Medical Equipment Management in General Hospitals: Experience of Tulu Bolo General Hospital, South West Shoa Zone, Central Ethiopia

Figures & data

Table 1 Summary of Socio-Demography of the Respondents

	Categories	Frequency	Percentage
Sex	Female	56	35.9
	Male	100	64.1
Age	20–25	18	11.5
	26–30	78	50.0
	31–35	43	27.6
	36 and above	17	10.9
Profession	Nurses and midwifery	87	55.7
	Physician	23	14.7
	Pharmacy profession	13	8.3
	Laboratory profession	12	7.7
	Others	21	13.46
Work experience	7 month-5 years	58	37.2%
	6–10years	73	46.8%
	11–15 years	22	14.1%
	16 and above	3	1.9%
Marital status	Single	53	34.0
	Married	100	64.1
	Divorced	2	1.3
	Widowed	1	0.6
Educational level	Masters and above	9	5.8
	Degree	114	73
	Level/diploma	33	21.2
Total		156	100%

Table 2 Medical Equipment Procurement, Storage and Utilization in Tulu Bolo Hospital, 2022

Procurement Practice		Yes	No
Medical equipment requested and delivered on time?	Frequency	77	79
	%	49.4	50.6
The source of your equipment your equipment is donation	Frequency	101	55
	%	64.7	35.3
The source of medical equipment hospital budget	Frequency	83	73
	%	53.2	46.8
The source of medical equipment other health facility	Frequency	73	83
	%	46.8	53.2
Does the hospital have good working relation with Suppliers?	Frequency	90	66
	%	57.7	42.3
Commissioned medical equipment considers the setting and installed according to the manufacturer instructions?	Frequency	76	80
	%	48.7	51.3
Procurement is being processed based on quantification plan	Frequency	84	72
	%	53.8	46.2
Procurement practices	%	53.47
Utilization practice		Yes	No
Do all service units report nonfunctional medical equipment immediately using work order form to responsible office?	Frequency	65	91
	%	41.7	58.3
Have you taken training on how to operate the medical equipment you are using in your unit?	Frequency	77	79
	%	49.4	50.6
Do you have handover system within the personnel in your team?	Frequency	91	65
	%	58.3	41.7
Do the biomedical department provide preventive maintenance to the ME you are using?	Frequency	95	61
	%	60.9	39.1
Is there scheduled PM for the ME you are using?	Frequency	92	64
	%	59	41
Do you get the maintenance service in a reasonable period of time?	Frequency	84	72
	%	53.8	46.2
Means of your communication through filling work order format?	Frequency	102	54
	%	65.4	34.6
Is there any machine in your unit which is not functional?	Frequency	100	56
	%	64.1	35.9
Medical equipment utilization practices	56.57%
Storage management practice		Yes	No
Stored equipment are fully functional	Frequency	46	110
	%	29.5	70.5
Existing SOPs that are followed to ensure proper storage	Frequency	84	72
	%	53.8	46.2
All medical equipment available in the hospital are listed in inventory and appropriately documented	Frequency	103	53
	%	66	34
There is proper record keeping by Bin card, stock and model 19/22 for medical equipment and spare parts	Frequency	71	85
	%	45.5	54.5
Have you ever disposed equipment finished the service time	Frequency	54	102
	%	34.6	65.4
Medical equipment storage practices	45.88%

Table 3 Medical Equipment Utilization Practices at Tulu Bolo Hospital, 2022

Utilization Practice		Yes	No
Do all service units report nonfunctional medical equipment immediately using work order form to responsible office?	Frequency	65	91
	%	41.7	58.3
Have you taken training on how to operate the medical equipment you are using in your unit?	Frequency	77	79
	%	49.4	50.6
Do you have handover system within the personnel in your team?	Frequency	91	65
	%	58.3	41.7
Do the biomedical department provide preventive maintenance to the ME you are using?	Frequency	95	61
	%	60.9	39.1
Is there scheduled PM for the ME you are using?	Frequency	92	64
	%	59	41
Do you get the maintenance service in a reasonable period of time?	Frequency	84	72
	%	53.8	46.2
Means of your communication through filling work order format?	Frequency	102	54
	%	65.4	34.6
Is there any machine in your unit which is not functional?	Frequency	100	56
	%	64.1	35.9
Medical equipment utilization practices	56.57%

Table 4 Medical Equipment Storage Practice at Tulu Bolo Hospital, 2022

Storage Management Practice		Yes	No
Stored equipment are fully functional	Frequency	46	110
	%	29.5	70.5
Existing SOPs that are followed to ensure proper storage	Frequency	84	72
	%	53.8	46.2
All medical equipment available in the hospital are listed in inventory and appropriately documented	Frequency	103	53
	%	66	34
There is proper record keeping by Bin card, stock and model 19/22 for medical equipment and spare parts	Frequency	71	85
	%	45.5	54.5
Have you ever disposed equipment finished the service time	Frequency	54	102
	%	34.6	65.4
Medical equipment storage practices	45.88%

Figure 1 Functional status of medical equipment in Tulu Bolo General Hospital, South West Shoa Zone, Central Ethiopia, 2022.

Table 5 The Relationship Between Procurement, Utilization, Storage Practices and Functionality of Medical Equipment

				Procurement Practice		Utilization Practice		Storage Practice	Functionality
Procurement practice	Pearson Correlation			1		0.332**		0.345**	0.410**
	Sig. (2-tailed)					0.000		0.000	0.000
	N			156		156		156	156
Utilization practice	Pearson Correlation			0.332**		1		0.233**	0.293**
	Sig. (2-tailed)			0.000				0.003	0.000
	N			156		156		156	156
Storage practice	Pearson Correlation			0.345**		0.233**		1	0.215**
	Sig. (2-tailed)			0.000		0.003			0.007
	N			156		156		156	156
Functionality	Pearson Correlation			0.410**		0.293**		0.215**	1
	Sig. (2-tailed)			0.000		0.000		0.007
	N			156		156		156	156
	Observed			Predicted
				Functionality				Percentage Correct
				YES		NO
Step 0	Functionality		YES	75		0		100.0
			NO	81		0		0.0
	Overall Percentage							51.9
	Observed			Predicted
				Functionality				Percentage Correct
				YES		NO
Step 1	Functionality		YES	47		28		62.2
			NO	18		63		77.8
	Overall Percentage							70.5
Step 1		B	S.E.	Wald	df	P value	OR= Exp(B)	95% C.I.for OR
								Lower	Upper
	Procurementcat(1)	1.470	0.385	14.610	1	0.000	4.349	2.047	9.241
	Utilizationcat(1)	0.790	0.371	4.541	1	0.033	2.203	1.065	4.556
	Storagecat(1)	0.313	0.390	0.642	1	0.423	1.367	0.636	2.939
	Constant	−1.429	0.370	14.913	1	0.000	0.240

Notes: **Correlation is significant at p value 0.01 levels (2- tailed). MEM practices as predictors of functionality of medical equipment.

Table 6 Functionality Without and with Explanatory Variables (Procurement, Utilization and Storage Practices)

	Observed			Predicted
				Functionality				Percentage Correct
				YES		NO
Step 0	Functionality		YES	75		0		100.0
			NO	81		0		0.0
	Overall Percentage							51.9
	Observed			Predicted
				Functionality				Percentage Correct
				YES		NO
Step 1	Functionality		YES	47		28		62.2
			NO	18		63		77.8
	Overall Percentage							70.5
Step 1		B	S.E.	Wald	df	P value	OR= Exp(B)	95% C.I.for OR
								Lower	Upper
	Procurementcat(1)	1.470	0.385	14.610	1	0.000	4.349	2.047	9.241
	Utilizationcat(1)	0.790	0.371	4.541	1	0.033	2.203	1.065	4.556
	Storagecat(1)	0.313	0.390	0.642	1	0.423	1.367	0.636	2.939
	Constant	−1.429	0.370	14.913	1	0.000	0.240

Note: MEM practices as predictors of functionality of medical equipment.