COECSA contributes to the development of HRH through making grants for residency scholarships, student rotation, continuous medical education, subspecialty training and supporting residency and middle-level eye care staff training curriculum. COECSA also supports North-South linkages between institutions in the global South and those in the global North to foster collaborative learning and research. Currently the five COECSA member universities have on-going mutually beneficial links with Guy’s and St. Thomas’ Foundation Trust, London; University Hospital Birmingham NHS Foundation Trust; United Bristol Healthcare Trust; and, Royal Free Hospital, London. The College has a link with the Royal College of Ophthalmologists, UK.