Survey of ENT services in Africa

Need for a comprehensive intervention

Bibliographic Data

ID19530561
AuthorsJohanJ Fagan (University of Cape Town, corresponding author), Marian Jacobs (0000-0001-6671-1292, University of Cape Town)
Year2009
Volume2
Issue1
Pages1932
Publication date2009-11-11
Open AccessYes
TypeARTICLE
VenueGlobal Health Action (JOURNAL)
Journal identifiersISSN: 1654-9716 • E-ISSN: 1654-9880
PublisherInforma UK Limited (PUBLISHER • GB)
DOI10.3402/gha.v2i0.1932
PMID20027268
PMCIDPMC2779942
OpenAlexW2138907382
LanguageEN
Citations received13
References cited2

BACKGROUND: Burden of disease (BOD) is greatest in resource-starved regions such as Africa. Even though hearing disability ranks third on the list of non-fatal disabling conditions in low- and middle-income countries, ear, nose, and throat (ENT) disorders are not specifically coded for within the framework governing global BOD estimates, and in discussions about health challenges, non-communicable diseases receive scant attention. Implementing cost-effective interventions to address conditions largely neglected by global estimates of BOD such as hearing loss are important contributors to health and economic development. OBJECTIVES: Establish a database of ENT, audiology, and speech therapy services in Sub-Saharan Africa; create awareness about the status of these services; propose effective intervention; gather data to lobby African governments, donor countries, and aid organizations; determine need for Developing World Forum for ENT, Audiology, and Speech Therapy services. DESIGN: Survey of ENT, audiology, and speech therapy services and training in 18 Sub-Saharan Africa countries. RESULTS: There is an alarming paucity of services and training opportunities, and there is a large gap between higher technology, expensive health care in high-income countries and lower technology, low-cost practice in low-income countries. CONCLUSIONS: Lower technology and lower cost Developing World medical practice should be recognized and fostered as a field of medical practice, teaching, and research. Developing World centers of excellence must be fostered to take a lead in teaching, training, and research. A Developing World Forum for ENT Surgery, Audiology, and Speech Therapy, directed and driven by Africa and the Developing World, supported by the First World, should be established, to develop a comprehensive intervention to turn around the severe shortage of services and expertise in the Developing World. Global health policies and practices should include new norms and standards which serve the interests of the global community, and are based on current realities of global health

Business · Developing country · Economic growth · Economics · Excellence · Global health · Health care · Medical education · Political science · Psychological intervention · Public health · Ear Surgery and Otitis Media · Global Health and Surgery · Hearing, Cochlea, Tinnitus, Genetics · Medicine · Nursing

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