Neurosurgery in East Africa: Innovations

Karol P Budohoski; Japhet G Ngerageza; Benedict Austard; Anthony Fuller; Robert Galler; Michael Haglund; Ronald Lett; Isador H Lieberman; Halinder S Mangat; Karen March; David Olouch-Olunya; José Piquer; Mahmood Qureshi; Maria M Santos; Karsten Schöller; Hamisi K Shabani; Rikin A Trivedi; Paul Young; Micaella R Zubkov; Roger Härtl; Philip E Stieg

doi:10.1016/j.wneu.2018.01.085

Neurosurgery in East Africa: Innovations

World Neurosurg. 2018 May:113:436-452. doi: 10.1016/j.wneu.2018.01.085.

Authors

Karol P Budohoski¹, Japhet G Ngerageza², Benedict Austard², Anthony Fuller³, Robert Galler⁴, Michael Haglund³, Ronald Lett⁵, Isador H Lieberman⁶, Halinder S Mangat⁷, Karen March⁸, David Olouch-Olunya⁹, José Piquer¹⁰, Mahmood Qureshi¹¹, Maria M Santos¹², Karsten Schöller¹³, Hamisi K Shabani², Rikin A Trivedi¹, Paul Young¹⁴, Micaella R Zubkov¹⁵, Roger Härtl¹⁶, Philip E Stieg¹⁵

Affiliations

¹ Department of Neurosurgery, Addenbrooke's Hospital, University of Cambridge, United Kingdom.
² Department of Neurosurgery, Muhimbili Orthopedic-Neurosurgical Institute, Dar es Salaam, Tanzania.
³ Duke Global Neurosurgery and Neuroscience, Duke University, Durham, North Carolina, USA.
⁴ Department of Neurosurgery, Stony Brook Neuroscience Institute, New York, New York, USA.
⁵ Department of Surgery, University of British Columbia, Vancouver, Canada.
⁶ Texas Back Institute, Plano, Texas, USA.
⁷ Division of Stroke and Critical Care, Department of Neurology, Weill Cornell Medicine, New York Presbyterian Hospital, New York, New York, USA.
⁸ University of Washington School of Nursing, Seattle, Washington, USA.
⁹ Department of Neurosurgery, Kenyatta Hospital, University of Nairobi, Nairobi, Kenya.
¹⁰ Neurosurgical Unit, Hospital Universitario de la Ribera, Valencia, Spain.
¹¹ Department of Neurosurgery, Aga Khan University Hospital, Nairobi, Kenya.
¹² Global Health, Weill Cornell Medicine, New York, New York, USA.
¹³ Department of Neurosurgery, Justus-Liebig-Universität Gießen, Gießen, Germany.
¹⁴ Department of Neurosurgery, University of St. Louis, St. Louis, Missouri, USA.
¹⁵ Weill Cornell Brain and Spine Center, Department of Neurological Surgery, Weill-Cornell Medicine, New York-Presbyterian Hospital, New York, New York, USA.
¹⁶ Weill Cornell Brain and Spine Center, Department of Neurological Surgery, Weill-Cornell Medicine, New York-Presbyterian Hospital, New York, New York, USA. Electronic address: [email protected].

PMID: 29702967
DOI: 10.1016/j.wneu.2018.01.085

Abstract

In the last 10 years, considerable work has been done to promote and improve neurosurgical care in East Africa with the development of national training programs, expansion of hospitals and creation of new institutions, and the foundation of epidemiologic and cost-effectiveness research. Many of the results have been accomplished through collaboration with partners from abroad. This article is the third in a series of articles that seek to provide readers with an understanding of the development of neurosurgery in East Africa (Foundations), the challenges that arise in providing neurosurgical care in developing countries (Challenges), and an overview of traditional and novel approaches to overcoming these challenges to improve healthcare in the region (Innovations). In this article, we describe the ongoing programs active in East Africa and their current priorities, and we outline lessons learned and what is required to create self-sustained neurosurgical service.

Keywords: Development; East Africa; Global health; Innovations; Neurosurgery.

Publication types

Review

MeSH terms

Africa, Eastern
Developing Countries*
Humans
Neurosurgeons / education
Neurosurgeons / organization & administration
Neurosurgeons / trends*
Neurosurgery / education
Neurosurgery / organization & administration
Neurosurgery / trends*
Neurosurgical Procedures / education
Neurosurgical Procedures / trends
Organizational Innovation*