Sector Salud Honduras

Developing a neurology training program in Honduras: A joint project of neurologists in Honduras and the World Federation of Neurology

Marco T. Medina a,b,*;, Theodore Munsat a , Alberto Portera-Sánchez a , Reyna M. Durón b ,
Carrie A. Becker a , Kenton R. Holden a
The WFN Education Committee

Abstract
One of the major barriers to the provision of quality care for patients with neurological disorders in developing countries is a low ratio of
neurologists per inhabitants, the World Health Organization recommends one neurologist per 100,000. In 1998 Honduras had one neurologist
per 325,000 inhabitants and all the neurologists were trained outside the country. The Education Committee of the World Federation of
Neurology (WFN), in collaboration with the Postgraduate Direction of the National Autonomous University of Honduras, the Honduran
Neurological Association, and the Honduran Secretary of Health helped establish the country's first Neurology Training Program in 1998.
This program was established using a problem- and epidemiological-oriented methodology with oversight by an external WFN review board.
By 2006 the program has resulted in a 31% increase in the national neurologist ratio per inhabitant, significantly improved the quality of
patient care and promoted research in the neurosciences. The Honduras Neurology Training Program has provided a valuable model for other
developing countries with similar needs for neurological care. Based on this Honduras experience, members of the Education Committee of
the WFN have established guidelines for neurology training programs in developing countries.
© 2006 Published by Elsevier B.V.
Keywords: Education; Neurology; Honduras; World Federation of Neurology guidelines

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Biblioteca Médica Nacional - UNAH, Primer Piso Edificio Facultad de Ciencias Médicas, Tegucigalpa, MDC, Honduras C.A., E-mail: bvs@cidbimena.desastres.hn