The Sustainability of World Spine Care

Entrenching sustainable results in the communities it works with is a fundamental principle of World Spine Care. While developing a universally applicable model of care for spinal disorders is a primary focus of World Spine Care, it is equally important to WSC that the significant improvements to the treatment of spinal disorders that will be realized in the Shoshong region of Botswana are embedded in the local health care system, creating not only a sustainable model of care, but one that can be expanded throughout Botswana and to the rest of the world.

The ongoing sustainability of World Spine Care will be realized through:

  • The development of a training program for front-line health care workers.
  • The deployment of this training program for the on-site training of local front-line healthcare practitioners in the screening, assessment, diagnosis and management of non-surgical spinal conditions.
  • The inclusion of a strong “train-the-trainer’ component within the training program, aimed at enabling practitioners to pass on their skills to others to expand present levels of care and, over time, to begin to address the chronic issue of health worker shortages.
  • A goal of each project is to educate the community on the risk factors for spinal disorders and the steps that can be taken to reduce their impact on the community.
  • Assistance and academic scholarships for qualified residents to attain professional credentials in chiropractic, physiotherapy or spinal surgery through supported educational programs (conditional on a commitment to return to practice in their home communities).
  • Long-term partnership with local Ministries of Health and applicable regional health system managers to establish the structures and processes required to plan, implement, and deliver spinal and musculoskeletal care to severely underserved communities within their jurisdiction on a permanent basis. The local Ministries of Health would eventually take ownership of each project, and the expansion and sustainability of project outcomes.


Local Capacity Building

Local capacity building is fundamental to World Spine Care. WSC is directly building local capacity through such mechanisms as:

  • The WSC clinic will be used to provide training for local health care professionals and students, who will be invited to complete internships at the clinics.
  • To further entrench the sustainability of the WSC model of care, a select group of front-line health care workers will be trained as trainers, capable of training further front line health care workers in the use of the WSC spinal care protocols.
  • As part of each project, World Spine Care and its partners are providing educational scholarships for advanced professional training for students in North American chiropractic and physical therapy faculties. After completing their studies, each project will see these new professionals staffing the clinics.
  • Further, arrangements will be made to facilitate local medical specialists to travel and complete fellowship training in spinal surgery or one of the spine care medical specialties at the major programs around the world.
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