Paucity of rhinological services and training in sub-Saharan Africa

Abstract

PURPOSE OF REVIEW: The aim of this review was to evaluate the current information available on the provision of rhinological services in sub-Saharan Africa and discuss the challenges and opportunities for improving care. RECENT FINDINGS: We found that there were very little data available. Some information had been gathered as part of ENT surveys and there were some local and regional reports looking at rhinological care. SUMMARY: Despite the lack of data, it is clear that specialist rhinological services in sub-Saharan Africa are generally very poor, particularly in rural areas. There are exceptions in some major cities but there exists a huge unmet need in this part of the world. We discussed the importance of the availability of endoscopy for evaluation and management of diseases of the nose and sinuses. We also look at ways of providing training. Partnership and collaboration with high income countries offer benefits for all. Fellowships are particularly valuable in developing specialist services. The availability of the internet provides a powerful way of imparting knowledge through lectures, guidance, courses and educational material such as open access journals and books. It is incumbent on high income countries to help develop healthcare services in areas of greatest need.