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Cost Eff Resour Alloc. 2015 Jan 10;13(1):2. doi: 10.1186/s12962-014-0027-3. eCollection 2015.

An approach to prioritization of medical devices in low-income countries: an example based on the Republic of South Sudan.

Cost effectiveness and resource allocation : C/E

Richard J Lilford, Samantha L Burn, Karin D Diaconu, Peter Lilford, Peter J Chilton, Victoria Bion, Carole Cummins, Semira Manaseki-Holland

Affiliations

  1. Public Health, Epidemiology and Biostatistics, School of Health and Population Sciences, College of Dental and Medical Sciences, University of Birmingham, Edgbaston, West Midlands, B15 2TT UK ; Warwick Centre for Applied Health Research and Delivery, University of Warwick, Coventry, CV4 7AL UK.
  2. Public Health, Epidemiology and Biostatistics, School of Health and Population Sciences, College of Dental and Medical Sciences, University of Birmingham, Edgbaston, West Midlands, B15 2TT UK.
  3. Ministry of Finance, Government of South Sudan, Juba, South Sudan.
  4. School of Medicine, University of Southampton, Southampton, SO17 1BJ UK.

PMID: 25606027 PMCID: PMC4298960 DOI: 10.1186/s12962-014-0027-3

Abstract

BACKGROUND: Efficient and evidence-based medical device and equipment prioritization is of particular importance in low-income countries due to constraints in financing capacity, physical infrastructure and human resource capabilities.

METHODS: This paper outlines a medical device prioritization method developed in first instance for the Republic of South Sudan. The simple algorithm offered here is a starting point for procurement and selection of medical devices and can be regarded as a screening test for those that require more labour intensive health economic modelling.

CONCLUSIONS: A heuristic method, such as the one presented here, is appropriate for reaching many medical device prioritization decisions in low-income settings. Further investment and purchasing decisions that cannot be reached so simply require more complex health economic modelling approaches.

Keywords: Equipment; Low-income country; Medical devices; Prioritization; Purchasing; Selection

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