FACTORS AFFECTING THE AVAILABILITY OF DIAGNOSTIC IMAGING EQUIPMENT: A CASE OF MURANGA COUNTY
Keywords:
Availability, Equipment, Medical imaging, diagnostic screening, financing, capacity building, maintenanceAbstract
Purpose: Medical imaging is a key component in the doctor’s daily requirement to diagnose various diseases and prescribe effective treatment. Increased cases of terminal illnesses within Murang’a County have been on the rise in recent years requiring comprehensive screening and management. However, the imaging equipment remains inadequate due to the cost of availing the equipment with only one CT Scan available at the Murang’a Level 5 Hospital. The study’s main objective was to determine the factors influencing availability of modern medical imaging equipment that impact on the health delivery in the Kenyan healthcare systems.
Methodology: The methodology utilised by the researcher involved a descriptive research design incorporating a qualitative and quantitative survey. Purposive sampling of both public and private health facilities in Muranga County was done to acquire a representative sample. A sample of 30 health facilities involving 15 public and 15 private ones with a bed capacity of 50, having laboratory services for diagnostic services were sampled for study purposes. Information was gathered using questionnaires, as well as Key In-depth interviews and the response rate was 67%. Data analysis involved descriptive statistics, and presented in form of frequency tables, graphs, charts, mean and percentages.
Results: From the findings, 72% of the respondents 68% and 59% indicated financing, proper legislations and policies, and effective collaborations with health stakeholders respectively as the major factors affecting the availability of diagnostic imaging equipment in Murang’a County. Further, capacity building of workers and its financing, maintenance of the equipment and acquiring of spare parts were listed as affecting sustainable availability of the equipment. The study concluded that the government should employ resource mobilisation strategies with healthcare stakeholders to acquire medical diagnostic equipment. Further, continued capacity building of staff is crucial to ensure increased skills acquisition, as well as maintenance of equipment.
Unique Contribution to Theory, Practice and Policy: The study recommends that the National and County governments allocate more resources, buy more equipment, train more technologists and ease the procurement procedures.
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References
Creswell, J. (2012). Educational Research: Planning, Conducting, and Evaluating Quantitative and Qualitative Research. Upper Saddle River, NJ: Prentice Hall.
Diagnostic Equipment Market Global Briefing 2017. Accessed online from <http://www.prnewswire.com/news-releases/diagnostic-equipment-market-global-briefing-2017-300406820.html>.
Elsa, Z. (2016). Healthcare systems in Sub-Saharan Africa: focusing on community-based delivery (CBD) of health services and the development of local research institutes. United Nations Peace and Progress, 3(1), 44-49.
Health Sector Strategic and Investment Plan (KHSSP) July 2013- June 2017 (2012). Transforming health: Accelerating attainment of health goals. The Second Medium term Plan for health. Republic of Kenya, Ministry of Medical Services and Ministry of Public Health and Sanitation
Homer, J. B. and Hirsch, G. B. (2006). System dynamics modelling for public health: Background and opportunities. American Journal of Public Health 96(3): 452–459.
Hu, M. (2011). A study on Medical Imaging Equipment Productivity and Utilization: Proceedings of the 2011 Industrial Engineering Research Conference. T. Doolen and E. Van Aken (eds.).
Kenya Medical Training College (2011). Department of medical imaging sciences bulletin. Nairobi.
Khalaf, A.B., Hamam, Y., Alayli, Y. and Djouani, K. (2013). The effect of maintenance on the survival of medical equipment. Journal of Engineering, Design and Technology, 11(2), 142-157.
Kislov, R., Waterman, H., Harvey, G. and Boaden, R. (2014). Rethinking capacity building for knowledge mobilisation: Developing multilevel capabilities in healthcare organisations. Implement Sci., 9(166), 1-12.
Malkin, R. and Keane, A. (2010). Evidence-based approach to the maintenance of laboratory medical equipment in resource-poor settings. Medical and biological Engineering and Computing. 48(7), 721-726.
Marks, S.P. & Benedict A.L. (2013). “Access to medical products, vaccines, and medical technologies.” In J.M. Zuniga, S.P. Marks & L.O. Gostin (Eds.) Advancing the human right to health.
Matovu, J.K., Wanyenze, R.K., Mawemuko, S., et al. (2013). Strengthening Health Workforce Capacity through Work-Based Training. BMC International Health and Human Rights, 13:8.
McNerney, R., Sollis, K. & Peeling, R. (2014). Improving access to new diagnostics through harmonised regulation: Priorities for action. Afr. J. Lab. Med., 3(1), e1-e8.
Medical Imaging and Technology Alliance (MITA) (2014). MITA smart initiative: promoting patient safety and enhancing the quality of medical imaging technology with MITA smart standards. Accessed on July 20, 2014 from <www.medicalimaging.org>.
Mlakar, T. and Mulej, M. (2007). Complementarity of the living systems and the dialectical systems theories: The case of public medical care in Slovenia. Cybernetics and Systems 38: 381–399.
Moore, A. (2014). Capital funding: The case for equipment investment. HSJ, For Healthcare Leaders. Accessed online January 9, 2016 from <http://www.hsj.co.uk/hsj-knowledge/downloads/capital-funding-the-case-for-equipment-investment/5067493.fullarticle>.
Morganti, K.G., Lovejoy, S., Haviland, A.M., et al. (2012). Measuring Success for Health Care Quality Improvement Interventions. Med Care, 50, 1096-1092.
Mugenda, O.M. & Mugenda, A.G. (1999). Research Methods: Quantitative and Qualitative Approaches. Nairobi: Acts Press.
Mutia, D., Kihiu, S and Maranga, S. M. (2012). Maintenance and management of hospital equipment: A case study of public hospitals in Kenya.
Pan American Health Organization (PAHO) (2004). Health Analysis and Information Systems Area. Regional Core Health Data Initiative, Washington DC: Indicators Glossary.
Ruud, K.L., Leland, J.R., Liesinger, J.T., et al. (2012). Effectiveness of a Quality Improvement Training Course: Mayo clinic quality academy. American Journal of Medical Quality, 27(2), 130-138.
Shrivastava, R. Gadde, R. & Nkengasong, J.N. (2016). Importance of public-private partnerships: Strengthening laboratory medicine systems and clinical practice in Africa. J Infect Dis. 213(2) s35040.
The Constitution of Kenya (2010). Article 43. The Laws of Kenya, the Republic of Kenya.
Von Bertalanffy, L. (1962). General System Theory - A Critical Review. General Systems, VII: 1-20.
World Health Organisation (2008). The Maputo declaration on strengthening of laboratory systems. WHO: Regional Office for Africa.
World Health Organisation (2010). Monitoring the building blocks of health systems: A handbook of indicators and their measurement strategies. Geneva, Switzerland: WHO Press.
World Health Organisation (WHO) (2007). Everybody’s business: Strengthening health systems to improve health outcomes. WHO’s framework for action. Geneva: World Health Organisation.
World Health Organisation (WHO) (2008a). Health financing policy: A guide for decision makers. Geneva: World Health Organisation.
World Health Organisation (WHO) (2009). Systems Thinking for Health Systems Strengthening. Geneva: World Health Organisation.
World Health Organization. (WHO) (2008b). World alliance for patient safety: Progress report 2006– 2007. Geneva, Switzerland: WHO Press.
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