Action Africa!

Dechambenoit, Gilbert

doi:10.1016/j.wneu.2010.02.046

Cited by 17 publications

(8 citation statements)

References 1 publication

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“…Cubo et al [ 33 ] reported that a lack of imaging facilities impaired their ability to differentiate secondary Parkinsonism from idiopathic PD among the patients they were evaluating in Cameroon. Dechambenoit et al [ 41 ], in his paper “Action Africa,” described a lack of equipment and outdated operating theaters, with an absence of instruments for microsurgery and microscopes. He further stated that where neurosurgery institutes were available, they were inaccessible to 90% of the population due to a lack of health insurance systems.…”

Section: Resultsmentioning

confidence: 99%

Parkinson’s Disease in Sub-Saharan Africa: A Review of Epidemiology, Genetics and Access to Care

Williams¹,

Bandmann

Walker

2018

JMD

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A low prevalence of Parkinson’s disease (PD) has been reported in the Sub-Saharan Africa (SSA) region. The genetic causes and clinical features of PD in this region have been poorly described. Very few reports have examined the availability and access to evidence-based quality care for people living with PD in this region. We reviewed all publications focusing on idiopathic PD from SSA published up to May 2016 and observed a prevalence of PD ranging from 7/100,000 in Ethiopia to 67/100,000 in Nigeria. The most recent community-based study reported a mean age at onset of 69.4 years. The infrequent occurrence of mutations in established PD genes was also observed in the region. Treatments were non-existent or at best irregular. Additionally, there is a lack of well-trained medical personnel and multidisciplinary teams in most countries in this region. Drugs for treating PD are either not available or unaffordable. Large-scale genetic and epidemiological studies are therefore needed in SSA to provide further insights into the roles of genetics and other etiological factors in the pathogenesis of PD. The quality of care also requires urgent improvement to meet the basic level of care required by PD patients.

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Section: Resultsmentioning

confidence: 99%

Parkinson’s Disease in Sub-Saharan Africa: A Review of Epidemiology, Genetics and Access to Care

Williams¹,

Bandmann

Walker

2018

JMD

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“…A recent estimate put the ratio of neurosurgeons in Africa to population at 1 neurosurgeon: 4,000,000 people. [5] This low ratio has made neurosurgical services unavailable to a large section of the population. The problem of African neurosurgery has been the focus of several recent publications.…”

Section: Introductionmentioning

confidence: 99%

“…The problem of African neurosurgery has been the focus of several recent publications. [56789] The outlook in Nigeria is even worse with about 27 neurosurgeons serving an estimated population of 170 million (ratio of 1:6.3 million). The African neurosurgeons are, almost exclusively, in urban centers.…”

Section: Introductionmentioning

confidence: 99%

Neurosurgery in rural Nigeria: A prospective study

Rabiu

Komolafe

2016

Journal of Neurosciences in Rural Practice

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Background:Africa has very few neurosurgeons. These are almost exclusively in urban centers. Consequently, people in rural areas, most of the African population, have poor or no access to neurosurgical care. We have recently pioneered rural neurosurgery in Nigeria.Objectives:This report details our initial experiences and the profile of neurosurgical admissions in our center.Methods:A prospective observational study of all neurosurgical patients managed at a rural tertiary health institution in Nigeria from December 2010 to May 2012 was done. Simple descriptive data analysis was performed.Results:A total of 249 males (75.2%) and 82 females (24.8%) were managed. The median age was 37 years (range: Day of birth – 94 years). Trauma was the leading cause of presentation with 225 (68.0%) and 35 (10.6%) having sustained head and spinal injuries, respectively. Operative intervention was performed in 54 (16.3%). Twenty-four (7.2%) patients discharged against medical advice, mostly for economic reasons. Most patients (208, 63.4%) had satisfactory outcome while 30 (9.1%) died.Conclusion:Trauma is the leading cause of rural neurosurgical presentations. There is an urgent need to improve access to adequate neurosurgical care in the rural communities.

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“…IBRO African Centres for Advanced Training in Neuroscience have been established in Morocco and South Africa. WFNS-recognized Centres of Excellence for training neurosurgeons have been established in Nigeria, Ivory Coast, Senegal, Kenya, Zimbabwe and South Africa (Dechambenoit, 2010 ).…”

Section: Training In Neuroscience In Africamentioning

confidence: 99%

Notes on the Recent History of Neuroscience in Africa

Russell

2017

Front. Neuroanat.

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Neuroscience began with neuroanatomy and neurosurgery in Egypt more than 5000 years ago. Knowledge grew over time and specialized neurosurgery centers were established in north Africa in the eleventh century. However, it was not until the twentieth century that neuroscience research became established in sub-Saharan Africa. In most African countries, clinical research focused on understanding the rationale and improving treatment of epilepsy, infections, nutritional neuropathies, stroke and tumors. Significant advances were made. In the twenty-first century, African knowledge expanded to include all branches of neuroscience, contributing to genetic, biochemical and inflammatory determinants of brain disorders. A major focus of basic neuroscience research has been, and is, investigation of plant extracts, drugs and stress in animal models, providing insight and identifying potential novel therapies. A significant event in the history of African neuroscience was the founding of the Society of Neuroscientists of Africa (SONA) in 1993. The International Brain Research Organization (IBRO) supported SONA conferences, as well as workshops and neuroscience training schools in Africa. Thanks to their investment, as well as that of funding agencies, such as the National Institutes of Health (NIH), International Society for Neurochemistry (ISN), World Federation of Neurosurgical Societies (WFNS), World Federation of Neurology (WFN) and the International League Against Epilepsy (ILAE), neuroscience research is well-established in Africa today. However, in order to continue to develop, African neuroscience needs continued international support and African neuroscientists need to engage in policy and decision-making to persuade governments to fund studies that address the unique regional needs in Africa.

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Action Africa!

Cited by 17 publications

References 1 publication

Parkinson’s Disease in Sub-Saharan Africa: A Review of Epidemiology, Genetics and Access to Care

Parkinson’s Disease in Sub-Saharan Africa: A Review of Epidemiology, Genetics and Access to Care

Neurosurgery in rural Nigeria: A prospective study

Notes on the Recent History of Neuroscience in Africa

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