Procurement Of Medical Devices In LowAnd Middle-Income Countries: A Protocol For A Systematic Review Dr. Nancy Agnes, Head, Technical Operations, Pubrica, sales@pubrica.com
In brief Low- and middle-income countries (LMICs) medical device procurement processes are poorly understood and researched. International public health organisations and research agencies publish a wide body of mostly grey literature, including guidelines, manuals, and recommendations, to aid LMIC policy formulation in this area. This part of conducting a systematic analysis to classify and investigate the medical device procurement methodologies proposed and other literature (1). The facilitators and obstacles to procurement will be established, and methodologies for prioritising medical devices under resource constraints will be discussed.
Country classification
Does procurement of medical devices occur at the national level? Yes
NO
Low income
25
8
Low-middle income
31
7
Upper-middle income
30
17
High income
17
27
Total
103
59
I. INTRODUCTION Medical devices and equipment are important for providing high-quality health care. In low- and middle-income nations, reports and studies point to a shortage of basic medical devices and medical equipment that has fallen out of use. It has a significant impact on healthcare delivery and also results in a loss of staff and funds. There are two potential causes for this issue, according to the WHO's Priority Medical Devices project. First, medical device manufacturers seek out economies in high-income countries because of the higher profit margins. As a result, medical device supply and equipment design are limited to products and requirements appropriate for implementation in environments with specialised facilities and technologically skilled human resources. Second, low- and middle-income countries face judicious medical device procurement (LMICs) (2). Table: 1 Procurement of medical devices at national level concerning country income classification
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