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Evidence-based approach to the maintenance of laboratory and medical equipment in resource-poor settings

Robert Malkin, Allison Keane
2010 Medical and Biological Engineering and Computing  
Much of the laboratory and medical equipment in resource-poor settings is out-of-service. The most commonly cited reasons are (1) a lack of spare parts and (2) a lack of highly trained technicians.  ...  This data set suggests that a supported BTA could place 66% of the out-of-service laboratory and medical equipment in their hospital back into service.  ...  Introduction More than 50% of the laboratory and medical equipment in resource-poor settings is not in service (WHO Guidelines for Donated Medical Equipment).  ... 
doi:10.1007/s11517-010-0630-1 pmid:20490939 fatcat:vu4246hslnblrodlmb2edgtr74

Challenges in the Management of Sepsis in a Resource-Poor Setting

Paul Ni, Yaguo-Ide Le
2017 International journal of clinical medicine  
Objective: To outline the challenges in the management of sepsis in a resource limited setting and make appropriate recommendations.  ...  While challenges identified at the hospital level include: poor knowledge skills of the health workers, delay in making a diagnosis and initiating treatment, poorly equipped laboratory materials and personnel  ...  This is because the evidence for the recommendations has been mainly gathered from studies in high-income countries and often this evidence cannot be directly translated to the resource-poor setting.  ... 
doi:10.4236/ijcm.2017.86039 fatcat:3wfge72h6fa3togbczlis2pbwm

Laboratory capacity building for the International Health Regulations (IHR[2005]) in resource-poor countries: the experience of the African Field Epidemiology Network (AFENET)

Monica Masanza, Ndlovu Nqobile, David Mukanga, Sheba Gitta
2010 BMC Public Health  
We conclude that AFENET's approach of strengthening national and sub-national systems provide a model that could be adopted in resource-limited settings such as sub-Saharan Africa.  ...  Available evidence indicates a positive eff ect of these eff orts on laboratory capacity in the region.  ...  Abbreviations Acknowledgements We would like to acknowledge the input of Dr. Peter Nsubuga into the design of many of the programs we are reporting about.  ... 
doi:10.1186/1471-2458-10-s1-s8 pmid:21143830 pmcid:PMC3005580 fatcat:uahlh2elpnfthfw3v74cpho3n4

Navigating laboratory services quality in challenging environments: A perspective for implementation in small, low-income countries and post-conflict settings

Edward M. Kamau
2013 African Journal of Laboratory Medicine  
However, due to differences in resources available for health services in different countries, allocation of financial and human resources in poor countries is severely constrained.  ...  In resource-limited setting, it may be justifiable to develop and use 'fit for purpose' quality standards based on internationally-recognised laboratory quality management frameworks or protocols.  ...  Acknowledgements The author is grateful for comments received from reviewers and journal editors. All activities leading to the publication of this article did not require any financial support.  ... 
doi:10.4102/ajlm.v2i1.48 pmid:29043161 pmcid:PMC5637776 fatcat:2dw2m4j2zvdalcnqgv2y2l2sum

Status of Medical Devices and their Utilization in 9 Tertiary Hospitals and 5 Research institutions in Uganda

Robert Tamale Ssekitoleko, Beryl Ngabirano Arinda, Solomon Oshabahebwa, Lucy Kevin Namuli, Julius Mugaga, Catherine Namayega, Emmanuel Einyat Opolot, Jackline Baluka, Charles Ibingira, Ian Guyton Munabi, Moses Lutakome Joloba
2022 Global Clinical Engineering Journal  
There is, however, a general paucity of well-documented evidence for the utilization of medical equipment in LMICs.  ...  Results: The hospitals contributed 1995 (85%) pieces of medical equipment while the research laboratories contributed 343 (15%) pieces amounting to 2338 pieces of equipment involved in the study.  ...  of functional equipment has a devastating effect on the quality of healthcare provision and research in resource-poor settings and affects the overall healthcare system. 10, 15 ny medical technologies  ... 
doi:10.31354/globalce.v4i3.127 fatcat:qjztehmf55gozckjia462n43ry

Laboratory Systems and Services Are Critical in Global Health

John N. Nkengasong, Peter Nsubuga, Okey Nwanyanwu, Guy-Michel Gershy-Damet, Giorgio Roscigno, Marc Bulterys, Barry Schoub, Kevin M. DeCock, Deborah Birx
2010 American Journal of Clinical Pathology  
Laboratory systems and services are often neglected in resource-poor settings, but the funding offers an opportunity to end the neglect.  ...  To sustainably strengthen national laboratory systems in resource-poor countries, the following approaches are needed: (1) developing integrative national laboratory strategic plans and policies and building  ...  Laboratory systems and services are often neglected in resource-poor settings, but the funding offers an opportunity to end the neglect.  ... 
doi:10.1309/ajcpmpsinq9brmu6 pmid:20716791 fatcat:lmrmhx5s4bheblnew4qzobn2vi

Implementation science in resource-poor countries and communities

H. Manisha Yapa, Till Bärnighausen
2018 Implementation Science  
We find a growing body of implementation research aiming to discover and test novel approaches to generate resources for the delivery of evidence-based practice in routine care, including approaches to  ...  In contrast, only few studies have investigated approaches to change the behavior and utilization of healthcare resources in resource-poor settings.  ...  In many cases, successful implementation of evidence-based practice in resource-poor settings will thus require research to learn how to best adopt strategies that have proven effective in resource-rich  ... 
doi:10.1186/s13012-018-0847-1 fatcat:mlbwrft6xrferjnqnwolb723hm

Lean Healthcare Framework for Sri Lankan Healthcare Supply Chains: A Case Study of Teaching Hospitals

A.R.L. Wijewardana, T.D. Rupasinghe
2016 Universal Journal of Management  
The main outcome of the research, lean six sigma process improvement framework was developed to address cost effectiveness, waste reduction and quality improvements in terms facilities, input resources  ...  Case study approach was used and three main hospitals in Sri Lanka were studied where the results can be generalized as applicable to other contexts.  ...  Acknowledgement Authors thank the stakeholders of national health care system of Sri Lanka and Ms. Mishika Hennadige for her contribution as a research assistant.  ... 
doi:10.13189/ujm.2016.041001 fatcat:vshr2od64nfi3mgv4s25kizog4

Cervical cancer data and data systems in limited-resource settings: Challenges and opportunities

Jennifer L. Drummond, Martin C. Were, Silvina Arrossi, Kara Wools-Kaloustian
2017 International Journal of Gynecology & Obstetrics  
In response, many programs have taken innovative approaches to generating the quality information needed for decision making.  ...  data systems, and to make recommendations for next steps.  ...  ,freelyavailablestandards- based approaches to "retrofitting" information exchange in existing electronic HIS can help countries with limited resources 11,26 -as exemplified in the implementation  ... 
doi:10.1002/ijgo.12192 pmid:28691330 fatcat:rgamiu2zyfd6fm2yi6sp67knby

Innovative Application of Skills Lab Methodology for Effective Teaching of Clinical Medicine at the Kenya Medical Training College

Janet Mukelule Amanya
2017 Greener Journal of Medical Sciences  
Skills laboratory methodology is an evolving innovative simulation based Medical Education. Its purpose is to bridge the gap between theory and practice in medical training.  ...  The study determined availability of resources, perception and the relationship between resources and clinical competence.  ...  Some campuses had no functional skills lab; some were in poor state of maintenance; too small for the large number of students being trained and were ill-equipped for instruction.  ... 
doi:10.15580/gjms.2017.092117002 fatcat:iqe6rox2xbbhfljdpluawdudqy

Methods for medical device and equipment procurement and prioritization within low- and middle-income countries: findings of a systematic literature review

Karin Diaconu, Yen-Fu Chen, Carole Cummins, Gabriela Jimenez Moyao, Semira Manaseki-Holland, Richard Lilford
2017 Globalization and Health  
Forty to 70 % of medical devices and equipment in low-and middle-income countries are broken, unused or unfit for purpose; this impairs service delivery to patients and results in lost resources.  ...  We identify experience and needs-based methods used to reach procurement decisions. Equipment costs (including maintenance) and health needs are the dominant issues considered.  ...  Acknowledgements We thank Matthew Bentham (MB) and Samantha Burn (SB) for assistance in reviewing titles/abstracts for inclusion in the systematic review and help in data extraction.  ... 
doi:10.1186/s12992-017-0280-2 pmid:28821280 pmcid:PMC5563028 fatcat:lmqugskz2zcoxkkrdb3xduqhpm

Critical care in resource-poor settings: Lessons learned and future directions*

Elisabeth D. Riviello, Stephen Letchford, Loice Achieng, Mark W. Newton
2011 Critical Care Medicine  
Essential Considerations: Key areas of consideration in developing critical care in resource-poor settings include: Personnel and training, equipment and support services, ethics, and re-search.  ...  Although costeffectiveness studies on critical care in resource-poor settings have not been done, evidence from the surgical literature suggests that even resource-intensive interventions can be cost effective  ...  Technologies marketed for the resource-rich medical environment have not been shown to be sustainable in many resource-poor settings.  ... 
doi:10.1097/ccm.0b013e318206d6d5 pmid:21297458 fatcat:evcjdlcytnau5dst4lzljrxlvi

Uganda's laboratory human resource in the era of global health initiatives: experiences, constraints and opportunities—an assessment of 100 facilities

Suzanne N. Kiwanuka, Noel Namuhani, Martha Akulume, Simeon Kalyesubula, William Bazeyo, Angela N. Kisakye
2020 Human Resources for Health  
Moreover, excesses in staffing are more in favour of HIV, TB and malaria. The Ministry of Health needs to develop work-based staffing models to ensure adequate staff numbers and skill mix.  ...  Less than half of HC III laboratories had conducted a formal onsite training; hospital laboratories had not conducted training on the use and maintenance of equipment.  ...  The Supporting Policy Engagement for Evidence-based Decisions (SPEED) for Universal Health Coverage in Uganda Project funded the packaging of evidence and stakeholder engagements for this study.  ... 
doi:10.1186/s12960-020-0454-5 pmid:32070361 fatcat:35h7vrldznhchid2wzhzwbeb7i

Biomedical Equipment Technician Capacity Building Using a Unique Evidence-Based Curriculum Improves Healthcare

Robert A. Malkin, Chelsea Whittle
2014 Journal of Clinical Engineering  
This article assesses the impact of a unique evidence-based biomedical equipment technician training program on the healthcare infrastructure and the productivity of technicians in Rwanda.  ...  Obstacles to returning partially functional and out-of-service equipment to use were recorded.  ...  a resource-poor setting.  ... 
doi:10.1097/jce.0000000000000008 fatcat:7dqux4mirvg4nlbbqmvhqdbbue

TB diagnostic tests: how do we figure out their costs?

Hojoon Sohn, Jessica Minion, Heidi Albert, Keertan Dheda, Madhukar Pai
2009 Expert Review of Anti-Infective Therapy  
This, in turn, will facilitate evidence-based adoption and use of new diagnostics, especially in resource-limited settings.  ...  In this review, we describe the basic approach for computing the costs of TB diagnostic tests, and provide templates for various data elements and parameters that go into the costing ana lysis.  ...  Acknowledgements The authors are grateful to Heather Alexander Konopka for useful input and suggestions.  ... 
doi:10.1586/eri.09.52 pmid:19681700 fatcat:4yu57b5tnrhlbiln6tu2rcw4i4
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