1. Maintenance of medical devices
Submitted by
Name: Mary Ngugi and Philip Anyango
Affiliation: Ministry of Health
Location: Nairobi, Kenya
address for contact:

2. Country Estimates in Brief
Population
44.38 Million
Population Growth Rate
2.7%
Life Expectancy at Birth
61.68 (2013), Men 59,68, Women 63.64
Infant Mortality Rate
39 per 1000 lives
Number of Health Centers in Country
National Teaching and Referral Hospitals-2
Regional Referral Hospitals-10
County Hospitals-139
Sub-County Hospitals- 139
Health Centres-1112.
Total Expenditure on Health as % of GDP
4.7
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3. Country's Health Technology Program Key Success Story
Before 1990;
There was no engineers and technicians and skilled in service and maintain medical equipment
Less than 50% of equipment were in use
No maintenance was in place
Facilities relied on vendor technicians for repairs
Frequent breakdown of equipment
Longer response and down time
No laid down procedure for acquisition
No equipped workshops
January 2016
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4. Interventions & Results
Medical Engineering Training Centers were started in the country
To train technologists and technicians on management of Medical equipment.
They were posted to the facilities after three year programs
More than 4,000 Bmets has been trained since 1987
Every level four and above have a BMET
Bmets participate in decision on equipment acquisition
80% of equipment in facilities are in use
Reduced response and downtime
Currentyly Managed Equipment service is being implimented
January 2016
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5. National in –house ophthalmic equipment maintenance programme
Background
Ophthalmic equipment maintenance program started in due;
Poor state of ophthalmic equipment and instrument
Lack of well trained medical engineering personnel on maintenance of ophthalmic equipment
66% of the equipment and instrument were not working optimally( baseline survey report 2010)
Most equipment put aside due to very minor faults.
Poor inventory of ophthalmic equipment
January 2016
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6. Situation before intervention
Lack of ophthalmic services in most hospital
Common occurrence of un-serviced ophthalmic equipment and instruments in hospitals
Over Reliance on equipment supplier for maintenance and service of the equipment which is very expensive.
Demoralized work force due to lack of tools of trade
Un-utilized equipment especially donations due to lack of operation skills by clinicians
More expenditure on procurement of new equipment
January 2016
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7. Intervention/What we did
Two biomedical engineering technician taken for a specialized training on maintenance of ophthalmic equipment and instruments and training of trainers (TOT) The two technicians were deployed in the division of ophthalmic service to;
Undertake preventive and corrective maintenance of the ophthalmic equipment and instrument across the country
Build capacity of other medical engineering technicians on maintenance of ophthalmic equipment and instrument
Build capacity of eye care service providers on proper use and care of ophthalmic equipment and instrument
Maintain an inventory of all ophthalmic equipment and instrument for all the public eye care units
Give technical support to hospitals
January 2016
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8. Global CE / HTM Success Stories
Results
Outcome
Increased availability of ophthalmic equipment and instrument from 34%-90%
facts: Ophthalmic equipment maintenance report
100% of Maintenance works on ophthalmic equipment done in-house.
Increased capacity of medical Engineering personnel to 32 by end of 2015
Build capacity for at least one eye care service providers( ophthalmic nurse/surgeon) on proper use and care of ophthalmic equipment and instrument
Reduced breakdown to an average of 20%
Maintain an updated national inventory for ophthalmic equipment .
January 2016
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9. Global CE / HTM Success Stories
Action plan
Due to devolution;
Ensure these medical Engineering personnel keep abreast with emerging technologies.
Establish a similar program in each county.
Establish a national spare part program for ophthalmic equipment
January 2016
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10. Conclusions and action plan
There is need to
build capacity in specialized equipment like renal, Imaging, ICU
To set up center of excellence which will act as calibration centers and for mentorship
The country require Healthcare Technology Management policy that will regulatory body and accreditation program.
January 2016
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