Haydom, Tanzania
Haydom Lutheran Hospital (HLH) is situated in north-central Tanzania high atop the escarpment overlooking the Rift Valley. The hospital is located in a very rural region of Tanzania and the technology available is rudimentary. PTP efforts here concentrate on teaching all healthcare workers:
-
•The basic neurological exam
-
•Appropriate history taking with recognition of neurologic and neurosurgical diseases
-
•Basic evaluation of patients with neurologic deficits
-
•Tenets of reading plain films and CT scans of the skull, brain and spine
-
•Basic neuroanatomy
-
•Operative techniques for emergency and simple neurosurgical procedures
-
•Recognition of complex neurosurgical problems for referral to the Center of Excellence at Muhimbili in Dar es Salaam
-
•Post-operative care of neurosurgical patients
-
PTP-supported research at HLH:
-
•A continued audit of the morbidity and mortality of the HLH’s neurosurgical patients
-
•A comparison of patients shunted with IV tubing versus more complex shunt systems
Muhimbili University College of Health and Science
Dar es Salaam, Tanzania
Muhimbili Orthopaedic Institute (MOI) is situated in Dar es Salaam, a large city located on Tanzania’s coast. There are currently three neurosurgeons in Tanzania, all of whom work at MOI. This is the location of the proposed Center for Neurosurgical Excellence in Tanzania. PTP efforts here concentrate on teaching advanced neurosurgical procedures:
-
•Endoscopic neurosurgery
-
•Transphenoidal surgery
-
•Complex cranial cases
-
•Spine instrumentation
-
PTP-supported research at MOI:
-
•An audit of the morbidity and mortality of MOI’s neurosurgical patients
-
•A comparison outcomes between patients with hydrocephalus treated with shunts and those treated with ETV
Other Rural Sites, Tanzania
The vision of PTP is to continue to expand and increase access to neurosurgical care throughout Tanzania by teaching MDs, Assistant Medical Officers, and Clinical Officers in each of the country’s regional hospitals to perform basic and emergency neurosurgical procedures. These healthcare workers will also be instructed to recognize more complex neurosurgical disease that requires referral the Center of Neurosurgical Excellence at MOI. In addition, proper instruction of nurses and anesthesiologists/anesthetists in the care of neurosurgical patients is crucial to these efforts. The efforts at these regional hospitals would be identical to those being carried out at Haydom Lutheran Hospital.
