Med Biol Eng Comput - Effectiveness of medical equipment donations to improve health systems: how much medical equipment is broken in the developing world?

Tópicos

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Resumo

It is often said that most of the medical equipment in the developing world is broken with estimates ranging up to 96% out of service. But there is little documented evidence to support these statements. We wanted to quantify the amount of medical equipment that was out of service in resource poor health settings and identify possible causes. Inventory reports were analyzed from 1986 to 2010, from hospitals in sixteen countries across four continents. The UN Human Development Index was used to determine which countries should be considered developing nations. Non-medical hospital equipment was excluded. This study examined 112,040 pieces of equipment. An average of 38.3% (42,925, range across countries: 0.83-47%) in developing countries was out of service. The three main causes were lack of training, health technology management, and infrastructure. We hope that the findings will help biomedical engineers with their efforts toward effective designs for the developing world and NGO's with efforts to design effective healthcare interventions.

Resumo Limpo

often said medic equip develop world broken estim rang servic littl document evid support statement want quantifi amount medic equip servic resourc poor health set identifi possibl caus inventori report analyz hospit sixteen countri across four contin un human develop index use determin countri consid develop nation nonmed hospit equip exclud studi examin piec equip averag rang across countri develop countri servic three main caus lack train health technolog manag infrastructur hope find will help biomed engin effort toward effect design develop world ngos effort design effect healthcar intervent

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