Healthcare Technology Management In Kenya

Transcription

1 Healthcare Technology Management In Kenya By; Anyango P. Amoko Biomedical Engineer Kakamega County, Kenya

2 KENYA-INTRODUCTION ONE OF THE EAST AFRICA COUNTRIES IT BORDERS Uganda to the West Ethiopia to The North Somalia to the East Southern Sudan to the North West Tanzania to the South west and Indian Ocean to the South East. Area Square Kilométrés 48% of land is Arable the rest is Semi-Arid (word bank report 2010) Population about 43 Million

3 KENYA - Introduction - HEALTHCARE - 51% Public (Government) Two national teaching and referral Hopitals 10 level five hospitals Health centres Dispensaries Community Units - 49% Private and Non Governmental Organisations Hospitals Nursings Homes and Private clinics

4 Medical Engineering In Kenya Started in 1985, with training of skilled manpower at various level to cope with a variety of tasks in health facilities. Purpose To address the concern of broken down medical and hospital equipement in health facilities. More than 50% of inventory was not in use

5 Development Partners Involved GTZ ( ) Training of Medical Engineering Technologists at the Mombasa Polytechnic. (Diploma program). Spare Parts program in Health Systems Austrian Development Agency Training of Medical Engineering Technicians and Artisans at Loitokitok HMTS. (Certificate program). JICA Management Systems and Skills Upgrading

6 THE NATIONAL APPROACH Maintenance Structure For Health Facilites In Kenya - is a national approach 1. Manpower training at various skill levels. 2. Formulation and cordination of maintenance activities. 3. Establishment of workshop facilities. 4. Equipping them with appropriate tools. 5. Providing easily accessible wide range of spare parts and special tools.

7 Spare Parts Program in Health Systems Was assisted by GTZ. The Purpose was to gain easy access to spare parts, consumables and special tools. Spare parts and consumables were sold from 3 main stores centrally positioned in most populataed areas in Kenya. Spare parts (full renge of products) were purchased overseas and locally through a revolving fund. Stocked were over 800 products for most common equipment and plants. Spare parts project was to result in effective and efficient maintenance operations. (this was almost realised).

8 AMEK- WHO/IFHE/ACCE AND GAME Collaboration HTM workshop 2006 (Nairobi and Mombasa - kenya). East Africa HTM workshop in Kisumu 2009 East Africa Skills Training on Labortory equipment maintenance Dar Es Salam, Tanzania 2009 Imaging equipment Servicing and maintennce - Kisumu Kenya 2009 Theatre and ICU equipmetn Kisumu Kenya 2009 Results; More recognition to the department

9 CURRENT STRUCTURE IN MOH CME CMET CMET PME PME PME 8 Regions PGHs Provincial/Regional Hospitals DHs District & Sub-Hospitals 60+

10 CURRENT SITUATION Avarage- 60% of inventory are in use Most facilities have at least BMET To some extent Biomeds are involved in decision making

11 Main Activities Preventive and corrective maintenance of equipment, plants, instruments, minor building works. Installation and operation of equipment and plant. Inventory monitoring and management. Budgeting and procurement of spare parts. Planning works

12 CHALLENGES Inadequate maintenance funds Inadequate tools and testing equipment Lack of medical engineering physical structures (workshops). Low staff level Inadequate skilled manpower Lack of training opportunities Lack of policy on health care technology Lack of research in medical engineering field

13 Conclusion All the components are interlinked such that deficiency in one weakens the operation of others. That is why all must be developed in parallel on the same priority. This sytematic approach is the answer to maintenance problem for the health facilites in sub-saharan Africa countries.

14 ASANTE SANA KARIBUNI KENYA Hakuna Matata