, we surveyed young African neurosurgeons and trainees to identify challenges to training and practice.Methods: African trainees and residents were surveyed online by the Young Neurosurgeons Forum from April 25th to November 30th, 2018. The survey link was distributed via social media platforms and through professional society mailing lists. Univariate and bivariate data analyses were run and a P-value < 0.05 was considered to be statistically significant.Results: 112 respondents from 20 countries participated in this study. 98 (87.5%) were male, 63 (56.3%) were from sub-Saharan Africa, and 52 (46.4%) were residents. 39 (34.8%) had regular journal club sessions at their hospital, 100 (89.3%) did not have access to cadaver dissection labs, and 62 (55.4%) had never attended a WFNS-endorsed conference. 67.0% of respondents reported limited research opportunities and 58.9% reported limited education opportunities. Lack of mentorship (P = 0.023, Phi = 0.26), lack of access to journals (P = 0.002, Phi = 0.332), and limited access to conferences (P = 0.019, Phi = 0.369) were associated with the country income category.Conclusion: This survey identified barriers to education, research, and practice among African trainees and young neurosurgeons. The findings of this study should inform future initiatives aimed at reducing the barriers faced by this group.

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Section: Practice and Educationmentioning

confidence: 99%

Needs of Young African Neurosurgeons and Residents: A Cross-Sectional Study

Kanmounye¹,

Robertson

Thango

et al. 2021

Front. Surg.

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“… 27 GSOPs in Africa have had many different focuses, including pediatric surgery, cardiac surgery, general surgery, and neurosurgery, to name a few. 26 , 27 , 28 , 31 , 40 COVID-19 was initially slow to spread in Africa. There was a fear that COVID-19 could strain the fragile healthcare systems in Africa and that the impact could be devastating in light of the limited resources and endemic disease.…”

Section: Methodsmentioning

confidence: 99%

Considerations for resuming global surgery outreach programs during and after the coronavirus disease 2019 (COVID-19) pandemic

Stoehr

Jahromi

Chu

et al. 2021

Surgery

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This is a PDF file of an article that has undergone enhancements after acceptance, such as the addition of a cover page and metadata, and formatting for readability, but it is not yet the definitive version of record. This version will undergo additional copyediting, typesetting and review before it is published in its final form, but we are providing this version to give early visibility of the article. Please note that, during the production process, errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.

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“…The establishment of twinning programs with partner facilities and institutions in high income countries (HICs) for collaborative training and research opportunities has also been demonstrated to improve access to quality and safe neurosurgical service, and could be a priority for Nigeria (12). These novel paradigms, such as the International Neurosurgery Twinning Initiative Modeled for Africa (INTIMA), apply a multiphased approach in resolving identified gaps in neurosurgical infrastructure and care pathway that will sustain or deepen the dimensions of unmet neurosurgery in a given local environment (13,14). Moreover, there is a need to actively encourage, recruit and retain students and young physicians interested in neurosurgical practice into the field and also retain the existing neurosurgeons by preventing further "brain-drain" within the country, consistent with previous trends (10, 15).…”

Section: Neurosurgical Recommendation For Consideration In Nigerian's Nsoanpsmentioning

confidence: 99%

The Incorporation of Neurosurgery as an Integral Part of the Strategic Priorities for Surgical Care in Nigeria

2021

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Improving capacity and access to neurosurgery in sub-Saharan Africa using a twinning paradigm pioneered by the Swedish African Neurosurgical Collaboration

Cited by 29 publications

References 18 publications

Needs of Young African Neurosurgeons and Residents: A Cross-Sectional Study

Needs of Young African Neurosurgeons and Residents: A Cross-Sectional Study

Considerations for resuming global surgery outreach programs during and after the coronavirus disease 2019 (COVID-19) pandemic

The Incorporation of Neurosurgery as an Integral Part of the Strategic Priorities for Surgical Care in Nigeria

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