A Quantitative Analysis of Human and Material Resources for Endoscopy Services in Pacific Island Countries

This study aims to evaluate the current state of endoscopy services in Pacific Island Countries (PICs) by quantifying human and material resources, including the number of trained endoscopists and nurses, the types of procedures performed, and the availability and maintenance of endoscopic equipment.

A mixed methods survey was conducted in 2023, targeting doctors and nurses who participated in the WGO-FNU-ANZGITA endoscopy training program as well as non-participants. Survey invitations were sent through email, WhatsApp, and Facebook Messenger. Data were collected from 16 sites across 12 PICs, achieving an 85% response rate. Survey results indicated a total of 58 endoscopists (2.1/100000 population) and 52 nurses (1.9/100000 population), with a majority having received training through international partnerships. Basic endoscopy services, such as gastroscopy and colonoscopy, were widely available, but advanced procedures were limited to a few sites. Most sites reported using donated equipment, with significant challenges in equipment maintenance and repair. The availability of functional endoscopes averaged four per site. Common issues included outdated equipment, lack of qualified personnel, and insufficient funding for new equipment.

Despite efforts to enhance endoscopy services in PICs through international collaborations, significant gaps remain, particularly in terms of advanced procedural capacity and equipment maintenance. Recommendations include expanding training programs, improving equipment maintenance infrastructure, securing funding for new equipment, and fostering stronger partnerships to support the sustainability of endoscopy services. Addressing these areas can enhance the quality and availability of endoscopy services, ultimately improving healthcare outcomes for populations in PICs.