Access to Medical Devices in Low-Income Countries: Addressing Sustainability Challenges in Medical Device Donations
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The use of medical devices in low-income settings often is not sustainable even when donated.
“The use of medical devices in low-income settings often is not sustainable even when donated.”
From Comprehensive pregnancy monitoring with a network of wireless, soft, and flexible sensors in high- and low-resource health settings (2021) · cites this paper as [50]
The key drivers of the failure of medical devices in low-income settings are multifactorial and include the cost of maintenance, lack of skilled technicians to maintain the equipment, lack of spare parts, and high consumable costs.
“The key drivers of this failure are multifactorial and include the cost of maintenance, lack of skilled technicians to maintain the equipment, lack of spare parts, and high consumable costs (50).”
From Comprehensive pregnancy monitoring with a network of wireless, soft, and flexible sensors in high- and low-resource health settings (2021) · cites this paper as [50]
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Dunning, H. E., Zadutsa, B., Kainja, E., et al. (2022) · Gates Open Research · doi:10.12688/gatesopenres.13655.1 · Cited by 1 · see citing works
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- Authors
- Catholic Health Association of the United States, Compton, B., Barash, D. M., GE Foundation, Farrington, J., Becton, D. A. C., Hall, C., ExxonMobil, Herzog, D., UPS Foundation, Meka, V., US Agency for International Development, Rafferty, E., Becton, D. A. C., Taylor, K., University of Notre Dame, Varghese, A., & GE Foundation
- Venue
- NAM Perspectives
- Publisher
- National Academy of Medicine
- Published
- 2018-07-16
- Volume
- 8
- Issue
- 7
- ISSN
- 2578-6865 (ISSN-L)
- OpenAlex
- W2817136869
- Cited by
- 35
- References
- 0
- Citations by year
- 2026: 2 · 2025: 3 · 2024: 7 · 2023: 7 · 2022: 5 · 2021: 9 · 2020: 1 · 2019: 1
- FWCI
- 2.64
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- NAM Perspectives (publishedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Global Health and Surgery
- Health Sciences › Health Professions › Medical Laboratory Technology › Quality and Safety in Healthcare
- Social Sciences › Business, Management and Accounting › Business and International Management › Innovation and Socioeconomic Development
- Keywords
- low-income countries, sustainability challenges, global health equity
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