PHASE: Pilot
CATEGORY: Health
MED International
Africa

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Current donations of surplus medical technology often result in the transfer of waste from one country to another. MED International, an organization endorsed by the VP of Zanzibar, fixes that.

Standings & Awards

591 out of 591 in Africa
284 out of 284 in Health
574 out of 574 in Pilot
992 out of 992 in Charitable
4003 out of 4003 Overall
Improving health care standards, reducing technology waste, sharing medical resources, building infrastructure

For a population of a million, Zanzibar has 1 poorly-equipped referral hospital. Just 1. In this hospital, it’s an everyday occurrence: a life could easily be saved with a piece of medical technology. But more often than not, that piece of technology is either missing or broken. So more often than not, that patient won’t make it.

As a result, the demand for donated medical technology (DMT) in the developing world – Zanzibar included – is enormous. But 70% of the DMT that makes it to these countries is wasted: it’s disposed of, sold as scrap metal, or simply never used.

DMT in the developing world is wasted because of flaws in the donation process. For example, the donation methodology of most NGOs doesn’t consider the medical needs of the recipient. The result? A hospital facing premature births receives a PCR machine, not the neonatal incubator it needs. Other problems include what we call barriers to utilization, like lack of spare parts and maintenance technicians.

MED International’s goal is to do 2 things: 1) give Zanzibar the DMT it needs, and 2) increase utilization so that none of our DMT is wasted. MED International performs 3 basic functions: supply, delivery, and most importantly, utilization. Supply and delivery are the easy parts: we gather DMT in the US and deliver it to Zanzibar.

Utilization, though, is harder: we not only provide the DMT, but also ensure that it can be used and maintained for years to come. We employ 2 strategies to increase utilization. Our first is excellent matching: we study the needs of our recipient countries, communicate with medical staff on the ground to understand their specifications, and use that information to provide them with the best DMT that matches their needs. Our second practice is barrier elimination: we actively network with partners in the US and in Zanzibar to provide trained technicians, spare parts, user manuals, and consumables so our recipients can fully operate and repair their DMT.

MED International’s job as an official partner of the Government of Zanzibar is to raise Zanzibar’s standard of health care by effectively introducing medical technology into its public hospitals. In doing so, MED International doesn’t stop at just providing DMT. We provide relevant DMT and help the recipient use and maintain it. As a result, DMT that goes through our donation methodology generates maximum social benefit. 

Roadmap to Success Optional (1 - 3 minutes to upload)

Roadmap to Success: 

Sponsors, Investors, and Supporters

The Government of Zanzibar
Partner, Recipient
The office of the VP, the Ministry of Health & the Tanzanian Embassy work with us to broker equipment donations for their health care reform. We ship our equipment on a crate managed by the embassy and do not incur shipping costs.
Cadwalader Wickersham and Taft LLP
Pro bono Legal Support
Cadwalader, one of America’s oldest and most reputed law firms, has agreed to provide MED International with pro bono legal support under their Not-for-Profit Incubator. They support us in equipment liability and nonprofit management.
Ivo de Carneri Foundation and Public Health Laboratory
Supporter and Consultant
The Ivo de Carneri Foundation is an organization that works in Zanzibar to promote the control of infectious diseases on the island. They give us valuable insight into the barriers to technology utilization and the epidemiology of Zanzibar.
Brown University
Sponsor and Consultant
We are working closely with Brown University's Social Innovation Initiative (SII), the public health department and the medical school to develop program evaluation and donation strategies. We are also applying for grants from the SII.
School of Public Health, National University of Singapore (NUS)
Consultant
The School of Public Health, NUS, is a regional leader in research, education and new technologies. MED International consults with their faculty for the development of program evaluation.
Equipment Donors and Suppliers
Sponsors, Suppliers
MED International partners with two large diagnostics and medical equipment distributors in the Northeast to build its inventory of donated medical equipment. We have not revealed their names for issues of liability.

FIVE PROJECT QUESTIONS Required (60 - 90 minutes)

1. What is your innovation? 
MED International realized that the solution to Zanzibar’s medical problems lies not in creating new products but in shipping existing equipment from the US to Tanzania. In addition, we developed an accurate matching process for each piece of technology to ensure utilization. Amazingly, Zanzibar won’t ever need to pay for the equipment because US facilities are happy to donate in exchange for tax deductions. The solution is therefore sustainable because it’s in the best interest of all parties.
2. Who gains the most? 
The greatest benefit goes to the people of Zanzibar, particularly women and infants, who are currently suffering and dying from illnesses that would be easy to treat with donated technology. Doctors, nurses, and medical practitioners also benefit, because they are able to improve their ability to provide care for their patients. Facilities in the US benefit by generating savings on idle inventory. There are even environmental benefits from the decreased waste. Clearly, it is a win-win solution.
3. Who pays? 
Nobody: the system supports itself. We don’t pay for the equipment – instead, we accept donations of fully functional medical technology. In return, donors get a tax deduction. When a donated piece of technology can’t be used in Zanzibar, we plan to sell it for a reduced price to hospitals in developed countries. This revenue will cover our operations expenses and new training programs. Although currently startup costs are being covered by grants, eventually the project will be self-sufficient.
4. What is your success? 
We will be successful if we: In 1 year: Send 3 shipments of technology, sponsor the training of 5 technicians, and conduct an evaluation of Zanzibar’s hospitals to determine barriers to utilization. In 3 years: Complete 6 shipments and provide a full suite of operation and maintenance resources to ensure full technology use. In 5 years: Achieve 100% utilization of donated equipment, increase the standard of health care in Zanzibar, and reproduce our methodology in a new recipient country.
5. How will you do it? 
We have a two-part strategy to ensure all donated technology is used. First, through working with Zanzibar’s government and our own research, we gain a close understanding of the equipment needs of facilities. Through good matching we send only the exact technology they need. Then, through barrier elimination we provide technicians, maintenance, and spare parts as needed. This strategy ensures not only that the right technology is sent, but also that the recipient is able to keep it functional.