First aid, trauma, surgical care, anaesthesia
[...] some countries in Africa have tried producing non doctor operators (I wont call them surgeons because they are not) to perform certain operations like hernia repair and cataract extraction, etc. There are also claims that they perform as well as specialist surgeons under monitoring and remote supervision in those countries.
I think that training personnel to provide safe surgical services in Africa necessarily have to be country specific/individualised. For Nigeria, as I earlier commented, the current challenge is to provide enough surgical training posts to take care of the large numbers of young doctors willing and desiring to train in surgery. Our current efforts should be directed towards addressing this need, and should include developing middle level medically trained surgical manpower.