Evidence map›Paper›PMID 40980412›Full record

ReviewFrontiers in health services2025

Medical equipment in the global south: perspective of sustainability and donations.

Frederik Paustian, Rasmus Gøl, Hannah Wolfe Julsgart, Sofie Bjerre Degn, Andreas Philip Rosenbom, Anton Aaby Henriksen, Liselotte Højgaard

Abstract readReview
In one paragraph

Review in Frontiers in health services, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–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

3 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
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

7 authors.

Frederik Paustian *Department of Health Technology, Technical University of Denmark, Kgs. Lyngby, Denmark.
Rasmus Gøl *Department of Health Technology, Technical University of Denmark, Kgs. Lyngby, Denmark.
Hannah Wolfe JulsgartDepartment of Health Technology, Technical University of Denmark, Kgs. Lyngby, Denmark.
Sofie Bjerre DegnDepartment of Health Technology, Technical University of Denmark, Kgs. Lyngby, Denmark.
Andreas Philip RosenbomDepartment of Health Technology, Technical University of Denmark, Kgs. Lyngby, Denmark.
Anton Aaby HenriksenDepartment of Health Technology, Technical University of Denmark, Kgs. Lyngby, Denmark.
Liselotte HøjgaardDepartment of Clinical Physiology and Nuclear Medicine, University of Copenhagen and Rigshospitalet, Copenhagen, Denmark.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Disparities in healthcare infrastructure between the Global South and North continue to affect medical equipment availability, functionality, and sustainability in low- and middle-income countries (LMICs). This study combines a systematic literature review with on-site fieldwork in Ugandan hospitals to assess the current state of medical equipment in LMICs and propose actionable strategies for more sustainable donation practices. Following a systematic literature review, 18 articles were analyzed and categorized according to five research questions addressing sustainability metrics, affordability, recycling practices, systemic barriers, and innovations in medical equipment use. Parallel fieldwork conducted by biomedical engineering volunteers in two Ugandan hospitals documented over 1,400 devices and resulted in the repair of 51 items-generating estimated savings of $102,000. Many devices remained unused due to a lack of spare parts and contextual compatibility. A carbon footprint assessment of donated equipment shipment from Denmark to Uganda further underscored the environmental implications of donation programs. Drawing on literature insights and field observations, this paper proposes a set of eight principles to enhance the sustainability and long-term impact of medical equipment donations. Emphasizing context-aware design, training, maintenance, and donor-recipient collaboration, these recommendations aim to shift donation models toward more resilient and responsible healthcare partnerships.

Indexed as

healthcare and technology in developing countrieshospital infrastructuremedical equipment donationsmedical equipment failuremedical equipment longevitymedical equipment sustainability

Identifiers

PMID40980412
PMCPMC12443703

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.