Experience in Procurement of

Radiological Equipments

in a Developing Nation

Lin Tun Tun

President, Myanmar Radiological Society

Professor and Head

Department of Radiology

Yangon General Hospital, University of Medicine I

Ministry of Health

Yangon , MYANMAR

Hospitals and Medical Universities

• Population : 60 million

• Over 1000 Hospitals (1500 bed to 16 bed

hospitals)

• 4 Medical Universities

• 1 Military Medical Academy

Democratic Republic of the Union of Burma

(1948 – 1962)

Socialist Republic of the Union of Burma (1974 – 2010)

Revolutionary Coumcil(1962 – 1973)

Socialist Republic of the Union of Burma (1974 – 2010)

Last 50 years

• Very small healthcare budget

• Less than 1 % of government budget

• Outdated equipments

• Had to buy cheaper products

Republic of Union of Myanmar

2011-2015

New Democracy Government

• More Health care budget

• 20 M $ for the last 10 years for the last 10

years

• 160 M $ for the medicine and medical devices

• 30 M $ for radiological equipments last year

Last year

• 45 units of X-ray machines

• 20 Units of Mobile X-rays

• 110 units of Ultrasound

• 18 units of Mobile x-rays

• PACS and RIS for YGH

• 22 Units of CT

• 3 Units of 1.5 T MRI

• 1 PET CT

• 4 LA

DRs and CRs

22 Units of CT

CT Scanners for State/ Divisional Hospitals

3 1.5 T MR Scanners

PET CT

Modality & Floor Plan YGH, Phase 1

Ground

Floor

1st FloorCR

DR

US

CT16 CT64 1.5TMRI

Reading

Room

10/100/1000 Gigabit Network

INTERNET

Singleslice

CT

DR

US0.3TMRI

Challenges

• Needs sustainable development

• Need to strengthen Medical Device regulations

• Infra structure development– Site planning

• Stable electric power– Back-up generators

• Maintenance Plan

• Needs manpower

• Needs to train-

Future Plan

Sustainable development

More budget share

Myanmar FDA

Need to consider for the whole country to equip appropriate Medical Devices phase by phase

To transform from conventional to digital departments gradually

To buy more this year and in future

Manpower- recruit and train

Conclusion

• Political and economic stability

• Healthcare budget

• Long term and short term plan

• Specifications – appropriate for the needs of the different levels , includes some optionals as standard and package

• Quality- US FDA and CE

• After sales services

• Maintenance plan for the equipment

• Training- on site and abroad