ArticleWorld journal of surgery2011
Surgical capacity building in Uganda through twinning, technology, and training camps.
Article in World journal of surgery, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 3 of them syntheses that pooled it.
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Who cites it
36 citing papers in PubMed, 3 syntheses or guidelines pooled it, 125 citations in OpenAlex.
- Systematic review of low-income and middle-income country perceptions of visiting surgical teams from high-income countries.BMJ global health · 2022Pooled it
- Methods for medical device and equipment procurement and prioritization within low- and middle-income countries: findings of a systematic literature review.Globalization and health · 2017Pooled it
- Guidelines for surgeons on establishing projects in low-income countries.World journal of surgery · 2013Guideline
- Appraising spina bifida care in Africa: Challenges, implications, and progress - A perspective review.Journal of public health research · 2026Review
- Assessment of neurosurgical workforce, infrastructure, and service delivery capacity in East Africa: A collaborative survey.Neurosurgical review · 2025Article
- Surgical Training Profiling in Low- and Middle-Income Countries: Peru, Ecuador, and Brazil.Cureus · 2025Article
- The importance of neurosurgical nursing in low- and middle-income countries - a critical review.Annals of medicine and surgery (2012) · 2025Review
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- Spina bifida management in low- and middle-income countries - a comprehensive policy approach.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2023Review
- Global Plastic Surgery: A Review of the Field and a Call for Virtual Training in Low- and Middle-Income Countries.Plastic surgery (Oakville, Ont.) · 2023Article
- EMR adoption in Dhaka, Bangladesh: a template to index pediatric central nervous system tumor care and a review of preliminary neuro-oncologic observations.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2022Review
- The diagnostic upper GI endoscopy camp: a pilot for enhancing service provision and training in eastern Uganda.African health sciences · 2022Article
- Surgical capacity, productivity and efficiency at the district level in Sub-Saharan Africa: A three-country study.PloS one · 2022Article
- A model for global surgical training and capacity development: the Children's of Alabama-Viet Nam pediatric neurosurgery partnership.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2021Article
- A mixed-methods needs assessment of traumatic brain injury care in a low- and middle-income country setting: building neurocritical care capacity at two major hospitals in Cambodia.Journal of neurosurgery · 2021Article
- Emphasizing the Role of Neurosurgery Within Global Health and National Health Systems: A Call to Action.Frontiers in surgery · 2021Article
- The Incorporation of Neurosurgery as an Integral Part of the Strategic Priorities for Surgical Care in Nigeria.Frontiers in surgery · 2021Article
- Global health, global surgery and mass casualties: II. Mass casualty centre resources, equipment and implementation.BMJ global health · 2020Review
- A Systematic Review of Neurosurgical Care in Low-Income Countries.World neurosurgery: X · 2020Review
Corrections and comments
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Authors and funding
8 authors at 4 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundNeurosurgical capacity is extremely deficient in East African countries where 27 neurosurgeons serve more than 250 million people. To build capacity, the Duke University Medical Center and New Mulago Hospital in Uganda applied a two-pronged twinning approach that placed usable surplus equipment in a developing country's National Hospital, combined with dedicated comprehensive surgical training camps.
methodsNeurosurgery, anesthesiology, nursing, and clinical engineering personnel supported three training camps. More than 21 tons of essential equipment was delivered to New Mulago Hospital in Uganda. Data was collected during the 2-year period preceding and following the initiation of the program.
resultsDuring the 2 years after the program began, neurosurgery demonstrated a significant increase (180%) in the number and complexity of cases performed (p<0.0001). Multiple cases performed in a single day increased eightfold (p<0.0001), with utilization of elective operating room days improving from 43 to 98%. There was no change in the number of hospital admissions over the 4 years (p>0.1), but there was a dramatic increase in the overall number of procedures performed by all surgical specialties (106%, p<0.0001).
conclusionsThrough a twinning program combining delivery of surplus equipment and training camps, capacity building was accomplished and maintained. The program not only built overall surgical capacity, it improved the efficiency and increased the complexity of operative cases performed at the National Hospital in Uganda. This program could serve as a model for twinning, capacity building, and training in other developing countries where surgical disparities are among the greatest.
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Registered trials
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