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HIS/EMP | Communications Planning WHO/HIS/EMP | May 15, 2017 Adriana Velazquez Searching for innovative appropriate technologies for low resource settings.

Adriana Velazquez - World Health Organization · 15/05/2017  · Adriana Velazquez Searching for innovative appropriate technologies for low resource settings. WHO/HIS/EMP HIS/EMP

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Page 1: Adriana Velazquez - World Health Organization · 15/05/2017  · Adriana Velazquez Searching for innovative appropriate technologies for low resource settings. WHO/HIS/EMP HIS/EMP

HIS/EMP | Communications Planning WHO/HIS/EMP | May 15, 2017

Adriana

Velazquez

Searching for innovative

appropriate technologies for low

resource settings.

Page 2: Adriana Velazquez - World Health Organization · 15/05/2017  · Adriana Velazquez Searching for innovative appropriate technologies for low resource settings. WHO/HIS/EMP HIS/EMP

HIS/EMP | Communications Planning WHO/HIS/EMP | May 15, 2017

Different settings where innovation is required:

lack of specialized human resources, high needs for population

1. Health Post 2. Health centers

3. District Hospitals 4. Provincial/

Regional Hospitals

5. Teaching or tertiary

level or National

specialized Hospital

Page 3: Adriana Velazquez - World Health Organization · 15/05/2017  · Adriana Velazquez Searching for innovative appropriate technologies for low resource settings. WHO/HIS/EMP HIS/EMP

HIS/EMP | Communications Planning WHO/HIS/EMP | May 15, 2017

Searching for innovative technologies that would be:

Safe and good quality & 5As:

Available

Accessible

Appropriate

Affordable and Acceptable

Page 4: Adriana Velazquez - World Health Organization · 15/05/2017  · Adriana Velazquez Searching for innovative appropriate technologies for low resource settings. WHO/HIS/EMP HIS/EMP

HIS/EMP | Communications Planning WHO/HIS/EMP | May 15, 2017

2010 call for innovative technology for

global health concerns (BMGF)

Page 5: Adriana Velazquez - World Health Organization · 15/05/2017  · Adriana Velazquez Searching for innovative appropriate technologies for low resource settings. WHO/HIS/EMP HIS/EMP

HIS/EMP | Communications Planning WHO/HIS/EMP | May 15, 2017

Medical devices and ehealth solutions

compendium of innovative health

technologies 2012

Page 6: Adriana Velazquez - World Health Organization · 15/05/2017  · Adriana Velazquez Searching for innovative appropriate technologies for low resource settings. WHO/HIS/EMP HIS/EMP

HIS/EMP | Communications Planning WHO/HIS/EMP | May 15, 2017

Factors preventing procurement of innovative technologies

specifically designed for low resource settings (WHO 2013)

Page 7: Adriana Velazquez - World Health Organization · 15/05/2017  · Adriana Velazquez Searching for innovative appropriate technologies for low resource settings. WHO/HIS/EMP HIS/EMP

HIS/EMP | Communications Planning WHO/HIS/EMP | May 15, 2017

Main Barriers in commercializing/selling medical devices.

1. Financing

2. Regulatory clearance

3. Production/manufacturing

4. Supply chain

5. Complex procurement process

0

5

10

15

20

25

30

Nu

mb

er o

f M

D d

evel

op

ers

IP issues (e.g. obtaining patents)

Licensing

Financing

Regulatory clearance

Production/manufacturing

Device did not meet quality standards

Complex procurement processes

Tariffs and taxes

Supply chain

Other

Page 8: Adriana Velazquez - World Health Organization · 15/05/2017  · Adriana Velazquez Searching for innovative appropriate technologies for low resource settings. WHO/HIS/EMP HIS/EMP

HIS/EMP | Communications Planning WHO/HIS/EMP | May 15, 2017

Innovating, Local production and technology

transfer to increase access to appropriate

medical devices

Page 9: Adriana Velazquez - World Health Organization · 15/05/2017  · Adriana Velazquez Searching for innovative appropriate technologies for low resource settings. WHO/HIS/EMP HIS/EMP

HIS/EMP | Communications Planning WHO/HIS/EMP | May 15, 2017

Success stories of innovative

technologies for LRS

Neonatal intensive care

equipment

Devices offered through the Breath of Life Program me in eight countries in South and South-

East Asia.

Solar Ear A solar powered hearing aid.

Jaipur Foot Leg and knee prosthetics made of locally sourced materials. The prosthetics are offered without

cost to amputees.

Intraocular lenses Lenses developed at less than one eighth of the price of comparable imports.

Page 10: Adriana Velazquez - World Health Organization · 15/05/2017  · Adriana Velazquez Searching for innovative appropriate technologies for low resource settings. WHO/HIS/EMP HIS/EMP

HIS/EMP | Communications Planning WHO/HIS/EMP | May 15, 2017

WHO developed technical specifications for procurement,

donations that specify quality, e.g. PPE

now need to INNOVATE! And find new materials, standards

that comply with needs in the field.

Page 11: Adriana Velazquez - World Health Organization · 15/05/2017  · Adriana Velazquez Searching for innovative appropriate technologies for low resource settings. WHO/HIS/EMP HIS/EMP

HIS/EMP | Communications Planning WHO/HIS/EMP | May 15, 2017

Feasibility tool for innovators ( 2014)

Page 12: Adriana Velazquez - World Health Organization · 15/05/2017  · Adriana Velazquez Searching for innovative appropriate technologies for low resource settings. WHO/HIS/EMP HIS/EMP

HIS/EMP | Communications Planning WHO/HIS/EMP | May 15, 2017

Sustainable Development Goals

SDG 3. Goal 3: Ensure healthy lives and promote well-

being for all at all ages

Page 13: Adriana Velazquez - World Health Organization · 15/05/2017  · Adriana Velazquez Searching for innovative appropriate technologies for low resource settings. WHO/HIS/EMP HIS/EMP

HIS/EMP | Communications Planning WHO/HIS/EMP | May 15, 2017

Research, development and innovation : WHO

Compendium of Innovative Health Technologies

for Low Resource Settings

Intern Medical Devices, Ina Indlekofer, 16 September 2016

Source: http://www.who.int/medical_devices/innovation/compendium/en/, 15.09.2016

Page 14: Adriana Velazquez - World Health Organization · 15/05/2017  · Adriana Velazquez Searching for innovative appropriate technologies for low resource settings. WHO/HIS/EMP HIS/EMP

HIS/EMP | Communications Planning WHO/HIS/EMP | May 15, 2017

WHO Compendium – Call 2016

0.00%

5.00%

10.00%

15.00%

20.00%

25.00%

30.00%

35.00%

40.00%

Perc

en

tag

e

Region

Submissions by Region

Compendium 2015

Compendium 2016

Intern Medical Devices, Ina Indlekofer, 16 September 2016

Page 15: Adriana Velazquez - World Health Organization · 15/05/2017  · Adriana Velazquez Searching for innovative appropriate technologies for low resource settings. WHO/HIS/EMP HIS/EMP

HIS/EMP | Communications Planning WHO/HIS/EMP | May 15, 2017

WHO Compendium – Call 2016

55%

24%

9%

8% 4%

Technology Types - 2016

Medical Devices & Medical simulationdevices

eHealth Solutions

Other

Assistive Products

PPE

Intern Medical Devices, Ina Indlekofer, 16 September 2016

48%

40%

10%

2%

Submissions by Stage of Development

Commercialized

Prototype

Clinical Investigation

Clinical Performance Study

Page 16: Adriana Velazquez - World Health Organization · 15/05/2017  · Adriana Velazquez Searching for innovative appropriate technologies for low resource settings. WHO/HIS/EMP HIS/EMP

HIS/EMP | Communications Planning WHO/HIS/EMP | May 15, 2017

WHO Compendium – Call 2016

4 WHO interns in 2016 helped this process!

0

10

20

30

40

50

60

70

80

90

100

Internal Reviewers External Reviewers

Nu

mb

er

of

Rev

iew

ers

Reviewers

not completed ordeclined

Completed

• 122 reviewers

contacted

– 35 internal WHO

colleagues

– 87 external

reviewers

• 79 reviewers

completed

evaluations

• 412 e-mails to

reviewers in one

month

Intern Medical Devices, Ina Indlekofer, 16 September 2016

Page 17: Adriana Velazquez - World Health Organization · 15/05/2017  · Adriana Velazquez Searching for innovative appropriate technologies for low resource settings. WHO/HIS/EMP HIS/EMP

HIS/EMP | Communications Planning WHO/HIS/EMP | May 15, 2017

WHO Compendium – Call 2016

Intern Medical Devices, Ina Indlekofer, 16 September 2016

Generic Name

Technology Type

Health Problem

addressed Country of

origin

Stage of development Evidence/

Clinical Trials

Cost

Picture/ Signature

Reviewers’ Evaluations

Certificates

Matrix as a summary of submission documents and evaluations for a final review

Page 18: Adriana Velazquez - World Health Organization · 15/05/2017  · Adriana Velazquez Searching for innovative appropriate technologies for low resource settings. WHO/HIS/EMP HIS/EMP

HIS/EMP | Communications Planning WHO/HIS/EMP | May 15, 2017

Future steps: CATALOGUE OF NEEDS TPP.

Remember: 1 A patient is at the end of all

our activities, they deserve our

Technical knowledge

Passion

Honesty

Hard work

Together

Remember 2:

Innovative technology should

be:

Safe

Good quality!

Easy to use

Easy to maintain

Adaptable

Affordable

Available

Accessible

Acceptable

Page 19: Adriana Velazquez - World Health Organization · 15/05/2017  · Adriana Velazquez Searching for innovative appropriate technologies for low resource settings. WHO/HIS/EMP HIS/EMP

HIS/EMP | Communications Planning WHO/HIS/EMP | May 15, 2017

Thank you

Adriana Velazquez

[email protected]