In 2011, Lora Perry and Robert Malkin wrote:
It is often said that most of the medical equipment in the developing world is broken with estimates ranging up to 96% out of service. But there is little documented evidence to support these statements. We wanted to quantify the amount of medical equipment that was out of service in resource poor health settings and identify possible causes. Inventory reports were analyzed from 1986 to 2010, from hospitals in sixteen countries across four continents. The UN Human Development Index was used to determine which countries should be considered developing nations. Non-medical hospital equipment was excluded. This study examined 112,040 pieces of equipment. An average of 38.3% (42,925, range across countries: 0.83–47%) in developing countries was out of service. The three main causes were lack of training, health technology management, and infrastructure. We hope that the findings will help biomedical engineers with their efforts toward effective designs for the developing world and NGO’s with efforts to design effective healthcare interventions.
In 2017, Karin Diaconu and her collaborators wrote that:
Forty to 70 % of medical devices and equipment in low- and middle-income countries are broken, unused or unfit for purpose; this impairs service delivery to patients and results in lost resources. Undiscerning procurement processes are at the heart of this issue.
The Catholic Health Association reports that 90% of member hospitals report donating supplies due to expiration; 60% member hospitals report they donate broken equipment; and yet only about 8% work with a medical supply and recovery organization with the capabilities to ensure donations are useful and appropriate.
Source: CHA Medical Surplus Donation Study: How Effective Surplus Donation Can Relieve Human Suffering, Catholic Health Association of the United States, April 2011