1. Medical devices for NCDs
Title : Diabetes in Viet Nam
Credit : WHO /Quinn Mattingly
Date of exposure : 25/02/2016
Towards the selection of WHO priority medical devices for cardiovascular disease, diabetes and stroke
December, 2018
Adriana Velazquez Berumen, M de Mar Elena, Karen Kulp

2. These interventions often rely on access to medical devices.
Introduction:
Sustainable Development Goals - Goal 3: Ensure healthy lives and promote well-being for all ages
71% of global deaths caused by noncommunicable disease
40% die before their 70th birthday
85% of early deaths from noncommunicable disease occur in low- and middle-income countries
Morbidity and mortality can be reduced through early detection and effective management.
These interventions often rely on access to medical devices.

3. How do you select, procure and use so many different products?
Challenges:
Providing health-care to manage non-communicable disease requires resources. So, which investments are the most beneficial?
NCD target to be attained by 2025:
“An 80% availability of the affordable basic technologies and essential medicines, incl. generics, required to treat NCDs”
There are over 10,000 different types of medical devices and over 500,000 products commercially available.
How do you select, procure and use so many different products?

4. Priority intervention medical device packages by income level
Fragile states: 1.Basic intervention packages
Low health care coverage: Vulnerable populations Vaccinations 3.Diagnostic
Medium health care coverage: Prevention, health promotion, and diagnostics Limited treatments Rehabilitation Specialized NCD interventions Vertical programs for specific or vulnerable populations (as resources allow)
Strong health system with universal coverage: 1.Prevenataive services 2.Diagnostics 3.Treatments 4.Rehabilitation 5.Palliative care 6.Home care/telehealth 7.Age-specific interventions
Health Systems for UHC
The need to prioritize is higher where resources are limited
Population coverage, financial, technological resources and health workforce

5. Methodology: To develop a list of priority medical devices for selected NCDs
Health conditions
DCP3 Recommendations
ICD11 Categorization
Cardiac Dx
Diabetes
Stroke
Respiratory Dx
Guidelines
Clinical subgrouping for each disease
ICHI Classification
WHO Guidelines
International NGOs
Grade-Evaluated
Recommended clinical interventions
Fieldwork to identify medical technologies
Tentative list of medical technologies
Define Terms of Reference
Global Consultation of Experts
Final list of medical technologies

6. Example: cross-referenced list for stroke

7. WHO kindly requests your collaboration
Please help us make this list of priority medical devices for selected noncommunicable diseases ready and available.
Review
Consult
Collaborate and disseminate
To review the list of health interventions derived from clinical guidelines and the list of associated medical devices.
To consider the possibility of participation in consultations to be held in the coming months where these lists will be reviewed and finalized with the input of other global experts from each of the six WHO regions.
To consider ongoing collaboration on mattered related to this project, including providing your input into the content of the upcoming publication for dissemination as a freely available public good.

8. Adriana Velazquez Berumen WHO 20, Avenue Appia 1211 Geneva
Thank you!
Adriana Velazquez Berumen
WHO
20, Avenue Appia 1211 Geneva