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Medical devices and eHealth solutions

1. Fax 55 I1 261 49241 htto wwwwho int medical_ devices 1 7 Medical devices Compendium of innovative health technologies for low resource settings 2012 fitness of any technology for a particular purpose All the information Inclusion in the compendium does not constitute a warranty of the was provided by the developers WHO will not be held to endorse nor to recommend any technology included in the compendium Sputum mobilization device Country of origin United States of America Health problem addressed gt Obtaining a proper deep lung specimen is a critical step in the diagnosis and management of respiratory tuberculosis both for the adult community and pediatric community Neither spontaneous samples which result in many false negatives nor sputum induction using hypertonic saline are practical or optimal Product description A low frequency acoustic wave is generated at the mouth travels retrograde into the lower airways and increases mucociliary clearance This device which is FDA approved produces such a wave with vigorous exhalation to aid in secretion clearance Product functionality The patient simply needs to blow repeatedly into the device with the same effort as blowing out a candle The secretions mobilizes within 5 15 minutes after the therapy session ends Its simple design and operation result in high compliance Developer s claims of product benefit
2. Future work and challenges gt gt SSS Challenges include Provision of products to the end user client is heavily dependent on donated funds competition from other products on the market that are donated to organizations and end users free of charge capital to maintain stock of products to enable quicker dispatch from factory User and environment User Patient family member clinician technician Training Training is required to assess the client and assemble the product Training for the full product range is a minimum of three days Basic workshop hand tools and clinical equipment such as a therapy bed and foot blocks are required Maintenance Patient technician Environment of use Requirements The product must be distributed through a service centre where local staff has been trained to assess wheelchair users and assemble and fit the products A workshop and clinical assessment are required The centre will act as a point for clients to return to for follow up and product maintenance or repairs The products are manual and do not have any special operational requirements The ease of use of the product can depend on the local infrastructure i e often buildings are inaccessible so may prevent the user from independently accessing the building Product specifications Dimensions mm approx 1212 x 740 x 865 Currently sold in Argentina Australia East Timor Ethiopia Weight kg 22 Ghana India Kiribati Lebano
3. Maintenance Technician engineer manufacturer Environment of use Settings Ambulatory secondary and tertiary health care facilities Requirements Basic electrical power 100 240 VAC 50 60 Hz 21 A 5 40C temperature range and high pressure oxygen source 40 87 psi via compressed gas tanks or wall outlets Optional available equipment to disinfect breathing circuits if reusable circuits are preferred Product specifications Dimensions mm 21 3 x 28 5 x 23 5 List price of consumables USD 80 Std Adult reusable Weight kg 5 6 including batteries circuit 14 disposable circuit Other features Portable and reusable Runs on batteries uses software and is compatible with telemedicine systems Consumables Breathing circuit and patient interface artificial airway or facemask Life time Several years Retail Price USD 11 500 List price USD 11 500 Year of commercialization 2010 Currently sold in US Eastern and Western Europe all Scandinavia most countries in Asia Pacific India Africa Japan Latin America and Middle East Contact details Vance Wilson Email Telephone 760918 1077 Fax 1 760 918 7435 htto wwwwho int medical_ devices Medical devices Compendium of innovative health technologies for low resource settings 201 fitness of any technology for a particular purpose All the information Inclusion in the compendium does not constitute a warranty of the was provid
4. fitness of any technology for a particular purpose All the information Inclusion in the compendium does not constitute a warranty of the was provided by the developers WHO will not be held to endorse nor to recommend any technology included in the compendium Treatment response software application Country of origin Canada Health problem addressed gt gt Tracking patient response to specific treatments other than measurable physiological changes laboratory test results survival or death remain a matter of clinical judgment Diagnostic validity and reliability is an ongoing problem in applying evidence based practice The system application presented here provides a gold RCT standard to this problem Product desoripIoN ae This application may be used to track and graphically represent individual patient responses to treatments over time Additionally patients may be assigned to up to four specific treatment groups RCT to compare treatments Students can compare the diagnostic accuracy of their assessments and interventions with experts Product functionality Download and open this is an Excel VBA based application It may be used to track and represent individual patient responses to treatments over time Additionally patients may be assigned to specific treatment groups User defined variables representing treatment and response parameters may be defined across clinically relevan
5. Product functionality Frontline health providers use the mobile application to perform health risk screening and medical triage to identify health concerns The diagnostics application on the phone instructs health providers with immediate actions to care for the patient or transmits the case to remote doctors for further diagnosis and treatment advice Developer s claims of product benefits This solution is cost effective as it requires no additional equipment or infrastructure by using available mobile phones mobile connectivity and local health providers Training for local health providers takes less than an hour because all users are already familiar with the use of mobile phones Maintenance is minimal as local phone stores are capable of maintaining the mobile devices The service reduces travel costs minimizes time to obtain treatment from weeks to minutes and is accessible locally to underserved patients via health workers or close by rural clinics Operating steps Frontline health providers use mobile phones to access the diagnostics application They enter patient symptoms information by going through a series of decision tree based medical algorithm For cases requiring remote doctor consultation the phone transmits the patient symptoms information via mobile broadband or SMS MMS to the remote doctor Development stage The product was technically evaluated and tested for clinical effectiveness via concordance rates between in p
6. There is a need for a reliable stream of buyers support for technical training human resources and financial management and support for further R amp D to improve the product User and environment User Self user family member Training Each filter comes with an educational sticker Hands on demonstration training takes 1 hour in groups Maintenance Self user Environment of use Requirements This filter removes microbes from unclean water It does not require any power supply internet cell phone etc There is no specialized personnel needed to operate the filter Product specifications Dimensions mm 500 x 42 diameter List price of consumables USD 8 to replace the pot Weight kg 7 element after three years Consumables The ceramic pot filter element needs Other features Portable and reusable replacement after 2 3 years Currently sold in The filter is commercialized in certain countries Guatemala Cambodia and largely promoted by NGOs in other countries Life time 3 years Retail Price USD 25 Contact details Susan Murcott Email murcott mitedu Telephone I 781 631 1161 Fax htto wwwwho int medical_ devices 57 eHealth solutions 201 eHealth Compendium of innovative health technologies for low resource settings 201 fitness of any technology for a particular purpose All the information Inclusion in the compendium does not constitute a warranty of the was provided by the deve
7. http www who int medical_ devices Medical devices Compendium of innovative health technologies for low resource settings 2012 fitness of any technology for a particular purpose All the information Inclusion in the compendium does not constitute a warranty of the was provided by the developers WHO will not be held to endorse nor to recommend any technology included in the compendium Multi parameter remote diagnostic kit Country of origin India Health problem addressed gt gt gt 70 of the rural population in India has very poor access to health care 76 of the medical facilities are concentrated in the urban areas and there is an overall shortage of medical personnel Product description gt The technology comprises of a USB powered multiparameter diagnostic device which captures ECG temperature heart amp lung sounds SPO2 and BP and communicates with the remote doctor through a low bandwidth audio video data conferencing Product functionality The technology enables rural patients to reach urban doctors through a telemedicine solution that integrates the whole healthcare delivery ecosystem to provide meaningful services The solution also captures the workflow of delivery processes and enables resource optimization by capturing and analysing operational data in service delivery Developer s claims of product benefits Infrastructure bandwidth and
8. 369 9562 657 66 World Health Organization Progress in scale up of male circumcision for HIV prevention in Eastern and Southern Africa Focus on service delivery 2011 Accessed online 2 3 2012 http whalibdoc who int publications 2011 9789241502511_eng pdf Bitega Jean Safety and Efficacy of the PrePex Device for Rapid Scale Up of Male Circumcision for HIV Prevention in Resource Limited Settings JAIDS Journal of Acquired Immune Deficiency Syndromes 15 December 2011 Volume 58 Issue 5 p e127 e134 Accessed online 2 4 2012 http journals lww com jaids Fulltext 2011 12150 Safety_and_Efficacy_of_the PrePex Device for _Rapid 16 aspx Yin HS Dreyer BP Van Schaick L Foltin GL Dinglas C Mendelsohn AL Randomized controlled trial of a pictogram based intervention to reduce liquid medication dosing errors and improve adherence among caregivers of young children Arch Pediatr Adolesc Med 2008 162 9 814 822 Yin HS Wolf MS Dreyer BP Sanders LM Parker RM Evaluation of consistency in dosing directions and measuring devices for pediatric nonprescription liquid medications JAMA 2010 304 23 doi 10 1001 jama 2012 1797 Point of care method for total white blood count An evaluation fo the Hemocue WBC device A Osei Bimpong C Jury R McLean S M Lewis Int Jnl Lab Hem 2009 31 657 664 A Comparison of 2 White Blood Cell Count Devices to Aid Judicious Antibiotic Prescribing Janet R Casey and Michael E Pichichero Clin Ped
9. It enables the instructor to create very compelling simulations of normal to more complex birthing scenarios and is particularly suitable for training control of post partum hemorrhage the leading cause of maternal deaths Product functionality Behind the birthing suit the instructor can manually control cervical dilation position of the baby delivery of the baby delivery of placenta bleeding amount and nature uterus condition and fetal heart sounds Developer s claims of product benefits gt The simulator is distinctively different from other birthing simulators available on the market It aims to respond to the needs of a supportive device that can improve quality of BEMOC as presented in International Journal of Gynecology amp Obstetrics by being highly realistic where essential particularly in simulating post partum hemorrhage and uterus contraction and culturally adapted It facilitates effective communication training and integrated training with newborn routine care and resuscitation It is flat packed for easy transport and storage highly affordable durable and easy to use Operating steps The simulator is strapped onto the instructor who acts as the mother and creates and controls the various scenarios and situations directly with his hers hands Development stage It is offered on a not for profit price to the 68 countries that have been identified by UN as focus countries
10. Telemedicine Electronic Currently used in Zambia South Africa The Gambia Health Record Electronic Medical Record mHealth Evaluation The CAD software is currently used Health Research prospectively in clinical trial to make a selection with Software Hardware requirements Laptop or computer TB suspects should undergo other more expensive and with MS Windows Intel Pentium preferably i7 8 GB time consuming further testing RAM 120 GB HDD Calculation time depends on amount of RAM and type of processor CAD4TB is proprietary software that runs on any laptop or PC that meets the above specifications Standards DICOM HL7 The partners CIDRZ and Zambart in Zambia are using the CAD software as a filter in TB screening to determine who gets GenexXpert Contact details Harro Nip Email cad4tb gmail com Telephone 31 31 858 3490 Fax 31 31 858 3491 http www who int ehealth eHealth Compendium of innovative health technologies for low resource settings 2012 fitness of any technology for a particular purpose All the information Inclusion in the compendium does not constitute a warranty of the was provided by the developers WHO will not be held to endorse nor to recommend any technology included in the compendium Health workforce information systems Country of origin United States of America Health problem addressed The 2006 World Health Report identified 57 countries with human resources for health cri
11. USB drives The REC allows agents to easily create a personal file for each patient with the history of diagnostics and treatments administered Functionality Users launch the REC or synchronization process through a single main menu The diagnosis is in 3 simple steps 1 Search if the patient already has a file in the system 2 Evaluate each question of the IMCI protocol is answered sequentially 3 Treat follow the identified treatment and medicines Developer s claims of solution benefits The REC addresses key problems of the implementation of the IMCI protocol The guided step by step approach ensures that the protocol is correctly applied It avoids diagnostic errors as long as symptoms are correctly identified Since little computer training is required to use the application even health workers without IMCI training can safely apply the protocol The user interface also allows for a quick data entry reducing the time of consult per patient Future work and challenges The global user experience could be improved by porting the REC to tactile devices It would ease the learning curve and limit the number of devices to one for easier maintenance With the improvement of the telecommunication networks a wireless data synchronization would make data centralization seamless and ease the integration of the REC to national health systems User and environment User nurse physician midwife Training a 2 day session to learn t
12. addressed Diabetic retinopathy DR is a leading cause of blindness and visual disability in the world Diabetes affects 8 to 10 of the population in the developed countries Approximately 2 of people become blind after 15 years of diabetes Solution description The online screening management application collects captured fundus images patients personal data clinical data and transfers the data for reading and reporting medical follow ups This online screening application also provides yearly management recall and scheduling quality control and inter professional consultation It maintains complete trackability security confidentiality and easy access to data with without immediate access to the Internet Functionality New patient file nominal and clinical data visual acuity are added Patient s eyes are imaged the images added to the file and uploaded to the server A doctor accesses and reads the file Medical report are generated Patient is given follow up or put on recall list Overview of process with alerts Quality control Data organized at will Developer s claims of solution benefits This solution integrates all aspects of the screening process from the initial appointment uploading of data and fundus images to reading reporting follow up and automated recall scheduling Access to full history It further sets itself apart by the comprehensiveness of its flow management health result analysis and
13. as evidence base for recommendations send receive e mail alerts Scheme E mail SMS referral doctor prepares anonymous clinical data sends it via e mail to the expert hospital and sends SMS as alert about urgent request Doctor on duty after receiving SMS opens e mail and reads the case sends answer immediately via e mail Perform discussion upload additional information as evidence base for recommendations send receive e mail alerts Functionality Telemedicine service is provided by both synchronous and asynchronous telemedicine methods Patient confidentiality and security achieved by patient s consent secure server VPN lines anonymity sending data in DICOM or SCP ECG Developer s claims of solution benefits gt Cost effective and available based on existing IT infrastructure easy to introduce and use clinically effective do not need technicians or long preparation Future work and challenges gt gt SSS Integration of digital signature tools Development of tele assistance based on low cost devices for transmission of video from arthroscopy and ultrasound devices Randomised trials for evaluation User and environment o o o O OO User physician nurse Training training is required on basic computer skills medical data preparation skills security skills 3 6 academic hours Settings rural urban primary and secondary Reviewers comments gt gt gt The organizationa
14. ewes 0 Serene moos eae armen a PPETI F ae a ee C p a ms alr ai Se E r Arie ee ee aare Solution description The national information online system of screening allows for the monitoring and appropriate treatment of affected women by providing nominalized lists of women included in the national prevention programme The national information system identifies women with pathological paps for their diagnosis and treatment It also provides indicators to monitor and evaluate the prevention programme Functionality The national online information system allows for coordination of health services that are involved with uterine cervical cancer prevention serving as a support of the monitoring of health services It is used at the primary care level cytology laboratories gynaecology services and central level Developer s claims of solution benefits It is an online information system that links services and users so that the information related to screening diagnosis and treatment supports the management of the service network It allows for the flow of information among different health services and country areas allowing the monitoring of women in all stages of prevention even those living in remote areas It has an alert system that allows for faster detection of problems with women in need of diagnosis and treatment Future work and challenges Incorporation of modules on breast and colon cancer screening diagnosis and treatm
15. ground level delivery processes Develop mobile Bluetooth based solution for places lacking 32 kilobits s bandwidth Build relations with partners having complementary solutions Modify business model to include software as a service User and environment User Self use patient physician technician nurse midwife family Training On site individual group training videoconferencing teamviewer based e training 2 4 hrs Maintenance Annual Preventive To be conducted by Manufacturer Environment of use Settings Rural settings urban settings at home primary health post health center secondary general hospital Requirements USB 1 0 connection to a desktop or laptop computer Windows XP Vista operating system on the desktop or laptop Minimum 32 kilobits s internet soeed for real time audio video data tele consultation Fixed static IPs at both ends for professional edition and at server for enterprise edition Product specifications Dimensions mm 225 x 165 x 40 List price Ken ieee Weight kg 0 61 Other features Software use installed stationary reusable Consumables ECG Gel Life time 5 years Year of commercialization 2008 Currently sold in Primarily in India some countries in SNEH MERZ cae Africa and South East Asia Retail Price USD 1800 Contact details Sameer Subhash Sawarkar Email sameersawarkar gmail com Telephone 91 804 11 0450 Fax N A htto www who int medical_ devices E TR C
16. gt gt Settings Rural settings primary health post health center secondary general hospital tertiary specialists hospital Requirements Intermittent supply of electricity for recharging Product specifications Dimensions mm 440 x 290 x 70 Other features Portable hand held reusable Weight kg 4 1 Year of commercialization 2011 Life time 1 year Currently sold in India Retail Price USD 220 List price USD 220 Contact details Esha Tiwary Email eshatiwary gmail com Telephone 91 872 213 8361 Fax N A htto wwwwho int medical_ devices Medical devices Compendium of innovative health technologies for low resource settings 2012 fitness of any technology for a particular purpose All the information Inclusion in the compendium does not constitute a warranty of the was provided by the developers WHO will not be held to endorse nor to recommend any technology included in the compendium Non invasive hypothermia indicator for newborns Country of origin United Kingdom United States of America Health problem addressed The problem of detecting hypothermia exists throughout the disadvantaged E world where up to 4 million newborns die within their first 28 days of life Bepa Biegi from either disease malnutrition or a combination of both Preterm sick ir a rar and low birth weight babies are especially at risk The effect for a newborn that has suffered from hypothermia and survived i
17. is frequently not performed or the test results are delayed causing aggravations or even sequels in the most vulnerable population children and pregnant women Product description gt Portable hemoglobin meters that are user friendly can be a great aid to change the global anemia scenario Avoiding the displacement of patients and shortening the diagnostic process this solution can spread this clinical test to people with low access to health services Product functionality The portable hemoglobin meter is a micro processed photometer In a disposable vial containing Drabkin s reagent 10 uL of blood sample are dropped Reaction follows inside the vial also used as the lecture cuvette Hemoglobin content is read and calculated by a microprocessor and proprietary software Results are presented in a LCD display Developer s claims of product benefits The reagents are stable for a long periods and extreme environmental conditions The use of the injection vial containing the reagent as a cuvette reduces the number of operations reduces costs speeds lecture and allows portability The equipment is battery rechargeable driven allowing the use in any environment Operating steps After cleaning the skin a puncture is done and a 10 uL blood sample is collected with a micropipette and transferred to the reagent vial After 30 seconds of mixing the vial is inserted in the equipment and a button is press
18. mentioned above being used in over 200 public hospitals treating thousands of patients every year Future work and challenges Due to a lack of funds in public healthcare barring commercial ventures the strategy is to introduce the technology using charity money and leverage from such demonstration in the future The biggest challenge is to convince local authorities to start soending public funds on such solutions which could make the whole system sustainable User and environment User Nurse physician Training CPAP set 3 days Maintenance Nurse physician technician Environment of use Settings Rural as well as urban secondary and tertiary health care facilities Requirements Stable power supply oxygen supply wall cylinder concentrator Product specifications Dimensions mm 330 x 330 x 1400 List price USD 2 300 Weight kg 15 Other features Reusable Uses software Consumables None Year of commercialization 2006 Life time 5 years Currently sold in Vietnam Laos Cambodia East Timor Retail Price USD 2 500 Contact details Gregory Dajer Email gregory dajer mtts asia com Telephone 84 43 766 6521 Fax 84 43 766 3844 htto wwwwho int medical_ devices 56 Medical devices Compendium of innovative health technologies for low resource settings 201 fitness of any technology for a particular purpose All the information Inclusion in the compendium does not constitute a warranty of the was pro
19. newborn 30 cm away Turn it on and press Menu to go to the irradiance level screen Set the irradiance using the up down keys and press Enter to confirm Be sure the newborn is exposed to the light at the chest and abdomen area Protect the newborn s eyes Development stage The product is being manufactured and commercialized It has been fully validated and clinically tested Studies verify that the blue high power LEDs are more efficient for Jaundice treatment The market confirms those studies It has the Brazilian ANVISA regulatory approval the CE marking and it is currently obtaining the UL recognition approval Future work and challenges Promoting the technology s ease of use efficient treatment system and affordable cost in low and middle income countries is the greatest challenge Assistance herein is required e g through workshops by professionals to explain the importance and advantages and to make users familiar with new functions that improve the treatment quality like the embedded radiometer and the timer User and environment User Nurse physician Training Concept presentation 2 hours training Maintenance Technician Environment of use Setting Secondary general hospital tertiary specialists hospital Requirements Power supply 100 to 240 Vac 50 or 60Hz ambient temperature between 18 C and 28 C air humidity between 10 and 95 eye protec
20. or TVs using DVDs 3 on smartphones or computers with live streaming Developer s claims of solution benefits New media can deliver step by step instruction on clinical skills and procedures in an effective and efficient way With expansion of the Internet access and the proliferation of mobile devices this solution can reach far more people with better health care information than was conceivable only a few years ago New media for medical training is still in its infancy in resource poor countries but it is readily scalable and can help better train providers at much lower cost than traditional methods Future work and challenges The intention is to make this new media accessible to any and all frontline health workers who need better training thus the plan is for an open access model that makes the videos freely available to users The challenge is to obtain funding that will make this goal feasible Other challenges related to its adoption include 1 environmental and hardware constraints access to viewing devices power supply and the Internet 2 modification of the videos for use across many regions accurate translation of languages and effective voice over User and environment User self use patient physician nurse midwife family member technician community health worker Settings rural urban home ambulatory primary secondary schools and training programmes Solution specifications Solution is used to support
21. platform that 1 connects resident physicians to their peers amp faculty for timely team based case consultations related to patient care 2 provides access to a global network of physicians via Swinfen Charitable Trust s Telemedicine programme for external referrals and 3 enables easy centralized access to important medical resources relevant to Botswana Users can e Complete case forms including images amp videos and send to colleagues for consultation e Send messages to the entire team or individuals e Search message history e Share geographic location e Search and share references such as local treatment guidelines and PubMed Functionality Users sign on and set their status as on call or online and indicate their location They can see others status and location Users complete a case consult form attach media such as photos or videos and share with team members for comments Users are notified of news messages amp replies via notifications on their device and in the app Developer s claims of solution benefits The application provides an integrated platform for physicians to communicate efficiently about patient care and to access and share reference information through a single app on a mobile device Users benefit from telemedicine consults amp searchable message threads thereby learning through a shared case based model and have access to country specific guidelines amp journal abstracts The p
22. reading tools and its automated medical quality control It allows e consultation Can be used in situations with without immediate access to the Internet Future work and challenges gt gt SS Ways to promote global adoption and integration and to motivate people to increase the use of teleophthalmology for DR need to be found as it is a proven strategy to improve the quality of health care and collaboration among professionals worldwide The biggest obstacle is not that of attitude or that of access to the equipment but that of the will and of carrying out its organization to provide systematic screening for diabetic retinopathy to all diabetics User and environment gt gt gt gt yoo O User physician nurse technician Training intuitive solution with instructions for every step are provided no training needed Settings rural urban primary secondary and tertiary Reviewers comments gt gt gt Oo Well organized integrated system for managing tele consultations for ophthalmology mostly for the screening of diabetic retinopathy which is also becoming a significant issue in developing countries The innovation lies mostly in the comprehensive integration of the whole process and includes quality control The solution has been validated in rural settings in Canada but not in developing countries Solution specifications Solution is used to support Telemedicine Electronic Sta
23. sevoflurane T Payne R Neighbour amp R Eltringham British Journal of Anaesthesia 2012 108 5 763 72012 e htto www thelancet com journals lancet article PIISO140 6736 10 60518 1 abstract http www who int mediacentre factsheets fs317 en e WHO Global Status Report on Road Safety 2009 e WHO Global Burden of Disease Study 2004 e Ikem IC Ogunlusi JD Ine HR Achieving interlocking nails without using an image intensifier SICOT 2007 31 487 490 e Calafi LA Antkowiak T Curtiss S et al A biomechanical comparison of the Surgical Implant Generation Network SIGN tibial nail with the standard hollow nail Injury 41 2010 753 757 e Young S Lie SA Hallan G Zirkle LG et al Low infection rates after 34 361 intramedullary nail operations in 55 low and middle income countries Acta Orthopaedica 2011 82 6 727 743 e Sekimpi P Okike K Zirkle L Jawa A Femoral fracture fixation in developing countries an evaluation of the Surgical Implant Generation Network SIGN intramedullary nail J Bone Joint Surg Am 2011 Oct 93 19 1811 8 http www unicef org publications index_24840 html Medical devices and eHealth solutions Compendium of innovative health technologies for low resource settings 202 Pa Name Reaustor 14 Non invasive hypothermia indicator for newborns Non invasive vascular age risk prediction Non surgical male circumcision device Oral syringe dosing clip Point of care diagnostic devic
24. skillset limits the reach of technological solutions This solution works at extremely low bandwidths 32 kilobits s onwards for real time audio video data tele consultation thereby reaching places where other existing solutions can t reach It is very easy to use by a village operator and is extremely power efficient works on USB power Further it is a comprehensive solution linking multiple providers doctors pharmacies labs hospitals and addresses 75 of healthcare needs at the point of care at sub USD 1 0 fees picie e e A rural operator carries out remote consultation for the patient at the village with a doctor sitting anywhere with an internet connection The doctor remotely controls the device to obtain medical parameters and to provide prescription to the patient while medical records are stored The solution also supports supply chain lab reports and referrals Development stage gt More than 850 devices have been operational in the rural areas of India with low bandwidths mostly over 64 kilobits s bandwidth and semi skilled village operators and more than 100 000 tele consultations have been carried out successfully IEC60601 1 compliance and 1SO13485 manufacturing process compliance have been completed CE marking process is underway Future work and challenges Implement large scale projects with healthcare service delivery partners and e governance players Enhance technology with further diagnostics and better
25. system for POC diagnosis Manual wheelchairs and mobility devices Newborn simulator for resuscitation training Non pneumatic anti shock garment Oxytocin in prefilled auto disable injection system Parasitological test system Phototherapy for neonatal jaundice treatment Point of use water disinfection system Portable haemoglobin meter Portable ventilator Prefilled auto disable injection system Reusable neonatal suction device Self powered pulse oximeter Transcutaneous bilirubin measurement system for infants Ventilator using continuous positive airway pressure Water filter eHealth solutions 20 Medical data communication system Mobile technology to connect patients to remote doctors Treatment response software application Appendix 2012 2011 32 33 34 35 36 37 38 39 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 59 60 61 63 65 Introduction Medical devices and eHealth solutions have the potential to save lives However too many worldwide suffer because they don t have access to appropriate health care technology The compendium series of innovative medical devices and eHealth solutions has been created as a neutral platform for technologies which are likely to be suitable for use in low resource settings It presents a snapshot of several health technologies which might have the potential to improve health outcomes or to offer a solution to an unmet medical need
26. tertiary specialists hospital Requirements None Product specifications Dimensions mm 90 x 75 x 125 Other features Portable hand held reusable Weight kg 0 2 Year of commercialization 2009 Life time 5 years Currently sold in Japan EU Nations Retail Price USD 100 List price USD 100 Contact details Takahide Tanaka Email oshira docomo nejp Telephone 81 75 925 2043 Fax 81 75 925 2044 htto www who int medical_ devices 3 Medical devices Compendium of innovative health technologies for low resource settings 2012 fitness of any technology for a particular purpose All the information Inclusion in the compendium does not constitute a warranty of the was provided by the developers WHO will not be held to endorse nor to recommend any technology included in the compendium Birthing simulator for training Country of origin Norway Health problem addressed gt gt gt Appropriately skilled birth attendants could save the majority of the annual 350 000 maternal deaths 99 of which occur in low resource settings In order to reduce the high number of unnecessary maternal and newborn deaths on the day of birth there is an urgent need to train birth attendants and other Frontline Health Workers in Basic Emergency Obstetric and Newborn Care BEmOC Product description __ The birthing simulator supports training in BEmOC in developing countries
27. water disinfection system that uses ultraviolet light to inactivate pathogens at a fast flow rate of 5 liters per minute without producing unpleasant or harmful disinfection by products The UV Tube is appropriate for households schools clinics and small communities Product functionality The UV tube uses a 15 watt germicidal lamp to deliver a UV C 254nm dose of 900 J m 2 to inactivate virus protozoa and bacteria suspended in water Developer s claims of product benefits The UV tube was developed by an interdisciplinary team of students and professors who recognize that a wide array of safe water options are urgently needed in order to address the severe and widespread health problems caused by drinking water contaminated with pathogens Through rigorous laboratory and extensive field testing the UV Tube was designed to be an effective easy to use low cost and adaptable point of use safe water solution The dose is more than twice the minimum recommended by the US NSF ANSI Standard 55 providing a safety factor that guarantees its effectiveness even in certain non ideal conditions Operating steps To disinfect water a user has to 1 turn on the switch 2 confirm that the lamp is on 3 open the water valve 4 wait for the safe storage container to fill up 1 minute for each 5 liters 5 close the water valve 6 drain the system 7 turn off the switch No consumables required but every 1 3 years
28. 0 Consumables None Other features Mobile reusable uses software Life time 3 years Year of commercialization 2010 Shelf life 3 years Currently sold in Malaysia Contact details Kok Beng Gan Email gankokbeng ukm my Telephone 60 12 780 4622 Fax 60 38 921 6856 http www who int medical_ devices E TR Compendium of innovative health technologies for low resource settings 2012 fitness of any technology for a particular purpose All the information Inclusion in the compendium does not constitute a warranty of the was provided by the developers WHO will not be held to endorse nor to recommend any technology included in the compendium Non surgical male circumcision device Country of origin Israel Health problem addressed gt gt gt Three randomized controlled clinical trials in Africa showed that male circumcision can reduce risk of HIV transmission among heterosexual men by as much as 60 Public health leaders aim to circumcise 20 million men by 2015 in 14 nations in Sub Saharan Africa Africa has reached less than 5 of its goal with existing surgical methods Product description The device consists of an Inner Ring Elastic Ring and Applicator The device applies controlled radial elastic pressure to compress the foreskin and cut off circulation The distal foreskin becomes necrotic and is removed after 5 7 days The procedure takes less than 5 minutes is bloodless req
29. 00 patients have been registered The qualitative study interviewed 8 health workers 4 center owners and 23 patients Findings suggest that the terminal helos draw patients to the center by incentivizing health workers and convincing patients to come Software Hardware requirements Netbooks for use in the treatment centers and access to SMS network to work with the netbook The software is open source and can be downloaded from the website for free Country used in India Contact details Sandeep Ahuja Email sandeep ahuja opasha org Telephone 91 931 0398 004 http www who int ehealth eHealth Compendium of innovative health technologies for low resource settings 2012 fitness of any technology for a particular purpose All the information Inclusion in the compendium does not constitute a warranty of the was provided by the developers WHO will not be held to endorse nor to recommend any technology included in the compendium Case based smartphone messaging platform Country of origin United States of America Health problem addressed This technology is focused on addressing the diagnostic treatment support and information resource needs of healthcare providers in Botswana a country with the 2nd highest prevalence of HIV and 4th highest prevalence of TB There are about 40 physicians per 100 000 people and access to physician care outside of city centers remains challenging Solution description A mobile medical
30. 1 Medical devices and eHealth solutions Compendium of innovative health technologies for low resource settings 2012 Appendix All submissions to the call for innovative health technologies for low resource settings underwent an evaluation process The technologies were reviewed by WHO WHO collaborating centres members of EUROSCAN and other relevant stakeholders However no in depth assessments of the technologies were performed and no pre qualification process was done The evaluation relied solely on the material and evidence provided by the applicant as well as publicly available information that served to analyze the potential of the technology to improve health outcome in low resource regions 2012 For further reading about technologies and respective health problems refer to references provided in the submission documents Po Name Reausto 10 Auto stop elecrochlorina tor Automated solar powered blood pressure monitor Birthing simulator for training Interventional cardiovascular lab intramedullary nail and interlocking screw system Mobile ECG with web basd telemedicine platform Multi parameter remote diagnostic kit Neonatal warm sleeping bag Conforms to US EPA guide standard and protocol for microbiological water purifiers as tested in house The product is approved as medical equipment in Japan Europe and the US based on respective regulatory system CE marked produ
31. 15 20 dressing betadine anesthetic cream Other features Portable Contact details Tzameret Fuerst Email non surgicalmc gmail com Telephone 972 77 693 5607 Fax 972 37 621 196 htto wwwwho int medical_ devices 13 Medical devices Compendium of innovative health technologies for low resource settings 2012 fitness of any technology for a particular purpose All the information Inclusion in the compendium does not constitute a warranty of the was provided by the developers WHO will not be held to endorse nor to recommend any technology included in the compendium Oral syringe dosing clip Country of origin United States of America Health problem addressed gt gt Studies show that 40 60 of parents make errors when giving children liquid medication Misdosing medication can have serious consequences For example with liquid Anti Retroviral Medications ARVSs for HIV positive infants and children inaccurate doses can lead to drug resistance which can be fatal Product description The oral syringe dosing clip is a small plastic clip that fits into the barrel of an oral syringe and acts as a stopping mechanism for the plunger ensuring that the correct dose of medication is drawn into the syringe The clips are color coded by dose and can be pre set by a physician do not come into contact with the medication and can be reused Product functionality The oral syringe d
32. 2010 Retail Price USD 1500 Currently sold in Brazil List price USD 1500 Contact details Jair Ribeiro Chagas Email jchagas gmail com Telephone 55 1 4739 1964 55 I1 7833 5298 Fax t55 4792 4326 htto wwwwho int medical_ devices Medical devices Compendium of innovative health technologies for low resource settings 201 fitness of any technology for a particular purpose All the information Inclusion in the compendium does not constitute a warranty of the was provided by the developers WHO will not be held to endorse nor to recommend any technology included in the compendium Portable ventilator Country of origin United States of America Health problem addressed gt Patient groups most likely to benefit include those with COPD Cardiogenic Pulmonary Edema Immunocompromised patients e g HIV and COPD patients weaning from mechanical ventilation COPD is one of the fastest growing causes for death today worldwide Over the next 20 30 years it is poised to become the 3rd or even 2nd leading causes of death Product description The device is a small size portable versatility and can run on batteries Product functionality The device s primary innovation is owed to its use of micro blower technology and unique gas control algorithms In combination the device is able to meet the needs of a wide variety of ventilatory demands including high leaks seen in noninvasive ventilat
33. 42 3470 4342 3484 http www who int ehealth 23 eHealth Compendium of innovative health technologies for low resource settings 2012 fitness of any technology for a particular purpose All the information Inclusion in the compendium does not constitute a warranty of the was provided by the developers WHO will not be held to endorse nor to recommend any technology included in the compendium Computer aided detection for Tuberculosis Country of origin The Netherlands Health problem addressed Tuberculosis is the second deadliest infectious disease in the world With early detection and proper treatment most people with tuberculosis can fully recover Combined efforts and investment in Tuberculosis detection can help to save millions of lives worldwide Solution description Digital X rays can efficiently make large numbers of chest radiographs at low cost Computer Aided Detection software CAD can immediately analyse these digital images The CAD software gives a probability percentage normal vs abnormal consistent with TB CAD follows the processing steps e Lung shape analysis e Clavicle detection e Texture analysis Texture within the lung fields and the shape of the extracted lung fields are compared with a training database obtained from thousands of training images Based on this analysis a grade for the image is computed Based on the grade and the expected prevalence in the population the probability that the i
34. 7 10066 Fax 44 015 987 10055 16 htto wwwwho int medical_ devices Medical devices Compendium of innovative health technologies for low resource settings 2012 fitness of any technology for a particular purpose All the information Inclusion in the compendium does not constitute a warranty of the was provided by the developers WHO will not be held to endorse nor to recommend any technology included in the compendium Solar charger for hearing aid Country of origin Botswana amp Brazil Health problem addressed 7 of the world s population is hearing impaired That is a total of 312 million people of whom two thirds are living in developing countries The extent of hearing loss leads to unnecessary poverty and hardship in the families and communities affected and by extension to the larger society It also costs governments up to 3 of their GNP Product description _ Rechargeable hearing aid solar charger and rechargeable hearing aid battery Product functionality This device has a rechargeable hearing aid battery which costs 1 and lasts 2 3 years To charge the battery a novel but not patented solar powered battery recharger was developed which can be recharged via the sun household light or plug in using a Nokia cell phone electrical recharger Developer s claims of product benefits This device is the only low cost rechargeable analogue and digital hearing aid
35. 7 52 Allen J amp Murray A 2000a Similarity in bilateral photoplethysmographic peripheral pulse wave characteristics at the ears thumbs and toes Physiological Measurement 21 369 37 7 Bots ML Carotid intima media thickness as a surrogate marker for cardiovascular disease in intervention studies Curr Med Res Opin 2006 Nov 22 11 2181 90 Bots ML Dijk JM Oren A Grobbee DE Carotid intima media thickness arterial stiffness and risk of cardiovascular disease current evidence J Hypertens 2002 Dec 20 12 2317 25 Allen J Photoplethysmography and its application in clinical physiological measurement Physiol Meas 2007 28 R1 Zahedi E Chellappan K Mohd Ali M A amp Singh H Analysis of the Effect of Ageing on Rising Edge Characteristics of the Photoplethysmogram using a Modified Windkessel Model Cardiovascular Engineering 2007 7 4 172 181 Auvert B Taljaard D Lagarde E Sobngwi Tambekou J Sitta R Puren A Randomized controlled intervention trial of male circumcision for reduction of HIV infection risk the ANRS 1265 Trial PLoS Med 2005 Nov 2 11 e298 Erratum in PLoS Med 2006 May 3 5 e298 Bailey RC Moses S Parker CB et al Male circumcision for HIV prevention in young men in Kisumu Kenya a randomised controlled trial Lancet 2007 Feb 24 369 9562 643 56 Gray RH Kigozi G Serwadda D et al Male circumcision for HIV prevention in men in Rakai Uganda a randomised trial Lancet 2007 Feb 24
36. ACS having been tried by several countries can conceivably be built up over time to facilitate more exchanges The affordability of this technology in underserved communities depends largely on the company s case use fees This is an important consideration for prospective countries when considering this system Crossing jurisdictional governance between countries could hamper some privacy and confidentiality issues Solution specifications Solution is used to support Telemedicine Electronic Currently used in Technology is used globally The Health Record Electronic Medical Record RIS Radiology service has been originated in the USA The current Information Systems focus is throughout the Caribbean and Central South Software Hardware requirements Access to the Internet A Merican markets is required with a recommended minimum bandwidth of 512K Medical images are uploaded and viewed over personal PC or PDA s Medical images need to be in the DICOM format Standards HL7 DICOM HIPAA The Health Insurance Portability and Accountability Act Contact details Mel Ferguson Email medical cloud yahoo com Telephone 1 817 400 6403 Fax 1 866 891 2953 http www who int ehealth 28 Compendium of innovative health eHealth technologies for low resource settings 2012 mHealth platform for community health workers Country of origin United States of America Health problem addressed High infant and maternal morta
37. Medical devices and eHealth solutions Compendium of innovative health technologies for low resource settings 201 l 2012 World Health f y Organization WHO Library Cataloguing in Publication Data Medical devices and eHealth solutions compendium of innovative health technologies for low resource settings 2011 2012 1 BBiomedical technology 2 Inventions 3 Innovation 3 Medical informatics 4 Equipment and supplies 5 Data collection World Health Organization ISBN 978 92 4 150591 8 NLM classification W 82 World Health Organization 2013 All rights reserved Publications of the World Health Organization are available on the WHO web site www who int or can be purchased from WHO Press World Health Organization 20 Avenue Appia 1211 Geneva 27 Switzerland tel 41 22 791 3264 fax 41 22 791 4857 e mail bookorders who int Requests for permission to reproduce or translate WHO publications whether for sale or for non commercial distribution should be addressed to WHO Press through the WHO web site www who int about licensing copyright_form en index html The designations employed and the presentation of the material in this publication do not imply the expression of any opinion whatsoever on the part of the World Health Organization concerning the legal status of any country territory city or area or of its authorities or concerning the delimitation of its frontiers or boundaries Dotted lines on m
38. Mobile ECG with web based telemedicine platform Multi parameter remote diagnostic kit Neonatal sleeping bag warmer Non invasive hypothermia indicator for newborns Non invasive vascular age risk prediction Non surgical male circumcision device Oral syringe dosing clip Point of care diagnostic device for total WBC Portable anaesthesia machine Solar charger for hearing aid Sputum mobilization device Urine albumin test eHealth solutions 20 2 Biometric technology in healthcare Case based smartphone messaging platform Cervical cancer screening information system Computer aided detection for Tuberculosis Health workforce information systems Integrated smartreader amp cloud services Maternal health Tanzania Medical cloud mHealth platform for community health workers New media to train health workers Primary health care continuous quality improvement CCQI tools O OO N OW A WN ee i i i i A A onvuoau 4niAKR WN 6 21 22 23 24 25 26 27 28 29 30 31 Rapid SMS providing availability of essential medicines Real time measurement of meteorological events on public health Registre electronique de consultation CREC Smart phones for supportive supervision for TB Telemedicine for HIV AIDS care Telemedicine network Tele ophthalmology software application Teletrauma Medical devices 20 Fetal heart rate monitor Isothermal nucleic acid amplification
39. More and more countries are recognizing the need to reduce maternal mortality and the easy and safe delivery of oxytocin has been identified as an important tool but more must be done to raise awareness The next phase of work will include efforts to raise awareness increase demand and ensure a sustainable supply User and environment User Nurse midwife physician technician Training User instructions are included in the box and on the primary packaging Training requires no more than 1 day Environment of use Setting At home and in health care facilities in rural and urban settings Requirements Cold chain is ideal but the time temperature indicator on the package allows for brief excursions outside the cold chain like to low resource health posts or to a woman s home Product specifications Dimensions mm foil pouched product 148 x 56 x 10 Other features Portable and single use reservoir height Year of commercialization 2009 Weight kg 0 0025 filled excluding pouch Currently sold in Argentina Guatemala India Shelf life 24 months Retail Price USD Varies by country Contact details Steve Brooke Email sbrooke path org Telephone 1 206 302 4712 Fax 1 206 285 6619 htto wwwwho int medical_ devices 46 Medical devices Compendium of innovative health technologies for low resource settings 201 fitness of any technology for a particular purpose All the information Inclusion in the compend
40. Sierra Leone Tanzania computer running Linux with Apache MySQL and PHP Togo Uganda installed is required The solution offers a preconfigured appliance that has everything ready to plug into a LAN It can also be run from a flash drive or freely downloaded and configured as a Linux install package LAN WAN or Internet access is needed for remote data entry or reports Evaluation An extensive independent evaluation has not been done Contact details Dykki Settle Email hris intrahealth org Telephone 1 919 313 9100 Fax 1 919 313 9108 http www who int ehealth eHealth Compendium of innovative health technologies for low resource settings 2012 fitness of any technology for a particular purpose All the information Inclusion in the compendium does not constitute a warranty of the was provided by the developers WHO will not be held to endorse nor to recommend any technology included in the compendium Integrated smartreader amp cloud services Country of origin Canada Health problem addressed Two of the biggest problems in infectious diseases are inadequate diagnosis and case management at point of care POC by health workers and inadequate resource allocation and monitoring by health managers and funders Solution description The smartreader is a rugged companion device for use by health workers at POC that captures and transmits a broad range of data to the cloud via local cell networks The re
41. User instructions are included in the box and on the primary packaging Environment of use Setting At home and in health care facilities in rural and urban settings Requirements The device itself is designed to be portable and requires minimal resources for preparation Depending on the drug or vaccine applied cold chain may be needed Product specifications Dimensions mm max 100 excl pouch x 23 x 10 Other features Portable and single use reservoir height Year of commercialization 1998 Weight kg 0 002 0 0025 filled excluding pouch Currently sold in Indonesia India Argentina Belgium Shelf life 5 years Retail Price USD Varies by drug vaccine and country Contact details Rod Hausser Email Telephone 1 201 8475185 Fax I 201 847 4847 http www who int medical_ devices Medical devices Compendium of innovative health technologies for low resource settings 201 fitness of any technology for a particular purpose All the information Inclusion in the compendium does not constitute a warranty of the was provided by the developers WHO will not be held to endorse nor to recommend any technology included in the compendium Reusable neonatal suction device Country of origin Norway Health problem addressed gt gt Nearly 1 million newborns in developing countries die from birth asphyxia each year A similar number are disabled due to compromised breathing at birth To
42. WHO UNICEF and UNFPA Geneva WHO 2004 Hensleigh PA Antishock garment provides resuscitation and haemostasis for obstetric haemorrhage BJOG December 2002 109 1377 1384 Miller S Ojengbede A Turan J Ojengbede O Butrick E Hensleigh P Antishock garments for obstetric hemorrhage Current Women s Health Reviews 2007 3 3 11 Miller S Martin HB Morris JL Antishock garment in postpartum haemorrhage Best Practice amp Research Clinical Obstetrics and Gynaecology 2008 22 6 1057 1074 Tsu VD Sutanto A Vaidya K Coffey P Widjaya A Oxytocin in prefilled Uniject injection devices for managing third stage labor in Indonesia International Journal of Gynaecology and Obstetrics 2003 83 1 103 111 Martins BM de Carvalho M Moreira ME Lopes JM Efficacy of new microprocessed phototherapy system with five high intensity light emitting diodes Super LED J Pediatr Rio J 2007 83 3 253 258 WHO Diarrhoeal disease Programmes and projects Media center Fact sheets Vol 2010 2009 Brownell Sarah A Alicia R Chakrabarti Forest M Kaser Fermin Reygadas Micah J Lang Lloyd G Connelly Rachel L Peletz Daniel M Kammen and Kara L Nelson 2008 Assessment of a low cost point of use ultraviolet water disinfection technology Journal of Water and Health 6 no 1 3 53 Stoltzfus R J J Defining Iron Deficiency Anemia in Public Health Terms A Time for Reflection J Nutr 131 565S 567S 2001 Juliana C T et al Pre
43. a Telephone 1 418 650 5115 t5205 Fax 1 418 654 3144 htto www who int ehealth eHealth Compendium of innovative health technologies for low resource settings 2012 fitness of any technology for a particular purpose All the information Inclusion in the compendium does not constitute a warranty of the was provided by the developers WHO will not be held to endorse nor to recommend any technology included in the compendium Registre electronique de consultation REC Country of origin Burkina Faso Health problem addressed In Burkina Faso 1 in 6 children die before the age of 5 The Integrated Management of Childhood Illness IMCI protocol was developed by WHO to reduce child mortality but its implementation is difficult due to an insufficient number of trained health workers and because arduous working conditions increase the lack of rigor and motivation Solution description The registre electronique de consultation REC is an offline web application that guides the health professionals throughout the consult to help them strictly apply the IMCI A step by step approach allows for determining in real time the illnesses of the patients as the health worker identifies the symptoms Once the diagnostic is established the REC identifies the appropriate treatment and the medicines to be prescribed with their dosages The diagnostic and treatment data are centralized and restored via a secured synchronization procedure via
44. a PKI infrastructure to secure information exchange and a forum interaction paradigm Developer s claims of solution benefits Most existing tools are not designed and optimized to work in low infrastructure environments They lack the ability to connect to medical information sources e g DICOM and have insufficient security for exchanging sensitive medical information Future work and challenges gt gt gt SSS The main limiting factor for mainstreaming is the availability of the Internet connectivity in remote settings The situation is rapidly evolving with the deployment of mobile networks and related GPRS 3G 4G connections in particular in East Africa In West Africa satellite connections are still needed and remain expensive thus limiting the economic sustainability of these tools to larger hospitals Other challenges include the necessity to anchor these services in the institutional framework of each country which is facilitated if countries have a eHealth strategy and related policies and coordination structures User and environment gt gt o gt User physician nurse midwife technician Training training is required and is provided by online documentation and through the support of national coordination teams Settings rural urban secondary and tertiary Solution specifications Solution is used to support Telemedicine eLearning Evaluation Bagayoko CO et al Deploying portable mLearn
45. a duration of 90 seconds at a room temperature of 24 25 C Recording is done ata sampling rate of 50 Hz and saved in ASCII format d Subject to be in supine position with arms rested on pillows during the data recording session PPG to be obtained from tip of the left index finger Development stage gt gt In 2010 the clinical trials and community health screening program have been conducted in several places including universiti kebangsaan Malaysia medical center UKMMC Taman Melewar Gombak urban and Felda Sungai Tengi Kuala Kubu Baru sub urban Approximately 370 subjects participated The study was granted the Ethical Committee approval from the UKMMC Research Ethical Committee Future work and challenges Vascular age is a newly develops concept and technology which have a great potential to improve the health care services especially in CVD screening The main challenge is the acceptance among the medical personals The vascular age model is the ethnic and population dependent Therefore data acquisition across the nations would help to establish and improve the existing model User and environment User Patient Training None Maintenance None Environment of use Settings Urban rural at home primary Chealth post health center Requirements Laptop access to Internet Product specifications Dimensions mm 80 x 110 x 40 Retail Price USD 2000 Weight kg 0 3 List price USD 200
46. ader currently interprets commercially available malaria rapid diagnostic tests RDTs Additional infectious disease targets are to follow in rapid succession e g HIV dengue hepatitis Via standard web browsers the portal provides health managers and funders with a host of cloud information services including data management and reporting mapping and surveillance based on data captured by smartreaders Managers can connect with workers in the field to implement quality control measures and disseminate clinical and operational guidelines Functionality Smartreader software guides the user through RDT processing steps and data entry interprets test results and automatically transmits patient and worker activity data GPS image of RDT over cell networks to the cloud Managers log into the portal to view create reports query real time data disseminate messages and content to readers Developer s claims of solution benefits This solution transforms infectious disease healthcare delivery and healthcare management by enabling e high quality healthcare delivery by minimally trained health workers at point of care e real time monitoring and analysis of point of care data for resource management and timely response to outbreaks e evidence based resource allocation and investment decisions by healthcare funders and industry Future work and challenges Distribution via franchises with local entrepreneurs thus not only contributing to l
47. ambique Nicaragua Benin Guatemala Evaluation A recent randomized controlled trial in fitness of any technology for a particular purpose All the information Inclusion in the compendium does not constitute a warranty of the was provided by the developers WHO will not be held to endorse nor to recommend any technology included in the compendium internet connected computer The software platform is open source and is available to anyone at no cost Organizations with less than 20 users are offered hosting implementation and support for free After 20 users the charge is 0 75 per user month In case the clients want customized project design deployment and support they pay standard software develooment rates Tanzania showed that a reminder system incorporated into the system with eventual escalation to supervisor notification generated significant results with 85 more timely visits for the groups that received SMS reminders Also a preliminary controlled trial in Tanzania found increased adherence to protocols by over 20 compared to traditional methods Contact details Jonathan Jackson Email jljackson alum mitedu Telephone 1 617 649 2214 Fax 1 617 274 8393 http www who int ehealth eHealth Compendium of innovative health technologies for low resource settings 2012 fitness of any technology for a particular purpose All the information Inclusion in the compendium does not constitute a warranty of th
48. ance None Environment of use Requirements Product should be stored at room temperature 15 C to 30 C Product specifications Dimensions mm 35 x 35 x 70 Other features Portable Single use Weight kg 0 02 Year of commercialization 2007 Consumables None Currently sold in Brazil Saudi Arabia United Arab Emirates Shelf time 3 years Retail Price USD 1 5 Contact details Jos Carlos Lapenna Email jclz globo com Telephone 55 I1 40233888 Fax 55 1 40233888 htto wwwwho int medical_ devices 47 Medical devices Compendium of innovative health technologies for low resource settings 201 fitness of any technology for a particular purpose All the information Inclusion in the compendium does not constitute a warranty of the was provided by the developers WHO will not be held to endorse nor to recommend any technology included in the compendium Phototherapy for neonatal jaundice treatment Country of origin Brazil Health problem addressed gt gt gt Neonatal Jaundice CHyperbilirubinemia is a frequent issue in newborns Approximately 60 of newborns become clinically jaundiced It is a clinical condition generally benign and reversible if properly treated but its exacerbated intensification may generate serious sequelae into the central nervous system which may lead patient to death Product description gt Phototherapy is an efficient mean t
49. aps represent approximate border lines for which there may not yet be full agreement The mention of specific companies or of certain manufacturers products does not imply that they are endorsed or recommended by the World Health Organization in preference to others of a similar nature that are not mentioned Errors and omissions excepted the names of proprietary products are distinguished by initial capital letters All reasonable precautions have been taken by the World Health Organization to verify the information contained in this publication However the published material is being distributed without warranty of any kind either expressed or implied The responsibility for the interpretation and use of the material lies with the reader In no event shall the World Health Organization be liable for damages arising from its use Printed by the WHO Document Production Services Geneva Switzerland Medical devices and eHealth solutions Compendium of innovative health technologies for low resource settings 201 l 2012 Acknowledgements The coordination and organization of the Compendium project and the evaluation of the medical device submissions were managed by the Diagnostic Imaging and Medical Devices unit of the Essential Medicines and Health Products department of the World Health Organization under the direction of Adriana Velazquez Berumen team coordinator and Heike Hufnagel technical officer The coordination and evaluati
50. ardiologist and radiologist is one of the major challenges and targeting this would be the next step User and environment User Interventional cardiologist and interventional radiologist Training Required Maintenance Annually Environment of use Settings Rural settings urban settings secondary general hospital tertiary specialists hospital Requirements Stable 120 kVA power supply and good earthing Procedure room should be semi sterile Lead shielding on doors and windows should be present to protect from scattered radiation Technician operating the system needs to be trained Temperature range is 15 35 C and humidity range is 30 75 Product specifications Dimensions mm 2000 x 1000 x 2000 Year of commercialization 2010 Weight kg 300 Currently sold in India Nepal Egypt Turkey Chile Retail Price USD 180000 250000 Columbia Peru Poland List price USD 180000 250000 Other features Software use installed stationary reusable Contact details Lori Shamroth Email LoriGaylel 23 gmail com Telephone 1 978 659 3776 Fax 1 978 975 1285 http www who int medical_ devices Medical devices Compendium of innovative health technologies for low resource settings 2012 fitness of any technology for a particular purpose All the information Inclusion in the compendium does not constitute a warranty of the was provided by the developers WHO will not be held to endorse nor to recommend any tec
51. as well as in Australia and several African Asian North and South American countries 65 countries Contact details Jim McKenzie Email susan jones 5 virginmedia com Telephone 412 380 8882 Fax I 412 380 8850 htto wwwwho int medical_ devices 55 Medical devices Compendium of innovative health technologies for low resource settings 201 fitness of any technology for a particular purpose All the information Inclusion in the compendium does not constitute a warranty of the was provided by the developers WHO will not be held to endorse nor to recommend any technology included in the compendium Ventilator using continuous positive airway pressure Country of origin Vietnam Health problem addressed Every year hundreds of thousands babies die because of respiratory failure Infant mortality could be reduced by application of CPAP relatively simple therapy addressing 90 of cases Diseases treated pneumonia apnea hypoxia and respiratory failure main cause of infant mortality worldwide Product description CPAP is one of the methods used to support infants with respiratory distress and assist them in maintaining continuous positive airway pressure while breathing on their own This solution is customized for the use in hospitals with basic infrastructure and limited resources It is simple in use with only short training required Product functionality CPAP provides mixed gas flows down the insp
52. ay Functionality Patients registered at the terminal log their visit to a TB center on a fingerprint reader At the end of each day the attendance record is compressed into a text message and sent to an online server If a patient misses a dose the counselor receives a text message and must follow up with the patient within 48 hours to take their medication Developer s claims of solution benefits The eCompliance initiative is the first to apply biometric attendance monitoring to tuberculosis treatment No other TB control system can provide verifiable evidence to back up their TB statistics The innovation s transparency and accountability are two of its strongest aspects While other TB programs have digitized their systems these programs rarely cater to impoverished areas relying on the Internet or 3G networks to relay information Future work and challenges Funding is needed for operations of the system and the ever changing field of technology User and environment User technician counselors Training training on the system takes 3 4 hours and is given by one of the biometric team members Settings rural urban home ambulatory primary secondary and tertiary Solution specifications Solution is used to support Electronic Health Record Evaluation There has been one pilot study at the Electronic Medical Record mHealth treatment centers and a follow up of a qualitative study in 25 centers in two states Over 2 3
53. ble alcohol wipes transparent Year of commercialization 2010 medical tape Currently sold in India Russia USA UK Haiti Australia Life time 5 years Canada Cyprus Egypt Kenya Netherlands Papua New Shelf life 2 years Guinea Peru Tanzania Zimbabwe Contact details John Zeal Email temperaturedoc aol com Telephone 44 125 884 0732 Fax 44 125 884 1032 http www who int medical_ devices 11 EER Compendium of innovative health technologies for low resource settings 2012 fitness of any technology for a particular purpose All the information Inclusion in the compendium does not constitute a warranty of the was provided by the developers WHO will not be held to endorse nor to recommend any technology included in the compendium Non invasive vascular age risk prediction Country of origin Malaysia Health problem addressed gt gt According to WHO 17 3 million people died from cardiovascular diseases CVD in 2008 and over 80 of CVD deaths are in low and middle income countries Over the past 10 years the trend of hospitalizations and death due to cardiovascular and circulatory diseases has increased from 13 in 2008 to 16 in 2009 as reported by Malaysian Ministry of health Product description Photoplethysmography PPG is a non invasive technique to detect blood volume changes Analysis of the PPG signal can provide sufficient information on the cardio vascular related performance The pr
54. ce stored outside the cold chain Vaccine 2000 18 498 502 Sutanto A Suarnawa IM Nelson CM et al Home delivery of heat stable vaccines in Indonesia outreach immunization with a prefilled single use injection device Bulletin of the World Health Organization 1999 77 2 119 126 Lawn J E Lee A C Kinney M Sibley L Carlo W A Paul V K Pattinson R Darmstadt G L Two million intrapartum related stillbirths and neonatal deaths Where why and what can be done IJGO 2009 107 s5 19 WHO Managing Newborn Problems A guide for doctors nurses and midwives WHO Geneva 2003 Stephen N Wall Anne CC Lee Susan Niermeyer Mike English William J Keenan Wally Carlo Zulfiqar A Bhutta Abhay Bang Indira Narayanan Iwan Ariawan Joy E Lawn 2009 Neonatal resuscitation in low resource settings What who and how to overcome challenges to scale up IJGO 2009 107 s47 64 WHO Guidelines for Drinking Water Quality 3rd Ed 2004 htto www who int water_sanitation_health dwq GDWQ2004web pdf Ks 8 World Health S WSF Organization E Medical devices and eHealth solutions Compendium of innovative health technologies for low resource settings 201 l 2012 ISBN 978 92 4 150591 8 9 789241 505918
55. central calendar and recording of orders and payments made during a clinic visit An additional continuing medical education module allows online creation and publication of multimedia courses and informal clinician accreditation Functionality 1 User registers mother at clinic 2 User submits outcome of clinical examination and schedules follow up visit 3 Specialist conducts portable ultrasound examination and saves image to the mother s record 4 Upon referral user at another facility accesses mother s full record 5 Mother receives targeted educational and reminder SMS Developer s claims of solution benefits Validate data instantly and track user performance to identify areas of weakness for retraining Enable community based care outside of clinic setting using networked computers Retain a full record of mother s information in health system Generate system wide clinical and operational reports without tedious data collection aggregation Enable portable obstetric ultrasound screenings better diagnosis early intervention Browser based platform overcomes limitations of phone based platforms Future work and challenges A large portion of active deployment costs come from the Internet usage and SMS costs for follow up with patients Deployment on a large scale would be greatly facilitated by partnership with mobile operators e g corporate social responsibility initiative or volume based pricing Emphasis on the impor
56. certified ISO 9001 2008 ISO 13485 2003 CE mark FDA CE mark A cluster randomized control trial was carried out by UC Berkeley in 2009 2010 in 450 households using the UV Tube The results are expected to be published in 2011 or 2012 BPF ANVISA Brazil registration number 80431950001 http www anvisa gov br datavisa Consulta_ Produto_correlato rconsulta_produto_ detalhe asp Neglected diagnostics Nature Methods 4 877 878 2007 Reference s Fang R Li X Hu L You Q Li J Wu J Xu P Zhong H Luo Y Mei J et al 2009 Cross priming amplification for rapid detection of Mycobacterium tuberculosis in soutum specimens J Clin Microbiol 47 845 847 WHO Guidelines on the provision of Manual Wheelchairs in less resourced settings Lawn J E Lee A C Kinney M Sibley L Carlo W A Paul V K Pattinson R Darmstadt G L Two million intrapartum related stillbirths and neonatal deaths Where why and what can be done IJGO 2009 107 s5 19 Stephen N Wall Anne CC Lee Susan Niermeyer Mike English William J Keenan Wally Carlo Zulfiqar A Bhutta Abhay Bang Indira Narayanan Iwan Ariawan Joy E Lawn 2009 Neonatal resuscitation in low resource settings What who and how to overcome challenges to scale up IJGO 2009 107 s47 64 World Health Organization WHO Department of Reproductive Health and Research Maternal Mortality in 2000 Estimates Developed by
57. cluded in the compendium Auto stop electrochlorinator Country of origin United States of America Health problem addressed gt Over 1 billion people worldwide do not have access to safe water Furthermore 1 8 million children under the age of 5 years die annually from diarrheal disease caused by unsafe water in places with poor sanitation The auto stop chlorinator produces chlorine which is a highly effective disinfectant for drinking water Treating drinking water with chlorine has been shown to reduce rates of diarrhea in children by up to 29 Product description _ The electrochlorinator consists of a salt brine bottle where the salt and water is poured It also consists of power leads to connect to a battery source as well as a control panel at the base of the brine bottle to start and stop the chlorination process Product functionality SS The auto stop electrochlorinator localizes chlorine production eliminating shelf life and inventory management issues experienced with liquid chlorine and water filters while requiring little maintenance The intended kiosk model centralizes water treatment to trained operators and can treat water for 200 people per day Developer s claims of product benefits Drinking water can be treated by many methods including boiling chemical disinfection filtration and UV light All methods have their advantages and drawbacks mostly rela
58. co in the Nordic Countries in the US and in Europe Future work and challenges gt gt SSS The scope of the problem and the need is huge but the awareness of it and the priority on health care are limited The subjects who are not detected early may face a devastating future as the treatment in the later stages such as dialysis and transplantation is not available or very expensive However through early detection and cost effective treatment a near normal life can be lived User and environment User Physician technician nurse midwife anyone also without laboratory education Training Easy to follow documentation is provided with the analyzer Distributors can support training Maintenance Minimal maintenance cleaning Environment of use Settings Rural urban ambulatory primary health post health center secondary general hospital Requirements Continuous power supply Product specifications Dimensions mm 170 x 115 x 66 List price USD 600 device 2 99 3 99 consumables Weight kg 0 350 Other features portable single use Consumables Urine Albumin Microcuvettes Year of commercialization 2006 Life time gt 7 years Currently sold in US Europe Mexico Kenya South Shelf life gt 7 years Africa Russia Retail Price USD N A Contact details Lena Wahlhed Email lwa live se Telephone 46 4 31481311 Fax 46 431481225 http www who int medical_ devices 1 9
59. ct Compliance to European Medical Directive Directive MDD 93 42 EEC Manufacturing facility is ISO 13485 certified FDA cleared for use in the USA Regulation Number 888 3020 Certified for CE 1293 IEC60601 1 compliance completed SO13485 manufacturing process compliance CE marking process underway Our internal processes are ISO 13485 certified and we are on track to file for CE certification in June 2012 e Arnold BF Colford JM Jr Treating water with chlorine at point of use to improve water quality and reduce child diarrhea in developing countries a systematic review and meta analysis Am J Trop Med Hyg February 2007 vol 76 no 2 354 364 e Gianfranco Parati Eoin O Brien et al A New Solar Powered Blood Pressure Measuring Device for Low Resource Settings Hypertension Nov 8 2010 e Hofmeyr GJ Haws RA Bergstr m S Lee ACC Okong P Darmstadt GL Mullany LC Oo EKS Lawn JE Obstetric care in low resource settings What who and how to overcome challenges to scale up IIGO 2009 107 s21 s45 e The portable Glostavent a new anaesthetic machine for use in difficult situations R Tully R Eltringham IA Walker AJ Bartlett Anaesthesia and Intensive Care 2010 38 6 1085 9 e The Diamedica Draw Over Vaporizer a comparison of a new vaporizer with the Oxford Minature Vaporizer WA English R Tully GD Muller amp RJJ Eltringham Anaesthesia 2009 64 84 92 e Modification of a draw over vaporizer for use with
60. ct details Paul LaBarre Email plabarre path org Telephone 1 206 285 3500 Fax 206 285 6619 htto wwwwho int medical_ devices Medical devices Compendium of innovative health technologies for low resource settings 201 fitness of any technology for a particular purpose All the information Inclusion in the compendium does not constitute a warranty of the was provided by the developers WHO will not be held to endorse nor to recommend any technology included in the compendium Oxytocin in prefilled auto disable injection system Country of origin United States of America Health problem addressed gt Postpartum hemorrhage PPH is the leading cause of maternal death worldwide Women delivering outside of health facilities or in facilities with constrained resources may not receive the WHO recommended dose of 10 IU of oxytocin for the prevention of PPH There is a need for an easy to use delivery system for oxytocin that increases access Product description gt A compact prefilled auto disable injection system is used to deliver Oxytocin A time temperature indicator on each package indicates heat exposure Oxytocin in this device can enable minimally trained health workers to provide the PPH prevention dose in low resource facilities emergency situations or remote locations Product functionality As a prefilled system the easy to use device allows caregivers to saf
61. d for use in low E resource settings is rugged and has its own on board human powered HE iff energy source H Product functionality The oximeter offers the highest quality pulse oximetry on the market It analyses the entire plethysmographic wave form locating the onset of a pulse and resulting in extreme pulse detection It has excellent low perfusion and motion compensating performance warning the user and preventing inaccurate readings Developer s claims of product benefits gt This is a monitor specifically designed for use in low resource settings or where electricity supply is a problem The SPO2 monitor is rugged and reliable and has its own on board power generator Human energy is converted into electricity and saved in rechargeable batteries The monitor gives 10 15 minutes of monitoring per minute of winding The monitor may also be recharged using grid power when available The pulse oximeter is designed to be compatible with a wide range of probes to take advantage of generic offerings when available Unlike monitors designed for mainstream medical markets it is very simple to use at low cost Operating steps The SPO2 monitor is a solution to the problem of measuring blood oxygen saturation in developing world health environments By turning the crank human energy is efficiently converted into electricity and stored in rechargeable batteries Generic probes ranging from pediatric to adult provide accurate pulse and
62. der module offers a zero foot print viewer system that allows for images to be viewed on the web This cloud based approach requires no additional hardware or software to be purchased Native studies are sent directly to fully functioning PACS systems or viewed through a log in user name and password over any personal digital device Developer s claims of solution benefits Physicians will have access to images and reports allowing them to take their services to patients who could not be reached previously Informed patient care decisions allow for a faster accurate diagnosis from anywhere in the world that has access to the Internet Statistics show there are 2 2 billion mobile phones in the developing world while some parts have a patient doctor ratio of one in 20 000 A mobile cloud service enables better care to be provided to more patients at a lower cost The fundamental financial and operational model has a primary focus on the healthcare industry one known to be cautious with technology Future work and challenges Confusion hinders adoption and there is some confusion about what Cloud computing can do User and environment User physician nurse technician authorized medical professionals and health care providers Training remote training is provided The service team is accessible online through a live chat feature Settings rural urban home ambulatory primary secondary tertiary Reviewer s comments This proposed iCloud Web P
63. diseases and treatment for example in infections HIV inflammatory diseases etc Making the WBC more rapidly accessible to rural settings will improve healthcare as well as save costs and transportation time Operating steps 1 Fill the cuvette 2 Place it in the analyzer 3 Result is available lt 3 min Development stage The device is CE marked and FDA 510k cleared Besides internal evaluations the accuracy of the device has been validated in 2 published studies a study by Osei Bimpong et al Osei Bimpong Int Journal of Laboratory Hematology 2008 and a study by Casey et al Casey et al Clinical Pediatrics 2009 Future work and challenges The company will use its well established distribution network to make the system available to the intended user Through an extensive network the hemoglobin systems have been made widely available in developing regions and has proved experience in bringing POC tests to rural settings including set up and local training The main challenge lies in introducing and getting local acceptance of a new test and challenges regarding local decision making policies User and environment User Physician technician nurse midwife Training Required provided by device distributors Maintenance Minimal cleaning Environment of use gt gt gt Settings Rural urban ambulatory primary Chealth post health center secondary general hospital tertiary specialists hospital Requir
64. e Finland e Kees Groeneveld and Cees A Postema from the Health Council of the Netherlands GR The Hague The Netherlands e Inger Natvig Norderhaug Helene Arentz Hansen and Tove Ringerike from the Norwegian Knowledge Centre for the Health Services NOKC Oslo Norway e Paul Fennessy Linda Mundy Kaye Hewson and Brendon Kearney from the Health Policy Advisory Committee on Technology HealthPACT Queensland Australia e Nora lbargoyen Roteta Gaizka Benguria Arrate and I aki Guti rrez lbarluzea from the Basque Office for Health Technology Assessment Osteba Vitoria Gasteiz Spain We also thank DIMDI German Institute of Medical Documentation and Information represented by Hans Peter Dauben for their support concerning the organization of the evaluation phase as well as Ahmet Metin Gulmezoglu and Helena Ardura Garcia from WHO for their input For the evaluation of submitted eHealth solutions we are grateful to e Antoine Geissbuhler University Hospital Geneva Switzerland e Kendall Ho University of British Columbia Canada e Pradeep Ray University of New South Wales Australia e Tove Sorensen Norwegian Centre for Telemedicine Norway For their collaboration we thank the Centre for Global Health at the University of Michigan represented by Kathleen Sienko and directed by Sofia Merajver we especially thank Amir Sabet Sarvestani and Eva Shiu for their assistance with identifying potential technologies and contacting th
65. e was provided by the developers WHO will not be held to endorse nor to recommend any technology included in the compendium New media to train health workers Country of origin United States of America Health problem addressed Frontline health workers need more and better training Current methods lectures and written materials are not effective and often fail to consider the reality of resource poor settings Health worker shortages make it difficult and costly for them to spend time in workshops Current approaches are not able to reach the large numbers who need training Solution description The new media consists of videos that combine live footage with animated segments and are designed and created for playback on portable devices The films are brief vignettes that bring alive international clinical guidelines They cover topics in a simple and concise way with need to know information They are carefully scripted to provide step by step instruction that is easy to understand and put into action They are voiced over to enable narration in different languages and shot and formatted for the small screen of mobile devices Functionality Operation consists of standard procedures for video viewing Varies based on available technology 1 offline on video capable phones using memory cards or computers where the Internet connectivity or electricity is limited 2 on basic video equipment portable players
66. e for total WBC Solar charger for hearing aid Sputum mobilization device Urine albumin test CE No 0434 FDA cleared K103695 Certified CE Mark Class lla Compliant to ISO 13485 Medical Devices Quality Management systems and FDA 21 CFR177 2600 Medical products Agency FDA 510 k Clearance Ref 7 Certificate of Registration LV Ref 8 k 053253 USFDA 501 k KO91557 KO60439 Class CE mark CLIA waiver certificate Ref 7 k530253 A002 Medical products Agency FDA 510 k Clearance Ref 9 Certificate of Registration LV Ref 10 k 053253 Green D A Kumar A Khanna R Neonatal hypothermia detection by ThermoSpot in Indian urban slum dwellings Arch Dis Child Fetal Neonatal Ed 2006 91 f96 F 98 doi 10 1136 adc 2005 078410 htto wwwwho int reproductivehealth publications maternal_perinatal_health MSM_97_2 en index html Thermal protection of a newborn Yusuf S Reddy S Ounpuu S amp Anand S 2001 Global burden of cardiovascular diseases Part 1 General considerations the epidemiologic transition risk factors and impact of urbanization Circulation 104 22 2746 53 Vintro IB 2004 Control and prevention of cardiovascular disease around the world Editorials Rev Esp Cardiol 57 6 487 94 Yusuf S Hawken S Ounpuu S et al 2004 Effect of potentially modifiable risk factors associated with myocardial infarction in 52 countries the INTERHEART Study Case control study Lancet 364 9438 93
67. e respective developers for the Compendium For her design of the Call announcement as well as her contribution to the successful launch of the Call we thank Lisa Stroux For their valuable input on the submission template we thank Tony Easty from the University of Toronto Mladen Poluta from the University of Cape Town Lisa Stroux from the University of Oxford and Santiago Ocejo from ProMujer Mexico City We would like to thank the following WHO interns Yen Low for her support in producing the Call announcement Bryan Ranger for his support in producing the Compendium and Rahul Rekhi Shreesh Naik Alicia De Hoyos Reyes and John Akrofi for their support in different phases of the project All illustrations were provided by the developers who submitted the technologies For their financial support in the 2012 edition we thank the Ministry of Health Labour and Welfare Government of Japan as well as The Netherlands Ministry of Health Welfare and Sport For their financial support in the 2011 edition we profoundly thank the Bill and Melinda Gates Foundation Graphic design and layout Jillian Reichenbach Ott Gen ve Design Table of contents Acknowledgements Introduction Disclaimer Medical devices 20 2 Auto stop electrochlorinator Automated solar powered blood pressure monitor Birthing simulator for training Interventional cardiovascular lab Intramedullary nail and interlocking screw system Low smoke stove
68. e technologies listed is or will be in accordance with the national laws and regulations of any country including but not limited to patent laws and or that 4 any product that may be developed from the listed technologies will be successfully commercialized in target countries or that WHO will finance or otherwise support the development or commercialization of any such product WHO disclaims any and all liability and responsibility whatsoever for any injury death loss damage use of personal data or other prejudice of any kind whatsoever that may arise as a result of or in connection with the procurement distribution and or use of any technology embodied in the compendium or of any resulting product and any future develooment thereof Developers whose technology has been included in the compendium shall not in any statement of an advertising commercial and or promotional nature refer to their participation and or inclusion in the compendium In no case shall the latter use the WHO name and or the emblem or any abbreviation thereof in relation to their business or otherwise Malr K EN 2012 Medical devices Compendium of innovative health technologies for low resource settings 2012 fitness of any technology for a particular purpose All the information Inclusion in the compendium does not constitute a warranty of the was provided by the developers WHO will not be held to endorse nor to recommend any technology in
69. e to inability to work Product description This devices uses a quantitative rapid turbidimetric immunoassay of albumin in human urine using a specially designed analyzer Product functionality S The system can be used for the quantitative determination of low levels of albumin in human urine for the purpose of screening diagnosing monitoring and to supplement the clinical evidence in the treatment of microalbuminuria Developer s claims of product benefits Current devices are semiquantitative dipsticks some with visual reading only In comparison this new system provides lab equivalent results in 9O seconds and is easy to use by anyone It requires minimal maintenance since it is factory calibrated does not require any further recalibration and results can be compared between sites The system makes it possible to perform large screening programs in rural settings as long as power supply is available Operating steps The microcuvette serves as pipette mixing and reaction chamber and the correct specimen volume is obtained by capillary action First the cuvette is filled then it is placed in the analyzer The result can then be read Development stage gt The system has not been part of any clinical studies but has been evaluated The system has been used during a World Kidney Day screening event in Kenya in hospitals in Kenya in a large screening program in Morocco and Mexi
70. eHealth solutions 2012 eHealth Compendium of innovative health technologies for low resource settings 2012 fitness of any technology for a particular purpose All the information Inclusion in the compendium does not constitute a warranty of the was provided by the developers WHO will not be held to endorse nor to recommend any technology included in the compendium Biometric technology in healthcare Country of origin India Health problem addressed Tuberculosis TB is one of the biggest public health problems in India The country holds one fifth of the global TB burden with nearly 2 million new cases and 330 000 TB caused deaths every year Patients who do not complete the entire course of treatment often develop drug resistance Solution description The system utilizes a simple interface with minimal text and color coding for ease of use in low literacy areas The system synchronizes up to date reports with a central Electronic Medical Record EMR database located at the office headquarters The application uses NET Framework and runs locally on any Windows machine Primarily an offline application it sends daily attendance reports through SMS to an online server through the USB modem When the patient registers onto the system they provide a fingerprint which is used throughout their course of treatment to track their treatment schedule If a patient misses a dose an SMS is sent to their counselor by the end of the d
71. eLearning mLearning Evaluation Videos have been shown to be effective mHealth instructional tools and are commonly used to teach Software Hardware requirements A basic viewing medical practices and skills in high income countries device is required for example a battery powered however they remain vastly underutilized and unavailable DVD player As access to more sophisticated devices in the developing world The content is based on best the Internet and stable power supply increases more practice standards and is subjected to rigorous review options for viewing the videos become available by global content experts Content is field tested for effectiveness in teaching and for comprehension and Currently used in India South Africa relevance Contact details Peter Cardellichio Email card3 comcast net Telephone 1 617 876 0778 http www who int ehealth 30 eHealth vative health on settings Compendium of inn technologies for low 2012 fitness of any technology for a particular purpose All the information Inclusion in the compendium does not constitute a warranty of the was provided by the developers WHO will not be held to endorse nor to recommend any technology included in the compendium Primary health care continuous quality improvement CQl tools Country of origin Australia Health problem addressed Lack of data on care processes and outcomes in primary care is an on going problem for applying evide
72. ed The sample hemoglobin content is exhibited in the display in g dL Development stage The device is fully developed and extensively tested Cover 20 000 patients In Brazil validation was performed by PP SUS program a governmental trial of innovative technologies for public health care PAHO and IPTI are performing tests process n BR LOA 1000065 001 Researchers from S lt o Paulo University and FIOCRUZ Foundation are performing tests in anemia trials Future work and challenges gt gt SS For the moment it is commercialized only in Brazil in compliance with the standards from Brazilian national regulatory legal demands ANVISA International certifications need to be performed Additionally there exists a need for investors and or commercial partners interested in business improvement User and environment User Nurse physician technician Training One to two days blood collection practice by puncture and pipette Maintenance Manufacturer Environment of use Requirements Powered by batteries and designed for a global environment use there are no special requirements The tests are disposable and previously sterilized Product specifications Dimensions mm 167 x 108 x 37 List price of consumables USD 1 0 vial Weight kg 0 358 Other features Portable and reusable Runs on batteries Consumables Hemoglobin meter reagent vial tips uses software Life time several years Year of commercialization
73. ed by the developers WHO will not be held to endorse nor to recommend any technology included in the compendium Prefilled auto disable injection system Country of origin United States of America Health problem addressed gt gt Solutions are needed in low resource settings to increase access to drug and vaccine delivery It is also necessary to prevent reuse of syringes helping to prevent transmission of bloodborne disease and to minimize waste in these settings Product description The device developed to address this health problem is a compact sterile prefilled nonreusable injection system for delivery of vaccines or drugs Product functionality S The prefilled sterile injection system may allow minimally trained health workers to accurately inject drugs or vaccines that they would not otherwise be allowed to deliver The auto disable feature prevents reuse helping prevent transmission of bloodborne disease between patients The compact prefill device also minimizes waste Developer s claims of product benefits Compared with standard syringes and ampoules depending on the drug delivered the developed injection system is prefilled ensuring an accurate dose by minimally skilled health workers It is individually packaged and sterile in an injection ready format optimal for low resource settings It is compact and prefilled so generates minimal waste Operatin
74. eir need and aids their rehabilitation The products are affordable high in quality and durable and use locally available components The adjustable features optimize comfort The majority of products are supplied with a pressure relieving cushion a life saving device that is often not provided with other donated wheelchairs Training is provided to local staff to ensure they have the skills to assemble fit and adjust the products correctly and competently Operating steps The products are assembled according to the assembly instructions Once set up the client is fitted with the wheelchair or mobility device If necessary adjustments can be made to maximize comfort for example the footrest backrest height or seat depth can be altered Once the client is happy he or she is then able to self propel manually or can be assisted by an attendant Development stage gt The first product commercialized is the wheelchair for rough terrain on the market since 2005 However design reviews and upgrades are carried out periodically Studies were carried out in South Africa to measure the impact the product has had on the quality of life of users Two international NGOs have performed their own successful trials in Angola and the Philippines over a six and two months period respectively The product is distributed to over 20 countries The range includes other commercialized mobility devices and accessories The product has regulatory approval
75. eiving routine mobile alerts 45 of facilities reported improved product availability In Malawi community health workerCCHW logistics reporting rates grew to 97 from 43 and lead times were reduced The group messaging feature enables managers to reinforce skills and procedures Future work and challenges Some challenges include maintaining the system and solving software problems when they occur Timely resolution of problems is key to maintaining user confidence in the system Common human resources challenges also can occur such as turnover of trained staff Additionally transitioning the system to full Ministry of Health ownership can be a challenge if they are not engaged from the outset in the technology develooment Future challenges include how to continue to ensure increased product availability use of data for decision making and determining to what extent it can supersede the existing paper based system rather than be a supplement User and environment User community health worker health facility staff district health staff and national health staff Training training is conduct by trained trainers using phones and training manuals for one or two days Settings rural urban primary secondary tertiary and national level Reviewer s comments Very good use of SMS a well used feature by cell phone users to trace medication stock and also analyse their use and distribution The pilot of this tool has shown promising resu
76. elopment stage gt gt gt The product was introduced in 2009 It is available on a not for profit basis for projects in the 68 developing countries identified by UN as focus countries for MDG4 The use of the Simulator was validated in pilot tests in Kenya Tanzania Pakistan and India and is today a fundamental part of several courses in developing countries in basic newborn resuscitation Future work and challenges gt gt SSS Financing Although the product is available on not for profit basis individual health care facilities and educational institutions in low and middle income countries often have limited financial resources and may need to obtain funding from governments or international aid organizations Distribution channels Bureaucracy and often prohibitive customs rates render import to countries where the need is greatest difficult User and environment gt o S User Nurse midwife physician course instructors students all other health care personnel needing refresher training Maintenance Any user Environment of use Setting and Requirements The product can be used in any setting there are no specific requirements to the infrastructure Product specifications Dimensions during transport mm 300 x 200 x 70 Retail Price USD 50 simulator deflated in a kit with accessories Other features The simulator is portable und reusable Dimensions in use mm3 480 x 230 x 120 Year of commerciali
77. ely inject drugs or vaccines with minimal training The system prefilled with Oxytocin ensures that an accurate dose is delivered to a patient with minimal preparation minimum waste and a guarantee that the syringe and needle will not be used again Developer s claims of product benefits Current practice is to use a syringe and two 5 IU ampoules or one 10 IU ampoule of Oxytocin Oxytocin in described injection system is prefilled with 10 IU and ensures an accurate dose by minimally skilled health workers It is individually packaged and sterile in an injection ready format optimal for low resource settings It is compact and prefilled so generates minimal waste Operating steps 1 Check the time temperature indicator 2 Open the foil pouch 3 Activate the device 4 Remove the needle shield 5 Continue to hold the injection device by the port and insert the needle into the patient 6 Squeeze the reservoir to inject the oxytocin 7 Do not re cap 8 Dispose according to medical waste procedures Development stage Oxytocin in conjunction with described injection device is currently being produced in Argentina and India Oxytocin in Uniject is commercially registered in Argentina Guatemala Honduras Paraguay and India Additional registrations in Latin America and Africa are being pursued Future work and challenges The value of oxytocin in conjunction with described injection system has been demonstrated in the field
78. em to monitor and assess performance of the TB health delivery system identify problems and opportunities and in many cases take immediate action for improvements For example the rate of drug stock outs has significantly decreased and external quality control is easily obtained for quality service with far less delay Future work and challenges Scale up of initial training to Lagos and Abia States to nationwide implementation requires careful needs analysis and planning User and environment User technician clinic supervisor Training some level of training is required and will be provided by Ministry of Health officials Settings rural urban primary Solution specifications Solution is used to support Decision Support Systems mHealth Software Hardware requirements Access to a cellular network access to the Internet to link to the online database Android OS coded with Pendragon proprietary 1 license with open source EpiSurveyor software Currently used in Ethiopia Nigeria Contact details Leah Ekbladh Email abtassoc gmail com Telephone 1 617 520 2804 Fax 1 617 386 8019 http wwwwho int ehealth eHealth Compendium of innovative health technologies for low resource settings 2012 fitness of any technology for a particular purpose All the information Inclusion in the compendium does not constitute a warranty of the was provided by the developers WHO will not be held to endorse nor to recomme
79. ements Power supply Product specifications Dimensions mm 120 x 135 x 183 List price USD 624 50 Weight kg 0 6 Other features Portable single use consumables and Consumables Yes reusable device Life time gt 7 years Year of commercialization 2008 Shelf life gt 7 years Currently sold in US Europe Contact details Lena Wahlhed Email lwa live se Telephone 46 43 148 1311 Fax 46 43 148 1225 http www who int medical_ devices 15 Medical devices Compendium of innovative health technologies for low resource settings 2012 fitness of any technology for a particular purpose All the information Inclusion in the compendium does not constitute a warranty of the was provided by the developers WHO will not be held to endorse nor to recommend any technology included in the compendium Portable anaesthesia machine Country of origin United Kingdom Health problem addressed In remote locations anaesthesia may be non existent or unreliable which can prevent emergency surgery For instance millions of mothers and babies die from birth complications many of which could be saved by C sections if safe anaesthesia were available Anaesthesia is also vital for treatment of traumas hernias animal bites burns infections and congenital deformities Product description gt This device is a complete inhalational anaesthesia system that is suitable for a variety of sett
80. ensions mm 40 x 40 x 130 List price USD 3 Weight kg 0 06 Other features Portable and reusable Consumables None Year of commercialization 2010 Life time 5 years Currently available in 68 countries identified by UN as Retail Price USD 3 focus countries relative to UN Millennium Contact details Ingrid L rdal Email suctiondevice gmail com Telephone 47 5151 1855 47 9514 5168 Patra ala7 htto wwwwho int medical_ devices Medical devices Compendium of innovative health technologies for low resource settings 201 fitness of any technology for a particular purpose All the information Inclusion in the compendium does not constitute a warranty of the was provided by the developers WHO will not be held to endorse nor to recommend any technology included in the compendium Self powered pulse oximeter Country of origin United Kingdom Health problem addressed gt 10 8 million children die every year 99 of these deaths are in developing countries and 2 7 million are due to congestive diseases that result in hypoxemia Early detection of hypoxemia is essential in reducing mortality and morbidity SPO2 monitoring facilitates this SPO2 monitoring is also essential during anesthesia It is called the 5th vital sign Product description ___ This pulse oximeter is a portable easy to use monitor that measures blood oxygen saturation levels and the pulse rate It is designe
81. ent User and environment User physician technician nurse midwife administrative staff Training none Settings rural urban ambulatory primary tertiary Reviewer s comments This system is deployed nationally for cervical cancer screening treatment and capturing of data It is also being developed and used localy and requires very low resources A formal evaluation of this program would be helpful to contribute evidence and this would form a basis upon which other countries might want to consider adopting it Solution specifications Solution is used to support Decision Support Systems Currently used in Argentina Electronic Health Record Electronic Medical Record Evaluation Arrossi S Paolino M Proyecto para el Software Hardware requirements Access to a computer mejoramiento del Programa Nacional de Prevenci n connected to the Internet It uses the database engine de Cancer de Cuello Uterino en Argentina Informe SQL Server ASP programming language The ministry of Final Diagn stico de situaci n del Programa Nacional health has licenses for using them so it was decided to y Programas Provinciales Buenos Aires Organizacion develop the described tool on this platform The software panamaericana de la Salud 2007 page 33 development is an open source and it belongs to the ministry of health Standards ICD 10 Bethesda Contact details Silvina Arrossi Email silviarrossi2020 gmail com Telephone 54 43
82. ent of use Requirements Access to electricity The product consumes 20 watts To disinfect 1 000 liters it only uses 01 kilo watt hours of electricity The source can be direct current e g 12 24 volts from a solar powered battery or alternate current e g 110 220 volts from the grid If water is turbid or contaminated pre disinfection filtration is required Product specifications Dimensions mm 600 x 150 x 150 Other features Reusable can run on batteries Weight kg 3 Year of commercialization 2009 Life time 3 5 years Currently sold in Mexico but projects can be established Retail Price USD 45 in new countries Contact details Fermin Reygadas Kara Nelson Email reygadas gmail com Telephone 1 510 898 8306 510 643 5023 Fax 1 510 642 7483 htto wwwwho int medical_ devices Medical devices Compendium of innovative health technologies for low resource settings 201 fitness of any technology for a particular purpose All the information Inclusion in the compendium does not constitute a warranty of the was provided by the developers WHO will not be held to endorse nor to recommend any technology included in the compendium Portable haemoglobin meter Country of origin Brazil Health problem addressed gt gt Anemia is one of the most common blood disorders globally Iron deficiency anemia is the most prevalent nutritional disorder in the world Anemia diagnosis
83. erson and mobile transmitted remote diagnosis in Egypt Ghana Botswana the US We pursue various partnerships Partners include mHealth Alliance BRAC Sajida Foundation Mobinil Egypt Orange Botswana University of Pennsylvania Medical School Harvard MIT American Academy of Dermatology Future work and challenges These applications and corresponding business models were tested through pilots in over 10 countries The basic technology proposition was proven and patient acceptability demonstrated Commercial scalability is now ready to be tested by 1 improving the technology platform to support large scale usage from current 500 000 beneficiaries to gt 1 million 2 expanding distribution channels 3 refining service models to suit our markets User and environment User Patient family member nurse midwife physician Training 30 60 min walk through of the mobile application Maintenance Technician engineer manufacturer Environment of use Requirements Mobile connectivity access to a power source to charge mobile phones Product specifications Dimensions mm 110 x 47 x 14 Capprox Retail Price USD Varies Weight kg 0 008 Year of commercialization 2009 Life time Varies by phone model Currently sold in US Botswana Bangladesh Contact details Ting Shih Email Telephone 202 618 0188 htto www who int ehealth 60 eHealth Compendium of innovative health technologies for low resource settings 201
84. es not constitute a warranty of the was provided by the developers WHO will not be held to endorse nor to recommend any technology included in the compendium Rapid SMS providing availability of essential medicines Country of origin United States of America Tanzania Malawi Health problem addressed Many public health supply chains in Africa suffer chronic shortages and stock out of essential medicines contributing to high morbidity and mortality rates Decision makers have little access to stock levels rendering them unable to monitor stock availability and address stock outs Solution description At pre scheduled time intervals facility community users send text messages with key data to a toll free short code using their personal mobile phones Data is used to calculate resupply quantities which are sent via SMS to resupply facilities to enable prepacking of orders Reported data items such as stock on hand as well as monthly email summary reports and supply management reports are displayed on an interactive web based interface with varying access levels to enable decision making The solution also alerts higher level staff via SMS if stock levels are limited or depleted Functionality Refer to solution description Developer s claims of solution benefits In Tanzania evaluation results indicated that 88 of facilities improved on time stock report submission rates and 93 improved stock counting exercises because of rec
85. ess disability after the fracture ability to return sooner to work and more efficient utilization of hospital beds The IM nail interlocking screw technique is globally recognized as the preferred treatment for long bone fractures This system makes it possible for surgeons to use this treatment on patients who couldn t afford it otherwise Total cost is less than other systems of equivalent quality Operating steps During surgery the fracture is reduced and the stainless steel IM nail is placed through the canal of the bone A target arm and special instruments are used to place screws through the slots in the nail and through the bone to stabilize the tibia femur or humerus fracture No electricity or x ray imaging is necessary for the surgery Development stage gt gt FDA cleared for use in the USA The stainless steel alloy composition is approved for implantation in humans The associated online database has over 50 000 entries and is the largest database of treatment of long bone fractures in the world This has been reviewed by surgeons and reported in peer reviewed medical journals Biomechanical tests have been obtained as noted in listed articles Future work and challenges Though the product is comparatively low cost and available on a not for profit basis it is a challenge to keep up with the increasing number of requests for the IM nail and interlocking screw system as financing is limited Continual updating
86. etails James Briaris Email james briaris gmailcom Telephone 44 7595 943 259 htto wwwwho int medical_ devices Medical devices Compendium of innovative health technologies for low resource settings 201 fitness of any technology for a particular purpose All the information Inclusion in the compendium does not constitute a warranty of the was provided by the developers WHO will not be held to endorse nor to recommend any technology included in the compendium Isothermal nucleic acid amplification system for POC diagnosis Country of origin China Health problem addressed One major limitation of effective tuberculosis control is the lack of a suitable diagnostic technology Current technologies such as sputum smear microscopy are insensitive immuno tests are indirect and the available molecular tests are complex and expensive It is the responsibility of scientific and business communities to provide rapid simple accurate and affordable technologies and products Bostan pio a ae This TB diagnostic is based on 5 core technologies 1 Glass transition of reagents for ambient temperature transport storage 2 Instrument free sample preparation 3 Isothermal Nucleic acid amplification 4 Visual read out a DNA lateral flow device LFD 5 Cross contamination control device The TB DNA test with these integrated technologies can be delivered and performed at almost any location Product functionality Sample
87. ettings 2012 fitness of any technology for a particular purpose All the information Inclusion in the compendium does not constitute a warranty of the was provided by the developers WHO will not be held to endorse nor to recommend any technology included in the compendium Medical cloud Country of origin United States of America Health problem addressed Picture Archiving and Communication Systems PACS represent the integration of medical diagnostic images and records playing a critical Facility Login role in patient diagnosis and outcome Traditionally only medical centres in developed countries have been benefactors leaving a significant disconnect globally for resource poor locations to also benefit Solution description Patient information regardless of the imaging modality ultrasound x ray and beyond and or digital medical records are scanned and uploaded by an authorized medical professional Automatically the information is sent through a secure Digital Imaging and Communications in Medicine DICOM process over a standard web browser from a digital device the user is accustomed to using such as any smart phone or mobile computer Physicians teams of specialists and qualified medical professionals across the globe have on the go access through a log in user name and password with access to review patient medical information providing accurate diagnosis and second opinion reports Functionality The DICOM sen
88. ettings The device is ready for manufacturing and sale in China Future work and challenges gt gt SSS NASG Sizes The NASG is not a one size fits all PPH tool Three sizes small medium and large of NASG have been developed to accommodate the significant population dependent anthropomorphic variations around the world In our interviews in Nigeria it was also clear that an extra large size NASG was desired to accommodate larger women in that region Only the large size NASG has been qualified with manufacturers Cleaning of the NASG Cleaning is another challenge There is no established method of accurately tracking the number of uses and cleanings thus it is difficult to identify when sufficient degradation has occurred to retire the NASG and replace it with a new one User and environment User Family member nurse midwife physician technician Training Pathfinder International has developed course curriculum and training materials which vary in length depending on target audience and whether the intended user is applying or removing the garment Maintenance Hospital orderlies are generally responsible for cleaning Environment of use Setting At home and in health care facilities in rural or urban settings Requirements Water and bleach for cleaning Product specifications Life time Approx 40 uses Other features Portable and reusable List price USD 53 76 Currently sold in United States of America Conta
89. ewer s comments This innovative approach especially if and when coupled with disease surveillance systems like www healthmap org can start to uncover known and unknown correlations of disease outbreaks as they relate to weather The requirement of technologies is not onerous and easy to learn which makes the use and sustainabiltiy of the system very achievable Solution specifications Solution is used to support Decision Support Systems Standards Open Geospatial Consortium OGC fitness of any technology for a particular purpose All the information Inclusion in the compendium does not constitute a warranty of the was provided by the developers WHO will not be held to endorse nor to recommend any technology included in the compendium Geographic Information System Health Research Health Surveillance Software Hardware requirements personal computer or laptop or network and access to the Internet The application can be installed on a single computer no need for a network It can also be installed on a server and accessed over a Local Area Network the Internet or a cellular mobile network standards Currently used in Canada Evaluation Bustinza R Toutant S B langer D Gosselin P Syst me int gr des donn es de vigie et surveillance des al as hydrom t orologiques et g ologiques valuation de utilisation du volet chaleur au cours de l t 2010 Contact details Pierre Gosselin Email p_gosselin videotron c
90. f birth Over 99 of these deaths occur in the developing world and many are preventable with timely detection of complications Product description Using advanced Doppler ultrasound technology the monitor detects and measures the fetal heart rate This vital indicator of fetal stress allows rural healthcare workers to make life saving decisions during childbirth Destined for use in low resource settings its design focuses on simplicity of use durability and electrical power independence Product functionality SS The fetal heart rate monitor is designed for ruggedness and simplicity of use but its most distinguishing element is the human powered electricity solution By using the self powered technology simply winding a handle will charge the batteries Each minute of winding provides about 10 minutes of monitoring time Developer s claims of product benefits Fetal monitoring methods in low income countries are limited to Pinard fetal stethoscopes Current availability of monitoring in the majority of primary and district care facilities in middle and especially low income countries being limited makes this monitoring unreliable The accuracy of the Pinard is without much evidence indicating improved outcomes in situations of fetal distress Doppler ultrasound fetal heart rate monitors are recommended but only 1 of these devices worldwide are available in low income countries This device aims at a reduction in
91. g of the patient ECG Product functionality Patient details are entered in the device along with taking their ECG 20 ECG s can be stored in the device Each patient details can be transmitted to the doctor in real time Developer s claims of product benefits Prevalent solutions use facsimile and dual tone multi frequency solutions to implement transmission of ECG s to the remote doctors These are one way communications without proper platform for digital reporting of diagnosis from the doctor This has been overcome with comprehensive auditable online storage This device has been so designed keeping in view the ease of use adaptability and scalability The device can be used not only as an emergency single point of care but with its local and cloud printing capabilities it also means that the same device can replace a conventional ECG machine Operating steps 1 Connect the patient cable to the ECG connector at the bottom of the device 2 Clean the skin surface before after applying electrodes 3 Connect the electrodes to the patient 4 Attach the patient cable leads to the electrodes placed on the patient s skin surface 5 Switch on 6 Follow the process on device as mentioned in section 7 2 in manual Development stage gt The unit was tested and deployed at a renowned 800 bedded multi specialty hospital and a cardiac critical care center in Mumbai Further in the first 12 months the devices has been used
92. g steps 1 Open the foil pouch 2 Push the needle shield into the port 3 Push until you close the gap between needle shield and port 4 Remove the needle shield 5 Hold the device by the port and insert needle into patient 6 Squeeze reservoir firmly to inject Discard according to medical waste procedures Development stage gt The injection system was developed around 15 years ago and as a viable container for drugs is fully developed The availability of important drugs in the injection device for use in low resource settings is established in some areas and developing in others Oxytocin hepatitis B vaccine and tetanus Toxoid vaccine are available in some countries other drugs and vaccines are in early stage development Injectable contraceptives are in their final stage of regulatory approval Betamethasone and gentamicin are still in research stages The unfilled device is available for purchase by pharmaceutical manufacturers worldwide Future work and challenges gt SSS The injection system itself is designed to be portable and requires minimal resources for preparation Depending on the drug or vaccine applied cold chain may be needed Some applications can include a time temperature indicator which allows brief excursions out of the cold chain like to low resource health posts or for rural home delivery User and environment User Patient family member nurse midwife physician Training
93. gnosis of infection inflammatory diseases or leukemia and aid in judicious prescription of antibiotics A WBC POC will be beneficial in rural settings to increase access of a vital test The system is designed as a portable device to be used in rural settings or where near patient testing for WBC is of benefit As only a small blood volume is needed it is useful also for small children and anemic patients Product description The system consists of an analyzer and single use cuvettes One drop CIOUL of capillary or venous blood is drawn into the cuvette by capillary action The portable analyzer consists of a microscope and a camera and the cells are counted by image analysis Product functionality The microcuvette serves as pipette mixing and reaction chamber and the correct specimen volume is obtained by capillary action Developer s claims of product benefits No similar system exists which can be used by the intended user environment Automated cell counters or manual microscopy technologies are available at laboratories but requires laboratory educated staff and requires soecimen to be transported The suggested solution is performed as near patient testing The WBC system will provide rural areas with increased availability to one of the most frequently used lab parameters Instant results of the white blood cell count will facilitate more well informed decisions in several clinical situations and facilitate monitoring of
94. he use of the computer and the REC Settings rural urban ambulatory primary Reviewer s comments IMCI is known to be difficult to implement in primary care settings and this tool provides guidance and learning opportunities for healthcare professionals and improves continuity of care thanks to a basic electronic medical record module Solution specifications Solution is used to support Decision Support Systems providing the environment necessary to run a web server Electronic Health Record Electronic Medical Record locally eLearning mLearning Currently used in Burkina Faso Software Hardware requirements Netbook The REC operates in rural areas with a solar panel Electricity is required for at least a couple of hours per day in order to recharge the batteries of the netbook Evaluation The pilot implementation period Oct 2010 Oct 2011 was documented by the University of Geneva A baseline study is currently in progress with the London School of Hygiene and Tropical Medicine in order to The REC was developed exclusively with open source monitor the extension to 75 health centres in 2012 software The operating system is a customized Linux Contact details Thierry Agagliate Email tag tdh ch Telephone 22 65 036 9182 Fax 22 67 005 3076 http wwwwho int ehealth 54 eHealth Compendium of innovative health technologies for low resource settings 2012 fitness of any technology for a particular purpose All
95. hese methods suffer from systematic insufficiencies and are slow and non traceable Instead this system offers a technically sound and more accessible solution Given the prevalence of cell phone networks and the internet it is easily reachable Operating steps Data is acquired at the point of care and uploaded to a secure server Physician reviews data and has the option to respond back to the point of care or forward to a colleague Physician can review data on their smartphone or PC as convenient Development stage gt gt gt Has been in technically evaluated Has been in production for over two years System is classified as a hospital IT product System conforms to DICOM standards Future work and challenges Product is commercialized User and environment User Nurse physician technician Training Web based and or self training CD Maintenance Technician engineer manufacturer Environment of use gt gt gt Requirements Sending side EKG and or imaging systems and connectivity to internet phone line connection to a laptop preferred Receiving side access to cell phone network on a smartphone and or access to internet and PC Product specifications Dimensions mm N A Other features Portable and reusable Uses software Weight kg N A Telemedicine system Concunmiablecs none Year of commercialization 2009 Retail Price USD Base 50 000 depends on Currently sold in USA conf
96. hnology included in the compendium Intramedullary nail and interlocking screw system Country of origin United States of America Health problem addressed gt According to WHO statistics road traffic accidents RTAs cause about 25 4 million severe injuries per year RTAs are projected to become the third leading cause of DALYs lost worldwide by 2020 Developing countries lack the surgical tools to treat severe fracture injuries effectively Those who live in poverty cannot afford the cost of surgical implant they need in order to quickly recover and provide for their dependents Product description The intermedullar IM nail and interlocking screw system is designed to be used without electricity or x ray imaging in the operating room The system consists of stainless steel nails which are placed down the middle of the bones with screws that are placed through the bone and nail to stabilize the fracture Product functionality This method allows patients to walk using crutches the day after surgery and be discharged usually three days after surgery The same instruments and implants of different sizes are used to treat fractures of the femur tibia and humerus Results are recorded on an online database to ensure the proper technique is being followed and to learn more about fracture healing Developer s claims of product benefits The IM nail and interlocking screw system s cost effectiveness is reflected in l
97. iatr Phila 2009 48 29 World Health Organization 2001 Guidelines for Hearing Aids and Services Novel method for soutum induction using the Lung Flute in patients with suspected pulmonary tuberculosis Fujita et al Respirology 2009 Sarafidis PA Riehle J Bogojevic Z Basta E Chugh A Bakris GL A comparative evaluation of various methods for microalbuminuria screening Am J Nephrol 2008 28 2 324 9 Epub 2007 Nov 29 Medical devices and eHealth solutions Compendium of innovative health technologies for low resource settings PLO 201 For further reading about technologies and respective health problems refer to references provided in the submission documents a Name Recut 43 44 45 46 47 48 49 SO Isothermal nucleic acid amplification system for POPC diagnosis Manual wheelchairs and mobility devices Newborn simulator for resuscitation training Non pneumatic anti shock garment Oxytocin in prefilled auto disable injection system Parasitological test system Phototherapy for neonatal jaundice treatment Point of Use water disinfection system Portable haemoglobin meter CE Mark Our current manufacturing facility capable of 1 million tests per year has been approved by TUV for ISO 9001 and ISO 13485 and our TB tests are CE qualified ISO standard 7176 including fire retardant foam and fabric and is ISO 9001 2008 2013 and ISO 13845 2008 2013
98. ibution and appropriate support Efficient manufacturing process that reduces costs and ensures high quality is required to reach target sale price Partnerships with local and international NGOs implementing water and health programs is required to develop implementation support materials to ensure successful sustainable use of technology in different scenarios User and environment User Self use patient physician technician nurse midwife shop owner Training Training can be conducted programmatically in under 30 minutes with instruction manual and device Maintenance None Environment of use Settings Rural settings Urban settings primary health post health center secondary general hospital tertiary specialists hospital Requirements This product requires a minimally trained operator and a charged 12V battery It also requires a power supply for recharging Product specifications Dimensions mm 100 x 77 x 122 List price of consumables USD 0 05 1000 liters of Weight kg 0 2 water treated Consumables Salt Water Battery Power Other features Software use Installed stationary Reusable Life time 20 years Year of commercialization 2012 Shelf life 10 years Currently sold in Worldwide List price USD 100 Contact details Tim Oriard Email emergingmarkets2 gmail com Telephone 1 206 694 I511 Fax 1 206 694 1559 http www who int medical_ devices 2 Medical devices Compendium of innovative health
99. ic which bare direct sunlight To the best of the submitters knowledge this is the world s first product according to WHO s specifications including solar power and accuracy Operating steps Charge battery by exposing the device to strong light such as direct sunlight Attach blood pressure cuff to upper arm Inflate the cuff by pumping bulb up to estimated systolic blood pressure then the device starts measurement Remove the pressure entirely by pressing release button when the device displays the results Development stage The product underwent field tests in Uganda and Zambia In the evaluation healthcare providers used the product in 700 patients and in comparison with conventional method auscultation 95 of the providers preferred the product with the reasons of easiness solar power and automated measurement The product is approved as medical equipment in Japan Europe and the US based on respective regulatory systems Future work and challenges Currently the price of the product is set relatively high level because of little manufacturing quantity When the product sells more the unit price aims to be much lower User and environment User Self use patient physician technician nurse midwife family member care person Training None Maintenance None Environment of use Settings Rural settings urban settings ambulatory at home primary Chealth post health center secondary general hospital
100. icer It is designed to be easy to operate and require little maintenance Development stage The product was developed at the request of and with feedback from those operating in the field The product is in use in 15 low income countries and feedback from operators confirms its ease of use Future work and challenges gt gt SSS This product will be promoted at existing training courses for anaesthetists in North America UK Africa and Australia It will be demonstrated at exhibitions worldwide and published in international peer reviewed journals User and environment User Anaesthesia physician nurse officer Training None Maintenance None Environment of use Settings Rural settings ambulatory primary health post health center secondary general hospital tertiary specialists hospital Requirements None Product specifications Dimensions mm 470 x 330 x 170 Other features Portable and reusable Weight kg 9 5 Year of commercialization 2010 Consumables Inhalational anaesthetic agent Currently sold in Sold from UK for use in Australia Life time gt 10 years Bangladesh Burma Canada Democratic Republic of Congo Fiji Gabon Guatemala Haiti Honduras India Kenya Mexico Nepal New Zealand Rwanda Sudan Togo Uganda Zambia Shelf life gt 10 years Retail Price USD 4589 List price USD 4589 Contact details Robert Neighbour Email rneighbour hotmail co uk Telephone 44 015 98
101. iguration customization and other charges may apply Contact details Mark Irish Email Telephone 1 215 776 0975 Fax 1 856 513 0724 http www who int ehealth eHealth Compendium of innovative health technologies for low resource settings 201 fitness of any technology for a particular purpose All the information Inclusion in the compendium does not constitute a warranty of the was provided by the developers WHO will not be held to endorse nor to recommend any technology included in the compendium Mobile technology to connect patients to remote doctors Country of origin United States of America Health problem addressed The bottom of the pyramid population in the developing world continues to face fundamental challenges in healthcare due to lack of access low affordability low quality and exploitative care and a reactive emergency driven system Existing solutions lack financial and human resources and show sub optimal use of limited resources Product description This product is an Integrated Mobile Health Technology Platform that enables frontline health providers community health workers rural nurses and doctors to connect patients to remote doctors in order to obtain timely medical diagnosis and administer effective treatment for underserved patients Selected awards Winner at the 2008 MIT 100K Entrepreneurship Competition and Best Telemedicine Innovation at the 2009 World Health Care Congress
102. in cardiac screening camps at multiple remote rural locations within India with more than 10000 ECGs being taken and reported in this period Certified for CE 1293 Future work and challenges gt gt SSS 1 Availability of reliable communication networks electrical power for device charging in remote rural locations doctors to report the ECGs on timely basis 2 Seamless integration of various emergency response teams to take follow actions 3 Developing and managing software clients for various different smartphones 4 Slow adoption by medical professional local administration agencies User and environment User Patient physician technician nurse Training 3 hrs delivered by company technician Maintenance Preventative once per year Environment of use Settings Urban rural ambulatory at home primary health post health center secondary general hospital tertiary specialists hospital Requirements Access to cellphone network power supply for recharging Product specifications Dimensions mm 140 x 97 x 43 Retail Price USD 1000 1200 Weight kg 0 65 List price USD 1400 Consumables ECG gel reporting paper Other features Portable reusable uses software Life time 7 years Year of commercialization 2010 Shelf life 5 years Currently sold in India Mauritius Contact details Vinayak Deshpande Email vinayak bb 5 gmail com Telephone 91 932 321 0142 Fax 91 222 762 2153
103. in low resource settings The compendium specifically focuses on showcasing innovative technologies that are not yet widely available in developing countries It is released to encourage the dialogue between ministries of health procurement officers donors technology developers manufacturers clinicians academics and the general public In doing so WHO aims at raising awareness of the pressing need for appropriate and affordable design solutions and for further develooment and technology dissemination All submissions to the Call for innovative health technologies for low resource settings underwent an evaluation process technologies were assessed by an expert panel based on the material and evidence provided by the applicant as well as publicly available information Note that for a selected technology the inclusion in the compendium does not constitute a warranty for fitness of the technology for a particular purpose Technologies in the compendium are presented in one page summarizing the health problem addressed the proposed solution and product specifications based on data and information provided by the developers of the technologies concerned Disclaimer Eligibility for inclusion in the compendium has been evaluated by EuroScan member agencies WHO Collaborating Centres and WHO However the evaluation by EuroScan member agencies WHO Collaborating Centres and WHO has been solely based on a limited assessment of data and informatio
104. ing ultrasonography with remote assistance for isolated Software Hardware requirements The software tools physicians in Africa lessons from a pilot study in Mali require low bandwidth Internet access which can be Stud Health Technol Inform 2010 160 554 8 provided by DSL 3G or satellite links Uplink bandwidth Bagayoko CO et al Can ICTs Contribute to the Efficiency of 20 kbps and downlink bandwidth of 40 kbps are and Provide Equitable Access to the Health Care System sufficient to run all services Year Med Inform 2011 6 1 33 8 Dudal and Bogou modules are Java applications based on open source libraries freely available with no license fee Standards DICOM Currently used in Mali Mauritania Senegal Burkina Faso Niger lvory Coast Chad Cameroon Congo DRC Guinea Madagascar Liberia Ghana Tanzania Egypt Tunisia Morocco Bolivia Laos Contact details Antoine Geissbuhler Email antoine geissbuhler hcuge ch_ Telephone 41 22 372 6201 Fax 4 22 372 6255 htto wwwwho int goe eHealth Compendium of innovative health technologies for low resource settings 2012 fitness of any technology for a particular purpose All the information Inclusion in the compendium does not constitute a warranty of the was provided by the developers WHO will not be held to endorse nor to recommend any technology included in the compendium Tele ophthalmology software application Country of origin Canada Health problem
105. ings It includes a valve with a circuit removing the valve a reservoir unit for pre oxygenation a vaporiser for consistency over ea a wide temperature range and is calibrated for Halothane Isoflurane or Sevoflurane to overcome possible supply problems Product functionality SS The device is used for spontaneous breathing or assisted ventilation and drawover or continuous flow inhalational anaesthetics Developer s claims of product benefits Most anaesthetic machines are designed to function in high resource environments by specialized operators and require skilled technical support and maintenance Current solutions require compressed gases and stable electricity supplies which are not suitable for rapid response in austere environments This device is robust affordable lightweight and easily transportable It is easy to operate and virtually maintenance free making it suitable for use by local personnel It is extremely cost effective and economic to use as there is no requirement for expensive consumables Supremely Safe it can be used where supply of electricity and medical gases are unreliable or non existent Operating steps Following the rapid assembly of the three principal components vaporiser reservoir and breathing system the product is ready for use The product is intended for use by medical personnel trained in delivery of draw over anaesthesia e g anaesthesia physician nurse or off
106. ion while still maintaining patient ventilator synchrony Developer s claims of product benefits By costing a third of other ICU ventilators and offering both invasive and noninvasive capabilities the device is ideally suited for patients in respiratory distress no matter what their location or severity Operating steps The device employs a micro blower to generate airflow and connects directly to oxygen supplies to provide between 21 100 oxygen enriched pressurized gas Pressure and flow sensors provide signals to a very sophisticated controls algorithm to precisely meter pressure flow and volume even in leak prone noninvasive applications Development stage gt i The device was market released July 2010 and is sold worldwide Several investigators have compared the device s performance to other ventilators in various patient populations and under different clinical conditions such as leak prone noninvasive applications The results of such studies show the relative superiority of the device s design elements and precise gas delivery One bench study demonstrates the unique ability of the device to maintain accurate volume control mode delivery even while using cheap and simple intentional leak breathing circuits Future work and challenges None User and environment User Nurse physician technician Training Interactive CD ROM self paced User s Manual reference material various slide presentations
107. iratory limb to nasal cannula while expired gas returns via the expiratory limb to the pressure bottle The medical staff is able to control appropriate mix of gases as well as desired temperature humidity and flow Developer s claims of product benefits The Complete CPAP system is designed to be used in the low resources settings The only requirement is power supply and oxygen The system provides its own air compressor humidifier oxygen and air blender air heater All the functions can be controlled by the user through simple interface requiring minimum training The system is fully reusable and washable limiting the need for consumable parts to nasal connectors It allows the user to keep running expenses at very low level keeping the treatment costs at less than a few dollars per patient Operating steps Connect the system to oxygen and power source Connect the tube circuit to the patient Turn the system on Set the desired oxygen concentration and flow rate set the temperature and humidity Development stage The device is based on the concept of the CPAP technology developed by Colin Sullivan at Royal Prince Alfred Hospital Australia 1981 To this the adaptation element to low resource settings was added The system has been proven by extensive use in countries such as Vietnam Laos Cambodia and East Timor following initial studies at National Hospital of Pediatrics in Hanoi in 2006 2007 By now it is a national standard in countries
108. its gt gt The economy catheterization lab is tailored for the economy section as it has the flexibility to perform a wide variety of procedures Infrastructure requirements are also lesser as the system has a small footprint which makes it possible to fit it in even small hospitals emerging economies Low cost of ownership maintenance makes the product ideal for low and middle income sections The lab requires less training to operate as it has an intuitive user interface and simple workflow User manual and localized software interface helps ensure the product is well suited for different countries Overall it is a robust product and withstands high workload demand which is typical for resource constrained countries Configurable options and mobile table allow a variety of procedures in cardiac and vascular areas Operating steps The principle of operation is that of a general x ray system For specifics the user manual reference needed Development stage gt Internal verification and validation testing completed External evaluations done at hospitals globally CE marked product Compliance to European Medical Devices Directive MDD 93 42EEC Manufacturing facility is 15013485 certified The catheterization lab has been commercially released and is in use in various markets like India Nepal Egypt Turkey Latin America and Eastern Europe Future work and challenges gt gt SSS Availability of trained interventional c
109. ium does not constitute a warranty of the was provided by the developers WHO will not be held to endorse nor to recommend any technology included in the compendium Parasitological test system Country of origin Brazil Health problem addressed gt gt gt Intestinal parasites types of helminthiasis and protozooses are endemic and afflict more than 1 billion people all over the world particularly affecting the mental and physical development of our children Affected children are unable to develop their abilities which consequently compromises the Human Development Index of the respective country Product description gt This solution allows the user to easily detect the extent of parasite infestations The product allows for economic analysis integration into national health plans in communities of low and medium incomes The product is a prefilled container used for filtering concentrating and recovering parasites from fixed preserved body waste Product functionality In a vial with preservative solution a stool sample is collected by the patient At the laboratory the technician places the vial upside down in a tray and waits for 15 minutes allowing the preserved sample to pass through the filter system Subsequently the sample can be directly analysed under the microscope Developer s claims of product benefits This product unlike other methodologies does not need a
110. l aspects for using ICT meaningfully to address the management of trauma patients are good and have demonstrated convincing results Solution specifications Solution is used to support Telemedicine eLearning Evaluation Vladzymyrskyy AV Klymovytskyy mHealth V G Kalinovsky D K et al Clinical Efficiency of Telemedicine in Trauma and Orthopaedics Med e Tel 2008 Luxembourg 2008 P 87 88 Software Hardware requirements standardized equipment PC digital camera printer web camera and IP data transfer protocol based on principles of low resource telemedicine iPath Standards DICOM Currently used in Ukraine Russia Contact details Anton Viadzymyrskyy Email doctelemed gmail com Telephone 380 50 755 6794 Fax 380 62 311 0507 http www who int ehealth 39 Malr K EN 201 Medical devices Compendium of innovative health technologies for low resource settings 201 fitness of any technology for a particular purpose All the information Inclusion in the compendium does not constitute a warranty of the was provided by the developers WHO will not be held to endorse nor to recommend any technology included in the compendium Fetal heart rate monitor Country of origin United Kingdom Health problem addressed gt Every year 1 million babies die during childbirth Complications during childbirth kill half a million mothers and a further 1 million babies within a month o
111. lity in developing countries are a major public health concern Community health programmes have been effective in reducing mortality but their effectiveness is limited due to lack of sufficient training absence of performance evaluation and feedback absence of standardized protocols and ineffective care coordination Solution description The platform has a mobile app and a Health Insurance Portability and Accountability Act HIPAA compliant cloud based platform with web interface Community health workersCCHW use mobile phones in the field to capture data educate patients and provide case management The web interface is used for monitoring the program and generating reports In the field patient data can be stored on the phone or sent to the server The platform supports audio images video data and also uses GPS and bar code data The platform can also send reminder SMS messages emails or generate other alerts required in the workflow Through active monitoring of data timely interpretable reports and targeted follow up actions can be created for CHWs and the supervisors Functionality The CHW logs into CommCare using a username and password The CHW selects the module e g Pregnant Women and the form e g Pre Natal for this type of visit The form guides the CHW through a series of questions and education prompts to provide patient specific referrals and counseling The form is submitted to the web interface for monitoring De
112. lopers WHO will not be held to endorse nor to recommend any technology included in the compendium Medical data communication system Country of origin United States of America Health problem addressed gt gt Access to medical opinion by cardiovascular specialists can be difficult to obtain in rural or poor areas As a result medical data obtained at the point of care such as EKG s medical images lab results or any other type of information cannot be adequately reviewed by the required clinicians and appropriate treatment cannot be prescribed Product description 3 The medical communication system is a technology that allows any type of medical data to be transmitted from the point of care to the desired specialist s The data is transmitted securely and rapidly for delivery to mobile devices or computers so that physician s can review the data and provide opinions Product functionality SS The system is a proprietary push delivery and review platform allowing remote review using the internet and cell phone network of EKG s medical images Medical data is recorded at the point of care and then uploaded to the system s server from which it is then delivered to a physician s smartphone or PC The transaction is fully traceable and secure Developer s claims of product benefits Current practice includes mailing video tapes DVD s or faxing data to desired physician T
113. lts with high comfort of use and also good results not only on replenishing medications but also tracking usage and reminders to restock Solution specifications Solution is used to support Decision Support Systems Standards HL7 da aI SUD py elas Currently used in Tanzania Malawi Software Hardware requirements Requirements include simple mobile phones for health workers and access to network coverage and electricity to recharge phones Health centre and district staff reviewing the data dashboard online need regular access to a computer with the Internet access Evaluation In Tanzania of the 5 district users and 17 facility users surveyed 100 indicated that they preferred SMS based reporting and 88 of the facility users further said that the stock reporting system has also helped improve their reporting rates and adherence to reporting groups At the facility level the stock The software is open source and built on the rapid SMS reporting system has increased the attention of health platform The source code is available for any user that workers on their reproductive health commodities and would like to adopt and adapt the system for their use as a result improved the timeliness of ordering and stock management Contact details Marasi Mwencha Email info ilsgateway com Telephone 1 703 548 7474 Fax 1 703 528 7480 http www who int ehealth 32 Compendium of innovative health eHealth technologies for low reso
114. mage contains signs of TB is calculated Functionality The software can be configured to run automatically after a digital X ray has been made the image is sent automatically to a separate computer on which the CAD software is installed the program performs the quality check and the image analysis steps and the result is stored on disk Developer s claims of solution benefits gt Present technologies are time consuming and quality temperature sensitive or costly for hundreds of tests With a portable digital X ray even remote groups can be screened at low cost as the incremental costs of digital X ray and CAD are very low Studies done by universities and Zambart show that the sensitivity and specificity of the software to diagnose culture positive TB from chest radiograph is the same as done by clinical officers and CRRS certified human observers no significant difference in performance Future work and challenges Challenges ahead 1 Creating a computerized decision support by combining X ray signs with clinical symptoms 2 Evaluate CAD with GeneXpert cartridge based automated diagnostic test as an efficiency filter in TB screening to determine who gets GeneXpert 3 Regulatory approval User and environment Users physician technician Training a 3 hours training is provided on a laptop or PC Settings rural urban ambulatory primary and secondary Solution specifications Solution is used to support
115. ment system for infants Country of origin United States of America Health problem addressed gt Hyperbilirubinaemia is a common condition in many newborns affecting nearly 1 in 10 newborns and nearly 90 of premature infants in the first week of life If undetected and untreated the levels of bilirubin may rise high enough to pass through the blood brain barrier and is deposited in the brain causing kernicterus and brain damage Product description gt The device provides a numerical measurement of predicted bilirubin count in mg dL or umol L within a clinically beneficial range that has been correlated with total serum bilirubin concentration measured by High Pressure Liquid Chromatography HPLC Product functionality The device works by directing white light into the skin of the newborn and measuring the intensity of the specific wavelengths that are returned By knowing the spectral properties of the components within the skin one can subtract out the interfering components and determine the concentration of bilirubin Developer s claims of product benefits The technology of the device evaluates melanin collagen hemoglobin and bilirubin in a patient s subcutaneous tissues through a proprietary algorithm and optics system Existing technologies measure the yellowness of the skin as it relates to jaundice Operating steps Simple button push for calibration place on infan
116. n Lesotho Liberia Malawi Nepal Pakistan Papua New Guinea Serbia Sierra Leone Solomon Islands South Africa Sri Lanka Sudan Thailand Uganda Zimbabwe Life time 5 years Retail Price USD 171 Year of commercialization 2005 Contact details Natalie Snell Email Telephone 44 1275 464 012 Fax 44 1275 464 019 htto wwwwho int medical_ devices Medical devices Compendium of innovative health technologies for low resource settings 201 fitness of any technology for a particular purpose All the information Inclusion in the compendium does not constitute a warranty of the was provided by the developers WHO will not be held to endorse nor to recommend any technology included in the compendium Newborn simulator for resuscitation training Country of origin Norway Health problem addressed gt gt UN Millennium Development Goal MDG 4 aims at reducing child mortality by 2 3 from 1990 2015 To date the improvement is far from sufficient particularly for neonatal mortality To reach MDG 4 there is an urgent need to train large numbers of birth attendants in developing countries in neonatal routine care and resuscitation Product description The proposed solution is a highly realistic and affordable newborn simulator The baby s status can be simulated as desired to facilitate role playing in relevant scenarios covering basic newborn care as well as standard resusci
117. n submitted in the developers applications and where available of additional sources of evidence such as literature search results or other publicly available information There has been no rigorous review for safety efficacy quality applicability nor cost acceptability of any of the technologies Therefore inclusion in the compendium does not constitute a warranty of the fitness of any technology for a particular purpose Besides the responsibility for the quality safety and efficacy of each technology remains with the developer and or manufacturer The decision to include a particular technology in the compendium is subject to change on the basis of new information that may subsequently become available to WHO WHO will not be held to endorse nor to recommend any technology included in the compendium Inclusion in the compendium solely aims at drawing stakeholders attention to innovative health technologies either existing or under development with a view to fostering the development and availability of and or access to new and emerging technologies which are likely to be accessible appropriate and affordable for use in low and middle income countries WHO does not furthermore warrant or represent that 1 the list of innovative health technologies is exhaustive or error free and or that 2 the technologies which are included in the compendium will be embodied in future editions of the compendium and or that 3 the use of th
118. nce based practice CQI approaches have potential to address this challenge The approach presented provides a flexible and tailored solution facilitating use of local level data and targeted CQI appropriate to the burden of disease Solution description A CQI process developed to assist primary health care services to improve their clinical services and client outcomes by collecting data using specially developed audit tools and protocols The tools are based on best practice standards and recommended scheduled services for a range of clinical services i e child and maternal care Audit data are entered onto a web based database which provides automated real time analysis and generation of a quality improvement report for use at the local health centre level In addition to the audit data qualitative data are collected from the primary health care team through a facilitated discussion using a system s assessment tool for action planning Functionality Training in applied continuous quality improvement and clinical auditing Data collected through clinical audits The primary health care team participates in a system s assessment to collect quantitative data All data are entered into a web based database and reports are generated The team sets goals and action plans for the next 12 months Developer s claims of solution benefits This approach comprehensively addresses the develooment of capacity to apply CQI in a health service context sta
119. nd any technology included in the compendium Telemedicine for HIV AIDS care Country of origin Belgium Health problem addressed The policy of scaling up antiretroviral therapy for HIV patients coupled with the increasing availability of generic HIV drugs have been effective in achieving the target of four million HIV patients under treatment in wa developing countries However one of the main obstacles to that has been EEEE as iam the workforce shortage and lack of training and continuing professional m i development CPD E CPE ig P erri g ie CAE i artt tr te i iB HH Solution description The HIV AIDS telemedicine referrals are managed through a web site See e discussion forum Chttp telemedicine itg be based on a free open jenama p oj at source package which allows registered users to follow and contribute to discussion of referrals both online and by email p i zitit Functionality The patient s history physical examination non identifying pictures laboratory findings and questions to be answered are posted on the http telemedicine itg be discussion forum using an electronic format available on the telemedicine website Developer s claims of solution benefits ITM Telemedicine is one of the very few long running telemedicine networks delivering humanitarian services to physicians working in res
120. ndards HL7 DICOM Health Record Electronic Medical Record Health Research Currently used in Canada Evaluation Can J Ophthalmol 2008 43 658 68 Software Hardware requirements Any facility with access to a fundus imaging camera and a computer Solution is a web based software application it is proprietary and subject to a license fee Contact details Hamid FotouhiNia Email h fotuhi gmail com Telephone 1 514 344 2692 Fax 1 514 940 0369 http www who int ehealth 38 eHealth Compendium of innovative health technologies for low resource settings 2012 fitness of any technology for a particular purpose All the information Inclusion in the compendium does not constitute a warranty of the was provided by the developers WHO will not be held to endorse nor to recommend any technology included in the compendium Teletrauma Country of origin Ukraine Health problem addressed Trauma is the main cause of death for people younger than 40 years old worldwide There are 2 million injured persons per year in Ukraine 4 of population Polytrauma due to industrial disasters and motor vehicle accidents MVAs are a critical problem for Donetsk s large industrial region because 70 are lethal or result in extremely high level of disabilities Solution description Web platform open source iPath secure server Server allows to upload and download clinical data and images perform discussions upload additional information
121. ny equipment or reagents to perform the parasitological examination of feces The system includes a special filter inside made of polyester with 266 micra which renders the sample much cleaner and makes it easier to find the parasites In just one step the sample is ready to be analysed under the microscope Another important difference is the new preservative liquid that does not use formalin or any other toxic and aggressive reagent an exclusive develooment to preserve the environment and the people that work directly with this kind of process Sie as pe N gt gt gt Y gt _ By the patient Open the vial and with the helo of a sooon provided collect a portion of feces and put it inside the vial directly into the preservative liquid Close the vial and bring it to the laboratory By the Technician Homogenize the sample by shaking the vial turn over the vial and put it in the tray provided for 15 minutes Place two drops directly on glass microscope plate Development stage The product is on the market since 2007 and it number of laboratories that choose this method is growing Conformity assessment ISO 9001 2008 ISO 13485 2003 CE Mark FDA Future work and challenges The technology is ready to be used in any country It is accessible affordable available and applicable The company needs to find funding to move to the next stage supply worldwide User and environment User Patient technician Training None Mainten
122. o Email mzolfo itg be Telephone 32 3 2476 364 Fax 32 3 2161 431 http www who int ehealth 36 eHealth Compendium of innovative health technologies for low resource settings 2012 fitness of any technology for a particular purpose All the information Inclusion in the compendium does not constitute a warranty of the was provided by the developers WHO will not be held to endorse nor to recommend any technology included in the compendium Telemedicine network Country of origin Switzerland Health problem addressed gt Continuing education of healthcare professionals and access to specialized advice are keys to improve the quality efficiency and accessibility of health systems In developing countries these activities are usually limited to capitals and remote professionals do not have access to such opportunities Solution description A suite of software tools specifically designed to work in low bandwidth low infrastructure settings to provide distance education Dudal module and tele expertise consultations Bogou module These software modules are developed in Java and deployed using Java Web Start technology Functionality For distance education slide presentations are converted using open source office automation software OpenOffice into a webcastable format The webcasting environment includes an instant messaging tool for interactivity The tele expertise environment uses
123. o treat Hyperbilirubinemia By emitting blue light over the patient s skin it converts toxic bilirubin molecules in the blood into less toxic isomeric forms by photo oxidation and photoisomerization The device uses high power LEDs for treatment and negligible emission of UV IR radiation Product functionality The phototherapy uses a set of 5 high power LEDs positioned 30 cm above the patient The treatment uses high radiation emitted at the blue range of the spectrum from 400 to 550 nm the most recommended for Jaundice treatment The device also provides extra functions such as integrated radiometer and treatment time counter Developer s claims of product benefits Traditional devices use fluorescent or halogen lamps or many conventional LEDs Lamps may require filters to attenuate UV IR rays and have a low life expectancy around 2 000h Conventional LEDs are low power devices To work effectively hundreds of LEDs must be used making the phototherapy complex and prone to failure The proposed technology uses only 5 high power LEDs which is equivalent to more than 250 conventional LEDs The result is a compact highly efficient long life time 20 000 h and low cost phototherapy It provides new resources output radiation level adjustment embedded radiometer and irradiance measurement reports In addition it is compact Saving space in the intensive care unit Operating steps Place the device over the
124. ocal economies and skill develooment but also accelerating sales User and environment User physician nurse midwife technician community health worker Training optional training will be provided by qualified local distributors Settings rural urban ambulatory primary and secondary Reviewer s comments The innovation of the project is mostly related to the hardware smart reader for rapid diagnostic tests However its information components are very well integrated into a coherent set of tools which represents the state of the art Solution specifications Solution is used to support Decision Support Systems The software is proprietary and is charged on a pay mHealth Geographic Information System Health per use basis The system hosts third party mHealth Research applications Software Hardware requirements Smartreader at POC Standards Upcoming releases will support HL7 and minimally trained health worker Data transmission from HIPAA POC to cloud any local cell network Cloud information Currently used in Colombia Ecuador Kenya Tanzania services health program manager with standard web Ghana browser on any computer Smartreader functions for 4 days on internal battery rechargeable by electric outlet solar panel handcrank Evaluation Performance was validated for 7000 patients by 50 health workers at 30 sites in four countries Diagnostic accuracy studies fully blinded and expected to be submitted for p
125. of technique is also a challenge due to the increasing number of hospitals which have this system User and environment User Physician orthopaedic surgeon Training Yes training and tools are given by surgeons familiar with the technique over 10 surgeries Maintenance Yes periodic replenishments by nurse technician manufacturer physician Environment of use Settings Rural urban secondary general hospital tertiary specialists hospital Requirements Operating room with sterile conditions anesthesia personnel and machines well trained nurses and sterilizing personnel are all required Product specifications Dimensions mm 8 12 x 8 12 x 280 420 Other features Portable Weight kg 0 118 0 389 Year of commercialization 2002 Consumables Surgical supplies Currently sold in United States Vietnam Iran Retail Price USD Varies Guatemala amp Indonesia Donated to 48 other countries List price USD Varies Contact details Jeanne Dillner Email jeanne dillner gmail com Telephone 1 509 371 1107 Fax 1 509 371 1316 http www who int medical_ devices Medical devices Compendium of innovative health technologies for low resource settings 2012 fitness of any technology for a particular purpose All the information Inclusion in the compendium does not constitute a warranty of the was provided by the developers WHO will not be held to endorse nor to recommend any technology included in the compendi
126. om Telephone 1 978 659 3776 Fax 1 978 975 1285 htto www who int medical_devices Medical devices Compendium of innovative health technologies for low resource settings 2012 fitness of any technology for a particular purpose All the information Inclusion in the compendium does not constitute a warranty of the was provided by the developers WHO will not be held to endorse nor to recommend any technology included in the compendium Mobile ECG with web based telemedicine platform Country of origin India Health problem addressed Coronary heart disease is one of the leading causes of death across the globe Every second in some part of the world a person suffers from chest g pain or has a heart attack with lack of early warning systems The problem D Remote Physician Cardiologist gets compounded by the fact that the ratio of doctors attending patients is far less in lower and middle income regions i Product description ttt can view EE The system has been designed to provide a telecardiology platform owe for remote ECG analysis and real time reporting from the doctor for the Internet attending paramedic or the general practitioner The portable system gives specialists the possibility to interpret ECG s from their mobiles thus bridging the gap between the patient and the specialist Also the system gives an auditable trail of all the reports right from acquisition to reportin
127. ompendium of innovative health technologies for low resource settings 2012 fitness of any technology for a particular purpose All the information Inclusion in the compendium does not constitute a warranty of the was provided by the developers WHO will not be held to endorse nor to recommend any technology included in the compendium Neonatal sleeping bag warmer Country of origin United States of America Health problem addressed Over 20 million low birthweight infants are born around the world every year and more than 95 of these are in developing countries 4 million of these babies die every year and those babies who survive often develop chronic health conditions including early onset of diabetes heart disease and low IQ Other issues include lack of access to healthcare facilities travel time and costs and intermittent electricity in the developing world Product description The infant warmer consists of three parts a sleeping bag to place the baby a pouch of phase change material and an electric heater The pouch is heated for 30 mins in the heater and then placed in the sleeping bag It maintains the WHO recommended temperature of 37 deg C for 4 6 hours after which it can be reheated Product functionality This infant warmer is an innovative device that works without a constant supply of electricity It has no moving parts and is portable which enables newborns to be kept warm during
128. on of the eHealth solution submissions were managed by the eHealth Unit of the Knowledge Management and Sharing department of the World Health Organization under the direction of Diana Zandi Health Academy Project Manager and Misha Kay Manager Global Observatory for eHealth The contribution of the following persons and institutions has been invaluable For the evaluation of submitted medical devices we thank Euroscan represented by Sue Simpson and Brendon Kearney and the following Euroscan members e Rosimary Terezinha de Almeida Angaja Phalguni and Beth Boddice from the National Horizon Scanning Centre NSCH University of Birmingham United Kingdom e Alexandre Barna Emmanuel Charpentier Bjorn Fahlgren and Marc Vanicatte from the Committee for Evaluation and Diffusion of Innovative Technologies CCEDIT Paris France e Setefilla Luengo I aki Imaz lglesia and Jesus Gonzalez Enriquez from the Agencia de Evaluacion de Tecnologias Sanitarias AETS ISCIII Madrid Spain e Aurora Llanos from Agencia de Evaluaci n de Technologias Sanitarias de Andaluc a AETSA Seville Spain e Antonio Migliore and Maria Rosaria Perrini from the Agenzia Nazionale per i servizi sanitari regionali Agenas Rome Italy e Orna Tal from the Division of Medical Technology Policy DMTP Ministry of Health Jerusalem Israel e Sirpa Liisa Hovi and Marjukka M kel from the Finnish Office for Health Technology Assessment FINOHTA Helsinki Tamper
129. on the market Operating steps During the day a solar panel charges 2 AA rechargeable batteries Once or twice a week one takes out the rechargeable hearing aid battery and puts them in the charger The next morning these batteries are ready to use again One can also charge the batteries using a household light or plug in The batteries fit into 85 of all hearing aids Development stage Countries that receive these rechargeable hearing aids solar charger and rechargeable batteries to do not require FDA or CE approval but all of these component suppliers have FDA CE and are ISO approved Future work and challenges The technology is offered for free to like minded non profit organizations In addition the company helps write the business plans raise money and set up manufacturing operations for others for free User and environment User Self use patient Training None Maintenance Yes 3 5 years change batteries Environment of use Settings Rural urban at home Requirements Sunlight Product specifications Dimensions mm 40 x 20 x 15 Retail Price USD 48 Weight kg 0 3 List price USD 24 Consumables Rechargeable AA and rechargeable Other features Portable reusable hearing aid battery Year of commercialization 2002 Life time 10 years Currently sold in 39 developing countries Shelf life 5 years Contact details Howard Weinstein Email strolltheworld gmail com Telephone 55 11 261 49241
130. oposed simple user friendly and operator independent vascular risk prediction method is a non invasive quantification of hemodynamic vascular properties Product functionality The system utilizes PPG to assess cardiovascular health in a non invasive inexpensive manner The advancement of the Information Technology enables the medical personnel access the clinical data irrespective to the geographical location and reduces the number of visits to hospital as well as consultation costs The portability and server based processing features allow its use in low resources settings Developer s claims of product benefits gt gt gt The conventional technique to assess the cardiovascular health is to measure the thickness of the carotid artery wall CIMT The CIMT technique is ultrasound based costly and requires expertise in measurements PPG is a non invasive and low cost optical technique to detect blood volume changes in the micro vascular bed of tissue The system can be a part of standard health screenings in public and private medical sectors for general vascular risk assessment and as a cost effective and efficient alternative to current methods of screening The system is applicable in rural and mobile clinics due to its convenience and portability Operating steps a Upon arrival verify patients fasting status b The patients need to rest for 10 minutes before data recording c PPG signal will be recorded for
131. option and ownership The software is cost effective easy to configure and is supported with strong documentation eLearning and other resources This solution also support countries to avoid vendor lock in All data can be exported in a variety of formats at any time for migration to a new solution if desired Future work and challenges The biggest challenge remains whether the users have enough access to the Internet to learn about and access the technology and associated resources As infrastructure continues to strengthen and this situation improves a cloud based version can be offered to minimize initial configuration and set up challenges It is also part of the future plan to move from an HR Information System to an HR Management System which is less about collecting and reporting on workforce data and more on taking consistent and high quality management actions User and environment User health managers supervisors workforce planners and regulators Training administrator training is currently available online and user training is under development Settings rural urban secondary tertiary district management offices Ministry of Health Solution specifications Solution is used to support Decision Support Systems Standards SDMX HD mHealth eLearning mLearning Health Research Currently used in Botswana Ghana India Kenya Software Hardware requirements At minimum a Lesotho Mali Nigeria Rwanda
132. or the great vessels of the neck would empower to maintain the warm chain immediately following birth The device has been designed so that also illiterate mothers can understand and safely use it Operating steps 1 Choose site under an arm or on the right side of the abdomen 2 Clean site with an alcohol 3 Press device firmly into site white dots upright 4 Provided the body temperature is within the safe zone a smiling face will appear ona bright green background Observe every two hours 5 Mothers should seek advice if the smiling face begins to fade or reverts to black 6 The device remains attached for up to a week and can be reused Development stage Published tested clinical trials conducted Commercially available CE No 0434 Future work and challenges Currently the device is difficult to read in poor light and in the dark Getting the device widely established has been unexpectedly slow User and environment User Physician nurse midwife family member Training None Maintenance None Environment of use Settings Rural urban ambulatory at home primary Chealth post health center secondary general hospital tertiary specialists hospital Requirements Storage in cool dark location out of direct sunlight Product specifications Dimensions mm 80 x 20 x 0 001 List price USD 0 40 Weight kg 0 002 Other features Portable reusable Consumables Disposa
133. osing clip enables caregivers and patients to deliver accurate doses of liquid medication when using an oral syringe Developer s claims of product benefits gt It was found in laboratory and community settings that inserting the clip into the syringe enables a greater proportion of users to deliver an accurate dosage of liquid medication when compared to a syringe without a clip and a teaspoon The clips are inexpensive and can be used by caregivers to improve dosing of liquid medication regardless of literacy and numeracy skills manual dexterity and visual acuity The clip may therefore be particularly beneficial in low resource settings Operating steps Pull back plunger Insert clip into syringe barrel Push plunger into barrel Twist and lock clip into place Draw liquid medication into the syringe until the clip stops the plunger preventing further intake of liquid Dispense dose of medication with syringe as normal Development stage The dosing clips are being used by the Swaziland Ministry of Health in its national Prevention of Mother to Child Transmission of HIV AIDS PMTCT program More than 213 000 clips have been distributed to mothers participating in the program to ensure that infants receive the proper dose of liquid anti retroviral medication Future work and challenges The clip has been licensed and is available globally for purchase A preferred pricing structure for Global Alliance for Vaccines and Immunisa
134. ource limited settings Telemedicine is a possible way to offer support mentorship and supervision to physicians working in developing countries A web based approach helps to learn from others experiences submitting cases and questions and to be aware of other ways to manage patients Future work and challenges Telemedicine is a powerful educational method A follow up users survey showed that telemedicine advice was valuable in the management of specific cases and significantly influenced the way that clinicians managed other similar cases subsequently Despite this success a trend of decline in use of service has been recognised Sustaining the interest of users remains a key challenge and further information is required about users satisfaction and network performance In addition anchoring the service to partner institutions or regional partnerships needs to be explored Collaboration with larger groups to address these challenges has begun User and environment User physician Alumni of the Institute of Tropical Medicine in Antwerp Settings rural urban home primary secondary tertiary Solution specifications Solution is used to support Telemedicine Software Hardware requirements Personal computers with access to the Internet Standards DICOM Currently used in 42 countries Evaluation Telemedicine in HIV AIDS care a users satisfaction survey Proceedings _ Med_e_ tel_ 2011 Contact details Maria Zolf
135. perinatal mortality and neonatal encephalopathy The majority of the midwives who used the monitor preferred it to the Pinard as the device was easy to charge it was very easy to obtain a reading and quick to identify the fetal heart rate within 30 seconds Operating steps The powerful narrow beam Doppler head is placed on a pregnant woman s abdomen The fetal heart rate is delivered as an audio signal and displayed as a number in beats per minute Development stage gt This fetal heart rate monitor won the Index Global Design Award in 2009 and has the potential to dramatically improve health outcomes especially for babies Pilot field testing was carried out in 9 South African primary care maternity facilities run only by midwives without doctors Future work and challenges The fetal heart rate monitor is currently available and in production User and environment User Nurse midwife physician Training None Maintenance Technician Environment of use Setting Rural primary health post health center secondary general hospital Requirements None Product specifications Dimensions mm 170 x 85 x 75 Other features Portable and reusable Runs on batteries Weight kg 0 7 Uses software Consumables None Year of commercialization 2010 Currently sold in United Kingdom South Africa and other African countries Life time 5 years Shelf life 3 years List price USD 350 Contact d
136. preparation using syringe and a membrane unit no centrifugation Amplification proprietary Cross Priming Amplification CPA technology water bath is the only instrument needed Lateral flow strip detection visual readout in an enclosed device cross contamination proof Glass transition of reagents the entire kit can be transported stored at ambient temperature Developer s claims of product benefits The amplification method CPA and cross contamination proof detection device are the primary inventions The glass transition method and sample preparation device are improvements on existing technology Cost effectiveness No setup cost almost no instrument cost Ease of use and Maintenance Single test package simple operation Reduced training Requirements No highly trained personnel required Labour and time saving Sample to result in 2 hours Reduced resource Requirements The only equipment needed is a water bath maintaining a temperature around 63 C Technical superiority Detected 10 or less pathogens with high specificity Better accessibility Shipped and stored at ambient temperatures Cross contamination control Sealed cartridge ensuring amplicon is never exposed Operating steps Step 1 Sample preparation Use our instrument free nucleic acid extraction device The process takes 15 minutes after sputum specimen liquefied and boiled Step 2 Amplification Amplification can be accomplished with any incubator that kee
137. ps a constant temperature CPA takes 60 minutes at 63 C Step 3 Detection and read out Place the CPA reaction tube into the cartridge and lock Read result in 10 minutes Development stage The Isothermal Amplification Diagnostic Kit was approved by TUV for CE marking Our manufacturing facilities are EN ISO 9001 2000 and EN ISO 13485 AC 2007 approved One example of product trials conducted was at Taipei Medical University Municipal Wan Fang hospital sensitivity 99 specificity 94 PPV 97 and NPV 97 Future work and challenges gt gt gt SS Market education The technologies are new and little known It requires significant effort to educate users promote products and gain acceptance Regulatory approval The CE mark has been obtained for the TB tests Entry approval from individual governments is still needed requiring time and resources Network A network for distribution and demonstration covering health centers in developing countries needs to be established User and environment User Nurse physician technician Training Product brochure instruction for use actual testing kits Training takes about 3 hours Maintenance Nurse physician Environment of use Setting Rural and urban health care facilities Requirements The assays can be used at community health centers with minimal or no lab infrastructure and can be performed by personnel
138. r there is the potential to create local self sustaining businesses from this endeavor Operating steps 1 Settle turbid water in a storage vessel before filling the ceramic pot 2 Keep the ceramic pot filled to the top This will improve filtration rate 3 Clean filter with brush provided when flow rate becomes too slow 4 Clean storage unit with soap and filtered water if necessary Disinfect with chlorine bleach iodine or boiling water Development stage gt The product is being manufactured in gt 20 countries In Ghana in 2007 it has been approved by UNICEF and the government for emergency distribution during a flood emergency In 2008 it was approved for emergency distribution during a guinea worm outbreak The product is being locally manufactured and sold in the region with the highest rates of diarrhea in Ghana The technology has become known through efforts of several international aid organizations and the work of several renowned academic institutions Future work and challenges gt gt gt SSS In Ghana the current challenge is to build a self sustaining enterprise This effort has taken 6 years and there are still struggles to reach those who lack improved water at an affordable price Willingness to pay ranges from 2 15 but the product price is 25 Moreover emergency distribution of the product is free which distorts the market further even while making the product familiar to a wider customer base
139. re professional delivers training written instructions are provided training takes 3 5 min Maintenance None Environment of use Settings Rural urban primary health post health center Requirements None Product specifications Dimensions mm 350 x 60 x 30 Currently sold in Australia Austria Canada Germany Weight kg 0 25 Greece India Italy Japan Lebanon Malaysia Philippines Singapore South Korea Switzerland Turkey United nsumables N Consumables None States Year of commercialization 2006 Contact details Sandy Hawkins Email kinney matthew hotmail com Telephone 1 716 218 7353 Fax 1 716 218 7150 http www who int medical_ devices Medical devices Compendium of innovative health technologies for low resource settings 2012 fitness of any technology for a particular purpose All the information Inclusion in the compendium does not constitute a warranty of the was provided by the developers WHO will not be held to endorse nor to recommend any technology included in the compendium Urine albumin test Country of origin Sweden Health problem addressed gt Chronic kidney disease CKD is common and harmful yet can be easily treated if detected early through a simple urine test and the measurement of low levels of albumin in the urine If not detected it may escalate to end stage renal disease ESRD which requires expensive treatment and risk of poverty du
140. relative to MDG 4 and 5 It has been field tested in several countries including USA Norway Tanzania and Ethiopia Future work and challenges gt gt SSS Financing Although the product is available on a not for profit basis healthcare facilities and educational institutions in low and middle income countries often have limited financial resources Distribution channels bureaucracy and often prohibitive customs rates in importing such material to the countries where the need for these products is greatest User and environment User Family member midwife nurse physician Training None required Maintenance Instructor in courses Environment of use Settings Rural urban health post health center general hospital specialists hospital Requirements No specific infrastructure requirements Access to 3 4 liters of water would be desirable to create simulated blood and to fill the newborn simulator with water Product specifications Dimensions mm 500 x 350 x 200 Retail Price USD 100 Weight kg 4 5 filled with simulated blood List price USD 100 3 5 empty Other features Portable and reusable Consumables None Year of commercialization 2011 Life time 3 years Currently sold in 68 countries that have been identified Shelf life 3 years by UN as focus countries relative to MDG 4 and 5 Contact details Ingrid L rdal Email birthingsimulator gmail com Telephone 4751 511 855 Fax 47 51 523 57 h
141. res of the system However users without a data connection can still prepare and save case information using an offline mode for later uploading Software is proprietary developed specifically for deployment by the Botswana UPenn Partnership and its physician teams Currently used in Botswana Evaluation No studies have been conducted on the technology yet but the team is in the process of designing a study to evaluate the technology with local partners Contact details Sankalpo Ghose Email sankalpo gmail com Telephone 1 415 273 9648 http www who int ehealth eHealth Compendium of innovative health technologies for low resource settings 2012 fitness of any technology for a particular purpose All the information Inclusion in the compendium does not constitute a warranty of the was provided by the developers WHO will not be held to endorse nor to recommend any technology included in the compendium Cervical cancer screening information system Country of origin Argentina Health problem addressed In Argentina cervical cancer is the second most common cause of death by tumours in women from 35 to 64 years old there is a death rate of 71 100 000 and an incidence of 23 2 100 000 Each year in Argentina 1 800 women die and a further 3 000 new cases are diagnosed Women of low socioeconomic status are Seamer meemi iani stents i SE i nanm more vulnerable due to lack of access to screening O ieteeer
142. reskin and stop blood flow Verification thread is then cut Ischemic necrosis is initiated Device remains in situ for 5 7 days and is then removed Development stage The device is FDA cleared K103695 and certified CE Mark Class lla and is manufactured using USP Class VI biocompatible elastomeric materials compliant to ISO 13485 Medical Devices Quality Management systems and FDA 21 CFR177 2600 The device is currently undergoing clinical trials by the government of Zimbabwe and Rwanda To date the device was studied in 3 independent clinical trials in Rwanda on over 880 subjects Future work and challenges The challenges are scalability uptake and government commitment If governments have a viable and sustainable solution with minimal burden to the health system they are more likely to commit resources enable task shifting policies and achieve the national and regional HIV prevention goals User and environment User Nurse community health workers Training Yes will be provided by Rwandan Centers of Excellence Maintenance None Environment of use Settings Rural urban primary Chealth post health center secondary general hospital Requirements Clean though nonsterile setting trained healthcare provider bed biologics disposal box Product specifications Dimensions mm 22 x 60 x 60 Life time 5 years Weight kg 0 011 Shelf life 2 years Consumables Gauze pads scissors spatula forceps List price USD
143. rly and do not provide adequate comfort or postural support These factors can restrict a person s mobility hinder their health and well being and even cause life threatening secondary complications such as pressure sores Product description The technology encompasses a range of 3 wheel and 4 wheel wheelchairs sports wheelchairs supportive seating and tricycles specifically designed for use in less resourced settings The products are available in a range of sizes and have many adjustable features Each product is flat packed requires local assembly and must be distributed through a wheelchair service Product functionality Products in the range require assembly by trained local staff Basic hand tools are required and pictorial assembly instructions for each product are provided Once assembled to the client s prescription the client is fitted comfortably and given instructions on how to use the product safely and carry out basic maintenance The products are manual and easy to maneuver by the client or an attendant Developer s claims of product benefits The complete product range can be uniquely shipped in any volume to service centres around the world and provides a mean to facilitate and expedite the provision of appropriate manual wheelchairs in low income countries Providing a range promotes choice for people with disabilities and ensures they receive a product that is most suited to th
144. roduct captures usage data allowing for analysis and is designed for low resource marginal connectivity settings Future work and challenges The challenges and the opportunities for solutions are soread across a number of categories namely Software gt Hardware gt Personnel gt Programs Given that each of these category silos have their own unique set of issues e g design amp development of information architectures optimized for low bandwidth settings procurement at a cost effective price of smart devices for Sub Saharan Africa recruitment training amp engagement of field pilot professionals and administrative management of multiple groups through protocols feedback amp study design it is essential to operate across categories in an integrated and iterative manner User and environment User physician Training an initial two hour training session including demonstrations and cases Settings rural urban home ambulatory primary secondary and tertiary Solution specifications Solution is used to support Telemedicine eLearning The product is still in Field Pilot R amp D phase and has not mLearning mHealth Geographic Information System yet been commercialized Software Hardware requirements Use of this product Standards It adheres to HIPAA security amp privacy rules requires an Android mobile device and access to mobile for PHI data Internet or WiFi connection for full access to all the featu
145. rting at the stage where the health service is at It embeds ownership of the process by the health service staff It uses systems currently in place to collect health data It provides tools to measure health service practice against accepted best practice It encourages the process of quality improvement in steps to address areas identified as priorities by the health service Future work and challenges The existing technology is modelled on Australian terminology and best practice for disease which is not necessarily suitable for other settings Recommended changes include tools abbreviated to include key disease outcomes and corresponding modification to electronic database interface including capacity for local users to edit specific field options e g drug doses ethnicity and download upload capacity to support off line use Coordinators should be trained and supported to maintain the technology locally User and environment User physician nurse midwife technician health workers indigenous other health workers Training training is required and is given initially by an Australian team who can build more sustainable capacity among local trainers Settings rural urban primary secondary and tertiary Reviewer s comments The continuous quality improvement CQI system is an innovative approach developed to support high quality primary health care for Aboriginal and Torres Strait Islanders CQI can be adapted and used with limi
146. s Existing technology is a soontaneous sputum sample This does not produce the deep lung secretion required The preferred method is hypertonic saline sputum induction This method though effective is not widely used in the field because of complications and discomfort to the patient Reducing the number of inadequate soutum samples and thus the frequency of false negatives The device presented here is highly effective at producing a deep lung secretion sample which saves times and is very easy to use with no counter indications Operating steps The patient sits upright leaning forward slightly The devices works in 2 blow repetitions blow out with enough force to activate the reed and repeat steps to complete 2 repetitions After two blow repetitions the patient removes the mouthpiece inhales normally and repeats the above steps to perform up to 20 cycles After 5 10 minutes the patient coughs and collects sputum Development stage gt gt As published in a 2009 study use of this device enabled rapid diagnosis of TB in 47 of confirmed TB patients who had produced no sputum prior to using the device The device was user friendly as assessed by a questionnaire completed by the patients Future work and challenges gt gt SSS This device could be manufactured at considerably lower cost with locally available materials technologies and labor User and environment User Self use patient Training Healthca
147. s poorly researched and SEVERE HYPOTHE MILA MACDERATE HYPOTHERMIA Chal a eee Le ed are was Ga is in need of urgent attention AE AE ee Product description The hypothermia indicator is a 12mm diameter disc with a black face with lal nan a mer two small white dots on one side the other side has a self adhesive facility ry a This device comes in a strip of 5 units Liquid crystal technology provides function for it to perform reliably and accurately within an operating tolerance of 0 5 degree Celsius ELAH hat Product functionality When in situ on a healthy newborn temperature 36 5 37 5 C the device shows a bright green background with a smiling face clearly visible which is the safe zone for the average normal temperature Should the temperature drop below 36 5 C the color fades to a pale green before a red brown color is displayed At 35 5 C the black color shows Developer s claims of product benefits A naked newborn exposed to an environmental temperature of 23 C suffers the same heat loss as a naked adult at O C This heat loss is even greater for preterm sick and low birth weight babies especially if left wet and uncovered at birth Hypothermia in the newborn can occur in all climates due to a lack of knowledge and or procedure The availability of a very simple low cost device placed either in an axilla above the liver
148. saturation levels Development stage The pulse oximeter is currently available and in production It is manufactured in India Pilot field testing was carried out in South African secondary hospitals and its performance was congruent with gold standard high end pulse oximeters Regulatory approval is completed Future work and challenges Product is commercialized User and environment User Nurse midwife physician Training None Maintenance Nurse physician technician Environment of use Setting Rural Ambulatory primary health post health center secondary general hospital Requirements none Product specifications Dimensions mm 170 x 85 x 75 List price USD 600 Weight kg 0 7 Other features Portable and reusable Runs on batteries Consumables None Uses software Life time 5 years Year of commercialization 2011 Shelf life 3 years Currently sold in South Africa Contact details James Briaris Email james briaris gmail com Telephone 44 7595 943 259 Fax htto www who int medical_ devices Medical devices Compendium of innovative health technologies for low resource settings 201 fitness of any technology for a particular purpose All the information Inclusion in the compendium does not constitute a warranty of the was provided by the developers WHO will not be held to endorse nor to recommend any technology included in the compendium Transcutaneous bilirubin measure
149. ses that have less than 2 3 health workers per 1000 population It is estimated that more than a billion people do not Nave access to a health worker Associated challenges include health workforce planning policy training deployment management and retention Solution description The software is an open source LAMP architecture solution Linux Apache MySQL PHP that once established may be accessed via a web browser on the same computer the software is deployed or via a LAN or from anywhere on the World Wide Web The software supports easy configuration of key variables such as job titles cadres competencies and job structures Information is then collected on the health workforce either through a centralized national architecture or a decentralized subnational architecture that can then be aggregated for national analysis The software supports easily customized reports and charts or the exporting of data in many common formats Functionality Typical steps for setting up and using the software include e Adding Geographical Areas e Configure database drop downs e Create a job structure e Create positions e Enter employee information including identifying information contact information dependents position qualifications trainings employment and education history e Create and run reports as needed Developer s claims of solution benefits A free and open source solution is designed to support full country ad
150. sfully mostly in India but also in countries like Kenya and Laos It s technical performance has been assessed and certified by the College of Engineering Pune and Approvecho Pondicherry India Future work and challenges gt gt SSS To take the next step in empowering local entrepreneurship and enabling NGOs to implement the solution the company has set up a webpage The corresponding online platform aims to support the dissemination of the stove by free distribution of the design specifications It also enables networking with other involved stakeholders and facilitates transfer of knowledge User and environment User Self use patient Training Training can be conducted by local entrepreneurs who produce and install the stove and explain about use and cleaning Maintenance Chimney and soot collector cleaning once per month Environment of use Settings Rural settings Requirements Low tech manufacturing using only cement and clay Product specifications Dimensions mm 800 x 450 x 270 List price USD Approximately 20 including product Weight kg 90 transportation and installation Consumables Biomass fuel wood or cow dung Other features Installed stationary reusable Retail Price USD Approximately 20 including product Year of commercialization 2008 transportation and installation Currently sold in India Kenya Laos Guatemala Peru Contact details Lori Shamroth Email LoriGayle 123 gmail c
151. shock garment NASG Product functionality S The NASG is a lightweight neoprene garment that is made up of five segments that close tightly with Velcro The NASG applies pressure to the lower body and abdomen thereby stabilizing vital signs and resolving hypovolemic shock When fitted correctly the reusable NASG forces blood to the essential organs heart lungs and brain Developer s claims of product benefits This garment provides an improvement over existing products in that is a validated low cost high quality garment This is achieved by providing direct access to qualified manufacturers who can supply the garment at the price of US 54 purchaser is responsible for freight forward from China and import regulations minimum order is 1 000 units Operating steps 1 Place NASG under woman 2 close segments 1 tightly around the ankles 3 close segments 2 tightly around each calf 3 close segments 3 tightly around each thigh leave knees free 4 close segment 4 around pelvis close segment 5 with pressure ball over the umbilicus 6 Finish closing the NASG using segment 6 Segments 1 2 3 can be applied by two persons simultaneously segments 4 5 6 should only be applied by one Development stage Clinical trials led by Suellen Miller at the University of California San Francisco are on going Currently the large size device is cleared by the US Food and Drug Administration and has been tested in low income s
152. some components need replacement Development stage gt gt The product was validated in the laboratory and a prototype tested in 24 households in Mexico in 2005 Positive water quality and user acceptance results led to piloting the technology in 150 households 3 schools and 13 communities between 2007 and 2008 Successful results motivated the develooment of a scalable model in 2009 In 2010 450 household systems were installed in Mexico as part of a stepped wedge cluster randomized trial In 2011 the UV tube will be installed in at least 8 schools and 38 community systems serving approx 10 000 people Future work and challenges gt gt gt S As most water treatment technologies seeking to make real improvements the device must be implemented as part of a program that allows for needs assessment adaptation to local conditions hygiene education operation and maintenance training For this reason we see the UV tube being scaled up through partnerships with institutions organizations and or companies that have local presence and are committed to improving the health of the populations they serve User and environment User Self user family member nurse technician Training Although the system is easy to use and most people can learn how to operate it from a manual it is recommended that they participate in a basic 20 30 minute training session Maintenance Trained nurse community member technician Environm
153. stem is known to offer a dynamic cartographic application showing the urban heat islands and having tools for identifying vulnerable areas using a combination of numerous user selected and user controlled indicators Furthermore all the cartographic layers are available as Web Map Services WMS ensuring better access to the data since they can be reused within other OGC compliant systems without any develooment effort Future work and challenges As this is not a commercial product the strategy to make the product accessible has been through publications and presentations notably through webinars organized by the Pan American Health Organization the Public Health Agency of Canada etc The implementation of the system in two less developed countries will also serve as a case study in using such a system in countries where the basic data may be less widely available than in Canada Indeed availability of data probably represents the main challenge for such a system Currently the system allows for any type of georeferenced data to be published as a layer of information Other data are also used for automatic charts and reports User and environment User physician nurse technician public health or municipal officers Training training by developer through the Internet and simple means such as Beam my Screen duration 1 4 hours Settings rural urban home ambulatory primary secondary tertiary Municipalities and civil protection Revi
154. stimulate soontaneous breathing or bag mask ventilate effectively an open airway is mandatory Often this requires clearing the mouth and nose of Mucous and meconium using vacuum Product description The proposed solution is a bulb suction device that is particularly suitable for use in developing countries It is easy to use and reusable when disinfected in accordance with instructions over the product s lifespan Product functionality The product benefits newborns suffering from birth asphyxia and in need of clearing the upper airways Squeezing the bulb generates vacuum so that the birth attendant can extract mucus and meconium from the baby s mouth and nostrils Developer s claims of product benefits This product is clinically effective easy and safe to use It is an improvement over the neonatal suction devices typically used in low resource settings Ci e mouth suction or hand bulb suctions available in non cleanable versions and mainly intended for single patient use as it can be easily opened cleaned and boiled for disinfection after use it is made of very durable silicone and withstands several hundred times of reuse The transparent material makes it easy for the user to see whether it has been cleaned since last use situation the price available on a not for profit basis combined with number of use situations dramatically reduces the cost per use compared to existing products Operating steps Ensure
155. t domains Developer s claims of product benefits The application is intended to support physicians or nurses in tracking patients resoonses to treatment It will permit outcome measurement for any treatment for any disease or health concern The application and manual are available free of charge Operating steps This is a Microsoft Excel software program that is user completed Development stage The current program is complete and self contained Regulatory approval status of the product is completed Conformity assessment has been carried out in Canada Future work and challenges Since posted on the web approximately 1000 individuals have either visited or downloaded the application Future versions will have more robust operability e g automated amalgamation of data from individual cases User and environment User Nurse midwife physician Training Manual 1 hour Maintenance None Environment of use Requirements A compatible computer is required Visual Basic for Applications Microsoft Excel 11 0 Object Library OLE Automation Microsoft Office 11 0 Object Library Microsoft Forms 2 0 Object Library Microsoft Calendar Control 11 0 Product specifications Consumables None Year of commercialization 2010 Retail Price USD O Currently sold in Available for all List price USD O Contact details Dr David Cawthorpe Email cawthord ucalgary ca Telephone 1 403 955 8760 Fax htto www who int ehealth 6
156. tance of record keeping and the power of data will helo highlight the advantages of the platform s various modules working together and motivate adoption e g targeted SMS follow up based on early identification of high risk mothers accreditation of health workers through online training to assess quality of human resources detailed reports to assist management in budget allocation User and environment User physician nurse midwife technician facility or health system administrator Training one week hands on training Settings rural urban ambulatory primary secondary and tertiary Solution specifications Solution is used to support Telemedicine Electronic Standards Format of structured data adheres to the Health Record Electronic Medical Record eLearning Tanzania Ministry of Health maternal health card mLearning mHealth Reporting portable diagnostics Di Currently used in Tanzania facility management Software Hardware requirements The server side component of the platform requires specific software running on a secure Internet connected data centre The software is being made available on an international free for use license Customization of data forms for use outside Tanzania may require modest technical development investment Contact details Lushen Wu Email rufuswu gmailcom Telephone 17 OI 330 5589 htto www who int ehealth eHealth Compendium of innovative health technologies for low resource s
157. tation measures The simulator is available with therapeutic tools Product functionality S By squeezing the bulbs connected to the simulator an instructor can simulate three vital signs Crying soontaneous breathing and palpable umbilical pulse Depending on how the learner assesses the situation and acts the instructor can easily provide feedback to the learner by changing the vital signs Developer s claims of product benefits The simulator facilitates effective and affordable simulation training in low resource settings that can improve quality of neonatal resuscitation as it is Very low cost available at USD 50 Allows assessment of key competencies e g ability of trainee to ventilate adequately Durable easy to take apart reassemble transport Culturally sensitive available in dark or light complexion The simulator is also highly realistic It has the size and appearance of a newborn baby and natural weight feel and touch when filled with water As it comes deflated in a compact container and can be emptied between uses distribution and transport of the simulator is convenient Operating steps gt The simulator is easily prepared for use by filling the body with 2 liters of water alternatively by air An instructor can simulate vital signs by squeezing the simulation bulbs The simulator facilitates practice in effective bag mask ventilation as the chest only will rise with correct technique Dev
158. technologies for low resource settings 2012 fitness of any technology for a particular purpose All the information Inclusion in the compendium does not constitute a warranty of the was provided by the developers WHO will not be held to endorse nor to recommend any technology included in the compendium Automated solar powered blood pressure monitor Country of origin Japan Health problem addressed There is a progressive increase in the prevalence of cardiovascular diseases resulting in approximately 8 million deaths annually worldwide which can be attributed to high blood pressure Low and middle income countries shoulder 80 of the cardiovascular disease burden more than half of which occurs in people of working age and pregnant women Product description This electronic automated blood pressure monitor operates with solar power alone as well as AC adapter and regular dry battery It is also equipped with ultraviolet tolerant plastic parts and dust preventive structure to bare direct sunlight exposure for battery charge Product functionality Functions as a standard blood pressure monitoring system Developer s claims of product benefits With progressive integrated circuit technology the electronic circuit of the device consists of an ultimately small number of components resulting in very low energy consumption which can be supplied with a solar panel The chassis of the device is made of ultraviolet tolerant plast
159. ted IT equipment Solution specifications Solution is used to support Decision Support Systems Currently used in Australia Continuous Quality Improvement Cal Evaluation Rumbold A et al Delivery of maternal health Software Hardware requirements In the Australian care in Indigenous primary care services baseline data context it uses customised software to support web for an on going quality improvement initiative BMC based clinical audit tools for the collection of data Pregnancy and Childbirth 2011 11 16 doi 10 1186 to allow reporting of key performance indicators against best practice guidelines The technology is not dependent on this specific software solution Gardner KL Dowden M Togni S Bailie R Understanding uptake of continuous quality improvement in Indigenous primary health care lessons from a multi site case study Microsoft SQL Microsoft ASP Net Menzies proprietary of the Audit and Best Practice for Chronic Disease code project Implement Sci 2010 5 21 Standards Clinical Guideline Standards for Chronic Disease Maternal Preventive Child Health and Mental Health Contact details Marcus Goddard Email marcus goddard menzies edu au Telephone 61 88 132 6301 Fax 61 88 363 6002 31 htto wwwwho int goe eHealth Compendium of innovative health technologies for low resource settings 2012 fitness of any technology for a particular purpose All the information Inclusion in the compendium do
160. ted to cost ease of use and appropriateness for the source water conditions This device is innovative because of its low capital and recurring costs income generation potential and its relative ease of use The chlorinator is durable has no moving parts and very minimal maintenance requirements Disinfection of clothing hard surfaces and medical equipment is greatly simplified With a low wholesale price and high chlorine generation rate it is an excellent candidate for microloan supported entrepreneurial programs The kiosk model also provides financial incentives to operators Operating steps Add salt and water to the indicated lines in the salt brine bottle Shake until all salt is dissolved Attach the power leads to a 12 V battery Fill the device with 50 mL of salt brine and press start Wait about 5 minutes until the device beeps and the light flashes Dose chlorine into drinking water storage containers Development stage gt gt The device has been proven for its simplicity and has undergone many field trials without incident In field trials random checks of participating households showed a 2 3 log E coli reduction against controls Lab testing found greater than 4 log reduction of virus and 6 log reduction of bacteria Device conforms to US EPA guide standard and protocol for microbiological water purifiers as tested in house Future work and challenges gt gt SSS Challenges include cost distr
161. that the device is clean before use on patient Squeeze bulb to generate vacuum and place the nozzle tip into the newborn s oral or nasal cavity Slowly release bulb squeeze to extract the mucus discharge contents into a water container towel or similar For repetitive suctioning keep the body squeezed until suctioning again Development stage gt gt The product has been available on a not for profit basis for newborn resuscitation projects in developing countries since April 2010 It has been FDA device listed and is developed to applicable standards and regulation required for CE marking Self declaration for CE marking is imminent within March 2011 Future work and challenges gt gt SSS Financing Although the products is highly affordable and available on not for profit basis individual health care facilities and educational institutions in low and middle income countries often have limited financial resources and may need to obtain funding from governments or international aid organizations User and environment User Family member midwife nurse physician Training None Maintenance Any person responsible for disinfection Environment of use Requirements The only requirement is that it must be possible to clean and disinfect the device before first use and between patient uses Cleaning can be performed by boiling the one piece device in water or by more advanced methods Product specifications Dim
162. the information Inclusion in the compendium does not constitute a warranty of the was provided by the developers WHO will not be held to endorse nor to recommend any technology included in the compendium Smart phones for supportive supervision for TB Country of origin United States of America Health problem addressed Nigeria ranks 4th among the 22 high TB burden countries in the world The TB burden is further compounded by the high HIV AIDS prevalence The HIV prevalence for Nigeria is 4 4 2005 National sentinel survey There is low capacity to provide high quality TB DOTS and TB HIV services in public and private sector facilities Solution description Introduced Smartohones for data collection and analysis Built a real time feedback mechanism on Android Smartphones platform coded on Pendragon Forms and EpiSurveyor Created an excel based tool that allows transfer of forms from one mHealth tool to another Created forms and connected the forms to the users Distributed the forms wirelessly via WI Fi or SIM cards Uploaded to centralized web database Built and deployed database that Provides online data aggregation for analysing and disseminating data in real time Provided quality control system for data including online government approvals of data Enabled access to the data along with operational and quality of care indicators Developer s claims of solution benefits Supervisors have indicated that the system is enabling th
163. tion GAVI countries has been established Challenges ahead include identifying new non governmental governmental and corporate partners to scale up dissemination of the clip User and environment User Self use patient family member Training Healthcare provider can demonstrate clips and syringe to user in less than 2 minutes Maintenance None Environment of use Settings Rural urban ambulatory at home Requirements None Product specifications Dimensions mm 53 x 14 x 3 Retail Price USD 0 10 0 25 Weight kg 0 001 List price USD 0 10 0 25 Consumables None Other features Portable and reusable Life time 1 year Year of commercialization 2011 Shelf life 2 years Currently sold in Swaziland Contact details Robert Miros Email robertmiros gmail com Telephone 1 415 454 3005 Fax 1 415 329 1892 httpo www who int medical_ devices 14 Medical devices Compendium of innovative health technologies for low resource settings 2012 fitness of any technology for a particular purpose All the information Inclusion in the compendium does not constitute a warranty of the was provided by the developers WHO will not be held to endorse nor to recommend any technology included in the compendium Point of care diagnostic device for total WBC Country of origin Sweden Health problem addressed gt gt Measuring white blood cells WBC can provide information which may aid in the dia
164. tion for the patient Product specifications Dimensions mm 230 x 116 x 50 Currently sold in Algeria Australia Bolivia Brazil Weight kg 1 Colombia Costa Rica Ecuador Spain Finland France Indonesia Iran Iraq Jamaica Lithuania Malaysia Mexico Nicaragua Paraguay Peru Poland Portugal Russia Syria Sudan Sweden Uruguay Venezuela Vietnam Yemen Consumables Eye protector Other features Portable and reusable It utilizes software Year of commercialization 2005 Contact details Djalma Luiz Rodrigues Email rukarin massaroQuol com br Telephone 55 2412 3743 Fax 55 I 2412 3 45 htto wwwwho int medical_ devices Medical devices Compendium of innovative health technologies for low resource settings 201 fitness of any technology for a particular purpose All the information Inclusion in the compendium does not constitute a warranty of the was provided by the developers WHO will not be held to endorse nor to recommend any technology included in the compendium Point of use water disinfection system Country of origin United States of America Health problem addressed deaths annually In addition an estimated 4 billion cases every year make GI the third highest cause of morbidity globally Unsafe drinking water is recognized as one of the major pathways responsible for the transmission q of GI causing pathogens Ol EEE The UV tube is easy to operate and maintain point of use
165. transport Developer s claims of product benefits In low resource areas in developing countries common infant warming methods include blankets hot water bottles and light bulbs All these methods are ineffective and unsafe often causing burns on babies This infant warmer can be used to support care of hypothermia in neonates it is easy to use and has very low operating costs Operating steps o Sanitize sleeping bag pouch of phase change material and electric heater Insert pouch into heater and heat for 25 minutes until the alarm rings and green light turns on Remove pouch only when needed Check if indicator on pouch says OK and place in sleeping bag Wrap newborn and tighten straps and monitor its temperature hourly for 4 6 hours When indicator says TOO COLD remove newborn Remove pouch and reheat Development stage The product has undergone a series of clinical studies and trials with 100 positive results One RCT that was conducted over 160 babies across 3 facilities showed that the device is non inferior to the SOC including radiant warmers Internal processes are IS013485 certified CE certification is being filed in June 2012 The device is available in 4 Indian states and is helping babies in India China and Somalia User and environment User Physician nurse Training No intensive training required Basic instructions included with device in pictorial form Maintenance None Environment of use gt
166. ts head or sternum and press the measurement button 5 times in succession and the results appears on the screen Test taken in minutes Development stage This product has been sold globally since 2002 To date over 5000 units have been delivered to hospitals clinics physicians and community health workers Technical evaluation and health technology assessment review FDA 510K kO10052 Regulatory approval complete Conformity assessment has been carried out USA Future work and challenges The product is not registered as a medical device in all countries Depending on the country of use the product may need to be registered before it is used User and environment User Nurse midwife physician Training Technique education on how to properly take a measurement Maintenance Manufacturer Environment of use Setting Rural and urban health care facilities Requirements Power supply to charge the battery disposal of calibration tip and cleansing products for pre patient use Product specifications Dimensions mm 2045 x 50 23 x 59 4 List price of consumables USD approx 360 bag of Weight kg 0 346 50 Other features Portable and reusable Runs on batteries and uses software Consumables Disposable calibration tip per test Life time 5 years Shelf life 20 months Retail Price USD 35500 List price USD 4295 Year of commercialization 2009 first version in 1996 Currently sold in Most of Europe
167. ttp www who int medical_ devices naaiden Compendium of innovative health technologies for low resource settings 2012 fitness of any technology for a particular purpose All the information Inclusion in the compendium does not constitute a warranty of the was provided by the developers WHO will not be held to endorse nor to recommend any technology included in the compendium Interventional cardiovascular lab Country of origin India Health problem addressed lt gt gt Cardiovascular diseases CVDs are the number one cause of death globally An estimated 17 3 million people died from CVDs in 2008 Out of that more than 80 of CVD deaths take place in low and middle income countries due to lack of access to affordable equipment for diagnosis and treatment Product description The catheterization lab has a high power 80 KW generator digital X ray system a patient table and a gantry stand with varying degrees of movements and different X ray modes Product functionality The X ray system provides real time images which help to visualize and identify blocks in blood vessels and makes it possible to treat them by means of stenting coiling etc The patient table and gantry stand allows imaging that makes it possible to view blood vessels in different parts of body in real time Different X ray modes facilitate the imaging Developer s claims of product benef
168. ublication in peer reviewed journals in 2012 Contact details Adam Liederman Email adam liederman gmail com Telephone 1 416 558 8517 Fax 1 416 368 9882 http www who int ehealth eHealth Compendium of innovative health technologies for low resource settings 2012 fitness of any technology for a particular purpose All the information Inclusion in the compendium does not constitute a warranty of the was provided by the developers WHO will not be held to endorse nor to recommend any technology included in the compendium Maternal health Tanzania Country of origin Tanzania Health problem addressed Maternal and neonatal healthcare in Africa faces well documented challenges including 1 Limited qualified health staff 2 Ineffective referral systems for triage to urban higher facilities 3 Inadequate diagnostics at point of care 4 Limited community level data and connectivity 5 Uninformed patients 6 Limited Public Private Partnership PPP financial models Solution description The platform is accessed through the Internet by a netbook computer smartohone or other modern web device Users submit patient data which is validated before being sent via encrypted connection to a central database The platform features sending receiving SMS to patients and clinicians portable ultrasound integration dynamic filter based patient cohorts for targeted follow up scheduling of return visits or patient referrals in a
169. uires no injected anesthesia no sutures no sterile settings and can be conducted by low cadre nurses as validated scientifically by the Government of Rwanda Product tunctiorahty a This simple and scalable device was specifically developed to provide voluntary circumcision to men ages 15 to 49 living in 14 priority nations in Sub Saharan Africa where there are high rates of HIV transmission and limited healthcare infrastructure Developer s claims of product benefits Currently the only WHO recommended method for circumcision is surgery which entails skills and infrastructure that are hard to attain in resource scare settings Other devices that were not specifically designed for resource poor settings entail blood albeit less than surgery require injected anesthesia cutting of live tissue and a sterile setting Compared to surgery this device is safer simpler no sutures 3 vs 10 days of training and with low cadre non surgically trained nurses significantly reducing burden to health system and more scalable done in less than 5 minutes vs over 20 It is the only non surgical device in market bloodless no injected anesthesia no sterile settings offering a viable solution for resource poor settings Operating steps Clients are measured to select ring size The circumcision line is marked based on WHO guidelines The inner ring is inserted An elastic ring is aligned with the inner ring to compress the fo
170. um Low smoke stove Country of origin India Health problem addressed Total world deaths from indoor air pollution due to burning solid fuels are estimated at 1 619 000 each year India accounts for 25 of such deaths Product description The stove has a bypass duct for efficient draft soot collector and chimney connector Product functionality The stove can be easy to use and maintain and can be used with indigenous biomass as fuel Cooking time is reduced by 1 5 hours per day and fuel consumption wood and cow dung is reduced by 60 70 Developer s claims of product benefits Most people in the targeted areas don t use a stove but have a three stone cooking setup without any form of ventilation Traditional stoves sold in these regions e g India are monolithic Cin one piece which makes them more difficult to transport and expensive to replace The developers therefore added a chimney and designed a modular solution It has been designed with respect to Indian cooking needs and in order to accommodate different culinary habits The design of the stove allows the chimney to take exhaust fumes out of the kitchen area As the stove is locally produced and distributed it is relatively cheap and easily available Stove production uses local materials and processes and also allows for easy installation Operating steps Operates like a traditional stove Development stage This product has been used succes
171. urce settings 2012 Real time measurement of meteorological events on public health Country of origin Canada Health problem addressed A changing climate leads to changes in the frequency and intensity of extreme weather events Deaths injuries diseases and mental health problems related to extreme weather events result from the exposure and vulnerability of human systems The average number of people killed by natural disasters for 1972 1996 was about 123 000 year worldwide Solution description The objective of this integrated web application system is to provide in real time a complete meteorological picture actual conditions forecasts and alerts and population s health status on relevant indicators Other environmental and spatial information is also provided for preventive purposes and for supporting emergency preparedness The system comprises four functions F1 Data acquisition and integration F2 Risk analysis and alerts F3 Cartographic application and F4 Climate change and health information Functionality The system Is available through a secure web information portal and provides access to weather forecasts historic and real time health and weather indicators alerts and various cartographic data for conducting prevention and emergency measures Currently the heat wave function is fully developed and the floods function will be completed in 2012 Developer s claims of solution benefits No other sy
172. valence of anemia among preschoolers and response to iron supplementation Jornal de Pediatria vol 87 1 2011 Medical devices and eHealth solutions Compendium of innovative health technologies for low resource settings LOZ pg Name Regulator 5 52 55 55 56 Portable ventilator Prefilled auto disable injection system Reusable neonatal suction device Transcutaneous bilirubin measurement system for infants Water filter IEC 60601 1 Medical electrical equipment Part 1 General requirements for safety IEC 60601 1 2 General requirements for safety collateral standard Electromagnetic compatibility requirements and tests IEC 60601 2 12 Medical electrical equipment Part 2 12 Particular requirements for the safety of lung ventilators Critical Care ventilator The Product is FDA device listed and CE marked The product has been developed in accordance with ISO 9001 and ISO 13485 FDA 510K k010052 Tsu VD Sutanto A Vaidya K et al Oxytocin in prefilled Uniject injection devices for managing third stage labor in Indonesia International Journal of Gynaecology and Obstetrics 2003 83 1 103 111 Bahamondes L Marchi NM Nakagave HM et al Self administration with Uniject of the once a month injectable contraceptive Cyclofem Contraception 1997 56 310 304 Otto B Suarnawa IM Stewart T et al At birth immunisation against hepatitis B using a novel pre filled immunisation devi
173. veloper s claims of solution benefits This technology improves care across four areas access to care through client lists on the CHWs phones and SMS reminders when visits are due client engagement through audio and video clips and improved credibility of the CHW quality of care through checklists decision support and delivery of sensitive information through recorded voices and data driven management through real time monitoring of the CHWs activities Future work and challenges The success of this platform is contingent on availability of funding for community health worker programmes using this platform has demonstrated return on investment A dollar for dollar effectiveness ratio of 3 48 is anticipated This will be confirmed through randomized controlled evaluations User and environment User physician nurse midwife community health worker Training our team of field engineers deliver training using field tested methodologies over a two day period Settings rural urban home Solution specifications Solution is used to support mHealth Standards HL7 Software Hardware requirements The mobile component of the software runs on either simple Nokia phones or Android Smartphones Cellular data plan is required to transmit data from the field The cloud based platform can be accessed through a web browser via any Currently used in India Tanzania Zambia Malawi Bangladesh Mexico South Africa Afghanistan USA Moz
174. vided by the developers WHO will not be held to endorse nor to recommend any technology included in the compendium Water filter Country of origin United States of America Health problem addressed Infectious diseases caused by pathogenic bacteria viruses protozoa and helminthes are the most common and widespread health risk associated with drinking water WHO 2004 In Ghana where the ceramic pot filter is made 50 of people lack access to improved water supply Ghana has the 4th lowest worldwide rate of sanitation coverage Product description gt The filter unit consists of a fired clay pot filter element a plastic bucket storage unit a ring lid to support the ceramic pot a tap and a cover lid These filters are made from red clay and wood saw dust or rice husk which gets mixed pressed in mold and fired in a kiln Product functionality SS Particles bacteria guinea worm cyclops and protozoa are removed by physical straining and also by the mechanisms of sedimentation adsorption diffusion inertia and turbulence The filter element is treated with colloidal silver which may act as a bactericide and viricide Developer s claims of product benefits The ceramic pot filter made of terracotta clay can be produced in most countries around the world because of the simple component parts and the universality of clay and combustible material inouts Moreove
175. with minimal training water and method to boil for bacteria decontamination water bath to maintain temperature between 58 to 65 C and temporary electricity battery solar are required Long term storage at larger clinics would need to transport the devices to hard to reach areas Product specifications Weight 5009 20 tests Other features The diagnostic test is portable and single Shelf time 1 year use Consumables Pipette tips Year of commercialization 2009 Retail Price USD 6 including sample preparation Currently sold in China Thailand Singapore Taiwan amplification and detection Canada and USA research only Contact details Qimin You Email giminyou2000 163 com Telephone 86 571 8893 9366 Fax 86 571 8893 9356 http www who int medical_ devices 42 Medical devices Compendium of innovative health technologies for low resource settings 201 Inclusion in the compendium does not constitute a warranty of the fitness of any technology for a particular purpose All the information was provided by the developers WHO will not be held to endorse nor to recommend any technology included in the compendium Manual wheelchairs and mobility devices Country of origin United Kingdom Health problem addressed gt gt An estimated 20 million people in need of a wheelchair in low income countries do not have one Many donated wheelchairs are unsuitable for the local terrain do not fit prope
176. zation 2009 Weight during transport kg 0 8 Currently available in 68 countries identified by UN as Weight filled kg 2 2 focus countries relative to UN Millennium Development Goal 4 Life time 3 years Contact details Ingrid L rdal Email newbornsimulator gmail com Telephone 47 51 511 855 47 95 145 168 Para 51 523397 htto wwwwho int medical_ devices Medical devices Compendium of innovative health technologies for low resource settings 201 fitness of any technology for a particular purpose All the information Inclusion in the compendium does not constitute a warranty of the was provided by the developers WHO will not be held to endorse nor to recommend any technology included in the compendium Non pneumatic anti shock garment Country of origin United States of America Health problem addressed gt gt Postpartum hemorrhage PPH in developing countries continues to be the single most common cause of maternal morbidity and mortality accounting for approximately 25 percent of maternal deaths globally Over 90 percent of these deaths occur in developing countries Product description gt For women suffering from uncontrollable PPH a method to control the bleeding reverse the shock and stabilize the patient for safe transport to a comprehensive obstetric care facility could be lifesaving One method to manage PPH is the use of a non pneumatic anti

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