Programme for Training and Research in Laparoscopic Surgery
with focus on Developing Countries/Countries in Economic Transition
Organised by the
Coordinator: PD Dr Pierre Meyer
Terms of reference for initiation of collaboration
Laparoscopy has been associated with less minor complications as well as shorter duration of hospital stay when compared to open surgery. It has therefore replaced open surgery for many interventions over the years. However, despite the documented evidence of the benefits and effectiveness, laparoscopy is rarely used in resource-constrained countries. This is often due to restricted availability or access of the equipment and lack of training of medical personnel. In order to address this gap, the Geneva Foundation for Medical Education and Research - in collaboration with WHO/Department of Essential Health Technologies and Department of Reproductive Health and Research - has set out to develop a programme for training and research in laparoscopic surgery with the aim to improve the use of laparoscopy in developing countries. Among the planned activities are the development of a manual in laparoscopy, conduction and evaluation of training programmes, assessment of research needs as well as performance of research programmes.
As there will be great variations among and within countries in using laparoscopy and also in the barriers to its wider implementation, a detailed situation analysis as a first step is essential for appropriate, country- specific activities. The universally applicable Framework for Assessment will greatly facilitate this process. More importantly, the documentation of the cost-effectiveness of laparoscopy (hence the benefits resulting from initial investments that are necessary to introduce laparoscopy at larger scale) is key to achieving acceptance among governments (i.e. MoH) and other decision makers in national health care systems.
In order to arrive at the envisaged situation analysis, the GFMER recommends that the collaborating institution performs a study that includes the following:
Table 1 provides more details to the points listed above.
*Note: Points 1A, 1B and 2A are assessed with help of a detailed Framework for Assessment
Contacts at GFMER for the Programme
Prof. Aldo Campana, Dr. Pierre Meyer, Dr. Regina Kulier, Dr. Annette Reinisch (Annette.Reinisch@gfmer.ch)
Text prepared by Annette Reinisch
Edited by Aldo Campana,