2017
DOI: 10.1093/neuros/nyw159
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Abstract: Neurosurgery in Uganda was virtually non-existent up until late 1960s. This changed when Dr. Jovan Kiryabwire spearheaded development of a neurosurgical unit at Mulago Hospital in Kampala. His work ethic and vision set the stage for rapid expansion of neurosurgical care in Uganda.At the beginning of the 2000s, Uganda was a country of nearly 30 million people, but had only 4 neurosurgeons. Neurosurgery's progress was plagued by challenges faced by many developing countries, such as difficulty retaining speciali… Show more

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Cited by 31 publications
(21 citation statements)
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“…The neurosurgeon likely completed their formal training outside of their home country and choose to return. 27,51 In this setting, education becomes important for a variety of reasons. First, many of the LMIC neurosurgeons have been operating below their level of training due to resource limitations.…”
Section: Education (Improve Care Provision)mentioning
confidence: 99%
See 1 more Smart Citation
“…The neurosurgeon likely completed their formal training outside of their home country and choose to return. 27,51 In this setting, education becomes important for a variety of reasons. First, many of the LMIC neurosurgeons have been operating below their level of training due to resource limitations.…”
Section: Education (Improve Care Provision)mentioning
confidence: 99%
“…6 Our group, Duke Global Neurosurgery and Neurology (DGNN), helps support the Uganda program, which started in 2009, and to date we have been able to train 5 Ugandans to become neurosurgeons, graduated the first woman neurosurgeon this past year, and have 6 more residents in the program. 27 In Ethiopia, the neurosurgery training program has been incredibly successful at increasing the number of neurosurgeons and the number of neurosurgery cases performed and has been supported since 2004 through a partnership between the University of Bergen, Haukeland University Hospital, the Black Lion Specialized Hospital, and a private hospital in Addis Ababa. 37 Task-shifting or training an entry-level provider to do very specific tasks has been widely used throughout global health, and has advocates within global surgery due to its expediency and implications on cost.…”
Section: Training (Increase the Number Of Neurosurgeons)mentioning
confidence: 99%
“…Over time, surgical capacity grew, and CURE Children's Hospital of Uganda now performs over 1000 pediatric neurosurgical operations per year. 10 Beginning in 2007, Dr. Michael Haglund, Professor of Neurosurgery from Duke University (North Carolina, United States), first visited Mulago Hospital at the request of a local pastor and found a 1500-bed hospital with only one intensive care unit (ICU) ventilator in the entire hospital, and operating rooms without ventilators or monitoring equipment such as pulse oximetry, automatic blood pressure cuffs, end-tidal CO 2 monitors, or electrocardiogram monitoring. 10 Over the next several years, with some fits and starts along the way, neurosurgical capacity increased at Mulago Hospital as well.…”
Section: Uganda As An Example Of Capacity Building In East Africamentioning
confidence: 99%
“…9 Training began with surgical camps and then progressed to the development of a neurosurgery training program (started in 2009, with the first graduate successfully completing the College of Surgeons of Eastern, Central and Southern Africa [COSECSA] Neurosurgery Fellowship examination December 2014). 10 While Uganda is far from the goal of adequate neurosurgical capacity throughout the country, they have made substantial progress toward a gradual increase in local capacity to care for the tremendous neurosurgical needs in Uganda.…”
Section: Uganda As An Example Of Capacity Building In East Africamentioning
confidence: 99%
“…12 In 2007, the Mulago National Referral Hospital (MNRH) of Kampala, Uganda, Duke University Medical Center (DUMC), and Duke Global Health Institute (DGHI) formed a neurosurgical twinning program whose effects have been empirically studied. 9 Notably, this partnership increased total neurosurgical cases, as well as their complexity and efficiency. Similarly, in 2012, a neurosurgery department with one neurosurgeon was founded at Mbarara Regional Referral Hospital (MRRH) to address local surgical need in this region.…”
mentioning
confidence: 99%