Urologist Workforce and Services in Ethiopia.

Autor: Kifle AT; Department of Surgery, Mudulla Hospital, Po Box 16, Snnpr, Ethiopia. antyeneh@gmail.com., Biyani CS; Department of Urology, St James's University Hospital, Leeds Teaching Hospitals NHS Trust, Beckett Street, Leeds, LS97TF, West Yorkshire, UK., Bogdanowicz J; Department of Urology, Kilimanjaro Christian Medical Center, Moshi, Tanzania., Demilow TL; Department of Surgery, Hawassa University, Hawassa, Ethiopia., Teferi GT; Department of Surgery, Hawassa University, Hawassa, Ethiopia., Tsega TA; Department of Surgery, Hawassa University, Hawassa, Ethiopia.
Jazyk: angličtina
Zdroj: World journal of surgery [World J Surg] 2023 Nov; Vol. 47 (11), pp. 2628-2634. Date of Electronic Publication: 2023 Sep 08.
DOI: 10.1007/s00268-023-07169-0
Abstrakt: Background: Urological conditions are a cause of diminishing quality of life, hence affecting productivity. Despite the need for urological treatment, it was excluded from receiving priority in both United Nation and Lancet commission. Most of the surgeries in sub-Saharan Africa are open surgeries. The lack of basic endourology equipment and a shortage of experts have limited Africans from receiving the privileges of minimally invasive surgeries, especially in urology. This study describes the socio demographics of the urologists in Ethiopia, the field of services they provide and their access to endourology equipment.
Methods: This study presents data from a survey of urologists in Ethiopia who are members of Urology Society of Ethiopia (USE).
Results: Thirty-three urologists of the 43 responded, making the response rate 76.5%. Qualification by urology residency in Ethiopia accounted for 66.7% of participants, followed by 21.2% by fellowship training abroad after general surgery training. All respondents practice open surgeries and 75.8% perform endourology. Video endoscope and cystoscopy sets were available to all those practicing endourology, with Direct Visual Internal Urethrotomy (DVIU) sets having the next highest availability and Flexible UreteroRenoScope(URS) and laser lithotripters the least accessible.
Conclusions: Urology in Ethiopia is in its infancy, where the lack of advanced medical equipment combined with a paucity of qualified urologists have created a huge challenge for the provision of these services.
(© 2023. The Author(s) under exclusive licence to Société Internationale de Chirurgie.)
Databáze: MEDLINE
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