A Cross-Sectional Survey Of Availability And Technical Feasibility Of Basic Medical Equipment To Run Community-Based Clinical Trial Sites

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Recent research on A Cross-Sectional Survey Of Availability And Technical Feasibility Of Basic Medical Equipment To Run Community-Based Clinical Trial Sites, In Cross River State, Nigeria published in Advances in Clinical and Medical Research.

Background: The ravaging penetration of communities and rural populations by epidemics of new diseases needs to be matched with suitable drugs to treat a variety of diseases. To develop drugs in developing countries there is a need for suitable infrastructure to run efficient clinical studies in a community-based setting.   The selection of trial sites by sponsors must meet certain criteria which may include, among others, the availability of appropriate medical equipment. This study surveyed the availability and technical feasibility of basic medical equipment in community-based clinical trial sites in Cross River State, Nigeria.

Materials and Method: Eighty-five 85 community-based clinical trials sites met the inclusion criteria for the study. Seventy-eight were randomly selected after adjusting for the 97% response rate set by the researcher. A close-ended questionnaire of 14 questions was the data collection tool. Direct observation of the equipment was also made by the researcher in the participant's trial sites. Basic medical equipment and facilities such as small onsite laboratory, pharmacy with storage space, refrigerator, electrocardiography machine, urinalysis device, handheld glucometer centrifuge, computer with internet access, pregnancy test device and electric power generating set were assessed, for availability and functionality in 75 community-based clinical trial sites.

Results: Out of the 78 participants randomly selected, seventy-five completed the study. Seventy-nine percent of the participating community-based clinical trial sites had onsite laboratory facility, 92% had a pharmacy with space for study drug storage. A functional centrifuge was available in 73% of the sites and a computer with internet access was available in 76% of the participating community-based clinical trial sites. Urinalysis device and a refrigerator were each available in 100% of the study sites. A power generating set for electricity backup was available in 99% while an electrocardiography (ECG) machine was available in 52% of these private-sector community-based clinical trial sites.

Conclusion: These resources finding very unique study revealed that the community-based clinical trial sites in Cross River State, Nigeria, had all necessary basic medical equipment which can be sufficient to run Pharmaceutical company-sponsored clinical studies. The availability and technical feasibility of the equipment in these trial sites were adequate to influence the perception of affordability of care for patients; ensure quality and safety to trial subjects, generate, and document reliable clinical trial data.

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