1

Major Md. Ashrafuzzaman, Ph.D

Associate Professor, Department of Biomedical Engineering, Military Institute of Science & Technology, Bangladesh

Member, National Technical Sub-Committee for Medical Devices, Bangladesh

Member, National Committee for Bio-similar Products Guideline, Bangladesh

Member, Bangladesh Chemical Society, Bangladesh

Cell: +8801769024172 Email: ashraf@bme.mist.ac.bd; ashezaman@gmail.com

Abstract ID: 11.A155.Ashrafuzzaman

Biomedical and Clinical Engineering Development

in Bangladesh

a. Introduction

b. Objectives

c. HCTM Cycle and BME/CE

d. Present Status in Bangladesh

e. Current status CEP in reference of in BD VS Requirement

f. Necessity of BME/CED In Hospitals of Bangladesh for safe and Cost

Effective HCS/ HCTM

g. Cost effective method to Produce and Introduce BMEs, CEs, CTEs and

BMETs

Recommendations HCTM Experts Panel

Acknowledgements

References

Topic Outlines

Introduction The National Sustainable Development Strategy (NSDS) 2010 has been prepared to meet the

major challenge of health sector by identifying the diverse health care needs of a growing

population which will reach 177 million in 2021 along with improvement in quality of

services to achieve vision 2021 target of the government.

With the rapid growth of medical technology, developed and most of developing

countries(Malaysia, India, South Africa and so many) produce and introduce Skilled

BME/CEP and to ensure HCM/ HCS.

Whereas developing countries like BD still focusing to produce and introduce BME/CEP. As

the result, HCM is facing multiple Problems (Operator error, diagnostic result confused,

equipment calibration, time being maintenance).

A safe and cost effective HCM is not established in Bangladesh yet.

To produce numerous skilled professionals, government has started medical physics and

technology, biomedical and clinical engineering education program in various universities,

technical and vocational training institutes to strengthen the local capability for the efficient

delivery of healthcare services and for the advancement of methods used for diagnosis,

therapy and rehabilitation.

With the establishment of national technical committee for medical devices through

Directorate General of Drug Administration (DGDA) and the Ministry of Health and Family

Welfare, Bangladesh, strengthening quality management, local capacity enhancement,

develop skilled professionals, is supporting innovation through educational initiatives, and

encouraging the inclusion of expert professionals from various electro-medical industries.

Number of institutions of health technology

along with the number of seats (June 2016)

• To Produce and introduce BME/CE and establish CED in each hospitals of BD.

• To ensure safe HCTM practice and enhancement of HCDS.

• Academic leadership training program through collaboration with foreign

universities/institutions to produce skilled engineers.

• Ensure the quality control and management of medical equipment at high

standard through the support and monitoring policy from the developed

country nominated by WHO.

• Establishment of a common platform for biomedical and clinical engineering

professionals to ensure the effective HCTM nationwide by organizing seminar,

conference, workshop and symposiums for disseminating the knowledge of

relevant fields.

• To enhance patient safety and diagnosis results.

Objectives

Standard patient management Chain Through HCTM

Accurate

Results

Patient

Curative

Referral

Doctor

Investigation

Proper

Medication

Medical

Equipment

X

HCTM Cycle and BME/CE

Government and private institutions offering MBBS degree

with the number of seats (June 2016)

Unregulated power Supply

Temperature of room is not OK

Failure of monitor Equipment is not

calibrated or leakage current

Present Status in Bangladesh

Current performance of conventional trained engineers with reference of skill clinical engineers in Bangladesh

Conventional trained engineering practice in

MEMS in the health Services of Bangladesh

Current status CEP in reference of in BD vs. Requirement

Scenario required CEPs versus appointed CTEPs in health care

technology management for the past 30 years of

Bangladesh Government

Current Treatment Facilities and Manpower in Radiotherapy

Necessity of BME/CED In Hospitals of Bangladesh

for Safe and Cost Effective HCS/ HCTM

Present involvement of CEP with respect to standard

involvement of CEP in HCTM Bangladesh for HCS

Specialized doctor

Cost Effective Method to Produce and Introduce

BMEs, CEs, CTEs and BMETs

Patient

Radiation

Clinical lab

Ref doctor

Room Temperature control

Electric stable power

Equipment calibration Preventive maintenance

Clinical settings

Stand by power

Cleaning

Dose setting & Radiation safety

BME/CED

CET CET BMET MP

MS TS

ITS

Surgery

Medication

Hospital in house BMED/CED ? Result of patient ?

Recommendations

Medical Equipment

Management System

Patient

Tie-up

Hospital In House

BME / CED Best path

Medical Technologist

& Diagnosis Doctor

Medical

Doctor

Biomedical / Clinical Engineers Testing & Calibrating Medical Equipment before apply on patient

Health Care Management System in BD

• Measuring tools: 5-10 BME /

CE Professionals for 250,000

populations and in

Bangladesh total population

considered 170 million

• CE: CET: BMET= 1:2:4 • Reference: web-based

Standard Requirement vs. Existing (CETP) in BD

Step 1: Creation of different levels of

BME /CE in Bangladesh (long time plan)

Creation of graduate

BME/MPBME/CEPT

(i) 3 yrs Engineering course

in Engineering university

(ii) 1 yr Hospital attachment

HSC or Level 12 with excellent

performance in Math, Physics,

Chemistry, Biology/ & English/EME

Ph.D in BME/CEP

Creation of Post Graduate

BME/CEP

For MS in BME / CEPT

(i) 1 year course work

(ii)1 year research including hospital attachment

Bachelor of Engineering in

BME/MPBME/EEE/ME/CSE/CHE/

CE/Applied Physics/MBBS

1 yr course

&

1 yrs thesis

1 yr course & 2 yrs thesis

Step 2: Creation of BME or CE through

training in Bangladesh

(i)Basics of Anatomy - 3month

(ii) Simple Math-6 month

(iii) BME/CE Courses: 15months

(iv) Hands on training: 12 month

Total duration 36 months

Creation of

BME/CEPT through

training

Paramedics, electro-medical

Diploma/DEE/DEE/DCSE/DAC,

Nurses

In service Diploma Engineer

& Sr. EMT/BMET/

Course work: 6 months

Research and data hands

on training 6 months

In-service personnel

(B.Sc. Engg in

BME/MPBME/EEE/ME

/ CSE/AP/CE/MBBS

candidate

i)Basics of Anatomy - 3month

(ii) Simple Math-6 month

(iii) BME/CE Courses: 15months

(iv) Hands on training: 12 month

Total duration 36 months

Do we think for

BME/CE?

Concluding Proposals