Beer-Furlan André, Neto Sérgio G, Teixeira Manoel J, Figueiredo Eberval G
Department of Neurological Surgery, Rush University Medical Center, Chicago, Illinois, USA.
Department of Surgery, Neurosurgery Service, Clínica Girassol, Luanda, Angola; Department of Surgery, Neurosurgery Service, Clínica Sagrada Esperança, Luanda, Angola.
World Neurosurg. 2019 Feb;122:29-32. doi: 10.1016/j.wneu.2018.10.081. Epub 2018 Oct 23.
Although Africa accounts for 15% of the global volume of neurosurgical disease, African hospitals and health care networks have access to <1% of the neurosurgeon community. Health care and neurosurgical care are particularly scarce in sub-Saharan Africa due to long periods of imperialism, civil war, poverty, and famines that have plagued the area.
We provide a historical perspective and initial experience of the development of neurosurgery in Angola.
The Republic of Angola has the seventh largest territory in Africa and a population of approximately 29 million people; however, it has a severe deficit of neurosurgery specialists. Between 1975 and 2012, only 5 neurosurgeons practiced in the country. We report the initial experience of the first Angolan physician who completed a full neurosurgical residency in Brazil through the Hospital das Clínicas-University of São Paulo Medical School international medical training program. The challenges of fulfilling the need for neurosurgical services and the future perspectives of building a sustainable program in Angola are discussed.
Partnerships between developing countries and sub-Saharan African countries may be the starting point in supplying neurosurgical specialists to the countries in need.
尽管非洲的神经外科疾病病例数占全球的15%，但非洲的医院和医疗保健网络中神经外科医生的数量却不到全球神经外科医生总数的1%。由于长期遭受帝国主义、内战、贫困和饥荒的困扰，撒哈拉以南非洲地区的医疗保健和神经外科护理尤为匮乏。
我们提供了安哥拉神经外科发展的历史视角和初步经验。
安哥拉共和国是非洲第七大国家，人口约2900万；然而，该国神经外科专家严重短缺。1975年至2012年间，该国仅有5名神经外科医生执业。我们报告了首位通过圣保罗大学医学院临床医院国际医学培训项目在巴西完成完整神经外科住院医师培训的安哥拉医生的初步经验。文中还讨论了满足神经外科服务需求所面临的挑战以及在安哥拉建立可持续项目的未来前景。
发展中国家与撒哈拉以南非洲国家之间的伙伴关系可能是为有需要的国家提供神经外科专家的起点。
