Abstract

Increasing radiology capacity in low-income countries (LIC) can improve clinicians’ access to diagnostic imaging tools and improve patient care. Ultrasound (US) is important in LIC due to its lower cost compared to that of CT or MRI scans and its excellent diagnostic ability. The relative portability of the equipment makes it ideal for donation by charitable organizations. We describe our experience as a radiology-capacity-focused charity working with the Haitian healthcare system and propose strategies to increase ultrasound capacity in other poor countries.

Highlights

  • It is widely quoted from the World Health Organization (WHO) that two-thirds of the world does not have access to radiology services, and recent authors affirm that access to imaging in the low-income regions of the world remains dismal (1)

  • We describe our experience as a radiology-capacity-focused charity working with the Haitian healthcare system and propose strategies to increase ultrasound capacity in other poor countries

  • More portable devices have allowed for the development of Point of Care Ultrasound (POCUS), where the exam is performed at the patient’s bedside or in the field, which is helpful in austere resource settings

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Summary

Introduction

It is widely quoted from the World Health Organization (WHO) that two-thirds of the world does not have access to radiology services, and recent authors affirm that access to imaging in the low-income regions of the world remains dismal (1). Based on HRD Corps assessment tours across Haiti in 20172018, most of the 15 hospitals and clinics have ultrasound. Building radiology capacity in LIC often requires sourcing the imaging equipment and finding ways to service that equipment for the client site.

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