A Model for Implementation and Sustainability of Urologic Services in the Developing World: Based on the 4-Year Experience of Knock Foundation Urologic Volunteers in Kenya and Ethiopia

Abstract

The purpose of the Knock Foundation initiative in sub-Saharan Africa, to date in Kenya and Ethiopia, is to bring modern urologic procedures, specifically cystoscopy, transurethral resection/vaporization of the prostate, and visual internal urethrotomy to an underserved population in a sustainable and therefore accessible fashion. The article describes in detail the 4-year effort of the Knock Foundation and its volunteers in bringing these procedures to previously underserved areas of Kenya and Ethiopia, teaching techniques to local physicians and building sustainable, if nascent, programs in urology at distinct institutions.