2020
DOI: 10.1136/bmjinnov-2019-000391
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Responding to maternal, neonatal and child health equipment needs in Kenya: a model for an innovation ecosystem leveraging on collaborations and partnerships

Abstract: BackgroundUp to 70% of medical devices in low-income and middle-income countries are partially or completely non-functional, impairing service provision and patient outcomes. In Sub-Saharan Africa, medical devices not designed for local conditions, lack of well-trained biomedical engineers and diverse donated equipment have led to poor maintenance and non-repair. The Maker Project’s aim was to test the effectiveness of an innovative partnership ecosystem network, the ‘Maker Hub’, in reducing gaps in the supply… Show more

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Cited by 9 publications
(12 citation statements)
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“…It required significant time and resource to implement effectively, with activities spanning identification of stakeholders prior to starting the project through to regular interaction to maintain engagement throughout the project. However, this investment proved invaluable in achieving these ambitions and ensuring longer-term viability for the system, resonating with similar findings in the literature [40] , [41] . From the outset, it underpinned an ethos of embedding stakeholders within the team, such that it was a case of ‘designing with’, rather than ‘designing for’ this group.…”
Section: Discussionsupporting
confidence: 74%
“…It required significant time and resource to implement effectively, with activities spanning identification of stakeholders prior to starting the project through to regular interaction to maintain engagement throughout the project. However, this investment proved invaluable in achieving these ambitions and ensuring longer-term viability for the system, resonating with similar findings in the literature [40] , [41] . From the outset, it underpinned an ethos of embedding stakeholders within the team, such that it was a case of ‘designing with’, rather than ‘designing for’ this group.…”
Section: Discussionsupporting
confidence: 74%
“…Supply chain management is a critical component in ensuring availability of needed commodities such as dispersible Amoxicillin tablets, gentamicin and associated non-pharmaceutical goods such as syringes and needles. The accessibility, availability and effective utilization of essential medicines plays a critical role in delivery of quality health services [24]. To increase efficiency and reduce stock out, training providers on commodity/ logistics management and enhancing support supervision to support primary level health care providers on forecasting for IMNCI commodities among others will ensure timely/consistent procurement and distribution of antibiotics for SYI.…”
Section: Discussionmentioning
confidence: 99%
“…In a survey performed in 2018 across 31 healthcare facilities within the county of Nairobi, a shortage of essential infant equipment has been clearly revealed, including warming and resuscitation devices to treat hypothermia ( 49 ). Furthermore, a subsequent inspection conducted at the Kenyatta National Hospital (KNH) brought to light that even higher-level Kenyan hospitals were de facto unable to provide adequate maintenance and repair services for technical medical equipment ( 51 ).…”
Section: Introductionmentioning
confidence: 99%
“…Several strategies have been proposed to promote local production and research to provide SSA with essential technologies. As an example, the Maker Movement for “Maternal, Newborn and Child Health” has been launched in 2013 to empower local partnerships at KNH and foster collaboration with the Kenya National Bureau of Standards for technical guidance, international regulatory frameworks, and staff training ( 51 ). Of note, the regulatory capacity for medical devices is very limited in SSA, with only South Africa disposing of regulatory frameworks that are internationally recognized ( 52 ).…”
Section: Introductionmentioning
confidence: 99%