Abstract
This article assesses the impact of a unique evidence-based biomedical equipment technician training program on the healthcare infrastructure and the productivity of technicians in Rwanda. Matched cohorts of hospitals included 9 technicians who received no training and 11 with 1 year of training. Equipment from selected departments were surveyed and classified based on functionality and use. Technician and hospitaldirector interviews included management processes andrequests for technical assistance and details of equipment repairs from the past 12 months. Obstacles to returning partially functional and out-of-service equipment to use were recorded. Nearly twice as much equipment is out of service at hospitals where the
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