Background

Medical equipment donation to low-resource settings is a frequently used strategy to address existing disparities, but there is a paucity of reported experience and evaluation. Challenges such as infrastructure gaps, lack of technological and maintenance capabilities, and non-prioritisation of essential supplies have previously been highlighted. This pragmatic review summarises existing guidelines and literature relevant to surgical and anaesthetia equipment, with recommendations for future initiatives and research.

Methods

Retrospective literature review including both academic and grey literature from 1980-2018. We conducted a narrative synthesis to identify key factors which were condensed thematically.

Results

Thirty-three biomedical equipment donation guidelines were identified from governments, WHO, World Bank, academic colleges, and non-governmental organisations, and 36 relevant studies in peer reviewed literature. These highlighted the need to consider all stages of the donation process, including planning, sourcing, transporting, training, maintaining and evaluating equipment donation. Donors are advised to consult national guidelines to ensure equipment is appropriate, desirable and non-costly to both parties. User training and access to biomechanical engineers is suggested as necessary for long-term sustainability. Finally, equitable partnerships between donors and recipients are integral to reducing inappropriate donations and improve follow up and evaluation.

Conclusions

There is a paucity of evidence on the causes of success or failure in medical equipment donation, despite it dominating equipment sourcing across many low-resource settings. Equitable partnerships, consultation of policies and guidelines and careful planning may improve equipment’s’ usability and lifespan. A concerted effort is required to increase awareness of guidelines amongst health professionals worldwide.