Pieter de Ruijter

Technical Lead, Healthcare Technology Management and ICT

Pieter de Ruijter is a medical equipment specialist with more than 25 years’ experience in Africa and Asia. He has extensive experience in system development, medical equipment policy development, rehabilitation projects, medical infrastructure and inventories, and planned preventative maintenance of medical equipment. An independent consultant, he is also Head of Healthcare Technology Management at Health Partners International.

Background and relevant experience

Pieter has been extensively involved in the development of the management and planning software tool, PLAMAHS – Planning and Management of Assets in Health Services. This software tool can hold complete inventories and perform technical and financial analysis; generate standard lists of appropriate equipment up to specification level; and generate capital and recurrent budgets. Pieter has been involved in the field-testing of the system in Kenya, Ethiopia and Mozambique and has introduced the software with additional building and maintenance components to the Ministries of Health of Malawi and Uganda.

Between 1991 and 2005 Pieter was extensively involved in healthcare technology policy development in a number of countries. For example, he acted as a technical adviser and co-editor of the 1991 equipment policy for the Uganda Ministry of Health. He also contributed to the subsequent revised medical equipment policy in 2000. He has been extensively involved in the evaluation and detailing of maintenance models and proposals for standard equipment levels for Uganda, Kenya, Malawi, Sudan and Ethiopia. HEART Consultancy was founded by Pieter de Ruijter and Jan Huijs in 1995. It specialises in the field of planning and management of physical assets and the sterilisation of medical supplies.

Pieter has consulted in four consecutive health sector rehabilitation studies: of 19 hospitals in Sudan (1993−4), 50 health centres in Uganda (1994−5), 37 hospitals in Kenya (1997−8), 50 health facilities ranging from health posts to hospitals in Ethiopia (1998), and 11 health facilities in Mozambique. He has provided training and support to local consultants in medical equipment, and inventory data collection. He has also been involved in the training of engineering and health staff in steam sterilisation procedures.

Between 1981 and 1993, Pieter served as a long-term technical adviser to the Engineering Department in the Uganda Ministry of Health. This brought him extensive experience in the maintenance, management, budgeting, procurement and planning of medical equipment in developing countries. He also provided technical assistance to several large tender evaluations in the Ministry of Health (for World Bank, Asian Development Bank, ODA, Danida and Spanish Aid projects). Pieter was also heavily involved in the procurement, distribution and installation of medical equipment projects for Cebemo (NL), ODA and Danida. During this time he also served as a member of the Ugandan Advisory Committee on Medical Equipment, working on the development of a medical equipment policy for Uganda.

Pieter’s consultancy work includes providing support to medical equipment inventory processes in 70 health facilities in Malawi (2005−6); assessing the status and proposed rehabilitation of medical equipment in Tamale Teaching Hospital, Ghana (2005); undertaking a tender evaluation of equipment procurement for 32 health centres, the national referral mental health facility and six regional mental health facilities in Uganda (2005); undertaking an equipment assessment of all TB institutes in three regions of Kazakhstan (2005); and undertaking an investment appraisal for the sector programme of health for the Ministry of Health in Indonesia (2002).