Since 1979 the German Government had supported the Kenyan Authorities in assuring better use and maintenance of medical and hospital equipment. In this context, GTZ implemented the project "Appropriate medical technology for rural hospitals in Kenya" which contributed to the establishment of a maintenance system for medical equipment. In order to adapt the maintenance strategies developed in industrialised countries to the local conditions, GTZ funded a study to elaborate a proposal for the implementation of a maintenance strategy for medical equipment, appropriate to the Kenyan conditions. This proposal contained an analysis and compilation of general criteria for the maintenance of medical equipment, methods and models for maintenance of medical equipment implemented in industrialised countries, and alternative maintenance strategies for Kenya.
The expert team defined the main objectives of the strategy to be developed, described the methods and models of maintenance in industrialised countries, assessed the maintenance system in three Kenyan hospitals, and analysed the weaknesses in the Kenyan maintenance system. Subsequently, the consultants analysed the differences between the local maintenance system and the models of maintenance from industrialised countries, developed a demand-driven maintenance concept, and elaborated an implementation proposal for a new maintenance strategy.