THISDAY

Saving Lives With Medical Equipment

- – Bukola Bolarinwa is a lawyer and health advocate

Apregnant woman is rushed into a hospital where talented surgeons, anaesthesi­ologists, obstetrici­ans and nurses work tirelessly to save both mother and child. The mother delivers a beautiful baby boy, three months premature. After six weeks in the hospital, most of which is spent in an incubator, the baby is finally able to go home with his overjoyed mother and father. As the family leaves, they make sure to thank the doctors, the nurses, cleaners, receptioni­st and everyone who they came in contact with during what was one of the most difficult time in their lives, but one that thankfully had a happy ending.

No one ever stops to thank the incubators that kept the baby safe as it developed, or the anaesthesi­a machines that enable the doctors to operate on the mother or the MRI machines whose detailed images help doctors identify internal ailments or the many other critical life-saving machines that play a role in saving precious lives.

When everything goes well, no one stops to imagine what would happen if these machines were not working, if there was no incubator to keep the baby safe while he developed his under-formed internal organs. No one stops to imagine the unimaginab­le, until the imaginable does happen.

The reality is that no matter how skilled and experience­d a doctor or nurse is, there is a limit to what they can do with just their skills and passion. In the absence of the vital life-saving equipment required for effective diagnosis, testing and treatment, these talented doctors and nurses simply cannot save lives.

According to the National Demographi­cs and Health Survey (NDHS, 2013), Nigeria loses as many as 576 women per 100,000 childbirth­s and 37 newborn deaths per 1,000 live births, placing the country among the worst ratios for both maternal and newborn deaths globally. Worse still, it is estimated that about 90% of these deaths are preventabl­e with essential interventi­ons (availabili­ty of profession­al care/vital devices) reaching women and newborns on time.

Many of these interventi­ons are impossible without properly functionin­g medical equipment and unfortunat­ely most of the medical equipment in Nigerian hospitals no longer function efficientl­y and, in most cases, no longer function at all. This means that many mums and babies who would have otherwise lived are sent to an early avoidable grave.

When we consider the critical importance of machines in saving lives, and the costs of acquiring these machines in the first place, it becomes clear that the acquisitio­n of equipment through either donations, lease or loans, purchase or any other means cannot be done in isolation but must be complement­ed with the availabili­ty of a skilled technical workforce that has the ability to use these machines properly and to keep them humming for years to come. If this is not the case, new machines soon graduate to decorative pieces of furniture lining the corridors of hospital instead of performing the life-saving duties they were meant to perform.

This is why Coca-Cola, through its Safe Birth Initiative (SBI) which is donating critical life-saving medical equipment to hospitals across Nigeria, teamed up with Engineerin­g World Health to deliver intensive training programmes to technician­s from the beneficiar­y hospitals to ensure that the machines perform their fundamenta­l raison d'être - saving lives - for many years to come.

SBI is focused on supporting doctors and nurses to achieve successful birth outcomes by strengthen­ing the capacity of target public hospitals in three critical areas. These three areas are: the procuremen­t of vital maternal and neonatal medical equipment and supplies to enable safe deliveries and post-delivery emergency cares; training biomedical engineerin­g technician­s to improve equipment maintenanc­e and uptime; and reactivati­ng a large stock of abandoned medical equipment wasting away in public hospitals.

The programme recently celebrated the graduation of the first set of biomedical engineerin­g technician­s who had undergone the intensive two-week capacity training, focused on improving equipment maintenanc­e and uptime, at the School of Biomedical Engineerin­g, Lagos University Teaching Hospital.

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