Effectiveness of medical equipment donations to improve health systems: how much medical equipment is broken in the developing world?
Open accessAbstract
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.
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In LMICs, 40% of medical equipment is not in service.
“As a result, 40% of medical equipment in LMICs is out of service (4).”
From Artificial intelligence for global health (2019) · cites this paper as [4]
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Starr, N. E., Panda, N., Johansen, E., Forrester, J. A., Wayessa, E., Salazar, D. R., August, A. T., Fernandez, K., Alemu, S. B., Mammo, T. N., et al. (2020) · British journal of surgery · doi:10.1002/bjs.11756 · Cited by 9 · see citing works
Lasley, J. N., Appiah, E. O., Kojima, K., & Blacksell, S. D. (2023) · Emerging infectious diseases · doi:10.3201/eid2904.220778 · Cited by 8 · see citing works
Gaps and priorities in innovation for children's surgery
Fitzgerald, T. N., Zambeli-Ljepović, A., Olatunji, B. T., Saleh, A., & Ameh, E. A. (2023) · Seminars in Pediatric Surgery · doi:10.1016/j.sempedsurg.2023.151352 · Cited by 8 · see citing works
Bahati, F., Mutua, E., Akech, S., English, M., Nyamwaya, B. M., Gachoki, J. W., & McKnight, J. (2024) · The Lancet Microbe · doi:10.1016/j.lanmic.2024.07.008 · Cited by 8 · see citing works
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Paper 3D Printing to Supplement Rural Healthcare Supplies — What Do Healthcare Facilities Want?
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The Global call for action on infection prevention and control
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The critical condition of anaesthesia provision in low-income and middle-income countries
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A comprehensive district-level laboratory intervention after the Ebola epidemic in Sierra Leone
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- Authors
- Perry, L., & Malkin, R.
- Affiliations
- Duke University (US)
- Corresponding author
- Malkin, Robert
- ORCID
- Malkin, Robert
- Venue
- Medical & Biological Engineering & Computing
- Published
- 2011-05-20
- Volume
- 49
- Issue
- 7
- Pages
- 719-722
- ISSN
- 0140-0118 (ISSN-L)
- 1741-0444
- OpenAlex
- W2043950867
- Cited by
- 232
- References
- 9
- Citations by year
- 2026: 21 · 2025: 17 · 2024: 29 · 2023: 26 · 2022: 16 · 2021: 18 · 2020: 22 · 2019: 22 · 2018: 12 · 2017: 15 · 2016: 8 · 2015: 7 · 2014: 8 · 2013: 6 · 2012: 4
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Medical & Biological Engineering & Computing (publishedVersion)
- PubMed (publishedVersion)
- Funders
- World Health Organization
- Topics
- Health Sciences › Health Professions › Medical Laboratory Technology › Quality and Safety in Healthcare
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Global Health and Surgery
- Social Sciences › Business, Management and Accounting › Business and International Management › Innovation and Socioeconomic Development
- Keywords
- medical devices, medical equipment donation, health care system, developing countries, health technology management, lack of training, health infrastructure, humanitarian aid
- MeSH terms
- Developing Countries, Equipment and Supplies, Hospital, Equipment Failure, Humans, International Cooperation, Medically Underserved Area, Biomedical Technology
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