Author(s) :

Auguste Oluku Omadjela, Janvier Ngoy Kilangalanga, Hyppolyte Nanituma Situakibanza, Ismael Kusemererwa Byaruhanga, Dieudooné Tshipukane Nyembue.

Volume/Issue :

Abstract :

Otologic microsurgery remains underdeveloped in sub-Saharan Africa due to a lack of specialists, suitable infrastructure and financial resources. In Kinshasa, the Saint Joseph Hospital in Limete launched a pioneering ear microsurgery programme in 2007.To analyse the barriers to the introduction and practice of this surgical procedure in a resource-limited setting and to propose appropriate ways of improving the situation. A qualitative and descriptive literature review was conducted based on a thematic analysis of 24 reports from the Urban Ophthalmology Programme of the Diocesan Office for Medical Works of the Archdiocese of Kinshasa, covering the period 2001–2024.Between 2001 and 2006, activities focused on community awareness-raising, the screening of 8,193 patients with ear conditions, advocacy for the procurement of equipment, and the mobilisation of resources, without any surgical intervention. The first surgical procedures were carried out in 2007, followed by a gradual strengthening of the skills, technical facilities and autonomy of local surgeons. Since 2014, the majority of procedures have been carried out locally. Challenges remain, particularly in reconstructive surgery and cochlear implantation. The experience of Saint Joseph’s Hospital demonstrates that a strategy based on continuing professional development, international cooperation and capacity-building enables the sustainable development of otological surgery in a resource-constrained environment.

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