The Inadequacy of Donating Medical Devices

The Atlantic revisits a topic covered earlier,Mike Miesen writes:
 Bwindi Community Hospital's devices graveyard. (Mike Miesen)
Mulago’s Neonatal Intensive Care Unit is a cramped, 20-by-30-foot rectangle. On the day I visit, it’s crowded with about 50 newborns in hospital beds and mothers’ laps. Justine, one of the two NICU nurses on shift, said it was a light day: “50 to 60 babies is the lowest—you will find 70 or 80 at times. We put them on chairs.”

The premature and low birth weight babies lie cordoned-off from the rest in a narrow space where 20 incubators are arranged like Tetris pieces; most were donated by NGOs and bilateral agencies like USAID. Many lay open, and the silence is interrupted only by the cries of newborns; no sound emanates from the machines.

They aren’t on.

“They’re old, so they break down soon,” Justine informs me matter-of-factly as we survey the carnage. 13 of the 20 incubators are broken.

The instructions for one are in Dutch. Ugandans typically speak Luganda, Kiswahili, and English.
More here
For approaches that stand a better chance of succeeding see here , here and here