Laboratory equipment maintenance: A critical bottleneck for strengthening health systems in sub-Saharan Africa?
Properly functioning laboratory equipment is a critical component for strengthening health systems in developing countries. The laboratory can be an entry point to improve population health and care of individuals for targeted diseases -prevention, care, and treatment of TB, HIV/AIDS, and malaria, p...
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| Veröffentlicht in: | Journal of public health policy 2012-02, Vol.33 (1), p.34-45 |
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| creator | Fonjungo, Peter N. Kebede, Yenew Messele, Tsehaynesh Ayana, Gonfa Tibesso, Gudeta Abebe, Almaz Nkengasong, John N. Kenyon, Thomas |
| description | Properly functioning laboratory equipment is a critical component for strengthening health systems in developing countries. The laboratory can be an entry point to improve population health and care of individuals for targeted diseases -prevention, care, and treatment of TB, HIV/AIDS, and malaria, plus maternal and neonatal health -as well as those lacking specific attention and funding. We review the benefits and persistent challenges associated with sustaining laboratory equipment maintenance. We propose equipment management policies as well as a comprehensive equipment maintenance strategy that would involve equipment manufacturers and strengthen local capacity through pre-service training of biomédical engineers. Strong country leadership and commitment are needed to assure development and sustained implementation of policies and strategies for standardization of equipment, and regulation of its procurement, donation, disposal, and replacement. |
| doi_str_mv | 10.1057/jphp.2011.57 |
| format | Article |
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The laboratory can be an entry point to improve population health and care of individuals for targeted diseases -prevention, care, and treatment of TB, HIV/AIDS, and malaria, plus maternal and neonatal health -as well as those lacking specific attention and funding. We review the benefits and persistent challenges associated with sustaining laboratory equipment maintenance. We propose equipment management policies as well as a comprehensive equipment maintenance strategy that would involve equipment manufacturers and strengthen local capacity through pre-service training of biomédical engineers. Strong country leadership and commitment are needed to assure development and sustained implementation of policies and strategies for standardization of equipment, and regulation of its procurement, donation, disposal, and replacement.</description><identifier>ISSN: 0197-5897</identifier><identifier>EISSN: 1745-655X</identifier><identifier>DOI: 10.1057/jphp.2011.57</identifier><identifier>PMID: 22071568</identifier><identifier>CODEN: JPPODK</identifier><language>eng</language><publisher>London: Palgrave Macmillan</publisher><subject>Acquired immune deficiency syndrome ; Africa ; Africa South of the Sahara ; AIDS ; Care and treatment ; Clinical Laboratory Techniques ; Delivery of Health Care - organization & administration ; Developing Countries ; Disease control ; Drug resistance ; Engineers ; Environmental policy ; Equality and Human Rights ; Equipment and Supplies ; Health maintenance ; Health policy ; Health Resources ; HIV ; Human immunodeficiency virus ; Humans ; Laboratories ; Laboratories - organization & administration ; Laboratory equipment ; LDCs ; Leadership ; Maintenance ; Maintenance management ; Malaria ; Medical Laboratory Personnel - education ; Medical Sociology ; National Health Programs - organization & administration ; Original Article ; Preventive maintenance ; Public Health ; Publishing industry ; Purchasing ; Regulation ; Social Justice ; Social Policy ; Social Sciences ; Sociology ; Standardization ; SubSaharan Africa ; Tuberculosis ; Vector-borne diseases</subject><ispartof>Journal of public health policy, 2012-02, Vol.33 (1), p.34-45</ispartof><rights>Copyright © 2012 Macmillan Publishers Ltd</rights><rights>Palgrave Macmillan, a division of Macmillan Publishers Ltd 2011</rights><rights>Palgrave Macmillan, a division of Macmillan Publishers Ltd 2012</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c442t-3ddfd11d9c401ddb98fa4456a3792965b3a1ae8cf8f797d6619106bf94d3368f3</citedby><cites>FETCH-LOGICAL-c442t-3ddfd11d9c401ddb98fa4456a3792965b3a1ae8cf8f797d6619106bf94d3368f3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.jstor.org/stable/pdf/41342707$$EPDF$$P50$$Gjstor$$H</linktopdf><linktohtml>$$Uhttps://www.jstor.org/stable/41342707$$EHTML$$P50$$Gjstor$$H</linktohtml><link.rule.ids>315,782,786,805,12855,27874,27875,27933,27934,31008,31009,41497,42566,51328,58026,58259</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22071568$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Fonjungo, Peter N.</creatorcontrib><creatorcontrib>Kebede, Yenew</creatorcontrib><creatorcontrib>Messele, Tsehaynesh</creatorcontrib><creatorcontrib>Ayana, Gonfa</creatorcontrib><creatorcontrib>Tibesso, Gudeta</creatorcontrib><creatorcontrib>Abebe, Almaz</creatorcontrib><creatorcontrib>Nkengasong, John N.</creatorcontrib><creatorcontrib>Kenyon, Thomas</creatorcontrib><title>Laboratory equipment maintenance: A critical bottleneck for strengthening health systems in sub-Saharan Africa?</title><title>Journal of public health policy</title><addtitle>J Public Health Pol</addtitle><addtitle>J Public Health Policy</addtitle><description>Properly functioning laboratory equipment is a critical component for strengthening health systems in developing countries. The laboratory can be an entry point to improve population health and care of individuals for targeted diseases -prevention, care, and treatment of TB, HIV/AIDS, and malaria, plus maternal and neonatal health -as well as those lacking specific attention and funding. We review the benefits and persistent challenges associated with sustaining laboratory equipment maintenance. We propose equipment management policies as well as a comprehensive equipment maintenance strategy that would involve equipment manufacturers and strengthen local capacity through pre-service training of biomédical engineers. Strong country leadership and commitment are needed to assure development and sustained implementation of policies and strategies for standardization of equipment, and regulation of its procurement, donation, disposal, and replacement.</description><subject>Acquired immune deficiency syndrome</subject><subject>Africa</subject><subject>Africa South of the Sahara</subject><subject>AIDS</subject><subject>Care and treatment</subject><subject>Clinical Laboratory Techniques</subject><subject>Delivery of Health Care - organization & administration</subject><subject>Developing Countries</subject><subject>Disease control</subject><subject>Drug resistance</subject><subject>Engineers</subject><subject>Environmental policy</subject><subject>Equality and Human Rights</subject><subject>Equipment and Supplies</subject><subject>Health maintenance</subject><subject>Health policy</subject><subject>Health Resources</subject><subject>HIV</subject><subject>Human immunodeficiency virus</subject><subject>Humans</subject><subject>Laboratories</subject><subject>Laboratories - organization & administration</subject><subject>Laboratory equipment</subject><subject>LDCs</subject><subject>Leadership</subject><subject>Maintenance</subject><subject>Maintenance management</subject><subject>Malaria</subject><subject>Medical Laboratory Personnel - education</subject><subject>Medical Sociology</subject><subject>National Health Programs - organization & administration</subject><subject>Original Article</subject><subject>Preventive maintenance</subject><subject>Public Health</subject><subject>Publishing industry</subject><subject>Purchasing</subject><subject>Regulation</subject><subject>Social Justice</subject><subject>Social Policy</subject><subject>Social Sciences</subject><subject>Sociology</subject><subject>Standardization</subject><subject>SubSaharan Africa</subject><subject>Tuberculosis</subject><subject>Vector-borne diseases</subject><issn>0197-5897</issn><issn>1745-655X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><sourceid>7TQ</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNqF0c2L1DAcxvEgijuu3rwqwYse7Jhf3rMXGRbfYMCDCt5K2iYzHdu0m6SH-e_NMOsKgnrqIR--SXkQegpkDUSoN4d5P68pAVgLdQ-tQHFRSSG-30crAkZVQht1gR6ldCCEaKD0IbqglCgQUq_QtLXNFG2e4hG7m6WfRxcyHm0fsgs2tO4Kb3Ab-9y3dsDNlPPggmt_YD9FnHJ0YZf3LvRhh_fODnmP0zFlNybcB5yWpvpi9zbagDc-lsTbx-iBt0NyT26_l-jb-3dfrz9W288fPl1vtlXLOc0V6zrfAXSm5QS6rjHaW86FtEwZaqRomAXrdOu1V0Z1UoIBIhtveMeY1J5dopfn7hynm8WlXI99at0w2OCmJdVGciq1YvB_CVooQaQp8tU_JSiqJS-vk4W--IMepiWG8selp4yUjJKCXp9RG6eUovP1HPvRxmMNpD5tW5-2rU_b1kIV_vy2uTSj6-7wrzELqM4glaOwc_H3pX8JPjv7Qyr73_U4ME4VUewnMtK44A</recordid><startdate>20120201</startdate><enddate>20120201</enddate><creator>Fonjungo, Peter N.</creator><creator>Kebede, Yenew</creator><creator>Messele, Tsehaynesh</creator><creator>Ayana, Gonfa</creator><creator>Tibesso, Gudeta</creator><creator>Abebe, Almaz</creator><creator>Nkengasong, John N.</creator><creator>Kenyon, Thomas</creator><general>Palgrave Macmillan</general><general>Palgrave Macmillan UK</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0-V</scope><scope>3V.</scope><scope>7QJ</scope><scope>7TQ</scope><scope>7X7</scope><scope>7XB</scope><scope>88C</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BEC</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DHY</scope><scope>DON</scope><scope>DPSOV</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HCIFZ</scope><scope>HEHIP</scope><scope>KC-</scope><scope>M0T</scope><scope>M1P</scope><scope>M2L</scope><scope>M2O</scope><scope>M2S</scope><scope>MBDVC</scope><scope>PATMY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PYCSY</scope><scope>Q9U</scope><scope>S0X</scope><scope>7X8</scope></search><sort><creationdate>20120201</creationdate><title>Laboratory equipment maintenance: A critical bottleneck for strengthening health systems in sub-Saharan Africa?</title><author>Fonjungo, Peter N. ; Kebede, Yenew ; Messele, Tsehaynesh ; Ayana, Gonfa ; Tibesso, Gudeta ; Abebe, Almaz ; Nkengasong, John N. ; Kenyon, Thomas</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c442t-3ddfd11d9c401ddb98fa4456a3792965b3a1ae8cf8f797d6619106bf94d3368f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Acquired immune deficiency syndrome</topic><topic>Africa</topic><topic>Africa South of the Sahara</topic><topic>AIDS</topic><topic>Care and treatment</topic><topic>Clinical Laboratory Techniques</topic><topic>Delivery of Health Care - organization & administration</topic><topic>Developing Countries</topic><topic>Disease control</topic><topic>Drug resistance</topic><topic>Engineers</topic><topic>Environmental policy</topic><topic>Equality and Human Rights</topic><topic>Equipment and Supplies</topic><topic>Health maintenance</topic><topic>Health policy</topic><topic>Health Resources</topic><topic>HIV</topic><topic>Human immunodeficiency virus</topic><topic>Humans</topic><topic>Laboratories</topic><topic>Laboratories - organization & administration</topic><topic>Laboratory equipment</topic><topic>LDCs</topic><topic>Leadership</topic><topic>Maintenance</topic><topic>Maintenance management</topic><topic>Malaria</topic><topic>Medical Laboratory Personnel - education</topic><topic>Medical Sociology</topic><topic>National Health Programs - organization & administration</topic><topic>Original Article</topic><topic>Preventive maintenance</topic><topic>Public Health</topic><topic>Publishing industry</topic><topic>Purchasing</topic><topic>Regulation</topic><topic>Social Justice</topic><topic>Social Policy</topic><topic>Social Sciences</topic><topic>Sociology</topic><topic>Standardization</topic><topic>SubSaharan Africa</topic><topic>Tuberculosis</topic><topic>Vector-borne diseases</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Fonjungo, Peter N.</creatorcontrib><creatorcontrib>Kebede, Yenew</creatorcontrib><creatorcontrib>Messele, Tsehaynesh</creatorcontrib><creatorcontrib>Ayana, Gonfa</creatorcontrib><creatorcontrib>Tibesso, Gudeta</creatorcontrib><creatorcontrib>Abebe, Almaz</creatorcontrib><creatorcontrib>Nkengasong, John N.</creatorcontrib><creatorcontrib>Kenyon, Thomas</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Social Sciences Premium Collection</collection><collection>ProQuest Central (Corporate)</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>PAIS Index</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Healthcare Administration Database (Alumni)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Social Science Premium Collection</collection><collection>Agricultural & Environmental Science Collection</collection><collection>ProQuest Central Essentials</collection><collection>eLibrary</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>PAIS International</collection><collection>PAIS International (Ovid)</collection><collection>Politics Collection</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>SciTech Premium Collection</collection><collection>Sociology Collection</collection><collection>ProQuest Politics Collection</collection><collection>Healthcare Administration Database</collection><collection>Medical Database</collection><collection>Political Science Database</collection><collection>Research Library</collection><collection>Sociology Database</collection><collection>Research Library (Corporate)</collection><collection>Environmental Science Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>Environmental Science Collection</collection><collection>ProQuest Central Basic</collection><collection>SIRS Editorial</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of public health policy</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Fonjungo, Peter N.</au><au>Kebede, Yenew</au><au>Messele, Tsehaynesh</au><au>Ayana, Gonfa</au><au>Tibesso, Gudeta</au><au>Abebe, Almaz</au><au>Nkengasong, John N.</au><au>Kenyon, Thomas</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Laboratory equipment maintenance: A critical bottleneck for strengthening health systems in sub-Saharan Africa?</atitle><jtitle>Journal of public health policy</jtitle><stitle>J Public Health Pol</stitle><addtitle>J Public Health Policy</addtitle><date>2012-02-01</date><risdate>2012</risdate><volume>33</volume><issue>1</issue><spage>34</spage><epage>45</epage><pages>34-45</pages><issn>0197-5897</issn><eissn>1745-655X</eissn><coden>JPPODK</coden><abstract>Properly functioning laboratory equipment is a critical component for strengthening health systems in developing countries. The laboratory can be an entry point to improve population health and care of individuals for targeted diseases -prevention, care, and treatment of TB, HIV/AIDS, and malaria, plus maternal and neonatal health -as well as those lacking specific attention and funding. We review the benefits and persistent challenges associated with sustaining laboratory equipment maintenance. We propose equipment management policies as well as a comprehensive equipment maintenance strategy that would involve equipment manufacturers and strengthen local capacity through pre-service training of biomédical engineers. Strong country leadership and commitment are needed to assure development and sustained implementation of policies and strategies for standardization of equipment, and regulation of its procurement, donation, disposal, and replacement.</abstract><cop>London</cop><pub>Palgrave Macmillan</pub><pmid>22071568</pmid><doi>10.1057/jphp.2011.57</doi><tpages>12</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0197-5897 |
| ispartof | Journal of public health policy, 2012-02, Vol.33 (1), p.34-45 |
| issn | 0197-5897 1745-655X |
| language | eng |
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| source | Applied Social Sciences Index & Abstracts (ASSIA); JSTOR Archive Collection A-Z Listing; MEDLINE; Springer Online Journals Complete; PAIS Index |
| subjects | Acquired immune deficiency syndrome Africa Africa South of the Sahara AIDS Care and treatment Clinical Laboratory Techniques Delivery of Health Care - organization & administration Developing Countries Disease control Drug resistance Engineers Environmental policy Equality and Human Rights Equipment and Supplies Health maintenance Health policy Health Resources HIV Human immunodeficiency virus Humans Laboratories Laboratories - organization & administration Laboratory equipment LDCs Leadership Maintenance Maintenance management Malaria Medical Laboratory Personnel - education Medical Sociology National Health Programs - organization & administration Original Article Preventive maintenance Public Health Publishing industry Purchasing Regulation Social Justice Social Policy Social Sciences Sociology Standardization SubSaharan Africa Tuberculosis Vector-borne diseases |
| title | Laboratory equipment maintenance: A critical bottleneck for strengthening health systems in sub-Saharan Africa? |
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