An evaluation of biomedical engineering personnel is conducted to determine the workforce composition and distribution across health facilities. This analysis identifies significant deficiencies, including the finding that one-third of the assessed facilities have no biomedical engineer and that numerous established posts remain unfilled. The resulting data informs targeted strategies for professional development and recruitment to address these workforce gaps.

The effectiveness of skilled technicians is contingent upon a conducive and properly equipped work environment. The physical infrastructure of maintenance departments is assessed, revealing that a majority of facilities lack requisite elements such as dedicated repair areas, secure storage for spare parts, and designated quarantine spaces for non-functional equipment. Pinpointing these foundational gaps is a critical prerequisite for establishing functional and efficient workshops.

A comprehensive audit is undertaken to ascertain the true operational status of essential medical devices. The assessment reveals a significant discrepancy between presumed and actual functionality; for instance, nearly one-third of tested oxygen concentrators were found to be operating below the WHO-recommended 82% concentration. By quantifying the high proportion of broken anesthesia machines and sterilizers, the audit provides an accurate depiction of equipment uptime across the health system.

An assessment of operational excellence is performed to identify systemic failures in maintenance activities. The analysis reveals critical gaps in readiness, including a near-total absence of essential spare parts for oxygen concentrators in most facilities and an "alarmingly low" average operational score. Furthermore, it was found that established processes such as Planned Preventive Maintenance often have low-to-zero execution, highlighting fundamental deficiencies in operational systems.