Mulugeta Mideksa (MSc in BME, BSc in Computer sc., BSc in Electrical Engineering ) Technical Advisor , Medical Equipment and Facility management, Medical Service Directorate, Federal Ministry of Health Addis Ababa, Ethiopia Colorado Convention Centre Denver, Colorado USA June 4- 8, 2015

The HTM (Medical Devices Management) Ethiopian Experience June 7, 2015 HTM Seminar, Denver, CO, USA

HTM Seminar, Denver, CO, USA Back Ground Total population (2012) 91.7 +1 Million (2014) Fertility rate 4.64 births per woman ‎(2012) Life expectancy at birth m/f Male/Female 62/63 years (2012) Infant Mortality Rate 44 (2013) Number of Healthcare Facility in Country Primary- 5,000HC, 15,000HP Secondary- 142+100 General Hospital Tertiary- 6+11 UH Total Expenditure on Health as % of GDP 3.8 / year HTM Seminar, Denver, CO, USA

ACEW (HTM Seminar) Experience Date of ACEW(s) 2006 Location of ACEW(s) Gion Hotel, Addis Ababa Number of Attendees (if recorded or known) N/A Main Topic of Interest for HTM Seminar 2015: HTM Seminar, Denver, CO, USA

Ethiopian Health System Profile Ethiopian health system is classified into 3- tiers & referral system Tier 1: [i.e. Primary healthcare service] Tier 2: [i.e. Secondary healthcare service] Tier 3: [i.e. Tertiary healthcare service] June 7, 2015 HTM Seminar, Denver, CO, USA

Ethiopia Health System Profile (cont’d) Line of responsibilities: District Government Areas [Rural Health Centres & Primary Healthcare Centres] Regional Government [secondary health facilities] Federal Government [tertiary health facilities] June 7, 2015 HTM Seminar, Denver, CO, USA

Healthcare Indicators Indicator description Value(Number) Hospitals 149 + 100 = 249 Health centers 4,000 Health posts 15,446 Private clinics for profit 1,788 Private clinics not for profit 271 N/a June 7, 2015 ACCE ACEW Program Review, Atlanta, GA, USA

ACCE ACEW Program Review, Atlanta, GA, USA Challenge Professional conflict of interest BME Vs Pharmacist BME Vs BMTs Skilled or Experienced BME/T Vs Graduated one Mandate over lapping Among PFSA on All Life cycle on MEM EPHI on Lab Equipment's FMOH and Different Directorate Lack of Standardization and uniform ME policies in all hospital June 7, 2015 ACCE ACEW Program Review, Atlanta, GA, USA

Ethiopian Health Technology Program Key accomplishments 1. Education: a. Developing uniform Curriculum for six Africa Biomedical Engineering (BMETs) countries. Two (2) Ethiopian Universities are currently offering training in Biomedical Engineering programme leading to the award of Bachelor of Engineering (BME) & BM-Technologist…Planned Masters of Engineering (BME) specialization in: Imaging and Instrumentation Rehabilitation Medical Engineering Information and Computerization… Developing Curriculum HTM…..New Proposed in Next two Year c. 5-Polytechnic is currently running a 4 year programmes leading to Diploma in BM-Technician. June 7, 2015 HTM Seminar, Denver, CO, USA

Ethiopia Health Technology Program Key accomplishments (cont’d) Introduce Structure and Separate JD for BME from Facility Management and Pharmacist BME Directorate in Hospital and regional Health level FMOH agencies also done same Still Not yet in Ministry level. e. Payment for BME : Private wing in the Hospital + neighbouring by Hospital Obtaining Risk Allow + Duty fee Recognizing BME Recognizing BME as Clinical team. Association Recognized 20 BME/T for long life (>20y) experience University Recognized 2 person for their contribution June 7, 2015 HTM Seminar, Denver, CO, USA

Ethiopia Health Technology Program Key accomplishments (cont’d) National Healthcare Technology Policy: Developed Donation Medical Equipment Directive for Ethiopia in (2012) Guidelines on Medical Equipment Management in Ethiopia (2009) Central bulk purchasing System in 2006 (plan to consider Standardization)….update 2015 Policy on Medical Equipment Management in Ethiopia Addis Ababa Hospitals (2014) Cascaded the above policy to all other hospital in Ethiopia (2015) not yet finalized June 7, 2015 HTM Seminar, Denver, CO, USA

Ethiopia Health Technology Program Key accomplishments (cont’d) Master Medical Equipment List and min specification for: Primary, Secondary and Tertiary Healthcare Institutions in Ethiopia (2013) Nine minimum Standards(including: Inv., HF, Policy, PPM, Training…) are developed for MEM(HTM) in 2010 under EHRIG Developed HTM Curriculums for MHA in 2014 June 7, 2015 HTM Seminar, Denver, CO, USA

Ethiopia Health Technology Program Key accomplishments (cont’d) FMoH _WHO Collaboration: 2014; Review of Country kickoff document on improving access to medical devices through local production and technology transfer- LPTT project [Phase II] 2014;Capacity Building Workshop on Local Production and Technology Transfer (LPTT) Project for Medical Devices in Ethiopia GE- Planned and start legal process to produce LP in Ethiopia. June 7, 2015 HTM Seminar, Denver, CO, USA

HTM Seminar, Denver, CO, USA Left intentionally June 7, 2015 HTM Seminar, Denver, CO, USA

Ethiopia Health Technology Program Conclusion and Action Plan To step up awareness for society with media…Accepted Managed Equipment Service Quality Assurance [Calibration] … Started but needs Calibration Tools for Radiation Medical Equipment (IAEA)/ WHO Medical Device Division Impliment Other Acquisition method Leasing or Rent… is accepted, As per GE- Healthcare Survey Clustering or Group utilization… Started agreement among them Use all win-win tools like: 5”S”, “Lean”… Develop prioritized (Life support )Medical Equipment specification and include “CE-mark” as Quality measure. Organizing Seminar (ACCE, WHO Medical)?????? June 7, 2015 HTM Seminar, Denver, CO, USA

Ethiopia Health Technology Program Conclusion and Action plan Capacity Building: training and retraining of technical personnel; training of trainers- TOT and staff exchange and so on. Training for users (Refreshing professional course, New graduated, New Technology) Develop course on HTM for all clinical streams Implement the Modified existing CMMS and Train the Technician… Compare Indian CMMS Develop National MEM Web site. Like: Frank Hospital June 7, 2015 HTM Seminar, Denver, CO, USA

HTM Seminar, Denver, CO, USA Acknowledgement Adriana (for her coaching & global Leadership) Tom Judd (Continues contact and technical support) Jennifer ( support Us to link to Global Society & ACCE) ACCE (supporting our ACCE membership) June 7, 2015 HTM Seminar, Denver, CO, USA

HTM Seminar, Denver, CO, USA We have no other HOME Country We have to make sure “the 1st thing is First” Our first priority is our Family / as clinical our patient / June 7, 2015 HTM Seminar, Denver, CO, USA

HTM Seminar, Denver, CO, USA God Bless You God Bless You June 7, 2015 HTM Seminar, Denver, CO, USA