Cited by 233Quality and Safety in HealthcareGlobal Health and SurgeryInnovation and Socioeconomic Development

The DOI matches its Crossref record; 9 of the 9 references it cites were found in a registry or an index.

Effectiveness of medical equipment donations to improve health systems: how much medical equipment is broken in the developing world?

Open access

Perry, Lora, Malkin, Robert·2011·Medical & Biological Engineering & Computing

Open this paper in CoChat — free account Open PDF

Abstract

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.

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

Integrity signals

Registry

Crossref · 10.1007/s11517-011-0786-3

Cites

9 of 9 references verified0 citation errors · 0 not checkable

Statistics

Claims the paper makes

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

Self-check

Percentages, sums and reported differences re-computed from the paper’s own numbers.

The self-check needs the paper’s full text.

Design of Health Care Technologies for the Developing World
Malkin, R. A. (2007) · Annual Review of Biomedical Engineering · doi:10.1146/annurev.bioeng.9.060906.151913 · Cited by 161
Self-citation
Evidence-based approach to the maintenance of laboratory and medical equipment in resource-poor settings
Malkin, R. A., & Keane, A. (2010) · Medical & Biological Engineering & Computing · doi:10.1007/s11517-010-0630-1 · Cited by 74
Self-citation
Medical Technology and Developing Countries: The Case of Brazil
Banta, H. D. (1986) · International Journal of Health Services · doi:10.2190/7h41-xeeb-aqyy-0cn6 · Cited by 28
Distributing and Transferring Medical Technology
Peña-Mohr, J. (1987) · International Journal of Technology Assessment in Health Care · doi:10.1017/s026646230000057x · Cited by 22
Health Care Technology Transfer in Latin America and the Caribbean
Coe, G., & Banta, D. (1992) · International Journal of Technology Assessment in Health Care · doi:10.1017/s0266462300013489 · Cited by 20
Engineering World Health
Kaunonen, G. (2010) · IEEE Pulse · doi:10.1109/mpul.2010.938710 · Cited by 11
Medical technologies in developing countries: a feasibility study on the maintenance of medical equipment in Ethiopia
Bracale, M., & Pepino, A. (1994) · Medical & Biological Engineering & Computing · doi:10.1007/bf02518909 · Cited by 8
Technical services for healthcare facilities: a model for developing countries
Frize, M., & Cheng, M. S. P. (1994) · Medical & Biological Engineering & Computing · doi:10.1007/bf02512533 · Cited by 4
Health Care and Medical Technology in Nigeria: An Appraisal
Erinosho, O. A. (1991) · International Journal of Technology Assessment in Health Care · doi:10.1017/s0266462300007108 · Cited by 4

Show all 9 references

Sorted by citations

Global Surgery 2030: evidence and solutions for achieving health, welfare, and economic development
Meara, J. G., Leather, A. J. M., Hagander, L., Alkire, B. C., Alonso, N., Ameh, E. A., Bickler, S. W., Conteh, L., Dare, A. J., Davies, J., et al. (2015) · The Lancet · doi:10.1016/s0140-6736(15)60160-x · Cited by 3,851
The Lancet Commission on diagnostics: transforming access to diagnostics
Fleming, K. A., Horton, S., Wilson, M. L., Atun, R. A., DeStigter, K. K., Flanigan, J. S., Sayed, S., Adam, P., Aguilar, B., Andronikou, S., et al. (2021) · The Lancet · doi:10.1016/s0140-6736(21)00673-5 · Cited by 506
Technologies for global health
Howitt, P. J., Darzi, A. W., Yang, G., Ashrafian, H., Atun, R. A., Barlow, J. G., Blakemore, A. I. F., Bull, A. M. J., Car, J., Conteh, L., et al. (2012) · The Lancet · doi:10.1016/s0140-6736(12)61127-1 · Cited by 405
Self-citation
Securing internet of medical things systems: limitations, issues and recommendations
Yaacoub, J.-P. A., Noura, M., Noura, H. N., Salman, O., Yaacoub, E., Couturier, R., & Chehab, A. (2020) · Future Generation Computer Systems · doi:10.1016/j.future.2019.12.028 · Cited by 308
Point of Care Diagnostics in Resource-Limited Settings: A Review of the Present and Future of PoC in Its Most Needed Environment
Heidt, B., Siqueira, W. F., Eersels, K., Diliën, H., van Grinsven, B., Fujiwara, R. T., & Cleij, T. J. (2020) · Biosensors · doi:10.3390/bios10100133 · Cited by 298
Health systems, systems thinking and innovation
Atun, R. A. (2012) · Health Policy and Planning · doi:10.1093/heapol/czs088 · Cited by 282
Towards design strategies for circular medical products
Kane, G. M., Bakker, C. A., & Balkenende, R. (2017) · Resources Conservation and Recycling · doi:10.1016/j.resconrec.2017.07.030 · Cited by 209
Artificial intelligence for global health
Hosny, A., & Aerts, H. J. W. L. (2019) · Science · doi:10.1126/science.aay5189 · Cited by 177
Global Surgery 2030: a roadmap for high income country actors
Ng-Kamstra, J. S., Greenberg, S. L. M., Abdullah, F., Amado, V., Anderson, G. A., Cossa, M., Costas‐Chavarri, A., Davies, J. I., Debas, H. T., Dyer, G. S. M., et al. (2016) · BMJ Global Health · doi:10.1136/bmjgh-2015-000011 · Cited by 171
Medical equipment donation in low-resource settings: a review of the literature and guidelines for surgery and anaesthesia in low-income and middle-income countries
Marks, I. H., Thomas, H. S., Bakhet, M., & Fitzgerald, J. E. F. (2019) · BMJ Global Health · doi:10.1136/bmjgh-2019-001785 · Cited by 144
Haves and have nots must find a better way: The case for open scientific hardware
Chagas, A. M. (2018) · PLoS Biology · doi:10.1371/journal.pbio.3000014 · Cited by 119
Methods for medical device and equipment procurement and prioritization within low- and middle-income countries: findings of a systematic literature review
Diaconu, K., Chen, Y., Cummins, C., Moyao, G. J., Manaseki‐Holland, S., & Lilford, R. J. (2017) · Globalization and Health · doi:10.1186/s12992-017-0280-2 · Cited by 118
Medical Device Product Innovation Choices in Asia: An Empirical Analysis Based on Product Space
Hu, F., Qiu, L., & Zhou, H. (2022) · Frontiers in Public Health · doi:10.3389/fpubh.2022.871575 · Cited by 95
Open hardware: From DIY trend to global transformation in access to laboratory equipment
Wenzel, T. (2023) · PLoS Biology · doi:10.1371/journal.pbio.3001931 · Cited by 89
The How Project: understanding contextual challenges to global surgical care provision in low-resource settings
Raykar, N. P., Yorlets, R. R., Liu, C., Goldman, R. E., Greenberg, S. L. M., Kotagal, M., Farmer, P. E., Meara, J. G., Roy, N., & Gillies, R. (2016) · BMJ Global Health · doi:10.1136/bmjgh-2016-000075 · Cited by 81
Health hackathons: theatre or substance? A survey assessment of outcomes from healthcare-focused hackathons in three countries
Olson, K. R., Walsh, M., Garg, P., Steel, A., Mehta, S., Santorino, D., Petersen, R., GUARINO, A. J., Bailey, E., & Bangsberg, D. R. (2017) · BMJ Innovations · doi:10.1136/bmjinnov-2016-000147 · Cited by 77
Resource constrained innovation in a technology intensive sector: Frugal medical devices from manufacturing firms in South Africa
Chakravarty, S. (2021) · Technovation · doi:10.1016/j.technovation.2021.102397 · Cited by 76
Circular business models in the medical device industry: paths towards sustainable healthcare
Guzzo, D., de Carvalho, M. M., Balkenende, R., & Mascarenhas, J. (2020) · Resources Conservation and Recycling · doi:10.1016/j.resconrec.2020.104904 · Cited by 90
Disseminating technology in global surgery
Bolton, W. S., Aruparayil, N., Quyn, A. J., Scott, J., Wood, A. M., Bundu, I., Gnanaraj, J., Brown, J. M., & Jayne, D. G. (2019) · British journal of surgery · doi:10.1002/bjs.11036 · Cited by 66
Sustainable low-field cardiovascular magnetic resonance in changing healthcare systems
Qin, C., Murali, S., Lee, E., Supramaniam, V., Hausenloy, D. J., Obungoloch, J., Brecher, J., Lin, R., Ding, H., Akudjedu, T. N., et al. (2021) · European Heart Journal - Cardiovascular Imaging · doi:10.1093/ehjci/jeab286 · Cited by 65
You pray to your God: A qualitative analysis of challenges in the provision of safe, timely, and affordable surgical care in Uganda
Albutt, K. H., Yorlets, R. R., Punchak, M. A., Kayima, P., Namanya, D. B., Anderson, G. A., & Shrime, M. G. (2018) · PLoS ONE · doi:10.1371/journal.pone.0195986 · Cited by 57
Wireless skin sensors for physiological monitoring of infants in low-income and middle-income countries
Xu, S., Rwei, A. Y., Vwalika, B., Chisembele, M. P., Stringer, J. S. A., Ginsburg, A. S., & Rogers, J. A. (2021) · The Lancet Digital Health · doi:10.1016/s2589-7500(21)00001-7 · Cited by 57
Sensor-as-a-Service: Convergence of Sensor Analytic Point Solutions (SNAPS) and Pay-A-Penny-Per-Use (PAPPU) Paradigm as a Catalyst for Democratization of Healthcare in Underserved Communities
Morgan, V., Casso-Hartmann, L., Bahamón-Pinzón, D., McCourt, K. M., Hjort, R. G., Bahramzadeh, S., Vélez‐Torres, I., McLamore, E. S., Gomes, C. L., Alocilja, E. C., et al. (2020) · Diagnostics · doi:10.3390/diagnostics10010022 · Cited by 53
The Growth of Neurosurgery in East Africa: Challenges
Santos, M. M., Qureshi, M. M., Budohoski, K. P., Mangat, H. S., Ngerageza, J. G., Schöller, K., Shabani, H. K., Zubkov, M. R., & Härtl, R. (2018) · World Neurosurgery · doi:10.1016/j.wneu.2018.01.084 · Cited by 47
Lifebox pulse oximeter implementation in Malawi: evaluation of educational outcomes and impact on oxygen desaturation episodes during anaesthesia
Albert, V., Mndolo, S. K., Harrison, E. M., O’Sullivan, E., Wilson, I. H., & WALKER, I. A. (2017) · Anaesthesia · doi:10.1111/anae.13838 · Cited by 43
Availability and utilization of medical devices in Jimma zone hospitals, Southwest Ethiopia: a case study
Ademe, B. W., Tebeje, B., & Assaye, A. M. (2016) · BMC Health Services Research · doi:10.1186/s12913-016-1523-2 · Cited by 42
The role of medical equipment in the spread of nosocomial infections: a cross-sectional study in four tertiary public health facilities in Uganda
Ssekitoleko, R., Oshabaheebwa, S., Munabi, I., Tusabe, M. S., Namayega, C., Ngabirano, B. A., Matovu, B., Mugaga, J., Reichert, W., & Joloba, M. (2020) · BMC Public Health · doi:10.1186/s12889-020-09662-w · Cited by 29
Experiences with implementation of continuous positive airway pressure for neonates and infants in low-resource settings: A scoping review
Dada, S., Ashworth, H. C., Sobitschka, A., Raguveer, V., Sharma, R., Hamilton, A. R. L., & Burke, T. F. (2021) · PLoS ONE · doi:10.1371/journal.pone.0252718 · Cited by 40
Building sustainable and resilient surgical systems: A narrative review of opportunities to integrate climate change into national surgical planning in the Western Pacific region
Qin, R. X., Velin, L., Yates, E. F., Omrani, O. E., McLeod, E. J., Tudravu, J., Samad, L., Woodward, A. J., & McClain, C. D. (2022) · The Lancet Regional Health - Western Pacific · doi:10.1016/j.lanwpc.2022.100407 · Cited by 43
Evaluation of a large‐scale donation of Lifebox pulse oximeters to non‐physician anaesthetists in Uganda
Finch, L. C., Kim, R. Y., Ttendo, S. S., Kiwanuka, J. K., WALKER, I. A., Wilson, I. H., Weiser, T. G., Berry, W. R., & Gawande, A. A. (2014) · Anaesthesia · doi:10.1111/anae.12632 · Cited by 37
A Model for Good Governance of Healthcare Technology Management in the Public Sector: Learning from Evidence-Informed Policy Development and Implementation in Benin
Houngbo, P. T., Coleman, H. L. S., Zweekhorst, M. B. M., Buning, T. D. C., Médénou, D., & Bunders, J. (2017) · PLoS ONE · doi:10.1371/journal.pone.0168842 · Cited by 37
Oxygen Availability and Nursing Capacity for Oxygen Therapy in Ugandan Paediatric Wards
Nabwire, J., Namasopo, S., & Hawkes, M. (2017) · Journal of Tropical Pediatrics · doi:10.1093/tropej/fmx033 · Cited by 35
Global Surgical Ecosystems: A Need for Systems Strengthening
deVries, C. R., & Rosenberg, J. S. (2016) · Annals of Global Health · doi:10.1016/j.aogh.2016.09.011 · Cited by 34
Medical device landscape for communicable and noncommunicable diseases in low-income countries
Sarvestani, A. S., & Sienko, K. H. (2018) · Globalization and Health · doi:10.1186/s12992-018-0355-8 · Cited by 33
Accessing medical equipment in developing countries through remanufacturing
Eze, S., Ijomah, W., & Wong, T. C. (2019) · Journal of remanufacturing · doi:10.1007/s13243-018-0065-7 · Cited by 32
Diffusion of Novel Healthcare Technologies to Resource Poor Settings
Malkin, R. A., & Beer, K. V. O. (2013) · Annals of Biomedical Engineering · doi:10.1007/s10439-013-0750-5 · Cited by 30
Self-citation
Global health front-end medical device design: The use of prototypes to engage stakeholders
Coulentianos, M. J., Rodríguez-Calero, I., Daly, S. R., & Sienko, K. H. (2020) · Development Engineering · doi:10.1016/j.deveng.2020.100055 · Cited by 31
Barriers to Neurosurgical Care of Brain Tumors in Low- and Middle-Income Countries: A Systematic Review of the Service Delivery Challenges
Shakir, M., Shariq, S. F., Irshad, H. A., Khowaja, A. H., Tahir, I., Rae, A. I., Hamzah, R., Gupta, S., Park, K. B., & Enam, S. A. (2024) · World Neurosurgery · doi:10.1016/j.wneu.2024.05.044 · Cited by 26
Mixed-methods assessment of surgical capacity in two regions in Ethiopia
Iverson, K. R., Garringer, K., Ahearn, O., Alidina, S., Citron, I., Esseye, S., Teshome, A., Mukhopadhyay, S., Burssa, D., Collaborators, S. S. 2., et al. (2019) · British journal of surgery · doi:10.1002/bjs.11032 · Cited by 27
Global Health Technology 2.0
Caldwell, A., Young, A. K., Gómez-Márquez, J., & Olson, K. R. (2011) · IEEE Pulse · doi:10.1109/mpul.2011.941459 · Cited by 24
Journal of Remanufacturing
(2013) · Journal of remanufacturing · doi:10.1007/13243.2210-4690 · Cited by 24
Effective Medical Surplus Recovery
Atasu, A., Toktay, L. B., Yeo, W. M., & Zhang, C. (2016) · Production and Operations Management · doi:10.1111/poms.12641 · Cited by 23
Giving Back: A mixed methods study of the contributions of US-Based Nigerian physicians to home country health systems
Nwadiuko, J., James, K., Switzer, G. E., & Stern, J. (2016) · Globalization and Health · doi:10.1186/s12992-016-0165-9 · Cited by 24
Health care during electricity failure: The hidden costs
Mechtenberg, A. R., McLaughlin, B., DiGaetano, M., Awodele, A., Omeeboh, L., Etwalu, E., Nanjula, L., Musaazi, M. K., & Shrime, M. G. (2020) · PLoS ONE · doi:10.1371/journal.pone.0235760 · Cited by 22
Sample-to-result molecular diagnostic platforms and their suitability for infectious disease testing in low- and middle-income countries
Hauner, A., Onwuchekwa, C., & Ariën, K. K. (2024) · Expert Review of Molecular Diagnostics · doi:10.1080/14737159.2024.2353690 · Cited by 20
Biomedical Equipment Technician Capacity Building Using a Unique Evidence-Based Curriculum Improves Healthcare
Malkin, R. A., & Whittle, C. (2013) · Journal of Clinical Engineering · doi:10.1097/jce.0000000000000008 · Cited by 20
Self-citation
Availability, procurement, training, usage, maintenance and complications of electrosurgical units and laparoscopic equipment in 12 African countries
Oosting, R. M., Wauben, L. S. G. L., Madete, J., Groen, R. S., & Dankelman, J. (2020) · BJS Open · doi:10.1002/bjs5.50255 · Cited by 19
Effect of deploying biomedical equipment technician on the functionality of medical equipment in the government hospitals of rural Nepal
Thapa, R., Yih, A., Chauhan, A. K., Poudel, S., Singh, S., Shrestha, S. M., Tamang, S., Shrestha, R., & Rajbhandari, R. (2022) · Human Resources for Health · doi:10.1186/s12960-022-00719-y · Cited by 19
Medical Equipment Management in General Hospitals: Experience of Tulu Bolo General Hospital, South West Shoa Zone, Central Ethiopia
Kabeta, S. H., Chala, T. K., & Tafese, F. (2023) · Medical Devices Evidence and Research · doi:10.2147/mder.s398933 · Cited by 19
Determining the utility and durability of medical equipment donated to a rural clinic in a low-income country
Bauserman, M., Hailey, C. E., Gado, J., Lokangaka, A. L., Williams, J., Richards-Kortum, R. R., Tshefu, A. K., & Bose, C. L. (2014) · International Health · doi:10.1093/inthealth/ihu091 · Cited by 19
The Effect of Chemical Cleaning on Mechanical Properties of Three-Dimensional Printed Polylactic Acid
Fleischer, J. C., Diehl, J. C., Wauben, L. S. G. L., & Dankelman, J. (2020) · Journal of Medical Devices · doi:10.1115/1.4046120 · Cited by 18
Remanufacturing: a potential sustainable solution for increasing medical equipment availability
Eze, S., Ijomah, W., & Wong, T. C. (2020) · Journal of remanufacturing · doi:10.1007/s13243-020-00080-0 · Cited by 18
Medical imaging consultation practices and challenges at public hospitals in the Amhara regional state, Northwest Ethiopia: a descriptive phenomenological study
Nigatu, A. M., Yilma, T. M., Gezie, L. D., Gebrewold, Y., Gullslett, M. K., Mengiste, S. A., & Tilahun, B. C. (2023) · BMC Health Services Research · doi:10.1186/s12913-023-09652-9 · Cited by 20
Medical missions for the provision of paediatric cardiac surgery in low- and middle-income countries
Molloy, F., Nguyen, N., Mize, M., Wright, G., George-Hyslop, C. S., O’Callaghan, M., Scanlan, E., & Novick, W. M. (2017) · Cardiology in the Young · doi:10.1017/s104795111700261x · Cited by 17
Excess COVID-19 mortality among critically ill patients in Africa
Kirenga, B., & Byakika‐Kibwika, P. (2021) · The Lancet · doi:10.1016/s0140-6736(21)00576-6 · Cited by 17
Medical device procurement in low- and middle-income settings: protocol for a systematic review
Diaconu, K., Chen, Y., Manaseki‐Holland, S., Cummins, C., & Lilford, R. J. (2014) · Systematic Reviews · doi:10.1186/2046-4053-3-118 · Cited by 16
Medical device regulation and oversight in African countries: a scoping review of literature and development of a conceptual framework
Nasir, N., Molyneux, S. C., Were, F., Aderoba, A. K., & Fuller, S. (2023) · BMJ Global Health · doi:10.1136/bmjgh-2023-012308 · Cited by 28
Avoid equipment graveyards: rigorous process to improve identification and procurement of effective, affordable, and usable newborn devices in low-resource hospital settings
Asma, E., Heenan, M., Banda, G., Kirby, R. P., Mangwiro, L., Acemyan, C. Z., Palamountain, K. M., Kortum, P. T., Kawaza, K., Oden, Z. M., et al. (2023) · BMC Pediatrics · doi:10.1186/s12887-023-04362-x · Cited by 16
Navigating Quality Assessment Hurdles in Clinical Laboratory Services: A Comprehensive Review in Resource-Limited Settings
Cherie, N., Deress, T., Berta, D. M., Chane, E., Teketelew, B. B., Adane, K., & Nigus, M. (2024) · Risk Management and Healthcare Policy · doi:10.2147/rmhp.s453020 · Cited by 19
The extent to which circular economy principles have been applied in the design of medical devices for low-resource settings in Sub-Saharan Africa. A systematic review
Samenjo, K. T., Oosting, R. M., Bakker, C. A., & Diehl, J. C. (2023) · Frontiers in Sustainability · doi:10.3389/frsus.2023.1079685 · Cited by 17
Problems with systems of medical equipment provision: an evaluation in Honduras, Rwanda and Cambodia identifies opportunities to strengthen healthcare systems
Emmerling, D., Dahinten, A. P., & Malkin, R. A. (2017) · Health and Technology · doi:10.1007/s12553-017-0210-6 · Cited by 14
Self-citation
A mixed-methods needs assessment of traumatic brain injury care in a low- and middle-income country setting: building neurocritical care capacity at two major hospitals in Cambodia
Barkley, A. S., Spece, L. J., Barros, L. M., Bonow, R. H., Ravanpay, A. C., Ellenbogen, R. G., Huoy, P., Thy, T., Sothea, S., Pak, S., et al. (2019) · Journal of neurosurgery · doi:10.3171/2019.10.jns192118 · Cited by 14
Devices and furniture for small and sick newborn care: systematic development of a planning and costing tool
Tarus, A., Msemo, G., Kamuyu, R., Shamba, D. D., Kirby, R. P., Palamountain, K. M., Gicheha, E., Kumar, M. B., Powell‐Jackson, T., Bohne, C. A., et al. (2023) · BMC Pediatrics · doi:10.1186/s12887-023-04363-w · Cited by 13
An approach to prioritization of medical devices in low-income countries: an example based on the Republic of South Sudan
Lilford, R. J., Burn, S. L., Diaconu, K., Lilford, P., Chilton, P. J., Bion, V., Cummins, C., & Manaseki‐Holland, S. (2015) · Cost Effectiveness and Resource Allocation · doi:10.1186/s12962-014-0027-3 · Cited by 13
Addressing mass-customization trade-offs in bottom of the pyramid markets
Ahrens, F., Dobrzykowski, D. D., & Sawaya, W. J. (2018) · International Journal of Physical Distribution & Logistics Management · doi:10.1108/ijpdlm-02-2018-0048 · Cited by 13
The RAIS Device for Global Surgery: Using a Participatory Design Approach to Navigate the Translational Pathway to Clinical Use
Webb, M. M., Bridges, P., Aruparayil, N., Chugh, C., Beacon, T., Singh, T., Sawhney, S. S., Bains, L., Hall, R., Jayne, D. G., et al. (2022) · IEEE Journal of Translational Engineering in Health and Medicine · doi:10.1109/jtehm.2022.3177313 · Cited by 12
Efficiency of Medical Equipment Utilization and Its Associated Factors at Public Referral Hospitals in East Wollega Zone, Oromia Regional State, Ethiopia
Geta, E. T., Terefa, D. R., & Desisa, A. E. (2023) · Medical Devices Evidence and Research · doi:10.2147/mder.s401041 · Cited by 12
Development and Implementation of a Training-of-Trainers Program for Continuous Positive Airway Pressure in Neonatal and Pediatric Patients in Five Low- and Middle-Income Countries
Wilson, P. T., Benckert, M., Moresky, R. T., & Morris, M. C. (2016) · Journal of Tropical Pediatrics · doi:10.1093/tropej/fmw096 · Cited by 12
Enhancing skills to promote the utilization of medical laboratory equipment in low resource settings
Oshabaheebwa, S., Namuli, L. K., Tusabe, M. S., Nantume, J., Ackers, L., & Ssekitoleko, R. (2020) · Health Policy and Technology · doi:10.1016/j.hlpt.2020.01.001 · Cited by 12
Elusive quality: the challenges and ethical dilemmas faced by international non-governmental organisations in sourcing quality assured medical products
Enright, K. (2021) · BMJ Global Health · doi:10.1136/bmjgh-2020-004339 · Cited by 12
Portable ultrasound devices: A method to improve access to medical imaging, barriers to implementation, and the need for future advancements
Tang, C., Guss, D., Tanaka, M. J., & Lubberts, B. (2021) · Clinical Imaging · doi:10.1016/j.clinimag.2021.10.002 · Cited by 12
Evaluating a computerized maintenance management system in a low resource setting
Beniacoub, F., Ntwari, F., Niyonkuru, J.-P., Nyssen, M., & Bastelaere, S. V. (2021) · Health and Technology · doi:10.1007/s12553-021-00524-y · Cited by 11
Infrastructural Barriers to Neurosurgical Care of Brain Tumors in Low- and Middle-Income Countries: A Systematic Review
Shakir, M., Khowaja, A. H., Irshad, H. A., Tahir, I., Shariq, S. F., Rae, A. I., Hamzah, R., Gupta, S., Park, K. B., & Enam, S. A. (2024) · World Neurosurgery · doi:10.1016/j.wneu.2024.10.104 · Cited by 11
Design of a syringe extension device (Chloe SED®) for low-resource settings in sub-Saharan Africa: a circular economy approach
Samenjo, K. T., Ramanathan, A. R., Gwer, S. O., Bailey, R. C., Otieno, F., Koksal, E., Sprecher, B., Price, R. A., Bakker, C. A., & Diehl, J. C. (2023) · Frontiers in Medical Technology · doi:10.3389/fmedt.2023.1183179 · Cited by 11
Implementing Diagnostic Imaging Services in a Rural Setting of Extreme Poverty: Five Years of X-ray and Ultrasound Service Delivery in Achham, Nepal
Possible, Filkins, M., Halliday, S., Daniels, B., Bista, R., Thapa, S., Schwarz, R. K., Schwarz, D., Gauchan, B., & Maru, D. (2015) · Journal of Global Radiology · doi:10.7191/jgr.2015.1001 · Cited by 11
Status of Medical Devices and their Utilization in 9 Tertiary Hospitals and 5 Research institutions in Uganda
Ssekitoleko, R., Arinda, B. N., Oshabaheebwa, S., Namuli, L. K., Mugaga, J., Namayega, C., Opolot, E. E., Baluka, J. W., Ibingira, C., Munabi, I. G., et al. (2022) · Global Clinical Engineering Journal · doi:10.31354/globalce.v4i3.127 · Cited by 11
Haves and Have nots must find a better way: The case for Open Scientific HardwarePreprint
Chagas, A. M. (2018) · doi:10.31219/osf.io/uh682 · Cited by 11
Isoniazid or rifampicin preventive therapy with and without screening for subclinical TB: a modeling analysis
Kendall, E. A., Hussain, H., Kunkel, A., Kubiak, R. W., Trajman, A., Menzies, R., & Drain, P. K. (2021) · BMC Medicine · doi:10.1186/s12916-021-02189-w · Cited by 10
Diagnosis and Management of Cryptococcal Disease in Resource-Limited Settings
Vanselow, M. S., Brandt, M. E., & Park, B. J. (2012) · Current Fungal Infection Reports · doi:10.1007/s12281-011-0082-6 · Cited by 10
Delivery of Subspecialty Surgical Care in Low-Resource Settings
White, R. E., & Parker, R. K. (2017) · Springer eBooks · doi:10.1007/978-3-319-49482-1_5 · Cited by 10
Nurse workload, missed nursing care, and the contributing factors in the Neonatal Intensive Care Unit in a limited resource setting: A case from Indonesia
Utomo, M. T., Sampurna, M. T. A., Melisa, M., Permana, P. B. D., Albright, I. A., Etika, R., Angelika, D., Handayani, K. D., & Irzaldy, A. (2022) · F1000Research · doi:10.12688/f1000research.109105.1 · Cited by 10
Service-Learning in Biomedical Engineering: Engineering World Health (EWH)
Malkin, R. A., & Calman, L. J. (2014) · International Journal for Service Learning in Engineering Humanitarian Engineering and Social Entrepreneurship · doi:10.24908/ijsle.v0i0.5542 · Cited by 9
Self-citation
Hearing aid or “band aid”? Evaluating large scale hearing aid donation programmes in the Philippines
Newall, J. P., Biddulph, R., Ramos, H. D., & Kwok, C. (2019) · International Journal of Audiology · doi:10.1080/14992027.2019.1666308 · Cited by 9
The Current Status of Global Urology
Scotland, K. B., & Watson, G. M. (2020) · Current Bladder Dysfunction Reports · doi:10.1007/s11884-020-00609-w · Cited by 10
Medical Equipment Donation: An End in Itself or a Mean to an End?
Bhatia, V., Reddy, M. V., & Samprathi, M. (2022) · Indian Journal of Critical Care Medicine · doi:10.5005/jp-journals-10071-24121 · Cited by 9
Design, testing, and scale-up of medical devices for global health: negative pressure wound therapy and non-surgical male circumcision in Rwanda
Mody, G. N., Mutabazi, V., Zurovcik, D. R., Bitega, J. P., Nsanzimana, S., Harward, S. H., Wagner, C. M., Nutt, C. T., & Binagwaho, A. (2015) · Globalization and Health · doi:10.1186/s12992-015-0101-4 · Cited by 9
Why is Designing for Developing Countries More Challenging? Modelling the Product Design Domain for Medical Devices
Bergmann, J., Noble, J. A., & Thompson, M. S. (2015) · Procedia Manufacturing · doi:10.1016/j.promfg.2015.07.792 · Cited by 9
The Lifebox Surgical Headlight Project: engineering, testing, and field assessment in a resource-constrained setting
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
Global Veterinary Diagnostic Laboratory Equipment Management and Sustainability and Implications for Pandemic Preparedness Priorities1
Lasley, J. N., Appiah, E. O., Kojima, K., & Blacksell, S. D. (2023) · Emerging infectious diseases · doi:10.3201/eid2904.220778 · Cited by 8
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
Effects of health system limitations on the use of blood culture and sensitivity testing in Kenyan county hospitals: an interview-based qualitative study using causal loop diagrams
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
Africa’s Digital Health Revolution: The Digital Fit-Viability Model to Move From Innovation to Scaled Implementation
Jiwa, A., Ngatia, A., Benali, K., Boehmer, N., Delle, S., Emedom-Nnamdi, P., Fofie, C. O., O’Brien, C. M., Olatunji, T., Obayagbona, K. I., et al. (2025) · Journal of Medical Internet Research · doi:10.2196/63495 · Cited by 8
Paper 3D Printing to Supplement Rural Healthcare Supplies — What Do Healthcare Facilities Want?
Kats, D., Spicher, L., Savonen, B., & Gershenson, J. K. (2018) · IEEE Global Humanitarian Technology Conference (GHTC) · doi:10.1109/ghtc.2018.8601529 · Cited by 8
The Global call for action on infection prevention and control
Avortri, G. S., & Nabyonga‐Orem, J. (2019) · International Journal of Health Care Quality Assurance · doi:10.1108/ijhcqa-03-2018-0063 · Cited by 8
A framework for the management of donated medical devices based on perspectives of frontline public health care staff in Ghana
Williams, D. B., Köhler, J. C., Howard, A., Austin, Z., & Cheng, Y. (2020) · Medicine Access Point of Care · doi:10.1177/2399202620941367 · Cited by 9
Critical elements in the design, development and use of medical devices. A systemic perspective of orthopedic devices landscape in low- and middle-income countries
Trust Saidi, & Douglas, T. S. (2021) · Health Policy and Technology · doi:10.1016/j.hlpt.2021.100593 · Cited by 8
Machines matter too: including biomedical engineering partnerships in global health initiatives
Kehinde, T., Biwott, J., Sund, G. C., & Kynes, J. M. (2024) · The Lancet Global Health · doi:10.1016/s2214-109x(24)00294-8 · Cited by 7
The critical condition of anaesthesia provision in low-income and middle-income countries
Ulisubisya, M. (2016) · The Lancet Global Health · doi:10.1016/s2214-109x(16)30129-2 · Cited by 7
A comprehensive district-level laboratory intervention after the Ebola epidemic in Sierra Leone
Mesman, A. W., Bangura, M., Kanawa, S., Gassimu, J. S., Dierberg, K. L., Sheku, M., Orozco, J. D., & Marsh, R. H. (2019) · African Journal of Laboratory Medicine · doi:10.4102/ajlm.v8i1.885 · Cited by 7
Comparative evaluation of a low cost direct ophthalmoscope (Arclight) for red reflex assessment among healthcare workers in Malawi
Dooley, E., Kousha, O., Msosa, J. M., Ndaule, E., Abraham, C. H., Parr, J., O'Hare, B. A.-M., & Blaikie, A. J. (2020) · BMJ Innovations · doi:10.1136/bmjinnov-2019-000361 · Cited by 7

Authors: Perry, L., & Malkin, R.
Affiliations: Duke University (US)
Corresponding author: Malkin, Robert
ORCID: Malkin, Robert
Venue: Medical & Biological Engineering & Computing
Publisher: Springer Science and Business Media LLC
Published: 2011-05-20
Volume: 49
Issue: 7
Pages: 719-722
ISSN: 0140-0118 (ISSN-L)
1741-0444
DOI: 10.1007/s11517-011-0786-3
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

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review

Effectiveness of medical equipment donations to improve health systems: how much medical equipment is broken in the developing world?

Abstract

Overview

Integrity signals

Verification

Claims the paper makes

Claims other papers make about this one

Self-check

Citations

Cites

Cited by

Related

Metadata

Record

About these checks