Urologist Workforce and Services in Ethiopia.


Journal

World journal of surgery
ISSN: 1432-2323
Titre abrégé: World J Surg
Pays: United States
ID NLM: 7704052

Informations de publication

Date de publication:
11 2023
Historique:
accepted: 24 07 2023
medline: 3 10 2023
pubmed: 8 9 2023
entrez: 8 9 2023
Statut: ppublish

Résumé

Urological conditions are a cause of diminishing quality of life, hence affecting productivity. Despite the need for urological treatment, it was excluded from receiving priority in both United Nation and Lancet commission. Most of the surgeries in sub-Saharan Africa are open surgeries. The lack of basic endourology equipment and a shortage of experts have limited Africans from receiving the privileges of minimally invasive surgeries, especially in urology. This study describes the socio demographics of the urologists in Ethiopia, the field of services they provide and their access to endourology equipment. This study presents data from a survey of urologists in Ethiopia who are members of Urology Society of Ethiopia (USE). Thirty-three urologists of the 43 responded, making the response rate 76.5%. Qualification by urology residency in Ethiopia accounted for 66.7% of participants, followed by 21.2% by fellowship training abroad after general surgery training. All respondents practice open surgeries and 75.8% perform endourology. Video endoscope and cystoscopy sets were available to all those practicing endourology, with Direct Visual Internal Urethrotomy (DVIU) sets having the next highest availability and Flexible UreteroRenoScope(URS) and laser lithotripters the least accessible. Urology in Ethiopia is in its infancy, where the lack of advanced medical equipment combined with a paucity of qualified urologists have created a huge challenge for the provision of these services.

Sections du résumé

BACKGROUND
Urological conditions are a cause of diminishing quality of life, hence affecting productivity. Despite the need for urological treatment, it was excluded from receiving priority in both United Nation and Lancet commission. Most of the surgeries in sub-Saharan Africa are open surgeries. The lack of basic endourology equipment and a shortage of experts have limited Africans from receiving the privileges of minimally invasive surgeries, especially in urology. This study describes the socio demographics of the urologists in Ethiopia, the field of services they provide and their access to endourology equipment.
METHODS
This study presents data from a survey of urologists in Ethiopia who are members of Urology Society of Ethiopia (USE).
RESULTS
Thirty-three urologists of the 43 responded, making the response rate 76.5%. Qualification by urology residency in Ethiopia accounted for 66.7% of participants, followed by 21.2% by fellowship training abroad after general surgery training. All respondents practice open surgeries and 75.8% perform endourology. Video endoscope and cystoscopy sets were available to all those practicing endourology, with Direct Visual Internal Urethrotomy (DVIU) sets having the next highest availability and Flexible UreteroRenoScope(URS) and laser lithotripters the least accessible.
CONCLUSIONS
Urology in Ethiopia is in its infancy, where the lack of advanced medical equipment combined with a paucity of qualified urologists have created a huge challenge for the provision of these services.

Identifiants

pubmed: 37682318
doi: 10.1007/s00268-023-07169-0
pii: 10.1007/s00268-023-07169-0
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

2628-2634

Informations de copyright

© 2023. The Author(s) under exclusive licence to Société Internationale de Chirurgie.

Références

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Auteurs

Anteneh Tadesse Kifle (AT)

Department of Surgery, Mudulla Hospital, Po Box 16, Snnpr, Ethiopia. antyeneh@gmail.com.

Chandra Shekhar Biyani (CS)

Department of Urology, St James's University Hospital, Leeds Teaching Hospitals NHS Trust, Beckett Street, Leeds, LS97TF, West Yorkshire, UK.

Jacques Bogdanowicz (J)

Department of Urology, Kilimanjaro Christian Medical Center, Moshi, Tanzania.

Tilaneh Leyeh Demilow (TL)

Department of Surgery, Hawassa University, Hawassa, Ethiopia.

Getaneh Tesfaye Teferi (GT)

Department of Surgery, Hawassa University, Hawassa, Ethiopia.

Tizazu Abebayehu Tsega (TA)

Department of Surgery, Hawassa University, Hawassa, Ethiopia.

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