Operational budgets of public health facilities provided by government are so small that institutions find it difficult to manage repair and maintenance of equipment. Even vehicles used, once broken are parked and done with, waiting for new one to be donated either by government or other sources.
The challenges however do not rule out the critical role technology would play in transforming patient care in resource poor/limited settings. While technology would help improve patient care, it is important that the technology be tailored to the context of the settings. We would need simple (easy to handle/use, simple to repair and maintain) and less expensive but cost-effective and efficient technologies to meet the technological needs of these settings/countries to meet the growing demand, and to improve quality of patient care without compromising access.