Validation of a framework for assessing healthcare facilities in low-resource settings: a field study in selected facilities in Ethiopia

Purpose: The aim of this paper is to expand and further validate a framework to assess healthcare facilities in low-resource settings, with a specific focus on the challenges related to medical equipment, facility infrastructure, and oxygen devices. The collected information will allow informing practical solutions and scalable interventions applicable to similar settings, globally. Methods: The study employed a mixed-method approach, combining field observations and notes with an online-based survey to gather data and insights. The survey was developed based on an existing one and expanding it to include more details related to oxygen devices. Results: A total of 20 hospitals was assessed in Ethiopia. The findings highlight significant challenges, including resource limitations, inadequate staffing, and a lack of maintenance scheduling and spare parts. Notably, issues relating to oxygen supplies and deficiencies in essential safety devices were identified in the majority of healthcare facilities. Conclusions: In conclusion, the resulting framework has been instrumental in identifying and addressing the gaps and challenges related to health facilities in Ethiopian hospitals. The results can help promote stakeholder engagement to enhance capacity-building initiatives, promote local manufacturing and collaboration, improve infrastructure planning and maintenance, strengthen partnerships with international organizations, and address the existing challenges in the region.