Mavalankar D, Raman P, Dwivedi H, Jain M L
Indian Institute of Management, Vastrapur, Ahmedabad 380015, India.
Int J Gynaecol Obstet. 2004 Oct;87(1):88-97. doi: 10.1016/j.ijgo.2004.07.003.
In resource-poor countries, substantial sums of money from governments and international donors are used to purchase equipment for health facilities. WHO estimates that 50-80% of such equipment remains non-functional. This article is based on experience from various projects in developing countries in Asia and Africa. The key issues in the purchase, distribution, installation, management and maintenance of equipment for emergency obstetric care (EmOC) services are identified and discussed. Some positive examples are described to show how common equipment management problems are solved.
在资源匮乏的国家，政府和国际捐助者投入了大量资金为卫生设施购置设备。世界卫生组织估计，这些设备中有50%至80%仍无法正常使用。本文基于亚洲和非洲发展中国家多个项目的经验。文中确定并讨论了用于产科急诊（EmOC）服务的设备在采购、分发、安装、管理和维护方面的关键问题。还介绍了一些成功案例，展示了常见设备管理问题是如何得到解决的。
