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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Introducing endourology to a developing country: How to make it sustainable
Journal of Clinical Urology, Volume 7, No. 3, Year 2014
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Description
Background: Endourological procedures are not routinely performed in low-income countries in sub-Saharan Africa. The problems that are involved in introducing endoscopic services are low level of medical personnel trained in endoscopic procedures and infrastructure development in these countries. Materials and methods: Recently, endourological facilities were created at the Hawassa Referral Hospital in Ethiopia. This work is the result of close collaboration between the UROLINK and the Hawassa Referral Hospital Link coordinator. Between 2010 and 2012, the UROLINK team visited Hawassa three times to set up endourological services. Results: A local surgeon has been trained in basic endoscopic procedures. Optical urethrotomy and flexible and rigid cystoscopy have been successfully introduced. We discuss the difficulties involved in such a project like initial assessment, providing equipment, maintenance of equipment, and, particularly, training of the surgical team. The follow up from the trips is short and the sustainability of the goal remains to be seen. Conclusions: The introduction of endourological services in Hawassa offers a chance of improving urological care locally. The experience of Hawassa is representative of other low-income countries and may provide valuable lessons. A few key principles (need, equipment, cost, surgical technique, and training) should be kept in mind. © British Association of Urological Surgeons 2013.
Authors & Co-Authors
Biyani, Chandra Shekhar
United Kingdom, Wakefield
Pinderfields General Hospital
Bhatt, Jaimin
United Kingdom, Oxford
Oxford University Hospitals Nhs Foundation Trust
Taylor, Joby
United Kingdom, Larbert
Forth Valley Royal Hospital
Gobeze, Aberra A.
Ethiopia, Awassa
Hawassa Referral Hospital
McGrath, John Samuel
United Kingdom, Exeter
Royal Devon and Exeter Nhs Foundation Trust
MacDonagh, Ruaraidh
United Kingdom, Taunton
Musgrove Park Hospital
Statistics
Citations: 16
Authors: 6
Affiliations: 6
Identifiers
Doi:
10.1177/2051415813514971
ISSN:
20514158
e-ISSN:
20514166
Research Areas
Health System And Policy
Study Locations
Ethiopia