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The Current State of Neurosurgery in Somaliland
Gail Rosseau1, Eliana E Kim2, Ernest J Barthélemy3
1Department of Neurosurgery, George Washington University School of Medicine and Health Sciences, Washington, D.C., USA.
World Neurosurgery
|July 6, 2021
Summary
Neurosurgery access is limited in Somaliland, a low-resource region. This study assesses current neurosurgical activity and offers recommendations for international support to improve care.
Area of Science:
- Global health
- Neurosurgery
- Surgical care access
Background:
- Surgical conditions represent a significant global health burden, disproportionately affecting low- and middle-income countries.
- Access to specialized surgical services, including neurosurgery, is severely limited in many underserved regions.
- Somaliland, located in the Horn of Africa, faces substantial challenges in providing timely and affordable surgical care.
Purpose of the Study:
- To assess the current state of neurosurgery in Somaliland.
- To identify key stakeholders and initiatives aimed at improving health services in the region.
- To provide recommendations for international neurosurgical collaboration.
Main Methods:
- Qualitative discussions with key stakeholders in Somaliland.
- Review of regional socioeconomic and political context.
- Identification of local leaders and general surgeons involved in healthcare improvement.
Main Results:
- Neurosurgical services are severely limited or absent in Somaliland.
- Local leaders and surgeons are committed to improving healthcare, including neurosurgery.
- New initiatives for capacity building and training in neurosurgery are emerging.
Conclusions:
- This assessment is the first of its kind for neurosurgery in Somaliland.
- Recommendations are provided to guide international neurosurgical community engagement.
- Future contributions can significantly enhance neurosurgical care in the region.

