Month: April 2016
Countries where training on sterile supply was presented
Ghana: 1982-1989; Kumasi; various hospitals all over the country
Tanzania: 1997; Mombasa Polytechnic
12-04-2016: Guest lecture at University of Wageningen: Facing the Standards Gap
At the Wageningen University here in the Netherlands within the context of the study on Health and Society, the topic Global Health is presented.
For this topic Jan was invited to present on his experiences in the developing world with focus on the problems that are caused by the International Standards for technology in the healthcare system. Title of the lecture: Facing the standards gap. Using Sterilization as field of experience, he described a range of cases as he met in several African countries. With non-functioning sterilizers caused by non compatibility of standards with the local socio-economic reality. The main conclusion was that the majority of standards are developed in a context of the industrialized world, where the infrastructure is available to meet the requirements as described in the standards. Of the African continent on 3 countries are member of the ISO technical commitee for sterilization. Thus specific problems met in these countries are not reflected anyin any way in the text of the standards. Thus there is a big gap between the reality in many countries and the reality that is assumed when implenting the standards as they have been formulated. A statistic of the amount of money available for health care per capita per year, as made available through the WHO, shows a clear factor in the reason behind the problem. Societies with less than 100 USD/per person per year as compared to the 1000 and more in the industrialied world clearly demonstrate the root of the problem. Transplanting technology developed in that context to a country where that infrastructure in not available is bound to fail. During the lecture guidelines were proposed for addressing the issue. It will be great challenge to handle this issue, that has enormous effects on the health of millions of people world wide.
2016: Member countries of CEN and ISO Technical Committees on sterilization. ISOTC198; CENTC192T; C204 Sterilization
The presentation can be viewed here.
The lecture as based on an article that was published in the scientific Journal Zentral Sterilization/Central Service: 2014-3; Facing the standards gap: a sterilizer for the rest of us.
Projects/Activities/CV. 2000-2009
| Impression | Year(s) | Local/International Partner organization | Financing oganization | Project/Activities |
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2008 |  AFS Associacion Francaise de la Stérilisation, France |
 MHP-Verlag, Germany, 2008 |
Publication of book “Stérilisation des dispositifs médicaux à la vapeur d’eau. Volume 1 Aspects Théoriques” |
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2009 |  Coordination Catholique National de la Sante (CoNaSan), Bangui, Central African Republic |
MI Würzburg /KfW, Germany |
Training on sterilisation of medical supplies for users and technicians for staff of health facilities of CoNaSan as well as Ministry of Health. Training presented in Bangui. |
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2009 | Coordination Catholique National de la Sante (CoNaSan), Bangui, Central African Republic |
MI Würzburg /KfW, Germany |
Inventory of infrastructures and equipment in the health service under CoNaSan. Initial implementation for CoNaSan of software for Planning and Management of Assets in the Health Service (PLAMAHS) |
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2009 |  Ministère de la Santé /Programme d’Appui au Développement Sanitaire (PADS) Ouagadougou |
Ministère de la Santé/ Programme d’Appui au Développement Sanitaire (PADS) Ouagadougou |
Training on sterilisation of medical supplies for technicians. Training presented at the MoH General workshop in Ouagadougou |
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2008-2009 |  MoH, Amman, Jordan |
 Swiss Centre for International Health/SECO, Bern, Switzerland |
Strengthening Hygiene & Laboratory Services in MOH Hospitals Technical Assistance – CSSD. Training on sterilization of medical supplies for users; assistance on implementation of standards of a Quality Management System for sterilization departments in hospitals in Jordan. |
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2008 |  Martin de Porres Hospital, Eikwe, Eastern Region, Ghana |
Missions Aertzliches Institut Würzburg, Germany |
Installation and commissioning of second generation camshaft controlled semi automatic autoclave. Training of staff |
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2008 | Ministère de la Santé / Programme d’Appui au Développement Sanitaire (PADS) Ouagadougou, Burkina Faso |
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Refresher training on sterilisation of medical supplies for technicians. Training presented at the MoH General workshop in Ouagadougou |
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2008 | Ministère de la Santé / Programme d’Appui au Développement Sanitaire (PADS) Ouagadougou, Burkina Faso |
Inventory of infrastructures and equipment in the health service. Follow-up on Implementation of software for Planning and Management of Assets in the Health Service (PLAMAHS). Introduction to maintenance module. Evaluation of the past 2 years; data analysis. | |
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2008 |  MoH, Cameroon |
EPOS/GTZ |
Training on sterilisation of medical supplies for users and technicians. 4 sessions. The courses were presented in English and French. Venues: Kumba District Hospital (English speaking) and Nkongsamba Provincial Hospital. (French speaking) |
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2008 |  CIPHEP Abuja, Nigeria |
BEGECA-MISEREOR |
Training of users and technicians on installation and repair of medical equipment (Autoclaves, Operating table, Operating light, Distilling equipment). The one-week courses took place at St. Gerard’s Hospital, Kaduna and Bishop Murray Medical Centre, Makurdi. The equipment was supplied to 22 health facilities throughout the north of Nigeria. |
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2007 |  Tuttnauer, Beit Shemesh, Israel |
Presentation of training on sterilization for the sales team of Tuttnauer sterilizer manufacturer. | |
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2007 |  University of Stellenbosch/Cape Town, South Africa |
Presentation of the sterilization component of a post graduate course on Disinfection and Sterilization and of medical supplies. The course was directed to staff of CSSD and Infection Control nurses and micro-biologists of several hospitals in South Africa (12 day visit). See Travel Report | |
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2007 | German Red Cross Berlin, Germany |
Adaptation of PLAMAHS software for procurement/logistical support for DRK. Implementing procurement and logistical support module. | |
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2007 |  Interster, Wormerveer, The Netherlands |
Publication of book “Sterilisatie van Medische Hulpmiddelen met Stoom, Deel 1 – Algemene Theorie” Revised version for Dutch speaking market | |
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2006 |  Ministry of Health Indonesia |
Hospitalia Germany |
Training on sterilization of medical supplies. Course for users and technicians of 13 hospitals of East Nusa Tenggara (NTT) province, Indonesia. |
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2006 | Ministère de la Santé/Programme d’Appui au Développement Sanitaire (PADS) Ouagadougou |
Inventory of infrastructures and equipment in the health service. Follow-up on Implementation of software for Planning and Management of Assets in the Health Service (PLAMAHS). Adaptation of PLAMAHS software for cartographic analysis. Introduction to maintenance module. Data analysis. Refresher training. | |
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2006-2007 | German Red Cross/ Medical Mission Institute, Wurzburg |
Compilation of tender documents for procurement of Emergency Response Unit – Referral hospital. | |
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2006 |  Ministry of Health, Lilongwe, Malawi |
KfW / Mediconsult |
Review of PLAMAHS asset management software. Including optimization of the equipment maintenance module. Preparation of the software for the planned Public Private Partnership concerning medical equipment maintenance in Malawi. |
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2005 | University of Stellenbosch/Cape Town, South Africa |
Training on sterilization of medical supplies. Courses for junior and senior technicians of the Ministry of Health | |
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2005 | Ministère de la Santé, Ouagadougou, Burkina Faso |
GTZ/IP/Swiss Tropical Institute |
Training on sterilization of medical supplies. Courses for junior and senior technicians of the Ministry of Health |
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2005 | Ministère de la Santé, Ouagadougou, Burkina Faso |
GTZ/IP/Swiss Tropical Institute |
Training on sterilisation of medical supplies. Courses for techniciens of the DGIEM. |
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2005 |  MoH, Vientiane, Laos |
Lux Development | Inventory of infrastructures and equipment in the health service. Second phase of implementation of software for Planning and Management of Assets in the Health Service (PLAMAHS). Training of data collectors, users and system managers |
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2005 |  Ministère de la Santé et de Prévention. Senegal. |
Euro Health Group/ Nordic Development Fund. | Training on sterilisation of medical supplies. Courses for technicians and users. 3 sessions for technical staff. 1 session for users. |
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2004 | MoH, Vientiane, Laos |
Lux Development | Inventory of infrastructures and equipment in the health service. First phase of implementation of software for Planning and Management of Assets in the Health Service (PLAMAHS). Adaptation of PLAMAHS software to Laos setting. Training of data collectors, users and system managers |
| 2004 |  MoH, Kampala, Uganda |
Group 5/ADF | Rehabilitation of 32 Health centres, the national referral metal health facility and 6 regional Mental health facilities. Assistance in preparations of procurement lists and calculation of budgets using PLAMAHS software | |
| 2004 |  EFHSS Congress, Izmir, Turkey, |
Specifications for sterilizers in health facilities with limited resources: Poster presentation on need for appropriate specifications for steam sterilizers | ||
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2004 | HEART Consultancy |
Publication of second revised edition of book “Sterilization of Medical Supplies by Steam, Volume 1 – General Theory” | |
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2003 | Ministère de la Santé, Ouagadougou, Burkina Faso |
GTZ/IP Maintenance/Swiss Tropical Institute. |
Inventory of infrastructures and equipment in the health service. Implementation of software for Planning and Management of Assets in the Health Service (PLAMAHS). Adaptation of PLAMAHS software to Burkinabe setting; Translation to French. Training of data collectors, users and system managers and final analysis and reporting during 4 visits. |
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2003 | MoH, Lilongwe, Malawi |
Group 5/EU | Physical Asset Management program: Presentation of courses for users and engineers on sterilization of medical supplies. One-week courses for key staff of operating theatres and CSSD and technical staff of the regional maintenance units. |
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2002 | EFHSS, Belgium | Creation of section for the educational part of the website of the European Forum for Hospital Sterile Supply (EFHSS) (www.efhss.com) Topic: Cleaning | |
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2002 | Joint Medical Store, Kampala, Uganda |
MI Missions Ärztiches Institut, Würzburg, Germany |
Training on the use of software for Planning and Management of Assets in the Health Service (PLAMAHS). One week course to staff of the Technical Services Department of JMS in Kampala, Uganda. |
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2002 | Joint Medical Store, Kampala, Uganda |
Missions Ärztiches Institut, Würzburg, Germany |
Training programme for users and technicians of sterilization equipment. |
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2001 | HEART Consultancy/DigitalColour | Launch of HEART Consultancy Website | |
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2001 |  Infusion Units Project, Moshi, Tanzania |
Missions Ärztiches Institut, Würzburg, Germany |
Training programme for users and technicians of sterilization equipment. Compilation of training materials, presentation of courses, assisting health facilities in repairs of equipment and advice on sterilization practices. The first set of courses two one-week courses was implemented in January 2001 in Moshi, Tanzania 2001. A second set of courses took place in February 2002 in Kampala, Uganda |
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2001-2002 | Technical University, Faculty Mechanical Engineering; thermodynamimics. Eindhoven, The Netherlands |
Research on performance of pressure cooker type sterilizers: air removal; improvement of drying by condensor. (Fullers; All American) | |
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2001-2002 | Technical University, Faculty Mechanical Engineering; thermodynamimics. Eindhoven, The Netherlands |
Research on performance of hot air sterilizers. Recommendations. Students: J. de Cock, P. Ooms, G. Samson |
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2000-2004 | Technical University, Faculty Mechanical Engineering; thermodynamimics, Eindhoven, The Netherlands |
Research and prototyping of improved design of appropriate sterilizer for the health services of low income countries. Focus on: – adequate air removal, – semi automatic, camshaft control – drying by condensation of steam: Water cooled and air cooled condensor. The research was to result in a prototype sterilizer, ready for field testing and in a later stage a sterilizer suitable for larger scale production. More than 100 students were involved. On 06-07-2004 the prototype was sent to St John of God Hospital , Eikwe, Ghana |
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1998-2003 | MoH, Lilongwe, Malawi |
Group 5/EU |
Physical Asset Management program (PAM). Involvement as associated consultant/software developer. Adapting the computerized Planning and Management System of Assets (PLAMAHS) to the requirements for Malawi. Analysis of data of all medical assets. Developing of equipment standards and tender documents. Development of maintenance component to be integrated into the system |
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2000-2005 | MoH, Dakar, Senegal |
Euro Health Group, Copenhagen, Danmark | Procurement of equipment and setting up of training programme in Hospital Hygiene for 22 hospitals and 225 health posts. Involvement as associated consultant in field of sterilization of medical supplies: Needs assessment, technical specifications, procurement and training of users and technical staff |
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2000-2005 | MoH, Dakar, Senegal |
Euro Health Group, Copenhagen, Danmark | Adapting the PLAMAHS Asset management system for the procurement project of equipment for hygiene. Creation of French Version |
| 1999-2000 | MoH, Kampala, Uganda |
Danida | Health Infrastructure Division/Ministry of Health. Involvement as consultant/software developer. Adapting the computerized Planning and Management System of Assets (PLAMAHS) to the requirements for Uganda. Analysis of data of all medical assets. Developing of equipment standards and tender documents. |
