el Khamlichi A
Service de Neurochirurgie, Hôpital des Spécialités ONO, CHU Ibn Sina, Rabat, Maroc.
Neurochirurgie. 1996;42(6):321-6.
A survey conducted among African neurosurgeons shows that there are nowadays 500 neurosurgeons in Africa, that is one neurosurgeon for 1,350,000 inhabitants, and 70,000 km2. The distribution of these neurosurgeons shows a striking regional disparity: North Africa has 354 neurosurgeons for 119 million inhabitants, that is one neurosurgeon for 338,000 inhabitants, and South Africa has 65 neurosurgeons for 40 million inhabitants, that is one neurosurgeon for 620,000 inhabitants. Between these two areas where neurosurgery is developing quite well, we have the majority of African countries with a scanty density of neurosurgeons (81 neurosurgeons for 515 million inhabitants, that is one neurosurgeon for 6,368,000 inhabitants). The Panafrican Association of Neurological Sciences "PAANS" brings together the African neurosurgeons. This continental African Association represents African neurosurgeons in the WFNS. In addition to this continental Association, there are national societies of neurosciences. However, there are only six Societies of Neurosurgery. Two systems of training exist in Africa: local training and training abroad. These two systems have unequal quality and specific difficulties which have already been pointed out. Among the optimistic elements which make us believe in the development of neurosurgery in Africa are the existence of a quite good level of neurosurgery at the two extremities of the continent (North Africa and South Africa), the development of neurosciences in the African universities, and the increasing interest that the international community bears to Africa in the last years. However, the real factor of optimism is the African neurosurgeons who should promote neurosurgery in their continent, at the level of their own countries by developing information and health education, setting their specialty in the education syllabus and health planning, and settling into active and performing societies. At the continental and international level, African neurosurgeons should institutionalize inter-African cooperation, expedite their continental association (PAANS), and further exchanges with the other continents through the SNCLF (Société de Neurochirurgie de Langue Francaise). The latter, together with other associations such as the EANS (European Association of Neurosurgical Societies) and WFNS (World Federation of Neurosurgical Societies) could provide help to the development of Neurosurgery in Africa as far as training, exchanges, research and organization are concerned.
一项针对非洲神经外科医生开展的调查显示，如今非洲有500名神经外科医生，即每135万居民有一名神经外科医生，覆盖面积为7万平方公里。这些神经外科医生的分布呈现出显著的地区差异：北非1.19亿居民中有354名神经外科医生，即每33.8万居民有一名神经外科医生；南非4000万居民中有65名神经外科医生，即每62万居民有一名神经外科医生。在这两个神经外科发展良好的地区之间，大多数非洲国家的神经外科医生密度很低（5.15亿居民中有81名神经外科医生，即每636.8万居民有一名神经外科医生）。泛非神经科学协会（PAANS）汇聚了非洲的神经外科医生。这个非洲大陆协会在世界神经外科联合会（WFNS）中代表非洲神经外科医生。除了这个大陆协会外，还有神经科学国家协会。然而，只有六个神经外科学会。非洲存在两种培训体系：本地培训和国外培训。这两种体系质量不等，且存在已被指出的特定困难。让我们相信非洲神经外科能够发展的乐观因素包括：在非洲大陆两端（北非和南非）神经外科水平相当不错，非洲各大学神经科学的发展，以及近年来国际社会对非洲日益增长的关注。然而，真正令人乐观的因素是非洲神经外科医生，他们应在自己国家层面通过开展信息和健康教育、将其专业纳入教育大纲和卫生规划以及组建活跃且有作为的协会来推动非洲的神经外科发展。在非洲大陆和国际层面，非洲神经外科医生应将非洲内部合作制度化，加快其大陆协会（PAANS）的发展，并通过法语神经外科学会（SNCLF）进一步加强与其他大陆的交流。后者与欧洲神经外科学会协会（EANS）和世界神经外科联合会（WFNS）等其他协会一道，在培训、交流、研究和组织方面能够为非洲神经外科的发展提供帮助。
