Global Neurosurgery What are the Current Barriers to Neurosurgical Care in Low-Middle Income Countries

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Armaan Kush Malhotra


Neurosurgery, Global Health, Barriers to Care, Low-income countries


There has been a recent acknowledgement of surgical access inequities in low-middle income countries that substantially contribute to morbidity and mortality. The objective of this article was to examine the barriers that exist to implementation of neurosurgical infrastructure these countries. Specifically, barriers in surgical education programs, medical equipment availability, diagnostic imaging quality and presence of adjunct services such as intensive care and anesthesia are discussed throughout this review. The inadequacies of traditional neurosurgical training programs which are typically taught by foreign surgeons are elaborated. A general trend in the global health literature is the conjunctive use of online modules and tele-services to improve access. Furthermore, a common issue with neurosurgical programs is a lack of governmental support. A brief sustainability discussion delves into this sustainability issue and briefly mentions a data-driven approach to elicit fiscal support.