Evidence map›Paper›PMID 28821280›Full record

SynthesisGlobalization and health2017

Methods for medical device and equipment procurement and prioritization within low- and middle-income countries: findings of a systematic literature review.

Karin Diaconu, Yen-Fu Chen, Carole Cummins, Gabriela Jimenez Moyao, Semira Manaseki-Holland, Richard Lilford

Abstract readSystematic Review
In one paragraph

Synthesis in Globalization and health, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

32 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Karin DiaconuInstitute for Applied Health Research, University of Birmingham, B15 2TT, Edgbaston, West Midlands, UK. kdiaconu@qmu.ac.uk.
Yen-Fu ChenWarwick Centre for Applied Health Research and Delivery, University of Warwick, Coventry, CV4 7AL, UK.
Carole CumminsInstitute for Applied Health Research, University of Birmingham, B15 2TT, Edgbaston, West Midlands, UK. c.l.cummins.20@bham.ac.uk.
Gabriela Jimenez MoyaoMedicins Sans Frontieres, Artsen Zonder Grenzen, Rue de l'Arbre Benit 46, 1050, Bruxelles, Belgium.
Semira Manaseki-HollandInstitute for Applied Health Research, University of Birmingham, B15 2TT, Edgbaston, West Midlands, UK.
Richard LilfordWarwick Centre for Applied Health Research and Delivery, University of Warwick, Coventry, CV4 7AL, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundForty to 70 % of medical devices and equipment in low- and middle-income countries are broken, unused or unfit for purpose; this impairs service delivery to patients and results in lost resources. Undiscerning procurement processes are at the heart of this issue. We conducted a systematic review of the literature to August 2013 with no time or language restrictions to identify what product selection or prioritization methods are recommended or used for medical device and equipment procurement planning within low- and middle-income countries. We explore the factors/evidence-base proposed for consideration within such methods and identify prioritization criteria.

resultsWe included 217 documents (corresponding to 250 texts) in the narrative synthesis. Of these 111 featured in the meta-summary. We identify experience and needs-based methods used to reach procurement decisions. Equipment costs (including maintenance) and health needs are the dominant issues considered. Extracted data suggest that procurement officials should prioritize devices with low- and middle-income country appropriate technical specifications - i.e. devices and equipment that can be used given available human resources, infrastructure and maintenance capacity.

conclusionSuboptimal device use is directly linked to incomplete costing and inadequate consideration of maintenance services and user training during procurement planning. Accurate estimation of life-cycle costing and careful consideration of device servicing are of crucial importance.

Indexed as

Health ResourcesCosts and Cost AnalysisDeveloping CountriesEquipment and SuppliesHumansIncomeEquipmentHealth technology assessmentMedical devicesPrioritizationResource allocation

Identifiers

PMID28821280
PMCPMC5563028

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.