The Growth of Neurosurgery in East Africa: Challenges
As the second of 3 articles in this series, the aim of this article is 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 traditio...
Ausführliche Beschreibung
Autor*in: |
Santos, Maria M. [verfasserIn] |
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E-Artikel |
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Sprache: |
Englisch |
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2018transfer abstract |
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Systematik: |
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Umfang: |
11 |
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Übergeordnetes Werk: |
Enthalten in: First measurement of isoscalar giant resonances in a stored-beam experiment - Zamora, J.C. ELSEVIER, 2016, Amsterdam |
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Übergeordnetes Werk: |
volume:113 ; year:2018 ; pages:425-435 ; extent:11 |
Links: |
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DOI / URN: |
10.1016/j.wneu.2018.01.084 |
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ELV042811287 |
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520 | |a As the second of 3 articles in this series, the aim of this article is 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 and improving health care in the region (innovations). Recognizing the challenges that need to be addressed is the first step to implementing efficient and qualified surgery delivery systems in low- and middle-income countries. We reviewed the major challenges facing health care in East Africa and grouped them into 5 categories: 1) burden of surgical disease and workforce crisis; 2) global health view of surgery as “the neglected stepchild”; 3) need for recognizing the surgical system as an interdependent network and importance of organizational and equipment deficits; 4) lack of education in the community, failure of primary care systems, and net result of overwhelming tertiary care systems; 5) personal and professional burnout as well as brain drain of promising human resources from low- and middle-income countries in East Africa and similar regions across the world. Each major challenge was detailed and analyzed by authors who have worked or are currently working in the region, providing a personal perspective. | ||
520 | |a As the second of 3 articles in this series, the aim of this article is 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 and improving health care in the region (innovations). Recognizing the challenges that need to be addressed is the first step to implementing efficient and qualified surgery delivery systems in low- and middle-income countries. We reviewed the major challenges facing health care in East Africa and grouped them into 5 categories: 1) burden of surgical disease and workforce crisis; 2) global health view of surgery as “the neglected stepchild”; 3) need for recognizing the surgical system as an interdependent network and importance of organizational and equipment deficits; 4) lack of education in the community, failure of primary care systems, and net result of overwhelming tertiary care systems; 5) personal and professional burnout as well as brain drain of promising human resources from low- and middle-income countries in East Africa and similar regions across the world. Each major challenge was detailed and analyzed by authors who have worked or are currently working in the region, providing a personal perspective. | ||
650 | 7 | |a Global neurosurgery |2 Elsevier | |
650 | 7 | |a Workforce crisis |2 Elsevier | |
650 | 7 | |a Burden of disease |2 Elsevier | |
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650 | 7 | |a East Africa |2 Elsevier | |
700 | 1 | |a Qureshi, Mubashir M. |4 oth | |
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700 | 1 | |a Ngerageza, Japhet G. |4 oth | |
700 | 1 | |a Schöller, Karsten |4 oth | |
700 | 1 | |a Shabani, Hamisi K. |4 oth | |
700 | 1 | |a Zubkov, Micaella R. |4 oth | |
700 | 1 | |a Härtl, Roger |4 oth | |
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10.1016/j.wneu.2018.01.084 doi GBV00000000000242A.pica (DE-627)ELV042811287 (ELSEVIER)S1878-8750(18)30127-X DE-627 ger DE-627 rakwb eng 610 610 DE-600 530 VZ UA 1000 VZ rvk (DE-625)rvk/145215: 33.40 bkl 33.50 bkl 39.22 bkl Santos, Maria M. verfasserin aut The Growth of Neurosurgery in East Africa: Challenges 2018transfer abstract 11 nicht spezifiziert zzz rdacontent nicht spezifiziert z rdamedia nicht spezifiziert zu rdacarrier As the second of 3 articles in this series, the aim of this article is 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 and improving health care in the region (innovations). Recognizing the challenges that need to be addressed is the first step to implementing efficient and qualified surgery delivery systems in low- and middle-income countries. We reviewed the major challenges facing health care in East Africa and grouped them into 5 categories: 1) burden of surgical disease and workforce crisis; 2) global health view of surgery as “the neglected stepchild”; 3) need for recognizing the surgical system as an interdependent network and importance of organizational and equipment deficits; 4) lack of education in the community, failure of primary care systems, and net result of overwhelming tertiary care systems; 5) personal and professional burnout as well as brain drain of promising human resources from low- and middle-income countries in East Africa and similar regions across the world. Each major challenge was detailed and analyzed by authors who have worked or are currently working in the region, providing a personal perspective. As the second of 3 articles in this series, the aim of this article is 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 and improving health care in the region (innovations). Recognizing the challenges that need to be addressed is the first step to implementing efficient and qualified surgery delivery systems in low- and middle-income countries. We reviewed the major challenges facing health care in East Africa and grouped them into 5 categories: 1) burden of surgical disease and workforce crisis; 2) global health view of surgery as “the neglected stepchild”; 3) need for recognizing the surgical system as an interdependent network and importance of organizational and equipment deficits; 4) lack of education in the community, failure of primary care systems, and net result of overwhelming tertiary care systems; 5) personal and professional burnout as well as brain drain of promising human resources from low- and middle-income countries in East Africa and similar regions across the world. Each major challenge was detailed and analyzed by authors who have worked or are currently working in the region, providing a personal perspective. Global neurosurgery Elsevier Workforce crisis Elsevier Burden of disease Elsevier Brain drain Elsevier East Africa Elsevier Qureshi, Mubashir M. oth Budohoski, Karol P. oth Mangat, Halinder S. oth Ngerageza, Japhet G. oth Schöller, Karsten oth Shabani, Hamisi K. oth Zubkov, Micaella R. oth Härtl, Roger oth Enthalten in Elsevier Zamora, J.C. ELSEVIER First measurement of isoscalar giant resonances in a stored-beam experiment 2016 Amsterdam (DE-627)ELV003475433 volume:113 year:2018 pages:425-435 extent:11 https://doi.org/10.1016/j.wneu.2018.01.084 Volltext GBV_USEFLAG_U GBV_ELV SYSFLAG_U SSG-OLC-PHY SSG-OPC-AST UA 1000 Referateblätter und Zeitschriften Physik Referateblätter und Zeitschriften (DE-625)rvk/145215: (DE-576)329175343 33.40 Kernphysik VZ 33.50 Physik der Elementarteilchen und Felder: Allgemeines VZ 39.22 Astrophysik VZ AR 113 2018 425-435 11 045F 610 |
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10.1016/j.wneu.2018.01.084 doi GBV00000000000242A.pica (DE-627)ELV042811287 (ELSEVIER)S1878-8750(18)30127-X DE-627 ger DE-627 rakwb eng 610 610 DE-600 530 VZ UA 1000 VZ rvk (DE-625)rvk/145215: 33.40 bkl 33.50 bkl 39.22 bkl Santos, Maria M. verfasserin aut The Growth of Neurosurgery in East Africa: Challenges 2018transfer abstract 11 nicht spezifiziert zzz rdacontent nicht spezifiziert z rdamedia nicht spezifiziert zu rdacarrier As the second of 3 articles in this series, the aim of this article is 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 and improving health care in the region (innovations). Recognizing the challenges that need to be addressed is the first step to implementing efficient and qualified surgery delivery systems in low- and middle-income countries. We reviewed the major challenges facing health care in East Africa and grouped them into 5 categories: 1) burden of surgical disease and workforce crisis; 2) global health view of surgery as “the neglected stepchild”; 3) need for recognizing the surgical system as an interdependent network and importance of organizational and equipment deficits; 4) lack of education in the community, failure of primary care systems, and net result of overwhelming tertiary care systems; 5) personal and professional burnout as well as brain drain of promising human resources from low- and middle-income countries in East Africa and similar regions across the world. Each major challenge was detailed and analyzed by authors who have worked or are currently working in the region, providing a personal perspective. As the second of 3 articles in this series, the aim of this article is 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 and improving health care in the region (innovations). Recognizing the challenges that need to be addressed is the first step to implementing efficient and qualified surgery delivery systems in low- and middle-income countries. We reviewed the major challenges facing health care in East Africa and grouped them into 5 categories: 1) burden of surgical disease and workforce crisis; 2) global health view of surgery as “the neglected stepchild”; 3) need for recognizing the surgical system as an interdependent network and importance of organizational and equipment deficits; 4) lack of education in the community, failure of primary care systems, and net result of overwhelming tertiary care systems; 5) personal and professional burnout as well as brain drain of promising human resources from low- and middle-income countries in East Africa and similar regions across the world. Each major challenge was detailed and analyzed by authors who have worked or are currently working in the region, providing a personal perspective. Global neurosurgery Elsevier Workforce crisis Elsevier Burden of disease Elsevier Brain drain Elsevier East Africa Elsevier Qureshi, Mubashir M. oth Budohoski, Karol P. oth Mangat, Halinder S. oth Ngerageza, Japhet G. oth Schöller, Karsten oth Shabani, Hamisi K. oth Zubkov, Micaella R. oth Härtl, Roger oth Enthalten in Elsevier Zamora, J.C. ELSEVIER First measurement of isoscalar giant resonances in a stored-beam experiment 2016 Amsterdam (DE-627)ELV003475433 volume:113 year:2018 pages:425-435 extent:11 https://doi.org/10.1016/j.wneu.2018.01.084 Volltext GBV_USEFLAG_U GBV_ELV SYSFLAG_U SSG-OLC-PHY SSG-OPC-AST UA 1000 Referateblätter und Zeitschriften Physik Referateblätter und Zeitschriften (DE-625)rvk/145215: (DE-576)329175343 33.40 Kernphysik VZ 33.50 Physik der Elementarteilchen und Felder: Allgemeines VZ 39.22 Astrophysik VZ AR 113 2018 425-435 11 045F 610 |
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10.1016/j.wneu.2018.01.084 doi GBV00000000000242A.pica (DE-627)ELV042811287 (ELSEVIER)S1878-8750(18)30127-X DE-627 ger DE-627 rakwb eng 610 610 DE-600 530 VZ UA 1000 VZ rvk (DE-625)rvk/145215: 33.40 bkl 33.50 bkl 39.22 bkl Santos, Maria M. verfasserin aut The Growth of Neurosurgery in East Africa: Challenges 2018transfer abstract 11 nicht spezifiziert zzz rdacontent nicht spezifiziert z rdamedia nicht spezifiziert zu rdacarrier As the second of 3 articles in this series, the aim of this article is 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 and improving health care in the region (innovations). Recognizing the challenges that need to be addressed is the first step to implementing efficient and qualified surgery delivery systems in low- and middle-income countries. We reviewed the major challenges facing health care in East Africa and grouped them into 5 categories: 1) burden of surgical disease and workforce crisis; 2) global health view of surgery as “the neglected stepchild”; 3) need for recognizing the surgical system as an interdependent network and importance of organizational and equipment deficits; 4) lack of education in the community, failure of primary care systems, and net result of overwhelming tertiary care systems; 5) personal and professional burnout as well as brain drain of promising human resources from low- and middle-income countries in East Africa and similar regions across the world. Each major challenge was detailed and analyzed by authors who have worked or are currently working in the region, providing a personal perspective. As the second of 3 articles in this series, the aim of this article is 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 and improving health care in the region (innovations). Recognizing the challenges that need to be addressed is the first step to implementing efficient and qualified surgery delivery systems in low- and middle-income countries. We reviewed the major challenges facing health care in East Africa and grouped them into 5 categories: 1) burden of surgical disease and workforce crisis; 2) global health view of surgery as “the neglected stepchild”; 3) need for recognizing the surgical system as an interdependent network and importance of organizational and equipment deficits; 4) lack of education in the community, failure of primary care systems, and net result of overwhelming tertiary care systems; 5) personal and professional burnout as well as brain drain of promising human resources from low- and middle-income countries in East Africa and similar regions across the world. Each major challenge was detailed and analyzed by authors who have worked or are currently working in the region, providing a personal perspective. Global neurosurgery Elsevier Workforce crisis Elsevier Burden of disease Elsevier Brain drain Elsevier East Africa Elsevier Qureshi, Mubashir M. oth Budohoski, Karol P. oth Mangat, Halinder S. oth Ngerageza, Japhet G. oth Schöller, Karsten oth Shabani, Hamisi K. oth Zubkov, Micaella R. oth Härtl, Roger oth Enthalten in Elsevier Zamora, J.C. ELSEVIER First measurement of isoscalar giant resonances in a stored-beam experiment 2016 Amsterdam (DE-627)ELV003475433 volume:113 year:2018 pages:425-435 extent:11 https://doi.org/10.1016/j.wneu.2018.01.084 Volltext GBV_USEFLAG_U GBV_ELV SYSFLAG_U SSG-OLC-PHY SSG-OPC-AST UA 1000 Referateblätter und Zeitschriften Physik Referateblätter und Zeitschriften (DE-625)rvk/145215: (DE-576)329175343 33.40 Kernphysik VZ 33.50 Physik der Elementarteilchen und Felder: Allgemeines VZ 39.22 Astrophysik VZ AR 113 2018 425-435 11 045F 610 |
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10.1016/j.wneu.2018.01.084 doi GBV00000000000242A.pica (DE-627)ELV042811287 (ELSEVIER)S1878-8750(18)30127-X DE-627 ger DE-627 rakwb eng 610 610 DE-600 530 VZ UA 1000 VZ rvk (DE-625)rvk/145215: 33.40 bkl 33.50 bkl 39.22 bkl Santos, Maria M. verfasserin aut The Growth of Neurosurgery in East Africa: Challenges 2018transfer abstract 11 nicht spezifiziert zzz rdacontent nicht spezifiziert z rdamedia nicht spezifiziert zu rdacarrier As the second of 3 articles in this series, the aim of this article is 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 and improving health care in the region (innovations). Recognizing the challenges that need to be addressed is the first step to implementing efficient and qualified surgery delivery systems in low- and middle-income countries. We reviewed the major challenges facing health care in East Africa and grouped them into 5 categories: 1) burden of surgical disease and workforce crisis; 2) global health view of surgery as “the neglected stepchild”; 3) need for recognizing the surgical system as an interdependent network and importance of organizational and equipment deficits; 4) lack of education in the community, failure of primary care systems, and net result of overwhelming tertiary care systems; 5) personal and professional burnout as well as brain drain of promising human resources from low- and middle-income countries in East Africa and similar regions across the world. Each major challenge was detailed and analyzed by authors who have worked or are currently working in the region, providing a personal perspective. As the second of 3 articles in this series, the aim of this article is 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 and improving health care in the region (innovations). Recognizing the challenges that need to be addressed is the first step to implementing efficient and qualified surgery delivery systems in low- and middle-income countries. We reviewed the major challenges facing health care in East Africa and grouped them into 5 categories: 1) burden of surgical disease and workforce crisis; 2) global health view of surgery as “the neglected stepchild”; 3) need for recognizing the surgical system as an interdependent network and importance of organizational and equipment deficits; 4) lack of education in the community, failure of primary care systems, and net result of overwhelming tertiary care systems; 5) personal and professional burnout as well as brain drain of promising human resources from low- and middle-income countries in East Africa and similar regions across the world. Each major challenge was detailed and analyzed by authors who have worked or are currently working in the region, providing a personal perspective. Global neurosurgery Elsevier Workforce crisis Elsevier Burden of disease Elsevier Brain drain Elsevier East Africa Elsevier Qureshi, Mubashir M. oth Budohoski, Karol P. oth Mangat, Halinder S. oth Ngerageza, Japhet G. oth Schöller, Karsten oth Shabani, Hamisi K. oth Zubkov, Micaella R. oth Härtl, Roger oth Enthalten in Elsevier Zamora, J.C. ELSEVIER First measurement of isoscalar giant resonances in a stored-beam experiment 2016 Amsterdam (DE-627)ELV003475433 volume:113 year:2018 pages:425-435 extent:11 https://doi.org/10.1016/j.wneu.2018.01.084 Volltext GBV_USEFLAG_U GBV_ELV SYSFLAG_U SSG-OLC-PHY SSG-OPC-AST UA 1000 Referateblätter und Zeitschriften Physik Referateblätter und Zeitschriften (DE-625)rvk/145215: (DE-576)329175343 33.40 Kernphysik VZ 33.50 Physik der Elementarteilchen und Felder: Allgemeines VZ 39.22 Astrophysik VZ AR 113 2018 425-435 11 045F 610 |
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10.1016/j.wneu.2018.01.084 doi GBV00000000000242A.pica (DE-627)ELV042811287 (ELSEVIER)S1878-8750(18)30127-X DE-627 ger DE-627 rakwb eng 610 610 DE-600 530 VZ UA 1000 VZ rvk (DE-625)rvk/145215: 33.40 bkl 33.50 bkl 39.22 bkl Santos, Maria M. verfasserin aut The Growth of Neurosurgery in East Africa: Challenges 2018transfer abstract 11 nicht spezifiziert zzz rdacontent nicht spezifiziert z rdamedia nicht spezifiziert zu rdacarrier As the second of 3 articles in this series, the aim of this article is 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 and improving health care in the region (innovations). Recognizing the challenges that need to be addressed is the first step to implementing efficient and qualified surgery delivery systems in low- and middle-income countries. We reviewed the major challenges facing health care in East Africa and grouped them into 5 categories: 1) burden of surgical disease and workforce crisis; 2) global health view of surgery as “the neglected stepchild”; 3) need for recognizing the surgical system as an interdependent network and importance of organizational and equipment deficits; 4) lack of education in the community, failure of primary care systems, and net result of overwhelming tertiary care systems; 5) personal and professional burnout as well as brain drain of promising human resources from low- and middle-income countries in East Africa and similar regions across the world. Each major challenge was detailed and analyzed by authors who have worked or are currently working in the region, providing a personal perspective. As the second of 3 articles in this series, the aim of this article is 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 and improving health care in the region (innovations). Recognizing the challenges that need to be addressed is the first step to implementing efficient and qualified surgery delivery systems in low- and middle-income countries. We reviewed the major challenges facing health care in East Africa and grouped them into 5 categories: 1) burden of surgical disease and workforce crisis; 2) global health view of surgery as “the neglected stepchild”; 3) need for recognizing the surgical system as an interdependent network and importance of organizational and equipment deficits; 4) lack of education in the community, failure of primary care systems, and net result of overwhelming tertiary care systems; 5) personal and professional burnout as well as brain drain of promising human resources from low- and middle-income countries in East Africa and similar regions across the world. Each major challenge was detailed and analyzed by authors who have worked or are currently working in the region, providing a personal perspective. Global neurosurgery Elsevier Workforce crisis Elsevier Burden of disease Elsevier Brain drain Elsevier East Africa Elsevier Qureshi, Mubashir M. oth Budohoski, Karol P. oth Mangat, Halinder S. oth Ngerageza, Japhet G. oth Schöller, Karsten oth Shabani, Hamisi K. oth Zubkov, Micaella R. oth Härtl, Roger oth Enthalten in Elsevier Zamora, J.C. ELSEVIER First measurement of isoscalar giant resonances in a stored-beam experiment 2016 Amsterdam (DE-627)ELV003475433 volume:113 year:2018 pages:425-435 extent:11 https://doi.org/10.1016/j.wneu.2018.01.084 Volltext GBV_USEFLAG_U GBV_ELV SYSFLAG_U SSG-OLC-PHY SSG-OPC-AST UA 1000 Referateblätter und Zeitschriften Physik Referateblätter und Zeitschriften (DE-625)rvk/145215: (DE-576)329175343 33.40 Kernphysik VZ 33.50 Physik der Elementarteilchen und Felder: Allgemeines VZ 39.22 Astrophysik VZ AR 113 2018 425-435 11 045F 610 |
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The Growth of Neurosurgery in East Africa: Challenges |
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As the second of 3 articles in this series, the aim of this article is 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 and improving health care in the region (innovations). Recognizing the challenges that need to be addressed is the first step to implementing efficient and qualified surgery delivery systems in low- and middle-income countries. We reviewed the major challenges facing health care in East Africa and grouped them into 5 categories: 1) burden of surgical disease and workforce crisis; 2) global health view of surgery as “the neglected stepchild”; 3) need for recognizing the surgical system as an interdependent network and importance of organizational and equipment deficits; 4) lack of education in the community, failure of primary care systems, and net result of overwhelming tertiary care systems; 5) personal and professional burnout as well as brain drain of promising human resources from low- and middle-income countries in East Africa and similar regions across the world. Each major challenge was detailed and analyzed by authors who have worked or are currently working in the region, providing a personal perspective. |
abstractGer |
As the second of 3 articles in this series, the aim of this article is 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 and improving health care in the region (innovations). Recognizing the challenges that need to be addressed is the first step to implementing efficient and qualified surgery delivery systems in low- and middle-income countries. We reviewed the major challenges facing health care in East Africa and grouped them into 5 categories: 1) burden of surgical disease and workforce crisis; 2) global health view of surgery as “the neglected stepchild”; 3) need for recognizing the surgical system as an interdependent network and importance of organizational and equipment deficits; 4) lack of education in the community, failure of primary care systems, and net result of overwhelming tertiary care systems; 5) personal and professional burnout as well as brain drain of promising human resources from low- and middle-income countries in East Africa and similar regions across the world. Each major challenge was detailed and analyzed by authors who have worked or are currently working in the region, providing a personal perspective. |
abstract_unstemmed |
As the second of 3 articles in this series, the aim of this article is 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 and improving health care in the region (innovations). Recognizing the challenges that need to be addressed is the first step to implementing efficient and qualified surgery delivery systems in low- and middle-income countries. We reviewed the major challenges facing health care in East Africa and grouped them into 5 categories: 1) burden of surgical disease and workforce crisis; 2) global health view of surgery as “the neglected stepchild”; 3) need for recognizing the surgical system as an interdependent network and importance of organizational and equipment deficits; 4) lack of education in the community, failure of primary care systems, and net result of overwhelming tertiary care systems; 5) personal and professional burnout as well as brain drain of promising human resources from low- and middle-income countries in East Africa and similar regions across the world. Each major challenge was detailed and analyzed by authors who have worked or are currently working in the region, providing a personal perspective. |
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We reviewed the major challenges facing health care in East Africa and grouped them into 5 categories: 1) burden of surgical disease and workforce crisis; 2) global health view of surgery as “the neglected stepchild”; 3) need for recognizing the surgical system as an interdependent network and importance of organizational and equipment deficits; 4) lack of education in the community, failure of primary care systems, and net result of overwhelming tertiary care systems; 5) personal and professional burnout as well as brain drain of promising human resources from low- and middle-income countries in East Africa and similar regions across the world. 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