Women Anesthesiologists in Sub-Saharan Africa in the Pre-COVID Era: A Multinational Demographic Study.

Autor:	Ki BK; From the Service d'Anesthésie-Réanimation, CHU Pédiatrique Charles de Gaulle, Université Joseph Ki-Zerbo, Ouagadougou, Burkina Faso., Onajin-Obembe B; Department of Anaesthesiology, Faculty of Clinical Sciences, College of Health Sciences, University of Port Harcourt, Port Harcourt, Rivers State, Nigeria., Adekola O; Department of Anaesthesia, College of Medicine University of Lagos, Lagos, Nigeria., Baele PL; Department of Anesthesiology, Faculty of Medicine, Catholic University of Louvain (UCLouvain), Ottignies-Louvain-la-Neuve, Belgium., Binam F; Department of Anaesthesia, Yaoundé Faculty of Medicine and Biomedical Sciences, Yaoundé, Cameroon., Daddy H; Faculté des sciences de la santé, Université Abdou Moumouni, Niamey, Niger., Diouf E; Service d'Anesthésie-Réanimation, Faculté de Médecine, Université Cheikh Anta Diop de Dakar, Dakar, Senegal., Fanou L; Hôpital d'instruction des armées, Centre hospitalier universitaire de Cotonou, Université d'Abomey-Calavi, Abomey-Calavi, Benin., Gathuya ZN; Department of Paediatric Anaesthesia, the Nairobi Hospital, Nairobi, Kenya., Igaga EN; Uganda Heart Institute, Department of Anaesthesia and Critical care, Division of Cardiac Anaesthesia, Kampala, Uganda., Jeque E; Faculdade de Medicina da Universidade Eduardo Mondlane, Maputo, Moçambique., Mawandza P; Faculté des Sciences de la Santé - Université Marien Ngouabi, Brazzaville, Congo., Nabukenya MT; Uganda Heart Institute, Department of Anaesthesia and Critical care, Division of Cardiac Anaesthesia, Kampala, Uganda., Nabulindo SM; Department of Anaesthesia, University of Nairobi, Nairobi, Kenya., Nicole Rakotoarison RC; Department of Anesthésie-Réanimation, Faculté de Médecine d'Atananarivo, Atananarivo, Madagascar., Robert AR; Department of Epidemiology & Biostatistics, IREC EPID UCLouvain, Brussels, Belgium., Schwalbach T; Faculdade de Medicina da Universidade Eduardo Mondlane, Maputo, Moçambique., Uwambazimana JD; Department of Anaesthesia, College of Medicine and Health Sciences, School of Medicine and Pharmacy, University of Rwanda, Kigali, Rwanda., Vilasco B; Unité de Formation et de Recherche en Sciences Médicales, Université Félix Houphouët-Boigny d'Abidjan, Cocody, Côte D'ivoire., Zomahoun L; Faculté des Sciences de la Santé, CHU Mère-Enfant Lagune, Université d'Abomey-Calavi, Cotonou, Benin.
Jazyk:	angličtina
Zdroj:	Anesthesia and analgesia [Anesth Analg] 2024 Jul 01; Vol. 139 (1), pp. 4-14. Date of Electronic Publication: 2024 Feb 01.
DOI:	10.1213/ANE.0000000000006868
Abstrakt:	Background: Gender imbalance and poor representation of women complicate the anesthesiology workforce crisis in sub-Saharan Africa (SSA). This study was performed to obtain a better understanding of gender disparity among medical graduates and anesthesiologists in SSA. Methods: Using a quantitative, participatory, insider research study, led by female anesthesiologists as the national coordinators in SSA, we collected data from academic or national health authorities and agencies. National coordinators were nominees of anesthesiology societies that responded to our email invitations. Data gathered from 13 countries included information on medical graduates, anesthesiologists graduating between 1998 and 2021, and number of anesthesiologists licensed to practice in 2018. We compared data between Francophone and Anglophone countries, and between countries in East Africa and West Africa/Central Africa. We calculated anesthesiology workforce densities and compared representation of women among graduating anesthesiologists and medical graduates.Data analysis was performed using linear regression. We used F-tests on regression slopes to assess the trends in representation of women over the years and the differences between the slopes. A value of P < .050 was considered statistically significant. Results: Over a 20-year period, the representation of female medical graduates in SSA increased from 29% (1998) to 41% (2017), whereas representation of female anesthesiologists was inconsistent, with an average of 25%, and lagged behind. Growth and gender disparity patterns were different between West Africa/Central Africa and East Africa. Representation of female anesthesiologists was higher in East Africa (39.4%) than West Africa/Central Africa (19.7%); and the representation of female medical graduates in East Africa (42.5%) was also higher that West Africa/Central Africa (33.1%). Conclusions: On average, in SSA, female medical graduates (36.9%), female anesthesiologists (24.9%), and female anesthesiology residents projected to graduate between 2018 and 2022 (25.2%) were underrepresented when compared to their male counterparts. Women were underrepresented in SSA, despite evidence that their representation in medicine and anesthesiology in East African countries was rising. Competing Interests: The authors declare no conflicts of interest. (Copyright © 2024 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of the International Anesthesia Research Society.)
Databáze:	MEDLINE
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