HEALTH TECHNOLOGY STRATEGY Briefing To The Portfolio Committee On Health 02 March 2011

1. HEALTH TECHNOLOGY STRATEGY Briefing To The Portfolio Committee On Health 02 March 2011

2. PURPOSE • To brief the Portfolio Committee on the Health Technology Strategy

3. HT STRATEGY IN BRIEF • The main purpose of the strategy is to ensure that: • Appropriate Health Technologies are available; • Fully functional; • Pose minimal risk to patients; • While reducing the systematic inefficiencies and associated wastage • Has 5 Strategic Objectives (SO1 – SO5) • SO1: Promoting Equity In Access & Distribution Of HT (HT Planning) • SO2: Reduction Of The Unnecessarily High Cost Of HT (HT Acquisition) • SO3: Ensure Safety and Efficacy of HT (HT Asset Management) • SO4: Ensure Appropriate Introduction, Adoption and Continued Use Of HT (HT Assessment, Evidence Based) • SO5: Development of Relevant Legislation (HT Regulations) • Underpinned by a vigorous capacity building drive and review of governance structures

4. HT DEFINITION Health Technology (HT) includes devices, drugs, medical and surgicalprocedures and the knowledge associated with these in the prevention, diagnosis and treatment of diseases, as well as in rehabilitation, including the organisational and supportivesystems within which health care is provided THIS STRATEGY HOWEVER FOCUSES ON MEDICAL DEVICES

5. HT PLANNING Strategic Goals • Develop a Technology Planning mechanism (Norms & Stds) • Develop a National HT Plan (HT distrib for Pub & Priv) • Build planning capacity (Health Planners & HT econmst) • Establish national HT inventory (HT distributions patterns) • Develop relevant HT packages (EHTP, EELs etc)

6. Current Challenges Being Addressed in the Planning New Radiological/ Fluoroscopic Unit unused for 2Yrs Worth US$78’000 Age: 2 years No Sharps Containers/Waste-Disposal Units. Each Cost US$ 28 Hospital requires 300 NB: US$78’000 => 2785 containers Oxygen Tent Made from an old aquarium

7. HT ACQUISITION Strategic Goals • cost reduction strategies, incl • bulk buying discounts • restructuring of the procurement process • Strategic sourcing partnerships • SA to become a Regional HT Acquisition CoE • Develop a mutually beneficial relationship with HT industry • Strengthen BEE • Analysis of HT pricing issues • Develop local manufacturing capability liaise with DTI,DST, Treasury • Nurture HT industry through local acquisition

9. HT MANAGEMENT Strategic Goals • Strengthen clinical engineering infrastructure • Establish standards of usage including maintenance • Set and enforce training standards • Develop and adopt an optimal mix of in-house & outsourced maintenance • Build technical capacity

10. Public Sector Statistics Private Sector equally challenged Critical shortage of technical capacity

11. HT ASSESMENT Strategic Goals • Development of HTA Mechanisms • Development of relevant structures • Institutionalizing of HTA • Foster International HTA collaboration • Develop HT forecasting and HT Scanning mechanism

12. 1,400 Capital Equipment products 450 Implantable devices Single Use Disposables 2,000 Surgical Instruments The Universe of Medical Devices • 5,000 generic entities • More than 1,000,000 brands, models & sizes • More than 10,000 manufacturers • RSA info however not available 12

13. Resultant effect of • Poor maintenance • Poor user training • Poor equipment selection

14. Pad site burn

15. I II III MARKET SELECTION UTILISATION Qualified user Safe/Effective use Market Availability Classification Safety & Performance GHTF Guidelines Post Market Obligations Needs Assessment Health Technology Assessment (HTA) Good Management Practice (GMtP) Regulation in three areas

16. I II III MARKET SELECTION UTILISATION Current Focus on Safety Qualified user Safe/Effective use Market Availability Classification Safety & Performance GHTF Guidelines Post Market Obligations Needs Assessment Health Technology Assessment (HTA) Good Management Practice (GMtP) Three Levels of Medical Device Regulations

17. THANK YOU