Plastic surgery in Tunisia--an experience with CARE/MEDICO

Area of Science:

• Medical Education
• International Health
• Plastic Surgery

Background:

• The author's experience in Tunisia from October 1978 to October 1979.
• Initiation of a plastic surgery program at Aziza Othmana Hospital, Tunis.

Purpose of the Study:

• To describe the establishment of a plastic surgery program in a developing country.
• To outline the roles of a Visiting Volunteer Specialist and contract surgeon.
• To identify challenges in implementing long-term international medical projects.

Main Methods:

• Descriptive account of a one-year volunteer assignment.
• Observation of challenges in establishing a university-affiliated hospital program.
• Analysis of factors affecting project sustainability.

Main Results:

• The primary obstacle to program continuity was the absence of a host country counterpart.
• The program's long-term success was jeopardized by a lack of local leadership and training support.
• The author's roles included initiating the program and providing surgical services.

Conclusions:

• Establishing sustainable international medical programs requires strong local partnerships.
• The lack of a dedicated counterpart hindered the long-term success of the plastic surgery training program.
• Recommendations for future international medical missions include phased commitments, starting with shorter tours.