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African Health Sciences
Makerere University Medical School
ISSN: 1680-6905
EISSN: 1680-6905
Vol. 16, No. 1, 2016, pp. 329-338
Bioline Code: hs16045
Full paper language: English
Document type: Research Article
Document available free of charge

African Health Sciences, Vol. 16, No. 1, 2016, pp. 329-338

 en Endoscopic capacity in West Africa.
Perl, Daniel; Leddin, Desmond; Bizos, Damon; Veitch, Andrew; N’Dow, James; Bush-Goddard, Stephanie; Njie, Ramou; Lemoine, Maud; Anderson, Suzanne T.; Igoe, John; Anandasabapathy, Sharmila & Shah, Brijen


Background: Levels of endoscopic demand and capacity in West Africa are unclear.
Objectives: This paper aims to: 1. describe the current labor and endoscopic capacity, 2. quantify the impact of a mixed-methods endoscopy course on healthcare professionals in West Africa, and 3. quantify the types of diagnoses encountered.
Methods: In a three-day course, healthcare professionals were surveyed on endoscopic resources and capacity and were taught through active observation of live cases, case discussion, simulator experience and didactics. Before and after didactics, multiplechoice exams as well as questionnaires were administered to assess for course efficacy. Also, a case series of 23 patients needing upper GI endoscopy was done.
Results: In surveying physicians, less than half had resources to perform an EGD and none could perform an ERCP, while waiting time for emergency endoscopy in urban populations was at least one day. In assessing improvement in medical knowledge among participants after didactics, objective data paired with subjective responses was more useful than either alone. Of 23 patients who received endoscopy, 7 required endoscopic intervention with 6 having gastric or esophageal varices. Currently the endoscopic capacity in West Africa is not sufficient. A formal GI course with simulation and didactics improves gastrointestinal knowledge amongst participants.

Endoscopic capacity; training course; West Africa; endoscopic demand

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