Improving Maintenance Services for Family Planning, Nepal

This project supported the Ministry of Health and Population in Nepal to improve maintenance services in order to safeguard substantial investments made in medical equipment. It focused on the availability of functional medical equipment in public health facilities.  The aim was to establish a framework that allowed for effective and efficient maintenance of medical equipment through outsourcing of services to the private sector, and to provide capacity development within the MoHP to effectively monitor the performance of private service providers. The project ran from November 2009 to September 2012 and was funded by KfW.

Health Partners International (HPI) provided services to the Health and Family Planning Sector Program in Nepal to improve the maintenance services, which were contracted out through a Public Private Partnership. HPI supervised a complete methodology and software solution for medical asset management. The work consisted of three components:

  • The hardware specification, procurement and configuration
  • The preparation of an initial Nepal version and subsequent customization of the PLAMAHS asset management software to Nepal requirements which were identified over the project period
  • The training of software users in the different PLAMAHS components in order to build Inventory, Maintenance Management and System Management capacity, and to enable better collection and analysis of data.

The success of the project led to follow on work which included conducting a Nepal-wide inventory in 2013 and 2014. This inventory benefited from a newly developed PLAMAHS mobile data collection functionality using (both Android and Apple iOS supported) tablet devices. The advantages of the mobile data collection include significant time savings, higher accuracy of data and the ability to provide regular and timely technical support as the data is retrieved daily and electronically.

Key results of the project included better utilisation of medical equipment, improvements in data collection and monitoring, and ultimately better provision of health services. Regular data and the management of medical equipment resulted in a significant reduction in out-of-order status over two and a half years which illustrates that the investment in maintenance has directly translated into less-down time and better utilisation of medical equipment. Equipment status went from 64% operational pre-mobilisation to 97% operational after two years.

HPI Technical Leads – Peter de Ruijter and Jan Huijs.