Although modern medical equipment is extremely complex, basic challenges continue to prevent them from operating properly in low-resource hospitals. Issues such as damaged cords, clogged filters, or even blown fuses can result in equipment being stored away or discarded. Often new equipment sits in boxes because healthcare staff are not sure how to use a new device, or the manual is not in the local language. Other times, more complex problems require advanced techniques, such as replacing burnt out resistors that have been damaged by a power surge.

The EWH Institute Programs involve intensive training that prepares all STEM majors for improving equipment conditions in our partner hospitals. The course and lab materials were developed by Dr. Malkin’s Developing World Healthcare Technology Lab and are continually supported by the EWH BMET Library.

Course Syllabus and Sample Schedule

EWH Institute Textbook on Amazon Click Here to view the EWH BMET library


In 2015, film students from Virginia Commonwealth University visited our program in Nicaragua. Their film below is an excellent overview of the challenges participants face, and the impact they can make through creative problem solving. Many of our partner hospitals do not have any technical support and, as you will see, even in Nicaragua where they do, many challenges remain...

You can watch more videos on our Vimeo or our Youtube channel.


Once training is complete, participants work with our partner hospitals for 3-8 weeks, providing technical and engineering support. Since 2004, over 700 EWH Institute participants have repaired over 7,000 pieces of hospital equipment, worth an estimated $14.3 million. Equipment repaired commonly includes (but is not limited to) autoclaves, blood pressure cuffs, centrifuges, infant warmers and incubators, microscopes, patient monitors, and ultrasound machines. 

For more details see each program's report:

2017 Program Reports: Nicaragua - Tanzania - Rwanda - Uganda - Nepal

2018 Program Reports: Cambodia - Uganda - Guatemala

In addition, each team completes a secondary project. After speaking with staff and doing inventories to assess a hospital's needs, the team must design a project to meet the need. Past teams have purchased spare parts for their hospitals, built play areas for pediatric wards, translated instruction manuals for equipment, cleaned out rooms and built workshops for local technicians, installed a sink inside the hospital for nurses, built clotheslines for a hospital's laundry, hung mosquito nets over all the beds in a patient ward, built benches for waiting patients and family members, installed hand sanitizer stations, secured loose oxygen tanks, and much more.

Presentations and other reports

At the end of each program, EWH hosts a conference for participants to come together and share their experiences and the work they've accomplished. Here are a few of their presentations.

Click to view and/or download:



Each year, our participants document their experience in pictures. Want to know more about what participants do in our programs?
Look through EWH Institute participants' pictures on Flickr by clicking here.

Centrifuge 4


Analysis | African governments are far from powerless in #globalhealth initiatives like those against #AIDS