Towards improving access to medical devices through local production


Book Description

This report identifies the current issues, challenges and opportunities in low-resource settings regarding the production and lifecycle of medical devices. It builds on the findings from phase I, which elaborated on the general barriers and challenges to accessing medical devices in low-resource settings. A feasibility tool is used to evaluate production and manufacturing viability of selected medical devices in a given setting. This report provides an evaluation of the current capacity, policy and infrastructure to locally produce and manufacture selected medical devices both globally and within the four case study countries: Ethiopia, Nigeria, South Africa and the United Republic of Tanzania.










Historical Perspectives on the State of Health and Health Systems in Africa, Volume II


Book Description

This book focuses on Africa’s challenges, achievements, and failures over the past several centuries using an interdisciplinary approach that combines theory and fact and evidence-based practices and interventions in public health, and argues that most of the health problems in Africa are not a result of scarce or lack of resources, but of the misconceived and misplaced priorities that have left the continent behind every other on the globe in terms of health, education, and equitable distribution of opportunities and access to (quality) health as agreed by the United Nations member states at Alma-Ata in 1978.




Commercialization of Health Products from Sub-Saharan Africa: Challenges and Opportunities


Book Description

Despite the global progress made in improving health of people and increasing the life expectancy, Sub-Saharan Africa continues to be plagued by many health problems. Commercialization of health products from Sub-Saharan Africa presents opportunities to solve some of these health problems as well as generate economic returns. This thesis explored science based health product commercialization in sub-Saharan Africa through three studies. The objective was to identify opportunities and challenges facing health product commercialization in Sub-Saharan Africa. A qualitative case study approach was used and data collected using interviews. The first study involved looking at science based health product commercialization at a national level. Rwanda was chosen for this study. Thirty eight key informants selected from various institutions that form the health innovation system in Rwanda were interviewed. The results of the study show that opportunities exist in Rwanda for health product commercialization mainly because of the strong political will to support health innovation. However the main challenge is that there are no linkages between the actors involved in health innovation in Rwanda. The second study looked at health innovation at the level of a research institution. The Kenya Medical Research Institute (KEMRI) was studied where eight key informants were interviewed. The results show that KEMRI faced many challenges in its attempt at health product development, including shifting markets, lack of infrastructure, inadequate financing, and weak human capital with respect to innovation. However, it overcame them through diversification, partnerships and changes in culture. The third study looked at health technologies that are being developed in sub-Saharan Africa but have stagnated in laboratories. Thirty nine key informants were interviewed. A total of 25 technologies were identified, the majority being traditional plant medicines; other technologies identified included diagnostic tests and medical devices. Many of these technologies require further validation. Other key challenges to commercialization of these technologies that were identified included a lack of innovative culture among scientists and policy makers and lack of proof of concept funds including venture capital. Overall, this thesis identified opportunities for science based health commercialization in Africa, and also provides recommendations on how to overcome major challenges.




A toolkit for medical equipment donations to low-resource settings


Book Description

Hospitals in many low-income countries rely significantly on donations of medical equipment. These donations are made with the best of intentions, however, the outcomes are not always positive. The World Health Organization estimates that up to 80% of the medical equipment in some sub-Saharan African countries is donated equipment. However, the majority is out of use due to the significant challenges faced by low-resourced health systems including; a lack of trained health workers and technical staff to use, maintain and manage the equipment, the absence of a strong supply chain for consumables and spare parts and an unreliable infrastructure to operate the equipment which is often without a good power supply, temperature control, water and medical gas. The toolkit includes good practice guidance for each of the seven stages of the donation process, from initial discussions between donor and recipient about what is required to after donated equipment arrives, is installed and ready ...