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Safe surgery for every child, implementation of paediatric anaesthesia training in Nigeria

Ibironke Desalu1, Maryrose O Osazuwa2

  • 1Department of Anaesthesia, Lagos University Teaching Hospital, University of Lagos, Lagos.

Current Opinion in Anaesthesiology
|June 7, 2022
PubMed

Insights

Nigeria faces a critical shortage of pediatric anesthesiologists, impacting child safety. Enhancing training through short courses and establishing a fellowship program are vital for improving pediatric anesthesia care.

Area of Science:

  • Pediatric Anesthesiology
  • Healthcare Workforce Development
  • Global Health Equity

Background:

  • Nigeria, Africa's most populous nation, has a significant under-15 population lacking access to specialized pediatric anesthesia.
  • A severe deficit of pediatric anesthesiologists hinders essential medical care for children.

Purpose of the Study:

  • To identify barriers to safe pediatric anesthesia in Nigeria.
  • To review existing training opportunities in pediatric anesthesia.
  • To emphasize the need for expanded and specialized training programs.

Main Methods:

  • Analysis of the current pediatric anesthesia workforce density.
  • Review of available residency, diploma, and master's programs.
  • Assessment of short-course training initiatives and NGO partnerships.

Main Results:

  • The pediatric anesthesiologist to child ratio is critically low at 0.028 per 100,000 children under 15.
  • Existing training includes residency, diploma, and master's programs, alongside short courses.
  • Nigeria currently lacks a dedicated Fellowship training program for pediatric anesthesia specialists.

Conclusions:

  • Empowering general anesthesiologists with short-course training is crucial for immediate improvements in pediatric anesthesia safety.
  • A comprehensive Fellowship program is urgently required to cultivate specialized pediatric anesthesiologists.
  • Governmental support is essential for equipment upgrades, establishing children's hospitals, and fostering research.
Abstract

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