Statistics and recommendations from the First Global Forum on Medical Devices 9- September, 200 in Bangkok
Participants to the Global Forum Professional and International Organizations 9% Independent consultants and researchers 2% UN 9% Academic institution 0% Civil society, NGO 2% Donor, Funding Agency* % Industry 0% Health professional 7% Government 49% Media: Attendance not registered. Covered Inauguration Session only *Donor, funding agency: 32 Invitations sent 2 First Global Forum on Medical Devices 9- September 200
07 countries represented 3 First Global Forum on Medical Devices 9- September 200
Participants Countries with 5 or more participants Countries Jordan Angola Singapore Netherlands Iraq Canada Belgium Japan Australia Brazil China UK India Thailand USA 5 5 6 6 6 6 6 7 7 8 9 4 28 29 Number of participants 4 First Global Forum on Medical Devices 9- September 200
Countries with 2 to 4 participants AFR South Africa Equatorial Guinea Gambia Niger Uganda Cameroon Ethiopia Ghana Kenya Nigeria Tanzania AMR Mexico Argentina Suriname EMR Sudan Pakistan EUR Poland Denmark Italy Switzerland Germany Norway Portugal Republic of Moldova Spain Tajikistan SEAR Maldives Timor-Leste WPR Philippines Brunei Darussalam Cambodia Mongolia Samoa Viet Nam 5 First Global Forum on Medical Devices 9- September 200
Programme speakers Total = 50 Speakers' affiliation 24 countries represented Professional Organization 6% Other 6% Government 34% UN 6% Female 38% International Organization 8% Academic 20% Male 62% 6 First Global Forum on Medical Devices 9- September 200
Programme chairs Total= 20 Chairs' affiliation 6 countries represented Professional Organization 25% Other 5% Government 20% Academic 20% Female 25% UN 5% International Organization 5% Male 75% 7 First Global Forum on Medical Devices 9- September 200
Programme co-chairs chairs UN staff Total= 2 2 Countries represented Affiliation: UN Female 42% Male 58% Session type Programme Workshop, 4 Plenary, 8 Parallel, 5 8 First Global Forum on Medical Devices 9- September 200
Total number of speakers, chairs and co-chairs chairs per 33 MS Australia Belgium Brazil Canada Denmark Dominica Egypt Germany Ghana Hong Kong India Italy Japan Jordan Lithuania Mexico Netherlands Nigeria Norway Pakistan Philippines Poland Singapore South Africa Spain Sudan Sweden Tanzania Thailand Tunisia Uganda UK USA 2 2 2 2 2 2 2 2 3 3 3 3 3 3 3 6 6 9 9 9 First Global Forum on Medical Devices 9- September 200
4 Posters from 23 MS Albania Number of posters presented by country Argentina Brazil Canada China Colombia Cuba Ethiopia Gambia Germany India Italy Japan Jordan New Nigeria Norw ay Peru Philippines South Africa Sw itzerland Tanzania USA UK 2 2 2 3 3 3 4 4 Posters 23 countries represented 7 0 First Global Forum on Medical Devices 9- September 200
Workshops Number of participants enrolled: e-health= 40 Health Technology Assessment (HTA)= 76 Health Technology Management (HTM)= 67 Regulation= 26 TOTAL= 309 (out of the 373 expected participants) Regulation 40% Workshops e-health 3% HTA 25% HTM 22% First Global Forum on Medical Devices 9- September 200
Governmental representatives Prime Ministers: Thailand 8 Ministers of Health, Comoros, Iraq, Madagascar, Moldova, Samoa, Sudan, Tajikistan and Thailand. 7 Vice-Ministers of Health : Angola, Japan, Mexico, Micronesia, Paraguay, Poland and Syrian Arab Republic. Ambassadors: Netherlands Vice-Consuls: Nauru 2 First Global Forum on Medical Devices 9- September 200
Participants from the United Nations System International Atomic Energy Agency: Nuclear Sciences and Applications UNICEF: Technical Officer, Supply Division UNOPS: Regional Procurement Advisor, Regional Office for Asia and the Pacific World Bank: Department of Health, Nutrition and Population 3 First Global Forum on Medical Devices 9- September 200
Participants from the United Nations System WHO: Director-General Assistant Director-General Regional Directors Directors WHO Representatives Regional Advisors for Health Technologies Technical Officers 4 First Global Forum on Medical Devices 9- September 200
Thai participants/staff VIP and guests= 8 Local Organizing Committee =7 Local Staff= 50 5 First Global Forum on Medical Devices 9- September 200
Sessions: Medical devices and: Strengthening Health systems Meeting the needs MDG 4,5,6 Safe MD for the worker, environment and health staff Innovative technologies for global health concerns Medical devices: regulations, management, assessment: Needs assessment, post market surveillance, procurement, maintenance, prioritization, harmonization, donations, training, adverse event, etc. E health medical devices 6 First Global Forum on Medical Devices 9- September 200
Recommendations process 79 questions asked, 22 recommendations proposed by all sessions, by spot me device Voting to reduce to the 45 most important Mapping with WHA60.29 Voting to prioritize to 5, Short and long term actions. 7 First Global Forum on Medical Devices 9- September 200
The role of medical devices to improve health service delivery (blue, top recommended in session and in overall ranking, yellow, from general overall ranking ) Safety culture in developing countries by adverse event reporting, patient safety should be integrated into the curriculum of medical professionals Enhance knowledge base of disease epidemiology, solutions, cost-effectiveness WHO to continue producing technical specifications of medical devices and guidance on cost assessment Highlight and share examples of appropriate technologies (locally produced, low prices, easy to use, durable and reliable) that succeeded in different national healthcare settings To use the infrastructure of teaching units and the guidelines already present for training of trainers and technicians on medical technologies Strengthen patient/community involvement in all medical devices processes (design, research, provision, etc.) to improve health outcomes and ensure that needs are met. Survey countries for successful/unsuccessful e-health/telemedicine projects Cost/benefit studies Link between government and NGO projects 8 First Global Forum on Medical Devices 9- September 200
Safe, accessible and affordable medical devices (blue, top recommended in session and in overall ranking, yellow, from general overall ranking ) To ensure that properly trained personnel is in place at the time of the installation of radiation medicine technology New installations require careful planning at the governmental level, including creating proper infrastructure for effective use of technology and investment in staff training WHO to continue producing technical specifications of medical devices and guidance on cost assessment Look at international recommendations to establish proper sharp waste management Countries should find an appropriate way of phasing out mercury Evidence based comparison between mercury and digital equipment Facilitate the emergence of clear context specific regulatory guidelines WHO to lobby for funding of early research and promote WHO to foster cooperation between academia and industry 9 First Global Forum on Medical Devices 9- September 200
Health Technology Assessment (blue, top recommended in session and in overall ranking, yellow, from general overall ranking ) WHO helps member states to identify tools for prioritizing devices for HTA WHO and international organizations to use experience of developed countries to build local capacity focusing on transparency for assessing and purchasing WHO should promote HTA to be integral part of health system research and strengthening and assist developing countries to conduct HTA Identify and adapt necessary tool kits needed for HTA and be able to prioritize according type, need and stage of development Urge HTA institutions to collaborate with manufacturers & business communities to work in developing countries WHO: Promote the value of continuous HTA regarding MD in decisions to stakeholders in DC, advocacy policy makers and industry Member Countries: Continuous HTA should be integrated into / within the existing health system environment and health care system reforms WHO: Support developing countries (DC) to develop capacity from learning of countries with developed HTA systems considering different models 20 First Global Forum on Medical Devices 9- September 200
Health Technology Management (blue, top recommended in session and in overall ranking, yellow, from general overall ranking ) WHO to develop decision making guideline and tools to determine the need on procurement of technologies should be need driven Toolkit for lifecycle cost of equipment and standardisation of equipment Training facility for HTM managers WHO to support free access to nomenclature systems WHO to develop tools for Needs Assessment incorporating multiple dimensions e.g. HR, epidemiology, etc WHO to update Medical Device lists to be functional / procedure based and facility level based WHO to urge industry to tag Medical Devices with nomenclature reference Case studies to show evidence of effectiveness of HTM WHO to raise profile of HTM and structures within MoH 2 First Global Forum on Medical Devices 9- September 200
Medical Devices Regulations (blue, top recommended in session and in overall ranking, yellow, from general overall ranking ) WHO and GHTF to take lead in the use of medical device regulation area for premarket and post-market guidance WHO and GHTF to convince the government to have harmonized standard in different countries GHTF to promote more support to assist countries to develop harmonized mechanism in particular areas beyond WHO justification WHO to facilitate opportunities for capacity building based on cooperation between regulatory authorities Promote an exchange system for information on regulatory action Facilitate experience sharing and a meeting for device regulators every two years WHO should encourage international databank for adverse events in addition to national databases and exchange of information WHO to facilitate capacity building for PMS and adverse event reporting plan in low income countries WHO to develop a programme for adverse event reporting on medical devices 22 First Global Forum on Medical Devices 9- September 200
outcomes Identification of recommended actions that can be taken for the improvement in availability, accessibility, appropriate selection, assessment, regulation, management, safety and use of medical devices in line with the World Health Assembly resolution (WHO60.29) on health technologies; Compilation of best practices, available resources, tools and guidelines on medical devices for integration into national health plans; A network of interdisciplinary professionals who will continue to support the role of medical devices in health systems. All presentations, powerpoints, recommendations, speeches and webcast are at : http://www.who.int/medical_devices/gfmd/en/index.html 23 First Global Forum on Medical Devices 9- September 200
202 Towards a II Global WHO Forum on Medical Devices 202 To present results: from the short term action plan and advances on long term 24 First Global Forum on Medical Devices 9- September 200