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A Geospatial Analysis of the Availability, Distribution, and Accessibility of Neurosurgical Facilities, Workforce, and Infrastructure in Nigeria; and Projection Towards 2050.

Publication ,  Journal Article
Ukachukwu, A-EK; Njeru, PN; Ayodele, OA; Ahmad, MH; Onyia, CU; Morgan, E; Ekweogwu, OC; Usman, B; Badejo, OA; Dawang, Y; Orhorhoro, OI ...
Published in: World Neurosurg
May 2024

OBJECTIVE: There has been a modest but progressive increase in the neurosurgical workforce, training, and service delivery in Nigeria in the last 2 decades. However, these resources are unevenly distributed. This study aimed to quantitatively assess the availability and distribution of neurosurgical resources in Nigeria while projecting the needed workforce capacity up to 2050. METHODS: An online survey of Nigerian neurosurgeons and residents assessed the country's neurosurgical infrastructure, workforce, and resources. The results were analyzed descriptively, and geospatial analysis was used to map their distribution. A projection model was fitted to predict workforce targets for 2022-2050. RESULTS: Out of 86 neurosurgery-capable health facilities, 65.1% were public hospitals, with only 17.4% accredited for residency training. Dedicated hospital beds and operating rooms for neurosurgery make up only 4.0% and 15.4% of the total, respectively. The population disease burden is estimated at 50.2 per 100,000, while the operative coverage was 153.2 cases per neurosurgeon. There are currently 132 neurosurgeons and 114 neurosurgery residents for a population of 218 million (ratio 1:1.65 million). There is an annual growth rate of 8.3%, resulting in a projected deficit of 1113 neurosurgeons by 2030 and 1104 by 2050. Timely access to neurosurgical care ranges from 21.6% to 86.7% of the population within different timeframes. CONCLUSIONS: Collaborative interventions are needed to address gaps in Nigeria's neurosurgical capacity. Investments in training, infrastructure, and funding are necessary for sustainable development and optimized outcomes.

Duke Scholars

Published In

World Neurosurg

DOI

EISSN

1878-8769

Publication Date

May 2024

Volume

185

Start / End Page

e16 / e29

Location

United States

Related Subject Headings

  • Workforce
  • Surveys and Questionnaires
  • Nigeria
  • Neurosurgical Procedures
  • Neurosurgery
  • Neurosurgeons
  • Internship and Residency
  • Humans
  • Health Workforce
  • Health Services Accessibility
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Ukachukwu, A.-E., Njeru, P. N., Ayodele, O. A., Ahmad, M. H., Onyia, C. U., Morgan, E., … DGNN-NCAP Survey Collaborators, . (2024). A Geospatial Analysis of the Availability, Distribution, and Accessibility of Neurosurgical Facilities, Workforce, and Infrastructure in Nigeria; and Projection Towards 2050. World Neurosurg, 185, e16–e29. https://doi.org/10.1016/j.wneu.2023.10.146
Ukachukwu, Alvan-Emeka K., Paula N. Njeru, Olabamidele A. Ayodele, Misbahu H. Ahmad, Chiazor U. Onyia, Eghosa Morgan, Ofodile C. Ekweogwu, et al. “A Geospatial Analysis of the Availability, Distribution, and Accessibility of Neurosurgical Facilities, Workforce, and Infrastructure in Nigeria; and Projection Towards 2050.World Neurosurg 185 (May 2024): e16–29. https://doi.org/10.1016/j.wneu.2023.10.146.
Ukachukwu, Alvan-Emeka K., et al. “A Geospatial Analysis of the Availability, Distribution, and Accessibility of Neurosurgical Facilities, Workforce, and Infrastructure in Nigeria; and Projection Towards 2050.World Neurosurg, vol. 185, May 2024, pp. e16–29. Pubmed, doi:10.1016/j.wneu.2023.10.146.
Ukachukwu A-EK, Njeru PN, Ayodele OA, Ahmad MH, Onyia CU, Morgan E, Ekweogwu OC, Usman B, Badejo OA, Dawang Y, Orhorhoro OI, Oyemolade TA, Okere OE, Abu-Bonsrah N, Petitt Z, Oboh EC, Otun A, Nischal SA, Deng DD, Mahmud MR, Mezue WC, Malomo AO, Shehu BB, Shokunbi MT, Ohaegbulam SC, Fuller AT, Haglund MM, Chikani MC, Adeolu AA, Adeleye AO, DGNN-NCAP Survey Collaborators. A Geospatial Analysis of the Availability, Distribution, and Accessibility of Neurosurgical Facilities, Workforce, and Infrastructure in Nigeria; and Projection Towards 2050. World Neurosurg. 2024 May;185:e16–e29.
Journal cover image

Published In

World Neurosurg

DOI

EISSN

1878-8769

Publication Date

May 2024

Volume

185

Start / End Page

e16 / e29

Location

United States

Related Subject Headings

  • Workforce
  • Surveys and Questionnaires
  • Nigeria
  • Neurosurgical Procedures
  • Neurosurgery
  • Neurosurgeons
  • Internship and Residency
  • Humans
  • Health Workforce
  • Health Services Accessibility