Neurosurgery equipment donation in Africa: a scoping review

Abstract

A common tactic to alleviate current gaps is to donate medical equipment to low-resource areas, however, there is a dearth of recorded experience and evaluation. Providing accessible equipment to low- and middle-income countries (LMICs) is a crucial component of the attempts to improve access to neurosurgery in African nations; yet, the necessity of promoting neurosurgical equipment in Africa and the effects of these programs have not yet been assessed. Therefore, our goal was to evaluate the extent, advantages and sustainability of the gift of neurosurgical equipment in Africa. A scoping review covering both scholarly and gray literature was used. Selected databases from the time of inception to September 2022 were searched using a search strategy customized for the study title. All studies that addressed the donation of neurosurgical equipment to Africa were given special attention, along with any factors that increased the likelihood of donations and included, but not limited to, agreements signed during the donation. Finally, participating authors also reviewed articles randomly selected to ensure homogeneity. Donating equipment positively impacts neurosurgical units in LMICs, growing their practices while also enhancing safety, quality and affordability. Collaborations between LMICs and HICs (High Income Countries) also make it more likely that the donated neurosurgical equipment will be used to satisfy recipients' needs. Lastly, to guarantee the most advantage, proper follow-up, consideration of equipment durability, maintenance requirements and increased assistance for repairs should be prioritized.