A survey of magnetic resonance imaging (MRI) availability and cost in Zimbabwe: Implications and strategies for improvement

Abstract

Introduction: Resolution 60.29 (18) of the 60th United Nations World Health Assembly urges member states to gather, verify, update, and exchange information on health technologies, especially medical devices. This study assesses Zimbabwe's MRI service availability and cost, identifies disparities, and discusses implications for patient care and healthcare equity, proposing evidence-based improvement strategies.

Methods: A cross-sectional survey was conducted to capture the specifications of all the MRI equipment, including manufacturer, type of magnet, magnetic field strength, location, and installation year. Data obtained was analyzed using the Stata 13.

Results: As of 27 April 2024, there were 11 MRI scanner units in Zimbabwe, 9 of the MRI machines were operational, while 2 were not operational. The majority of these scanners (8 [73%]) are located in the private health sector. All the units are situated in urban provinces. Out of the 11 units, 7 (64%) are located in the Harare Metropolitan Province, 3 (27%) are in the Bulawayo Metropolitan Province, and 1 (9%) is in the Midlands Province. All MRI examinations, except for head scans, were more expensive in the private sector compared to the public sector.

Conclusions: The survey on MRI equipment availability and utilization in Zimbabwe revealed major differences in access to this critical diagnostic tool. Strategies for improvement include targeted investments in MRI units, funding programs for healthcare providers, equipment-sharing initiatives, subsidy programs, standardized protocols, and strategic collaborations between Original Equipment Manufacturers and the government.

Keywords: Availability; Cost; Implications; Improvement; MRI; Strategies; Survey.