1. 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

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

3. HTM Seminar, Denver, CO, USA
Back Ground
Total population (2012)
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 General Hospital
Tertiary UH
Total Expenditure on Health as % of GDP
3.8 / year
HTM Seminar, Denver, CO, USA

4. 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

5. 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

6. 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

7. Healthcare Indicators
Indicator description
Value(Number)
Hospitals
= 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

8. 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

9. 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

10. 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

11. 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

12. 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

13. 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

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

15. 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

16. 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

17. 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

18. 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

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