Division of Global Neurosurgery and Neurology, Duke University, Durham, North Carolina, USA; Department of Neurosurgery, Duke University Medical Center, Durham, North Carolina, USA.
Department of Surgery, Federal Medical Centre, Owo, Nigeria.
World Neurosurg. 2024 May;185:e30-e43. doi: 10.1016/j.wneu.2023.12.104.
Like many low- and-middle-income countries in Africa, documented assessment of the neurosurgical workforce, equipment, infrastructure, and scope of service delivery in Nigeria is lacking. This study aimed to assess the capacity for the delivery of neurosurgical services in Nigeria.
An 83-question survey was disseminated to neurosurgeons and residents in Nigeria. We report the findings from the capacity assessment section of the survey, which used the modified neurological-PIPES (personnel, infrastructure, procedures, equipment, and supplies) (MN-PIPES) tool to evaluate the availability of neurosurgical personnel, infrastructure, procedures, equipment, and supplies. A comparative analysis was done using the domain and total MN-PIPES scores and MN-PIPES index.
The national average MN-PIPES score and index were 176.4 and 9.8, respectively. Overall, the southwest and northwest regions had the highest scores and frequently had high subscores. The survey respondents reported that the main challenges impeding neurosurgery service delivery were a lack of adjunctive supplies (75.2%), a dearth of diagnostic and interventional equipment (72.4%), and an absence of a dedicated intensive care unit (72.4%).
The availability of workforce, infrastructure, equipment, and supplies needed to provide optimal neurosurgical care is uneven in many institutions in Nigeria. Although major strides have been made in recent years, targeted collaborative interventions at local, national, regional, and international levels will further improve neurosurgical service delivery in Nigeria and will have positive ripple effects on the rest of the healthcare system.
与非洲许多中低收入国家一样，尼日利亚缺乏对神经外科劳动力、设备、基础设施和服务提供范围的文件评估。本研究旨在评估尼日利亚提供神经外科服务的能力。
向尼日利亚的神经外科医生和住院医师分发了一份包含 83 个问题的调查问卷。我们报告了调查中能力评估部分的发现，该部分使用改良的神经学-PIPES（人员、基础设施、程序、设备和用品）（MN-PIPES）工具评估神经外科人员、基础设施、程序、设备和用品的可用性。使用域和总 MN-PIPES 评分以及 MN-PIPES 指数进行了比较分析。
全国平均 MN-PIPES 得分为 176.4，指数为 9.8。总体而言，西南部和西北部地区的得分最高，且经常具有较高的子分数。调查受访者报告称，阻碍神经外科服务提供的主要挑战是缺乏辅助用品（75.2%）、诊断和介入设备不足（72.4%）以及缺乏专门的重症监护病房（72.4%）。
在尼日利亚的许多机构中，提供最佳神经外科护理所需的劳动力、基础设施、设备和用品的供应情况参差不齐。尽管近年来取得了重大进展，但在地方、国家、区域和国际各级采取有针对性的合作干预措施将进一步改善尼日利亚的神经外科服务提供，并对医疗保健系统的其他方面产生积极的连锁反应。
