Second WHO Global Forum on Medical Devices · Second WHO Global Forum on Medical Devices 6| Geneva,...

Second WHO Global Forum on Medical Devices

Centre International de Conférences Genève (CICG)Geneva, Switzerland

23 - 24 November 2013

Procurement of Medical Devices

Chair: Mr. Andrew GammieCo-chair: Mr. Prem Prakash Chopra

Second WHO Global Forum on Medical Devices Geneva, Switzerland, 22 - 24 November 2013


Geneva, Switzerland, 23-24 November 20133 |

Background to WHA60.29Background to WHA60.29

1. Background WHA 60.29, 2007

� (5) to work jointly with other organizations of the United

Nations system, international organizations, academic

institutions and professional bodies in order to provide support

to Member States in the prioritization, selection and use of

health technologies in particular medical devices;

� (6) to establish and update regularly an evidence and web-

based health technologies database to serve as a clearing

house which will provide guidance on appropriate medical

devices according to levels of care, setting, environment, and

intended health intervention, tailored to the specific needs of

country or



WHO current workWHO current work

Technical Series 2011

Needs assessment for medical devices

Procurement process resource guidelines



National guidelines, policies or recommendations on the procurement of medical devices

National guidelines, policies or recommendations on the procurement of medical devices

� 89 Member States do not have any guidelines (53% of 168 respondent countries)� 54% of lower middle income countries (21/39 respondents) do not have any guidelines

for the procurement of medical devices.� American, African and Western Pacific have more than the half of their countries with no

national guidelines for procurement.� On the other hand Eastern Mediterranean and South-East Asia regions have more than

the half of their countries with national guidelines for procurement.

Yes

47%No

53%

N=168

1621 23

29

1818 24

19

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Low income Lower

middle

income

Upper

middle

income

High income

Yes

No6

25

2221

3

12

9

22

12

20

79

0

5

10

15

20

25

30

EMR EUR AMR AFR SEAR WPR

No Yes



Procurement of medical devices at national levelProcurement of medical devices at national level

� 61 countries do not have procurement of medical devices carried out at the nationallevel (36% of 169 participant countries).

� 28% of low, lower middle and upper middle income countries (34/122 respondents) donot have procurement of medical devices carried out at the national level.

� More than 45% of the Western Pacific and European do not have procurement ofmedical devices carried out at the national level.

Yes

64%

No

36%

N=169

810

16

2726

3032

20

0

5

10

15

20

25

30

35

Low income Lower

middle

income

Upper

middle

income

High income

No

Yes

4

2112

122

10

11

2622

308

11

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%


Yes

No



Policy/guideline/recommendation on donations for medical devices

Policy/guideline/recommendation on donations for medical devices

� 87 countries do not have any donation guidelines(５５５５1% of 170 respondent countries).� 83 countries have where 48 countries developed nationally, 29 use WHO guidelines,

and 6 use other guidelines.� More than the half of upper-middle income countries (25/48 resp.) do not have any.� Only South East Asia and African regions have more than the half of their countries with

any policy, guideline or recommendation on donations for medical devices.

Do not

have

87

51%

Developed

Nationally

48

28%

Use WHO

guidelines

29

17%

Have

(excluding

previous)

6

4%

N=170

8 28 1819

3

11

3

12 12

12

2

7

3

64

9

4

3

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%


Do not have Developed Nationally

we use WHO guidelines Yes but not specified

Do not have

25Developed

Nationally

15

we use

WHO

guidelines

8

Yes but not

specified

0

Upper-middle income WB group World



Recommended technical specifications of medical devices to support procurement/donations

(publically available)

Recommended technical specifications of medical devices to support procurement/donations

(publically available)� 88 member states do not have technical specifications guidelines. (53% of 165

respondent countries).� 56% of lower and upper middle income economies do not have any guidelines.(i.e 48 from 87 low and upper-middle income respondent economies).� Only Eastern Mediterranean and South East-Asia regions have more than 50% of their

countries who have.

World

Do not

have

53%

Have one

and it is

publically

available

23%

Have one

but it is not

publically

available

24%

N=165

Do

not

have

1

Have

one

availa

ble

3Have

one

not

availa

ble

10

Do not

have

3

Have

one

availa

ble

4

Have

one

not

availa

ble

2

Emr

Sear

15

21

2725

7

108

1211

8

13

8

0

5

10

15

20

25

30

Low

income

Lower

middle

income

Upper

middle

income

High

income

Do not have

Have one and it is

publically available

Have one but it is

not publically

available



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