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T Judd et al.: Clinical Engineering/Health Technology Management 2015 Global Update

Global HTM Seminars: Further progress in HTM has • Freeing MOHs to work on HTA and HTR.
been documented in a series of Seminars presented from
• Big 4: historical HT strength of Brazil & Mexico + Co-
1991-2015 by ACCE and WHO-PAHO. 8 lombia & Peru.
As a result of these seminars, progress was seen in Brazil largest CE base; very multidisciplinary approach.
the following areas (with aggregate evidence noted below
summarized): • Mexico MOH Unit; wide-ranging with decision makers.
• HT Policy (HTP) developed, e.g., in 27 of 51 countries • Colombia (strong HT history; introduced IHE to Re-
(>50%) gion); & Peru (developed MOH Unit, key academia
partnerships).
• HTM training provided (HR), e.g., 40+ of 51 countries
(>80%) Others (26 countries)
• National professional societies created; e.g., in 20 • Group with extensive capabilities along HT continuum.
of 51 (~40%)
• Most have mature HTM & are pursuing HTA & HTR.
WHO Global Forums: Further progress in HTM was • Several key HTM contributors in region and or globally.
nd
documented in the WHO 2 Global Forum on Medical • Also among global leaders for CE-IT and MCH.
9
Devices, 2013 (2GFMD). This progress was documented
2015 HTM Seminar: In June 2015 another major
in a series of country reports presented at the Forum,
HTM Seminar was organized by ACCE in collaboration
and is summarized in the following tables (Tables 1A-D).
with WHO-PAHO, with 32 HTM leaders from 22 countries
nd
The 2013 WHO 2 Global Forum provided an important 10
represented, and one USA NGO. Table 2 lists the partici-
1
update on the information presented in our prior paper.
pants in this seminar, and their affiliations.
We now see indications of further progress.
This table illustrates the following indications of prog-
Africa (20 countries) ress: HT units now more frequently created at MOH level
• HTM programs have doubled in the region. (15/22 countries) and HTM leaders are emerging with
increasing influence at the MOH level.
• Increased NGO HTM involvement has helped, such
as, THET-Zambia, MRC-Gambia, and CMBES-Ghana. Table 3 summarizes the gains and challenges in HTM,
HTA, HTP, HTR, and CE-IT that were reported at the seminar.
• Increasing HT involvement with MOH decision makers.
The following detail the gains and challenges identified
• Growing HTA and HTR initiatives.
at the 2015 HTM seminar:
• Earlier HTM programs now aggressively pursuing MCH.
Africa (5 countries reporting)
• Limited CE-IT initiatives.
• Tend to have established HTM, but need HR, HTP, and
Asia (13 countries) HTR
• Big 3: strong national programs in China, Japan, and India.
Asia (3 countries reporting)
• MOH Unit in India comprehensively addressing HT.
• Rapid growth HT capabilities for 2 high population
• Continued growth of Japan and its national CE society. countries

• Rapid growth of China CEs, societies, & certification. • India MOH HT Unit leading country-wide initiatives
• Countries with prior HTM (2011) pursuing HTA and HTR. • Bangladesh increasing scope of HT work
• Increasing involvement with MOH decision makers. Latin & Central America (8 countries reporting)
Limited CE-IT initiatives other than Big 3.
• Two in early stages of HTM; most mature pursuing CE-IT
Latin & Central America (12 countries)
• Mexico MOH HT Unit (CENETEC) a global best practice
• PAHO investment in HTM and HR training anchored • Most countries also need MOH HTP and HTR
in academia.

7 J Global Clinical Engineering Special Issue 1: 4-14; 2018