Global and Humanitarian Neurosurgery Committee [Neurosurgery Wiki]

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====== Global and Humanitarian Neurosurgery Committee ======

{{rss>https://pubmed.ncbi.nlm.nih.gov/rss/search/16mUXcw5WaUFEjx-Va-Rg2WheJx6eLw5mjLTlBQL0tZhEJIoO3/?limit=15&utm_campaign=pubmed-2&fc=20241011164419}}
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Access to [[neurosurgical care]] is limited in [[low-income country]] and [[middle-income country]] (LMICs) and marginalized communities in high-income countries (HICs). International [[partnership]] represents one possible means of addressing this issue. Insights from surgeons in HICs have been explored, but data from LMICs' counterparts are scarce. 
Marchesini et al. aimed to study the perspectives of [[neurosurgeon]]s and [[trainee]]s from LMICs regarding [[global neurosurgery]] (GN) [[collaboration]]s and [[interest]]s, motivators, and [[challenge]]s in participating.

An [[online survey]] was conducted targeting neurosurgeons and [[trainee]]s from LMICs. The [[survey]] explored [[demographics]], previous [[experience]]s, ongoing activities, [[interest]]s, and barriers related to GN activities. [[Data]] were collected between July [[2022]] and December 2022 and analyzed.

Responses involved 436 individuals. The most represented region (25%) was [[Sub-Saharan Africa]], and most respondents were male (87.8%) aged 35-49 years. Interest in GN was high, with 91% after its development. Most respondents (96.1%) expressed interest in training, professional, or research experience in HICs, but only 18.1% could cover the expenses. A majority (73.2%) strongly agreed to return to their home country for work after HIC training. Ongoing HIC-LMIC partnerships were reported by 27.8% of respondents. Clinical exposure emerged as the most relevant motivating factor (87%), while financial concerns, lack of opportunities, and lack of program support were identified as important barriers. Funding and dedicated time were highlighted as the most crucial facilitators.

Understanding the perspectives of neurosurgeons and trainees from LMICs is essential to expanding HICs-LMICs collaborations and improving access to neurosurgical care worldwide. Financial support and targeted interventions are needed to address barriers and promote equitable partnerships in GN
((Marchesini N, Kamalo P, Foroglou N, Garozzo D, Gonzalez-Lopez P, Ivanov M, Lafuente J, Olldashi F, Paternò V, Petr O, Rotim K, Rzaev J, Timothy J, Tisell M, Visocchi M, Negida A, Uche E, Rasulic L, Demetriades AK. The Low-Income and Middle-Income Countries' Perspective on Global Neurosurgery Collaborations. Neurosurgery. 2024 Oct 11. doi: 10.1227/neu.0000000000003230. Epub ahead of print. PMID: 39392305.)).