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eNeurologicalSci. 2015 Nov 9;3:1-6. doi: 10.1016/j.ensci.2015.10.003. eCollection 2016 Jun.

Building neurosurgical capacity in low and middle income countries.

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Duke University Medical School, Durham, NC, USA.
Duke University Global Health Institute, Durham, NC, USA.
Department of Neurosurgery, Mulago Hospital, Kampala, Uganda.
Department of Neurosurgery, Duke University Medical Center, Durham, NC, USA.


Neurosurgery capacity in low- and middle-income countries is far from adequate; yet burden of neurological diseases, especially neuro-trauma, is projected to increase exponentially. Previous efforts to build neurosurgical capacity have typically been individual projects and short-term missions. Recognizing the dual needs of addressing disease burden and building sustainable, long-term neurosurgical care capacity, we describe in this paper an ongoing collaboration between the Mulago Hospital Department of Neurosurgery (Kampala, Uganda) and Duke University Medical Center (Durham, NC, USA) as a replicable model to meet the dual needs. The collaboration employs a threefold approach to building capacity: technology, twinning, and training performed together in a top-down approach. Also described are lessons learned to date by Duke Global Neurosurgery and Neurosciences (DGNN) and applicability beyond Kampala.


Capacity building; Developing country; Global surgery; Neurosurgery/education; Uganda

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