Attempts to address the huge, and unmet, need for surgical services in Africa by training surgical specialists in well established training programmes in high-income countries have resulted in brain drain, as most trainees do not return home on completion of training for various reasons. Local postgraduate training is key to retaining specialists in their home countries. International institutional collaborations have enabled Kamuzu Central Hospital (KCH) in Lilongwe, Malawi, to start training their own surgical specialists from 2009.
Young, S., Banza, L., & Mkandawire, N. (2016). The impact of long term institutional collaboration in surgical training on trauma care in Malawi. SpringerPlus, 5(1). https://doi.org/10.1186/s40064-016-2050-7