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Related Concept Videos

Issues And Trends In Healthcare Delivery System01:29

Issues And Trends In Healthcare Delivery System

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The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
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At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
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Correction to "The Management of Nausea and Vomiting in Pregnancy and Hyperemesis Gravidarum (Green-Top Guideline No. 69)".

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Related Experiment Video

Updated: Jan 15, 2026

Rapid and Low-cost Prototyping of Medical Devices Using 3D Printed Molds for Liquid Injection Molding
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Achieving Equitable Access to Obstetric Devices Through Innovation, Improvisation and Off-Label Use.

G Justus Hofmeyr1,2, Mandisa Singata-Madliki1, Sara Della Ripa3

  • 1Effective Care Research Unit, University of the Witwatersrand and Walter Sisulu University, East London, South Africa.

BJOG : an International Journal of Obstetrics and Gynaecology
|October 14, 2025
PubMed
Summary
This summary is machine-generated.

Improving global access to essential medical devices requires innovative strategies. Three key approaches include developing low-cost innovations, improvising with available materials, and utilizing devices off-label to ensure wider availability and effectiveness.

Keywords:
BabySaverMaternaWellWorld Health Organisationfrugal innovationinduction of labourmedical devicesoff label medical devicespostpartum haemorrhagesuction tube uterine tamponadeuterine balloon tamponade

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Area of Science:

  • Global Health
  • Medical Device Innovation
  • Health Equity

Background:

  • Availability of life-saving medical devices is crucial for global health impact.
  • Access is often limited by cost, availability, and lack of information on safety and effectiveness.
  • Addressing inequities requires collaboration among device developers, researchers, and global organizations.

Purpose of the Study:

  • To discuss strategies for promoting equity in medical device access globally.
  • To highlight low-cost innovation, improvisation, and off-label use as key strategies.
  • To provide examples of successful implementation for each strategy.

Main Methods:

  • Review and discussion of three primary strategies: low-cost innovation, improvisation, and off-label use.
  • Illustrative examples provided for each strategy, including neonatal resuscitation kits, postpartum hemorrhage management, and labor induction devices.
  • Analysis of challenges and benefits associated with each approach, emphasizing evidence generation and governance.

Main Results:

  • Low-cost, purpose-built innovations (e.g., BabySaver Kit, MaternaWell tray) enhance access and sustainability.
  • Improvisation using common items (e.g., condoms for uterine balloon tamponade) extends device availability in resource-limited settings.
  • Off-label use of approved devices (e.g., Foley catheter for labor induction) can address specific needs but requires robust evidence and guidelines.

Conclusions:

  • A multi-faceted approach involving innovation, adaptation, and evidence-based off-label use is essential for global medical device equity.
  • Global agencies and professional organizations play a vital role in coordination, guideline development, and data sharing.
  • Continued research and collaboration are necessary to ensure safe and effective access to medical devices worldwide.