====== Tanzania ====== [[Tanzania]] sits on the Indian Ocean in [[East Africa]] and has a population of over 53 million people. While the gross domestic product has been increasing, distribution of wealth remains a problem, and challenges in the distribution of health services abound. Neurosurgery is a unique case study of this problem. The challenges facing the development of neurosurgery in Tanzania are many and varied, built largely out of the special needs of modern neurosurgery. Task shifting (training nonphysician surgical providers) and 2-tiered systems (fast-track certification of general surgeons to perform basic neurosurgical procedures) may serve some of the immediate need, but these options will not sustain the development of a comprehensive neurosurgical footprint. Ultimately, long-term solutions to the need for neurosurgical care in Tanzania can only be fulfilled by local government investment in capacity building (infrastructure and [[neurosurgical training]]), and the commitment of Tanzanians trained in neurosurgery. With this task in mind. see [[Dar es Salaam]]. ===== Spinal trauma in Tanzania ===== [[Spinal trauma in Tanzania]]. ===== Neurosurgical training in Tanzania ===== [[Neurosurgical training in Tanzania]]. ===== Tanzania Neurosurgery Project ===== see [[Tanzania Neurosurgery Project]].