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Assessing the Neurosurgical Capacity in Nigeria Using the Modified Neuro-PIPES Tool.

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

BACKGROUND: Like many low- and-middle-income countries in Africa, documented assessment of the neurosurgical workforce, equipment, infrastructure, and scope of service delivery in Nigeria is lacking. This study aimed to assess the capacity for the delivery of neurosurgical services in Nigeria. METHODS: An 83-question survey was disseminated to neurosurgeons and residents in Nigeria. We report the findings from the capacity assessment section of the survey, which used the modified neurological-PIPES (personnel, infrastructure, procedures, equipment, and supplies) (MN-PIPES) tool to evaluate the availability of neurosurgical personnel, infrastructure, procedures, equipment, and supplies. A comparative analysis was done using the domain and total MN-PIPES scores and MN-PIPES index. RESULTS: The national average MN-PIPES score and index were 176.4 and 9.8, respectively. Overall, the southwest and northwest regions had the highest scores and frequently had high subscores. The survey respondents reported that the main challenges impeding neurosurgery service delivery were a lack of adjunctive supplies (75.2%), a dearth of diagnostic and interventional equipment (72.4%), and an absence of a dedicated intensive care unit (72.4%). CONCLUSIONS: The availability of workforce, infrastructure, equipment, and supplies needed to provide optimal neurosurgical care is uneven in many institutions in Nigeria. Although major strides have been made in recent years, targeted collaborative interventions at local, national, regional, and international levels will further improve neurosurgical service delivery in Nigeria and will have positive ripple effects on the rest of the healthcare system.

Duke Scholars

Published In

World Neurosurg

DOI

EISSN

1878-8769

Publication Date

May 2024

Volume

185

Start / End Page

e30 / e43

Location

United States

Related Subject Headings

  • Surveys and Questionnaires
  • Nigeria
  • Neurosurgical Procedures
  • Neurosurgery
  • Neurosurgeons
  • Humans
  • 3209 Neurosciences
  • 3202 Clinical sciences
  • 1109 Neurosciences
  • 1103 Clinical Sciences
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Ukachukwu, A.-E., Oyemolade, T. A., Nischal, S. A., Onyia, C. U., Morgan, E., Ekweogwu, O. C., … Duke Global Neurosurgery and Neurology-Nigeria Neurosurgery Capacity Assessment Project (NCAP) Survey Collaborators, . (2024). Assessing the Neurosurgical Capacity in Nigeria Using the Modified Neuro-PIPES Tool. World Neurosurg, 185, e30–e43. https://doi.org/10.1016/j.wneu.2023.12.104
Ukachukwu, Alvan-Emeka K., Toyin A. Oyemolade, Shiva A. Nischal, Chiazor U. Onyia, Eghosa Morgan, Ofodile C. Ekweogwu, Omuvie I. Orhorhoro, et al. “Assessing the Neurosurgical Capacity in Nigeria Using the Modified Neuro-PIPES Tool.World Neurosurg 185 (May 2024): e30–43. https://doi.org/10.1016/j.wneu.2023.12.104.
Ukachukwu A-EK, Oyemolade TA, Nischal SA, Onyia CU, Morgan E, Ekweogwu OC, et al. Assessing the Neurosurgical Capacity in Nigeria Using the Modified Neuro-PIPES Tool. World Neurosurg. 2024 May;185:e30–43.
Ukachukwu, Alvan-Emeka K., et al. “Assessing the Neurosurgical Capacity in Nigeria Using the Modified Neuro-PIPES Tool.World Neurosurg, vol. 185, May 2024, pp. e30–43. Pubmed, doi:10.1016/j.wneu.2023.12.104.
Ukachukwu A-EK, Oyemolade TA, Nischal SA, Onyia CU, Morgan E, Ekweogwu OC, Orhorhoro OI, Ahmad MH, Ayodele OA, Usman B, Badejo OA, Dawang Y, Okere OE, Abu-Bonsrah N, Deng DD, Petitt Z, Njeru PN, Oboh EC, Otun A, Still MEH, Haglund MM, Fuller AT, Chikani MC, Adeleye AO, Adeolu AA, Duke Global Neurosurgery and Neurology-Nigeria Neurosurgery Capacity Assessment Project (NCAP) Survey Collaborators. Assessing the Neurosurgical Capacity in Nigeria Using the Modified Neuro-PIPES Tool. World Neurosurg. 2024 May;185:e30–e43.
Journal cover image

Published In

World Neurosurg

DOI

EISSN

1878-8769

Publication Date

May 2024

Volume

185

Start / End Page

e30 / e43

Location

United States

Related Subject Headings

  • Surveys and Questionnaires
  • Nigeria
  • Neurosurgical Procedures
  • Neurosurgery
  • Neurosurgeons
  • Humans
  • 3209 Neurosciences
  • 3202 Clinical sciences
  • 1109 Neurosciences
  • 1103 Clinical Sciences