The iPATH program consists of 2 phases:

• phase 1 : fellowship training phase in International Training Centre Mbale (Uganda)
• phase 2 : home institution becomes iPATH site

Phase 1: fellowship training phase in International Training Centre Mbale (Uganda)

1. Intensive hands-on instructions of selected fellow by Dr Warf (Mbale, 2 weeks), including:

• Lectures on hydrocephalus, ventricular anatomy, ETV/CPC techniques and outcomes
• Hands-on workshop to learn equipment and setup as well as practicing flexible endoscope manipulation in a simulator model (in cooperation with Karl Storz Co)
• Live operations performed with Dr. Warf on a minimum of 20 cases selected and reserved in advance
• Review and conclusions

2. Additional fellow training by Dr Mugamba (Mbale, 2 months):

• Live operations performed with Dr Mugamba on an additional 80 children
• Review and conclusions
• Introduction and training for patient database
• Discussion of plan for continued communication and support

Phase 2: home institution becomes iPATH site

1. Set up and training visit Dr Warf to iPath site (1 week) Onsite setup of equipment (Karl Storz, 1 week)
2. Selection operating theatre staff (by selected site)
3. Training operating theatre staff by technical advisor; instruction nursing staff on  proper care of instruments and correct setup of units (Karl Storz)
4. Installation and training for patient database
5. Selection local hydrocephalus/spina bifida nurse coordinator (by selected site)
6. Training local hydrocephalus/spina bifida nurse coordinator (IF, 2 weeks)
7. Set up cooperation with local partners involved in patient and parent education and follow up (selected site, other organizations and NGO's, IF)
8. Development parent support groups (IF, 2 weeks)
9. Development public education package (IF)
10. Development prevention package (IF, Dr Warf)
11. Evaluation phase neurosurgery (1 week, after 1 year)
12. Evaluation phase nurse training (1 week, after 1 year)