Training Programs


Haydom Lutheran Hospital (HLH) is located in the Manyara region, 300 km from Arusha. HLH is a faith based hospital that is part of the Lutheran Church of Tanzania. It is a referral hospital with 420 beds, that serves seven districts in four regions. The hospital provides access to health for more than 900,000 people in its catchment area, and 5.7 million people in the greater reference area. The hospital consists of several clinical departments, a research department, School of Health Sciences and community based cultural programs. There is a surgical department with three big operation rooms and two smaller ones. HLH has 3 surgeons (of which one is an orthopedic surgeon), two gynaecologists, 25 OR nurses, 8 nurse anesthetists and 3 medical assistants.

The program

Each year, two surgical trainings programs with a duration of two weeks are done by a team from the Netherlands. This has historically been organized by Doctors of the World and is now a collaboration between Global Surgery Amsterdam and Doctors of the World. Each training mission consists of two surgical specialists, one anesthesiologist and one medical coordinator.

Goals of the program are:

  • To provide care for patients with burns and burn contractures, cleft lip/palate, or other deformities;
  • To train the local medical team in the treatment of these conditions;
  • To evaluate the efficacy of the training and to perform research regarding the main subjects.

Training program:

  • One part of the program is the training during surgeries. Traditional missions often focused (and still often do) on performing difficult and complex surgeries that require thorough aftercare and are at risk of developing complications. Our goal is to focus on relatively simpler and easy to learn surgeries that are done multiple times during the mission. An example is skin grafting in acute burn care, which is relatively easy to learn and has a great impact on improving care for all patients with burns.
  • The other part of the program consists of lectures and workshops. GSA gives lectures and workshops on different topics regarding general surgery, plastic surgery and anesthesia.

Sierre Leone

Sierra Leone is a country on the southwest coast of West Africa. In the west, the country borders the Atlantic Ocean, Liberia in the southeast, and Guinea in the northeast. According to the latest census (2015) the population is slightly more than 7 million people. The country is ranked 184 out of 189 at the Human Development Index, which makes it one of the poorest in the world. Life expectancy at birth is 52.2 years and infant mortality and maternal mortality remain high. Sierra Leone was the country most affected by the devastating West African Ebola outbreak. Close to 7 % of the country’s doctors, nurses, and midwives died of Ebola, which was 100 times higher than for the general population. There are approximately 10 surgeons in Sierre Leone, all working in government hospitals.

Masanga hospital

The Masanga hospital is located in the Tonkolili district, serving a population of 400,000 people with unmet healthcare needs in the middle of Sierra Leone in West Africa. It started out as a Seventh Day Adventist sponsored leprosy hospital in the 60’s, developing a good reputation as a district hospital. There is a surgical ward and there are two operation rooms. At Masanga hospital, there are no surgeons, gynecologists or anesthesiologists. There is one surgical clinical officer, who is supported by 2 or 3 international global health doctors and visiting surgical specialists.


CapaCare is a Norwegian organization that has the purpose to train medical professionals in areas where there is a shortage of such personnel. CapaCare developed a Surgical Training Programme that aims to increase the level of surgically-skilled health staff at district hospitals in Sierra Leone. The goal of the program is to train a total of 60 Medical Doctors or Surgical Assistant Community Health officers (SACHO’s) by 2021, each for three years.

The role of Global Surgery

Amsterdam GSA aims to improve the local training program by performing research.


Friendship works in partnership with people, communities, organizations and the government to create solutions to the challenges faced by the poor and marginalized communities in Bangladesh. Friendship’s vision is a world where everyone will have equal opportunity to live with dignity and hope. Access to health care is a fundamental human right, but is not yet available to many of the poor in the remote areas of Bangladesh. Friendship has worked over the past 15 years to develop the infrastructure, services and innovative technologies that enable them to bring reliable health care to these remote areas. Friendship uses hospital ships, static clinics, satellite clinics, community medic-aides, diagnoses via mobile phone and a satellite platform to improve health care in Bangladesh.

Goals of the mission:

  • To explore if and how we can develop a structural and sustainable training- and research program for the future;
  • To provide care for patients with burns and burn contractures, cleft lip/palate, or other deformities;
  • To train the local medical team in the treatment of these conditions.

Visit the website of Friendship NGO