CJA
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
This Article
Right arrow Full Text (PDF)
Right arrow Submit a scholarly reply
Right arrow Alert me when this article is cited
Right arrow Alert me when eLetters are posted
Right arrow Alert me if a correction is posted
Services
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Tweed, W. A.
Right arrow Articles by McCaughey, T. J.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Tweed, W. A.
Right arrow Articles by McCaughey, T. J.

Canadian Journal of Anesthesia, Vol 40, 993-999, Copyright © 1993 by Canadian Anesthesiologists' Society

ARTICLES

Anaesthesia services and the education of anaesthetists in Nepal: a model for sustainable development?

WA Tweed, R Amatya, TM Tuladhar, JR Maltby, CK Gurung and TJ McCaughey
Department of Anaesthesia, Health Sciences Centre, Winnipeg, Manitoba, Canada.

In 1985 the University of Calgary in Canada and Tribhuvan University in Kathmandu, Nepal Jointly established the Diploma in Anaesthesiology (DA) programme in Nepal. To evaluate the impact of the DA Programme and provide a data base for long-term planning we conducted a national survey in 1992. We sought to describe anaesthesia manpower and workloads, and to make an inventory of facilities, equipment, and supplies in different sized hospitals. Twenty-seven hospitals providing surgical services were included, nine inside and 18 outside the Kathmandu valley. Seventeen of the 21 respondent hospitals had at least one specialist anaesthetist. The results identify both strengths and weaknesses in Nepal's anaesthesia services and provide important guidelines for planning. When the DA course was launched there were only seven specialist anaesthetists in Nepal. The shortage of anaesthetists was an important factor limiting surgical services, and after DA graduates were posted to zonal (50 bed) and regional (150-200 bed) hospitals the surgical case loads doubled. There are now about 40 specialist anaesthetists in the country, of which half are DA graduates, but many hospitals have only one anaesthetist. That isolation, plus lack of continuing education (CME), are important factors threatening quality of care. Recognizing the singular role of the DA programme in alleviating Nepal's shortage of anaesthetists, we conclude that it should be renewed and strengthened to meet the needs of the next decade. Techniques commonly used at the zonal level: regional, draw-over, and total IV anaesthesia, should be stressed. At the same time fresh initiatives are required in CME and higher education for the renewal of teaching staff.(ABSTRACT TRUNCATED AT 250 WORDS)


This article has been cited by other articles:


Home page
 Canadian J. AnesthesiaHome page
D. R. Miller
Science journals and global outreach initiatives in developing countries/Les revues scientifiques et les initiatives mondiales d'aide aux pays en voie de developpement
Can J Anesth, November 1, 2007; 54(11): 868 - 871.
[Full Text] [PDF]

Home page
 Canadian J. AnesthesiaHome page
A. Froese
Anesthesia and the role of short-term service delivery in developing countries: [L'anesthesie et le role des offres de services a court terme dans les pays en voie de developpement]
Can J Anesth, November 1, 2007; 54(11): 940 - 946.
[Abstract] [Full Text] [PDF]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
Copyright © 1993 by the Canadian Anesthesiologists' Society.