Determining the utility and durability of medical equipment donated to a rural clinic in a low-income country

Bauserman, Melissa; Hailey, Claire E.; Gado, Justin; Lokangaka, Adrien; Williams, Jessica; Richards‐Kortum, Rebecca; Tshefu, Antoinette; Bose, Carl

doi:10.1093/inthealth/ihu091

Cited by 12 publications

(13 citation statements)

References 12 publications

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“…Source: Ankomah et al, 4 Japiong et al, 5 World Health Organization, 9,36 Dzwonczyk and Riha, 11 Mavalankar et al, 34 Food and Drugs Authority Ghana 37 and Bauserman et al 38 and biomedical scientists may fill this role. Introducing medical devices to hospitals before ensuring that there is a member of the executive (or management) team who is available and qualified to manage the devices is illadvised.…”

Section: Ensuring Sustainable Functionality By Proactivementioning

confidence: 99%

A framework for the management of donated medical devices based on perspectives of frontline public health care staff in Ghana

Williams

Köhler

Howard

et al. 2020

Medicine Access @ Point of Care

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Background: Transnational funders provide up to 80% of funds for medical devices in resource-limited settings, yet sustained access to medical devices remains unachievable. The primary goal of this study was to identify what factors hinder access to medical devices through the perspectives of frontline public hospital staff in Ghana involved in the implementation of transnational funding initiatives. Methods: A case study was developed that involved an analysis of semi-structured interviews of 57 frontline technical, clinical and administrative public health care staff at 23 sites in Ghana between March and April 2017; a review of the national guidelines for donations; and images of abandoned medical devices. Results: Six key themes emerged, demonstrating how policy, collaboration, quality, lifetime operating costs, attitudes of health care workers and representational leadership influence access to medical devices. An in-depth assessment of these themes has led to the development of an enterprise-wide comprehensive acquisition and management framework for medical devices in the context of transnational funding initiatives. Conclusion: The findings in this study underscore the importance of incorporating frontline health care staff in developing solutions that are targeted at improving delivery of care. Sustained access to medical devices may be achieved in Ghana through the adoption of a rigorous and comprehensive approach to acquisition, management and technical leadership. Funders and public health policy makers may use the study’s findings to inform policy reform and to ensure that the efforts of transnational funders truly help to facilitate sustainable access to medical devices in Ghana.

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Section: Ensuring Sustainable Functionality By Proactivementioning

confidence: 99%

A framework for the management of donated medical devices based on perspectives of frontline public health care staff in Ghana

Williams

Köhler

Howard

et al. 2020

Medicine Access @ Point of Care

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“…These findings mirror results from other evaluations where most of the distributed handheld solar lights were retained and used; however, prior evaluations were limited by short periods between light distribution and evaluation (from only five days to three months) [18,19]. Our findings of high retention and satisfactory durability of the solar lights are important contributions to the current literature because they can help guide future allocation of limited resources in humanitarian settings; well-intentioned donations of equipment are often made without understanding of the appropriateness of the equipment in particular settings [45]. …”

Section: Discussionmentioning

confidence: 81%

Handheld solar light use, durability, and retention among women and girls in internally displaced persons camps in Haiti — 2013–2014

Dynes

Rosenthal

Hulland

et al. 2016

International Journal of Disaster Risk Reduction

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During conflict and disasters, women and girls are at increased risk of gender based violence. International humanitarian guidelines call for the distribution of individual lighting to meet women and girls’ basic needs and to reduce risk of violence; however, little evidence exists to support these guidelines. This paper presents an evaluation of handheld solar light use, retention, and durability among women and girls living in two internally displaced persons camps in Port-au-Prince, Haiti. Data was gathered prospectively via five household surveys from August 2013 to April 2014; a total of 754 females participated in the study. Women reported going outside at night more frequently at the end of the study than at the beginning. The handheld solar lights were the most common source of lighting at endline, whereas candle and gas lamp use declined significantly over time. Results from a Life-Table survival analysis estimated that households had an 83% probability of still owning a functioning light after seven months. Given the frequent use, acceptable durability, and retention of the lights, donors and humanitarian organizations should consider supporting light distribution to women and girls in internally displaced persons camps to help meet their basic needs.

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“…Monitors improve the care of the critically ill only if healthcare staff make timely and appropriate changes in the therapeutic management based on data from monitors. In view of the fact that pathologic deviations of vital signs such as heart rate, respiratory rate, arterial blood pressure, and arterial oxygen saturation are associated with an increased risk of organ dysfunction and death [135][136][137][138], especially in settings where artificial life support is inconsistently available [139][140][141][142][143][144][145], it appears sensible to measure these parameters continuously or at regular intervals. A prospective, before-and-after interventional study including 447 ICU patients in a Tanzanian university hospital reported that a vital signs-directed therapy improved the acute management of patients with abnormal vital signs.…”

Section: Equipmentmentioning

confidence: 99%

Infrastructure and Organization of Adult Intensive Care Units in Resource-Limited Settings

Papali

Adhikari

Dı́az

et al. 2019

Sepsis Management in Resource-Limited Settings

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Determining the utility and durability of medical equipment donated to a rural clinic in a low-income country

Cited by 12 publications

References 12 publications

A framework for the management of donated medical devices based on perspectives of frontline public health care staff in Ghana

A framework for the management of donated medical devices based on perspectives of frontline public health care staff in Ghana

Handheld solar light use, durability, and retention among women and girls in internally displaced persons camps in Haiti — 2013–2014

Infrastructure and Organization of Adult Intensive Care Units in Resource-Limited Settings

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