Medical Imaging in the Global Public Health: Donation, Procurement, Installation, and Maintenance

Malkin, R.A.; Teninty, Billy

doi:10.1007/978-1-4614-0604-4_6

Cited by 4 publications

(4 citation statements)

References 6 publications

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“…The introduction of medical devices, irrespective of their sources or initial costs, requires planning, information systems and knowledge of engineering and basic sciences. 39 , 40 As such, we propose that the introduction of medical devices (whether through philanthropic activities, development partner agreements or direct purchase agreements) must be conceptualized within a single, enterprise-wide comprehensive acquisition and management (CAM) framework, as shown in Figure 3 . This framework adopts elements from the published literature as indicated.…”

Section: Discussionmentioning

confidence: 99%

“…36 Are the device’s lifetime operating costs within the recipient’s budget – from acquisition to safe disposal – and will the existing supply chain accommodate the consumables? 36 , 40 , 41 Is a qualified hospital executive available to provide technical leadership and consistent oversight? …”

Section: Discussionmentioning

confidence: 99%

“…Are the device’s lifetime operating costs within the recipient’s budget – from acquisition to safe disposal – and will the existing supply chain accommodate the consumables? 36 , 40 , 41 …”

Section: Discussionmentioning

confidence: 99%

“…Coordinating installation procedures with procurement and monitoring. 40 Monitoring refers to ongoing assessments and observation of the device's performance. 8.…”

mentioning

confidence: 99%

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A framework for the management of donated medical devices based on perspectives of frontline public health care staff in Ghana

Williams

Köhler

Howard

et al. 2020

Medicine Access @ Point of Care

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Background: Transnational funders provide up to 80% of funds for medical devices in resource-limited settings, yet sustained access to medical devices remains unachievable. The primary goal of this study was to identify what factors hinder access to medical devices through the perspectives of frontline public hospital staff in Ghana involved in the implementation of transnational funding initiatives. Methods: A case study was developed that involved an analysis of semi-structured interviews of 57 frontline technical, clinical and administrative public health care staff at 23 sites in Ghana between March and April 2017; a review of the national guidelines for donations; and images of abandoned medical devices. Results: Six key themes emerged, demonstrating how policy, collaboration, quality, lifetime operating costs, attitudes of health care workers and representational leadership influence access to medical devices. An in-depth assessment of these themes has led to the development of an enterprise-wide comprehensive acquisition and management framework for medical devices in the context of transnational funding initiatives. Conclusion: The findings in this study underscore the importance of incorporating frontline health care staff in developing solutions that are targeted at improving delivery of care. Sustained access to medical devices may be achieved in Ghana through the adoption of a rigorous and comprehensive approach to acquisition, management and technical leadership. Funders and public health policy makers may use the study’s findings to inform policy reform and to ensure that the efforts of transnational funders truly help to facilitate sustainable access to medical devices in Ghana.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…Coordinating installation procedures with procurement and monitoring. 40 Monitoring refers to ongoing assessments and observation of the device's performance. 8.…”

mentioning

confidence: 99%

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