Mulugeta Mideksa (MSc in BME, BSc in Computer sc., BSc in Electrical Engineering )

1. Mulugeta Mideksa (MSc in BME, BSc in Computer sc., BSc in Electrical Engineering ) Technical Advisor , Medical Equipment and Facility management, Medical Service Directorate, Federal Ministry of Health Addis Ababa, Ethiopia Colorado Convention Centre Denver, Colorado USA June 4- 8, 2015

2. The HTM(Medical Devices Management) Ethiopian Experience HTM Seminar, Denver, CO, USA

3. Back Ground HTM Seminar, Denver, CO, USA

4. ACEW (HTM Seminar) Experience Main Topic of Interest for HTM Seminar 2015: HTM Seminar, Denver, CO, USA

5. Ethiopian Health System Profile Ethiopian health system is classified into 3- tiers & referral system • Tier 1: [i.e. Primary healthcare service] • Tier 2: [i.e. Secondary healthcare service] • Tier 3: [i.e. Tertiary healthcare service] HTM Seminar, Denver, CO, USA

6. Ethiopia Health System Profile (cont’d) Line of responsibilities: • District Government Areas [Rural Health Centres & Primary Healthcare Centres] • Regional Government [secondary health facilities] • Federal Government [tertiary health facilities] HTM Seminar, Denver, CO, USA

7. Healthcare Indicators ACCE ACEW Program Review, Atlanta, GA, USA

8. Challenge • Professional conflict of interest • BME Vs Pharmacist • BME Vs BMTs • Skilled or Experienced BME/T Vs Graduated one • Mandate over lapping Among • PFSA on All Life cycle on MEM • EPHI on Lab Equipment's • FMOH and Different Directorate • Lack of Standardization and uniform ME policies in all hospital ACCE ACEW Program Review, Atlanta, GA, USA

9. Ethiopian Health Technology ProgramKey accomplishments 1. Education: a. Developing uniform Curriculum for six Africa Biomedical Engineering (BMETs) countries. • Two (2) Ethiopian Universities are currently offering training in Biomedical Engineering programme leading to the award of • Bachelor of Engineering (BME) & BM-Technologist…Planned • Masters of Engineering (BME) specialization in: • Imaging and Instrumentation • Rehabilitation • Medical Engineering Information and Computerization… Developing Curriculum • HTM…..New Proposed in Next two Year c. 5-Polytechnic is currently running a 4 year programmes leading to Diploma in BM-Technician. HTM Seminar, Denver, CO, USA

10. Ethiopia Health Technology ProgramKey accomplishments (cont’d) • Introduce Structure and Separate JD for BME from Facility Management and Pharmacist • BME Directorate in Hospital and regional Health level • FMOH agencies also done same • Still Not yet in Ministry level. e. Payment for BME : • Private wing in the Hospital + neighbouring by Hospital • Obtaining Risk Allow + Duty fee • Recognizing BME • Recognizing BME as Clinical team. • Association Recognized 20 BME/T for long life (>20y) experience • University Recognized 2 person for their contribution HTM Seminar, Denver, CO, USA

11. Ethiopia Health Technology ProgramKey accomplishments (cont’d) • National Healthcare Technology Policy: • Developed Donation Medical Equipment Directive for Ethiopia in (2012) • Guidelines on Medical Equipment Management in Ethiopia (2009) • Central bulk purchasing System in 2006 (plan to consider Standardization)….update 2015 • Policy on Medical Equipment Management in Ethiopia Addis Ababa Hospitals (2014) • Cascaded the above policy to all other hospital in Ethiopia (2015) not yet finalized HTM Seminar, Denver, CO, USA

12. Ethiopia Health Technology ProgramKey accomplishments (cont’d) • Master Medical Equipment List and min specification for: • Primary, • Secondary and • Tertiary Healthcare Institutions in Ethiopia (2013) • Nine minimum Standards(including: Inv., HF, Policy, PPM, Training…) are developed for MEM(HTM) in 2010 under EHRIG • Developed HTM Curriculums for MHA in 2014 HTM Seminar, Denver, CO, USA

13. Ethiopia Health Technology ProgramKey accomplishments (cont’d) • FMoH _WHO Collaboration: • 2014; Review of Country kickoff document on improving access to medical devices through local production and technology transfer- LPTT project [Phase II] • 2014;Capacity Building Workshop on Local Production and Technology Transfer (LPTT) Project for Medical Devices in Ethiopia • GE- Planned and start legal process to produce LP in Ethiopia. HTM Seminar, Denver, CO, USA

14. Left intentionally HTM Seminar, Denver, CO, USA

15. Ethiopia Health Technology ProgramConclusion and Action Plan • To step up awareness for society with media…Accepted • Managed Equipment Service Quality Assurance [Calibration] … Started but needs Calibration Tools for Radiation Medical Equipment (IAEA)/ WHO Medical Device Division • Impliment Other Acquisition method • Leasing or Rent… is accepted, As per GE- Healthcare Survey • Clustering or Group utilization… Started agreement among them • Use all win-win tools like: 5”S”, “Lean”… • Develop prioritized (Life support )Medical Equipment specification and include “CE-mark” as Quality measure. • Organizing Seminar (ACCE, WHO Medical)?????? HTM Seminar, Denver, CO, USA

16. Ethiopia Health Technology ProgramConclusion and Action plan • Capacity Building: • training and retraining of technical personnel; training of trainers- TOT and staff exchange and so on. • Training for users (Refreshing professional course, New graduated, New Technology) • Develop course on HTM for all clinical streams • Implement the Modified existing CMMS and Train the Technician… Compare Indian CMMS • Develop National MEM Web site. Like: Frank Hospital HTM Seminar, Denver, CO, USA

17. Acknowledgement • Adriana (for her coaching & global Leadership) • Tom Judd (Continues contact and technical support) • Jennifer ( support Us to link to Global Society & ACCE) • ACCE (supporting our ACCE membership) HTM Seminar, Denver, CO, USA

18. We have no other HOME CountryWe have to make sure “the 1st thing is First”Our first priority is our Family / as clinical our patient / HTM Seminar, Denver, CO, USA

19. God Bless You God Bless You HTM Seminar, Denver, CO, USA