DAY 1 – Monday 2 May – 15:30-17:00
Swiss Tech | Room 3B | Level Garden
Kate Michi Ettinger – @k8ethics
Mural Institute, United States
Kate Michi Ettinger, Senior Fellow, Center for Health Professions, UCSF, is a social innovation consultant, product designer and health care ethicist with over fifteen years of health-related experience in private, government, academic, non-profit sectors. At the catalyst at OpenQRS, Kate currently focuses on how to harness new technologies, such as sensors, wireless, mobile – to make it easy, effective and affordable to monitor data on quality, reliability and safety for medical devices deployed anywhere in the world.
Medical technologies deployed in low and middle-income countries (LMIC) often encounter a lack of clear guidelines for how to address quality, reliability, and/or safety (QRS). In this regulatory absence, innovators have stepped up to develop creative QRS solutions. This session will examine “bright spots” – promising examples of systems level innovations that address the QRS of medical technology.
The session features diverse programs from LMIC that improve QRS of medical technology. Panelists will share insights, surprises, and challenges—including failures. Our discussion will be practical as it will center on the lessons learned from implemented solutions. We will identify facilitators of success and the key stakeholders engaged in these initiatives. The session aims to enable successful replication of these promising models.
Emmanuel Kouemo Tchokodjeu, Cardiac Centre Shisong, Cameroon, Advanced Medical Technologies Management in Limited Resources Settings Context: Five Years’ Experience from the Cardiac Centre of Shisong in Cameroon [PDF Full Paper]
The Cardiac Centre Shisong (CCS) is the reference centre for the cardiovascular diseases care in Central Africa. The technical/operational experience for the medical technology management capitalized in the CCS could be useful as “model of cooperation” between NGO and developing countries. The philosophy leading the project can be described in 3 axes: 1) Providing quality and affordable care to the populations; 2) Empowering local personnel and 3) Model of management providing that the CCS must be 100% managed by local people and possibly economically sustainable. The primary issues faced in the CCS were: 1) The limited offer of the local market (spare part, devices, consumables); 2) Huge instability of basic utilities (Electricity, Water); 3) Need of skilled personnel and 4) Absence of reliable companies to take care of most of the medical equipment in Cameroon. The strategies to overcome these issues have been: 1) Training for the local personnel; 2) Helpdesk office; 3) Supervision on site by Europeans expert during the first years; 4) Collaboration with European NGO and companies for free certified technical services; 5) An adapted medical equipment management philosophy and 5) Fund raising in Europe to support the main projects. Results and Conclusions are: 1) 95% of In house maintenance; 2) Quality and safety of equipment confirmed by certified checks; 3) Daily users checks prevent 80% of medical equipment failure during use; 4) Trainings and collaborations of local technicians with the manufacturers permitted to reduce the maintenance cost and avoid expensive maintenance contract for 98% of our equipment; 5) Optimization of logistics is essential and 6) Strong and stable basic utilities (energy, water,) are a necessity.
Roberto Musi, United Nations Office for Project Services, Haiti Office, Setup of Health Technologies Maintenance Units in Complex Settings: An Experience from Three Community Reference Hospitals in Haiti
This work outlines the activities being implemented by UNOPS in Haiti, in the context of a operations and maintenance support project for three public community reference hospitals (HCR) in the capital city Port Au Prince. This project, funded by the Brazilian Cooperation and in collaboration with the Haitian Ministry of Health (MSPP), has the scope to set up a roadmap for the introduction and implementation of proper health facility management policies and practices, which are essential to guarantee appropriate operations and maintenance of installations and equipment and their sustainability. Focus is made on the health technologies sector, that being cross-sectional between the infrastructure and the clinical activities, is critical for the success of the project. Local context is generally characterized by gaps of capacity in terms of logistics, security and technical services availability, all aspects that deeply affect the introduction of new maintenance methodologies in the public system
Andrei Dizon Coronel, Ateneo de Manila University, Philippines, The eHATID LGU Program: A Continuing Effort in the Collaborative Challenge of Nationwide Health Informatics [PDF Full Paper]
The government program called eHealth TABLET for Informed Decision Making of Local Government Units [eHATID LGU] follows the success of the 2013 eTABLET Project, which aimed to leverage ICT to improve the efficiency of health care delivery across ten municipalities in the Philippines. The new program, eHATID LGU, has expanded the project to reach deployment to up to 450 cities and municipalities nationwide. The products and services of the program have expanded and serve to achieve the objectives of five new thrusts : institutional development and partnership, integration to currently existing communication channels, capacity building, systems integration, and sustainability. The program, as with its preceding pilot study, continues to work toward the actual main goal of bridging the gap across disparate manual health systems implemented in separate locations, thereby improving both health care delivery and the vertical transfer of information starting from the municipality level.
David Matthew Garrity, GVA Research LLC, United States of America, Additionality vs. Systems Approach: ICT and Tuberculosis Epidemic in Southern Africa [PDF Full Paper]
WHO recently identified tuberculosis as ranking with HIV as the leading cause of death worldwide. Furthermore, estimates are that nearly 37% of cases are undiagnosed. In southern Africa, mineworkers have the highest incidence of tuberculosis of any working population in the world; moreover, this labor force consists of a high percentage of migratory and informal workers, further complicating the diagnosis and treatment option. Based on World Bank estimates, the cost of the tuberculosis epidemic in South Africa alone in 2012 was US$885mm. The need to establish communication and coordination across communities spread over several countries is not only paramount, but poses a number of significant challenges requiring the development and deployment of robust technology applications. In the context of such challenges, one team working on tuberculosis surveillance and control in at least four sub-Saharan African countries (Zambia, Mozambique, Malawi and Lesotho) have identified possible ICT solutions for integrated tracking across a range of health systems functions. Solutions identified may not be domain or sector specific to health systems, and the paper will review sector-specific versus participatory design approaches.