El Khamlichi A
Surg Neurol. 1998 Mar;49(3):342-7. doi: 10.1016/s0090-3019(96)00423-5.
A survey conducted among African neurosurgeons shows that there are now 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 scant 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 African neurosurgeons. This continental African association represents African neurosurgeons in the World Federation of Neurosurgical Societies (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: (1) local training, and (2) training abroad. These two systems have unequal quality and specific difficulties that are pointed out. Among the optimistic elements that 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 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 WFNS. The latter, together with other associations such as the European Association of Neurosurgical Societies (EANS) 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的调查显示，非洲目前有500名神经外科医生；也就是说，每135万居民有一名神经外科医生，每7万平方公里有一名神经外科医生。这些神经外科医生的分布存在显著的地区差异：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。在神经外科发展得相当不错的这两个地区之间，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协会联合会（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，神经外科协会只有6个。非洲存在两种培训体系：（1）本地培训，（2）国外培训。指出这两种体系质量不等且存在特定困难。在让我们相信非洲神经外科会发展的乐观因素中，有非洲大陆两端（北非和南非）神经外科有相当不错的水平、非洲大学神经科学的发展以及国际社会近年来对非洲日益增长的兴趣。然而，真正乐观的因素是非洲神经外科医生，他们应在本国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建立活跃且有作为的协会，来推动非洲大陆的神经外科发展。在大陆和国际层面，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WFNS进一步与其他大陆开展交流。WFNS与欧洲神经外科协会（EANS）等其他协会一起，在培训、交流、研究和组织方面可为非洲神经外科的发展提供帮助。
