Maintenance of medical devices

1. Maintenance of medical devices Submitted by Name: Mary Ngugi and Philip Anyango Affiliation: Ministry of Health Location: Nairobi, Kenya E-mail address for contact: anyangopa@gmail.com, brngitu@yahoo.com

2. Country Estimates in Brief Global CE / HTM Success Stories

3. Country's Health Technology ProgramKey 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 Global CE / HTM Success Stories

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 Global CE / HTM Success Stories

5. National in –house ophthalmic equipment maintenance programme Background Ophthalmic equipment maintenance program started in 2009 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 Global CE / HTM Success Stories

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 Global CE / HTM Success Stories

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 Global CE / HTM Success Stories

8. Results Outcome • Increased availability of ophthalmic equipment and instrument from 34%-90% facts: Ophthalmic equipment maintenance report 2010-2015 • 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 facts: Ophthalmic equipment maintenance report 2010-2015 • Reduced breakdown to an average of 20% • Maintain an updated national inventory for ophthalmic equipment . Global CE / HTM Success Stories

9. 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 Global CE / HTM Success Stories

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. Global CE / HTM Success Stories