The Provision of Clinical Laboratory Services in Developing Countries

Gm, Bull; Fl, Mitchell

doi:10.1177/004947557800800307

Cited by 5 publications

(2 citation statements)

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“…Unable to afford these simple approaches, some developing world hospitals have developed quite complicated replacement reagents (Coloma and Harris 1978). Even technologies like PCR (Harris et al 1998) and photospectometry (Bull and Mitchell 1978) have been adapted and constructed in more complicated, but better suited, form.…”

Section: Non-barriers To Healthcare Technologymentioning

confidence: 99%

Technologies for clinically relevant physiological measurements in developing countries

Malkin

2007

Physiol. Meas.

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The 'Health for All by 2000' campaign included promotion of technologies that were known to be effective and inexpensive. The selected technologies were largely a failure. Among other problems, water pumps broke and could not be repaired in remote areas and latrines became disease concentration points when they were not properly maintained. These same problems plague more sophisticated healthcare technology. It is not sufficient for a technology to be known, effective and inexpensive for it to help the people of the developing world. There are additional obstacles. This article reviews the data, suggesting what additional obstacles exist to the successful implementation of healthcare technologies for the developing world with a particular emphasis on physiological measurements such as clinical laboratory and diagnostic medicine.

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Section: Non-barriers To Healthcare Technologymentioning

confidence: 99%

Technologies for clinically relevant physiological measurements in developing countries

Malkin

2007

Physiol. Meas.

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“…The workloads in rural areas do not justify the use of large complex analysers and usually there are not the necessary technological support facilties, suitable power supply or favourable economic and climatic conditions. Equipment is almost entirely designed for, and made in, developed countries, and its application elsewhere is often at best unsatisfactory and at worst disastrous 1,2,3,4]. The main reasons for this situation have been:-(a) lack of overall goals and relevant specifications for laboratory medicine at various levels of the health care system;…”

Section: Introductionmentioning

confidence: 99%

Principles of design, supply and usageof clinical laboratory equipment forprimary health care in developingcountries

Hjelm

Brown²,

Mitchell³

1979

Journal of Analytical Methods in Chemistry

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Design of Health Care Technologies for the Developing World

Malkin

2007

Annu. Rev. Biomed. Eng.

125

116

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Approximately 20 years ago, the international community embarked on a project to bring health care to everyone by the year 2000 featuring, among other things, technologies that were known to be effective and economical. It was largely a failure. In fact, health care deteriorated in many of the target nations. Problems such as public mistrust, lack of spare parts, lack of required consumables, lack of reliable power and water, lack of public infrastructure such as roads, lack of technical expertise, and other problems plague health care technology in the developing world. Biomedical engineers are just beginning to quantify and address the barriers to technology unique to the developing world. This article reviews the barriers, both real and perceived, to the introduction of health care technology with a main focus on health care technology in hospitals.

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The Provision of Clinical Laboratory Services in Developing Countries

Cited by 5 publications

References 0 publications

Technologies for clinically relevant physiological measurements in developing countries

Technologies for clinically relevant physiological measurements in developing countries

Principles of design, supply and usageof clinical laboratory equipment forprimary health care in developingcountries

Design of Health Care Technologies for the Developing World

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