Department of Neurosurgery, University of Alexandria, Alexandria, Egypt.
World Neurosurg. 2010 Apr;73(4):254-8. doi: 10.1016/j.wneu.2010.02.012.
Two major challenges facing African neurosurgery include quality and quantity, in both recourses and personnel. Discrepancy is noted between the two poles, namely, the north and south of the continent and the sub-Saharan area. Although reasonably advanced in the north and south, neurosurgery remains poorly distributed and has multiple deficiencies. The sub-Saharan region, where the demand is high and services are scarce, suffers from a similar lack of both qualified personnel and well-equipped neurosurgical facilities. Insufficient state funding and research facilities aggravate the situation and discourage the few well-trained African neurosurgeons to practice in their homeland. For those who do return home, cultural, social, economical, and political issues hinder their performance and hence the quality of neurosurgery delivered in Africa. Strategies for rectification of these handicaps are presented, including the need for high-standard local training and support from international organizations.
非洲神经外科学面临的两大挑战包括资源和人员方面的质量和数量。大陆的两极，即北部和南部以及撒哈拉以南地区之间存在差异。尽管北部和南部的神经外科学发展相对先进，但仍然分布不均且存在多种缺陷。需求高而服务匮乏的撒哈拉以南地区，既缺乏合格的人员，也缺乏设备齐全的神经外科设施。国家资金和研究设施的不足使情况恶化，并使为数不多的受过良好训练的非洲神经外科医生不愿在本国执业。对于那些回国的人来说，文化、社会、经济和政治问题阻碍了他们的表现，从而影响了非洲提供的神经外科学的质量。本文提出了纠正这些障碍的策略，包括需要进行高标准的本地培训以及国际组织的支持。
