• Amali M Fernando, Joyce S Nicholas, Peter O'Brien, Hamisi Shabani, Mohamed Janabi, Peter Kisenge, Dilantha B Ellegala, and R Daniel Bass.
• Virginia Neurospine, Forest, Virginia, USA; Loyola University, Chicago, Illinois, USA. Electronic address: afernando2@luc.edu.
• World Neurosurg. 2017 Feb 1; 98: 603-613.

AbstractThe purpose of this paper is to propose and qualify a novel funding mechanism for international neurosurgical nonprofits. The article first identifies and explains neurosurgeons' means for practicing in the developing world through a literature review. After this examination of the current funding methods for surgical care in low-income regions, the work transitions to an explanation of the applications and limitations of a new resource: the internal wealth of a developing country. This wealth may be leveraged by way of a for-profit hospital to create sustainable and domestic funding for nonprofit neurosurgical training. The applicability of the proposed mechanism extends beyond the field of neurosurgery to nonprofits in any health-related discipline. Factors influencing the viability of this mechanism (including local disease burden, economic trajectory, and political stability) are examined to create a baseline set of conditions for success.Copyright © 2016 Elsevier Inc. All rights reserved.

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