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World Neurosurg. 2015 Sep;84(3):671-6. doi: 10.1016/j.wneu.2015.03.064. Epub 2015 Apr 13.

Challenges in the Management of Hydrocephalic Children in Northern Mozambique.

Author information

1
Department of Neurology and Neurosurgery of Faculty of Health Sciences, University of Lúrio, Nampula, Mozambique; Department of Neurosurgery, Centro Hospitalar São João, Oporto, Portugal; Department of Clinical Neurosciences and Mental Health, Faculty of Medicine, University of Porto, Oporto, Portugal; Neurosciences Unit of CUF Porto Hospital, Oporto, Portugal. Electronic address: sfsalvador.neurocirurgia@gmail.com.
2
Department of Neurology and Neurosurgery of Faculty of Health Sciences, University of Lúrio, Nampula, Mozambique; Department of Neurosurgery, Central Hospital of Nampula, Nampula, Mozambique.
3
Department of Neurology and Neurosurgery of Faculty of Health Sciences, University of Lúrio, Nampula, Mozambique.
4
Department of Neurosurgery, Centro Hospitalar São João, Oporto, Portugal; Department of Clinical Neurosciences and Mental Health, Faculty of Medicine, University of Porto, Oporto, Portugal; Neurosciences Unit of CUF Porto Hospital, Oporto, Portugal.
5
Institute of Public Health of University of Porto, Oporto, Portugal; Department of Clinical Epidemiology, Predictive Medicine and Public Health of Faculty of Medicine, University of Porto, Oporto, Portugal.

Abstract

BACKGROUND:

Hydrocephalus in sub-Saharan Africa, including Mozambique, is still a significant health care problem.

METHODS:

Retrospective data from a previous study were used to determine patient provenance, referral patterns, and lost to follow-up rates.

RESULTS:

Many children with hydrocephalus in this region are not taken to health care facilities for treatment. Reasons include poverty, difficult access, lack of transportation, and erroneous cultural interpretations. Resource limitations in terms of poorly equipped health care facilities and a lack of trained health professionals also contribute.

CONCLUSIONS:

Efforts to improve prevention, early diagnosis, treatment, and follow-up are of utmost importance in Mozambique.

KEYWORDS:

Hydrocephalus; Infant; Management; Mozambique

PMID:
25882795
DOI:
10.1016/j.wneu.2015.03.064
[Indexed for MEDLINE]

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