Sustainable Development of Pathology in Sub-Saharan Africa: An Example From Ghana.
Arch Pathol Lab Med
; 141(11): 1533-1539, 2017 Nov.
Article
de En
| MEDLINE
| ID: mdl-28557613
ABSTRACT
CONTEXT - Pathology services are poorly developed in Sub-Saharan Africa. Komfo Anokye Teaching Hospital in Kumasi, Ghana, asked for help from the pathology department of the University Hospital of North Norway, Tromsø. OBJECTIVE:
- To reestablish surgical pathology and cytology in an African pathology department in which these functions had ceased completely, and to develop the department into a self-supporting unit of good international standard and with the capacity to train new pathologists.DESIGN:
- Medical technologists from Kumasi were trained in histotechnology in Norway, they were returned to Kumasi, and they produced histologic slides that were temporarily sent to Norway for diagnosis. Two Ghanaian doctors received pathology training for 4 years in Norway. Mutual visits by pathologists and technologists from the 2 hospitals were arranged for the introduction of immunohistochemistry and cytology. Pathologists from Norway visited Kumasi for 1 month each year during 2007-2010. Microscopes and immunohistochemistry equipment were provided from Norway. Other laboratory equipment and a new building were provided by the Ghanaian hospital.RESULTS:
- The Ghanaian hospital had a surgical pathology service from the first project year. At 11 years after the start of the project, the services included autopsy, surgical pathology, cytopathology, frozen sections, and limited use of immunohistochemistry, and the department had 10 residents at different levels of training.CONCLUSIONS:
- A Ghanaian pathology department that performed autopsies only was developed into a self-supported department with surgical pathology, cytology, immunohistochemistry, and frozen section service, with an active residency program and the capacity for further development that is independent from assistance abroad.
Texte intégral:
1
Collection:
01-internacional
Base de données:
MEDLINE
Sujet principal:
Anatomopathologie clinique
/
Service hospitalier d'anatomopathologie
/
Anatomopathologie chirurgicale
/
Personnel de laboratoire d'analyses médicales
/
Modèles éducatifs
/
Modèles économiques
/
Renforcement des capacités
Type d'étude:
Health_economic_evaluation
/
Prognostic_studies
Pays/Région comme sujet:
Africa
/
Europa
Langue:
En
Journal:
Arch Pathol Lab Med
Année:
2017
Type de document:
Article