Challenges and prospects of neurosurgical services in Bauchi, north-east Nigeria

Authors

  • Olabisi O. Ogunleye Department of Surgery, College of Nursing Sciences, Abubakar Tafawa Balewa University/Teaching Hospital Bauchi, Bauchi State, Nigeria https://orcid.org/0000-0002-0599-779X
  • Jeneral D. Alfin Neurosurgery Unit, Department of Surgery, Jos University Teaching Hospital Jos. Plateau State, Nigeria
  • Oluchukwu B. Ogunleye Department of Nursing, College of Nursing Sciences, Abubakar Tafawa Balewa University Teaching Hospital Bauchi.Nigeria.
  • Abdulkadir A. Jauro Department of Surgery, College of Nursing Sciences, Abubkar Tafawa Balewa University/Teaching Hospiatal Bauchi, Bauchi State, Nigeria

DOI:

https://doi.org/10.18203/2349-2902.isj20230253

Keywords:

Challenges, Neurosurgery care, Prospects

Abstract

Background: Nigeria has few neurosurgeons and her population has little or no access to neurosurgical services. Neurosurgical care has become the vital components of tertiary health care delivery. Within the last three (3), we have pioneered the neurosurgical services in our centre though with lack of materials and manpower. Our objectives was to recount our previous experiences and challenges.

Methods: A retrospective observational study of all in-patient neurosurgical cases managed from September 2018 to September 2021. Descriptive data analysis was used for the data obtained.

Results: A total of 1714 patients were managed with male:female ratio of 2.5 to 1.74% were age 40 years and below. Trauma is the leading cause of admission accounted for 83% while vascular lesions accounted for the least (0.06%).

Conclusions: Pioneering a neurosurgical service is a herculean task, it takes a huge sacrifice. There is an urgent need to deploy materials and manpower to sustain and improve these services. Collaborative effort among public, private and donor agencies will brighten our future neurosurgical practice.

References

Neurosurgery Definition. Spine-Health (glossary). 1999-2018. Available from: https://www.spine-health.com/glossary/neurosurgery. Accessed on 20 August 2020.

Demographic Statistics Bulletin. National Bureau of Statistics, 2016. Available from: http://nigerianstat. gov.ng. Accessed on 20 August 2020.

World Health Organization. The Global Burden of Disease: 2004 Update. Geneva: World Health Organization; 2008:39‑49.

Debas HT, Gosselin R, McCord C, Thind A. Surgery. In: Disease control priorities in developing countries. 2nd edn. New York: Oxford University Press; 2006:1245‑1260.

Bellagio Essential Surgery Group. Improving Access to Surgery in Sub‑Saharan Africa. 2007. Available from: http://www.dcp2.org/file/137/ Bellagio%20Report%20‑%20Increasing%20Access%20to%2surgical%20Services.pdf. Accessed on 12 December 2012.

Taira BR, Kelly McQueen KA, Burkle FM. Burden of surgical disease: does the literature reflect the scope of the international crisis? World J Surg. 2009;33(5):893-8.

Lisa Mulligan, The evolution of neurosurgery in the 1940s. AANS Neurosurg. 2017;26(2).

Larme AC, Health care allocation and selective neglect in rural Peru. Soc Sci Med. 1997;44:1711-23.

Mansouri A, Chan V, Njaramba V, Cadotte DW, Albright AL, Berstein M. Source of delayed provision of neurosurgical care in a rural Kenyan setting. Surg Neurol Int. 2015;6:32.

El Khamlichi A. African neurosurgery: part II: current state and future prospects. Surg Neurol. 1998;49(3):342-7.

Rabiu TB, Komolafe EO. Neurosurgery in rural Nigeria: A prospective study. J Neurosci Rural Pract. 2016;7:485-8.

Emejulu JK, Osuafor C, Ogbuagu CN. Audit of the demographic patterns of neurosurgical cases in a tertiary health institution: the need to relate service delivery to disease profile in dwindling resources and manpower shortage. Afr J Neurol Sci. 2009;28(2).

Adeolu AA, Abiona TC, Komolafe EO, Adeolu JO, Adegbehingbe OO. Epidemiology of neurotrauma in Ife‑Ijesha zone of Nigeria. World Neurosurg. 2013;80:251‑4.

Bishop CV, Drummond KJ. Rural neurotrauma in Australia: Implications for surgical training. ANZ J Surg. 2006;76:53‑9.

Agius S, Ansari S, Zrinzo A. Pattern of head injuries in Malta (EU): A small Mediterranean Island. Br J Neurosurg. 2012;26:212‑5.

Beavogi K, Suare IS, Barry AO, Diallo MS, Haba M, Camara AM, et al. Investigation of epidemiology of neurotrauma in the Republic of Guinea. Zh Vopr Neirokhir Im N N Burdenko. 2011;75:38‑41.

Adeleye AO, Olowookere KG. Central nervous system congenital anomalies: a prospective neurosurgical observational study from Nigeria. Congenit Anom. 2009;49:258‑61.

Idowu OE, Apemiye RA. Outcome of myelomeningocoele repair in sub-Saharan Africa: The Nigerian experience. Acta Neurochir. 2008;150:911‑3.

Winkler AS, Tluway A, Slottje D, Schmutzhard E, Härtl R. East African Neurosurgical Research Collaboration: The pattern of neurosurgical disorders in rural northern Tanzania: a prospective hospital-based study. World Neurosurg. 2010;73:264-9.

Upadhyayula PS, Yue JK, Yang J, Birk HS, Ciacci JD. The current state of rural neurosurgical practice: an international perspective. J Neurosci Rural Pract. 2018;9(01):123-31.

Morgan E, Nwatuzor C. Starting a neurosurgical service in a Southern Nigeria rural community. Prospect, challenges, and future- the Irrua experience. Egypt J Neurosurg. 2020;35(1):1-5.

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Published

2023-01-27

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Original Research Articles