In late 2017, the World Health Organisation (WHO), in collaboration with the International Society for Prosthetics and Orthotics (ISPO) and USAID, published the WHO Standards for Prosthetics and Orthotics accompanied by an implementation manual to support countries to develop/improve high-quality, affordable prosthetics and orthotics services.

Following this, from 28th February to 1st March 2018, COPE organised a quality management seminar with representatives from the Lao Ministry of Health and all five government rehabilitation centres.  The objective of the seminar was to align Lao-context quality clinical audit tools to global World Health Organisation standards in all steps of prosthetic and orthotic service delivery.  COPE and the Centre for Medical Rehabilitation have since conducted the first round of Quality Clinical Audits using these adapted tools in all centres to monitor the continuing increase in quality of prosthetic and orthotic services in Lao PDR.