The Current State of Neurosurgery in Somaliland

被引:14
作者
Rosseau, Gail [1 ]
Kim, Eliana E. [2 ]
Barthelemy, Ernest J. [3 ]
Yusuf, Musa [4 ]
Dahir, Shukri Mohamed [5 ]
Tolessa, China Sedi [6 ]
Yusuuf, Mustafe Ahmed [7 ]
Carter, Ashley [8 ]
Vryhof, Daniel [9 ]
Geelhoed, Glenn W. [10 ]
Shlobin, Nathan A. [11 ]
机构
[1] George Washington Univ, Sch Med & Hlth Sci, Dept Neurosurg, Washington, DC 20052 USA
[2] Univ Calif San Francisco, Sch Med, San Francisco, CA USA
[3] Icahn Sch Med Mt Sinai, Dept Neurosurg, New York, NY 10029 USA
[4] Hargeisa Grp Hosp, Dept Emergency Med, Hargeisa, Somalia
[5] Edna Adan Hosp, Dept Surg, Hargeisa, Somalia
[6] Royal Care Hosp, Dept Surg, Hargeisa, Somalia
[7] Mekelle Univ, Dept Neurosurg, Addis Ababa, Ethiopia
[8] Eastern Virginia Med Sch, Norfolk, VA 23501 USA
[9] Yale Univ, Dept Emergency Med, New Haven, CT USA
[10] George Washington Univ, Med Ctr, Off Dean, Washington, DC 20037 USA
[11] Northwestern Univ, Feinberg Sch Med, Dept Neurol Surg, Chicago, IL 60611 USA
关键词
Global health; Global neurosurgery; Global surgery; International development; Somaliland; SURGICAL DISEASE; HEALTH; SURGERY; BURDEN;
D O I
10.1016/j.wneu.2021.06.136
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
-BACKGROUND: Surgical conditions account for as much as one third of the global burden of disease, yet 5 billion people worldwide do not have access to timely, affordable surgical care. These disparities in access to timely surgical care are most pronounced in low-and middle-income countries, where the availability of specialty surgical services such as neurosurgery are severely limited or completely absent. The African autonomous region of Somaliland, in the Horn of Africa, is one such region. - METHODS: Discussions were conducted with key individuals in Somaliland to ascertain the current state of neurosurgery in Somaliland. - RESULTS: The current state of neurosurgery in Somaliland was characterized. First, a background on the recent history of the republic and the surrounding region was furnished, which provides context for the challenging socioeconomic conditions in Somaliland. Brief biographical sketches were presented of local leaders and general surgeons who are actively working to improve economic and health conditions and who welcome opportunities to improve all health services, including neurosurgery. In addition, an overview was presented of new initiatives in capacity building in neurosurgery and sources of directed training and care in neurosurgery. - CONCLUSIONS: This article provides the first-ever assessment of current neurosurgery-related activity in Somaliland. The article provides recommendations to guide the international neurosurgery community in future contributions.
引用
收藏
页码:44 / 51
页数:8
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