2020 SUMMARY FINDINGS OF THE INVENTORY ASSESSMENT FOR BIOMEDICAL EQUIPMENT FOR COVID-19 CASE MANAGEMENT IN ETHIOPIA An Inventory Assessment of Biomedical Equipment for COVID-19 Case Management in Ethiopia The FMOH of Ethiopia and the Clinton Health Access Initiative/CHAI-Ethiopia July 31, 2020 Addis Ababa, Ethiopia Table of contents Contents Page Table of contents ........................................................................................................................................... 1 List of Tales and Figures ............................................................................................................................... 2 Tables ........................................................................................................................................................ 2 Figures ...................................................................................................................................................... 3 Executive Summary ...................................................................................................................................... 4 Acronyms ...................................................................................................................................................... 6 1 Approach ............................................................................................................................................... 7 2 General Information .............................................................................................................................. 7 3 Beds and Utility Readiness ................................................................................................................... 9 4 Emergency Transport Vehicles or Ambulances .................................................................................. 10 5 Availability of Relevant Staff ............................................................................................................. 11 6 Vital Sign Monitoring Devices ........................................................................................................... 11 7 Patient Monitor ................................................................................................................................... 11 7.1 Pulse Oximeters .......................................................................................................................... 12 8 Oxygen Concentrators......................................................................................................................... 13 9 Oxygen Cylinders ............................................................................................................................... 15 10 Flow Meter, Thorpe Tube ............................................................................................................... 17 11 Flow-splitter .................................................................................................................................... 18 12 Oxygen Delivery Interface .............................................................................................................. 18 12.1 Nasal Cannula/Prongs and Nasal catheters ................................................................................. 18 12.2 Oxygen mask and Venturi mask ................................................................................................. 20 13 BiPAP & CPAP Machines .............................................................................................................. 21 14 High-Flow Nasal Cannula (HFNC) ................................................................................................ 22 15 Resuscitation Bags and Masks ........................................................................................................ 22 16 Suction Devices .............................................................................................................................. 22 1 An Inventory Assessment of Biomedical Equipment for COVID-19 Case Management in Ethiopia The FMOH of Ethiopia and the Clinton Health Access Initiative/CHAI-Ethiopia 17 Laryngoscope .................................................................................................................................. 23 18 Intubation Sets ................................................................................................................................ 24 19 Airways ........................................................................................................................................... 24 20 Patient Ventilator ............................................................................................................................ 25 21 Autoclave / Sterilizer ...................................................................................................................... 27 22 Oxygen Cylinder Manifold ............................................................................................................. 28 23 On-Site Oxygen Plant (PSA) .......................................................................................................... 28 24 Reasons for availability of Nonfunctional Equipments/Devices .................................................... 29 25 Conclusion and Recommendation .................................................................................................. 30 25.1 Conclusion .................................................................................................................................. 30 25.2 Recommendation ........................................................................................................................ 31 Annexes ...................................................................................................................................................... 31 Annex 1: List of COVID 19 Treatment Facilities Visited for the Assessment ....................................... 31 Annex 2: Raw data of the Inventory Assessment of Biomedical Equipment for COVID-19 Case Management in Ethiopia ......................................................................................................................... 33 List of Tales and Figures Tables Table 1: Availability of Ambulances in the Facilities by Region ............................................................... 10 Table 2: Patient monitor availability by region .......................................................................................... 12 Table 3: Average number of oxygen cylinders consumed per week with respective costs oxygen ........... 16 Table 4: Cylinder Assembly Units by Type and Functionality Status by Regions ..................................... 17 Table 5: Availability of Flow-splitters in the Facility ................................................................................. 18 Table 6: Availability of Nasal Cannula/Prongs and catheters in the Facilities by Region ......................... 19 Table 7: Availability of Oxygen mask and Venturi mask in the Facilities by Region................................ 20 Table 8: Availability of Resuscitation Bags and Masks by Age Category and by Region ......................... 22 Table 9: Availability of Suction Devices by Region .................................................................................. 23 Table 10: Availability of Laryngoscope by Region .................................................................................... 24 Table 11: Availability of Intubation Sets by Age Category and Component ............................................. 24 Table 12: Number of Ventilators by Functionality and by Region ............................................................. 25 Table 13: COVID 19 Treatment Center with no COVID-19 dedicated Patient Ventilator by Region ....... 26 Table 14: Number of Autoclaves by Region .............................................................................................. 27 Table 15: Number of Oxygen Cylinder Manifolds by Facility and Region................................................ 28 Table 16: Summary On-Site Oxygen Plants ............................................................................................... 29 2 An Inventory Assessment of Biomedical Equipment for COVID-19 Case Management in Ethiopia The FMOH of Ethiopia and the Clinton Health Access Initiative/CHAI-Ethiopia Table 17: Reasons indicated for availability of Nonfunctional Equipments in the facility ........................ 29 Figures Figure 1: Number of COVID 19 Treatment Centers/Facilities in Ethiopia by Region ................................. 7 Figure 2: Geographical area of the assessed facilities .................................................................................. 8 Figure 3: Type of facilities ............................................................................................................................ 8 Figure 4: Total beds available in the facilities .............................................................................................. 9 Figure 5: Number of patient beds dedicated for COVID 19 Treatment and COVID 19 ICU ...................... 9 Figure 6: Availability of Relevant Staff in the facility by Region .............................................................. 11 Figure 7: Pulse Oximeters Availability ....................................................................................................... 12 Figure 8: Pulse