2025

Biomedical Engineering and
Medical Oxygen Milestones

2025

Biomedical Engineering and
Medical Oxygen Milestones

A Note from Our Team

This year, Build Health International (BHI) advanced its work to expand access to medical oxygen worldwide. What began as an emergency response to the COVID-19 pandemic nearly five years ago has grown into a global network to strengthen health systems and ensure oxygen delivery is reliable, efficient, and maintained.

In 2025, BHI's team of biomedical engineers and global health experts worked alongside hospital staff, technicians, and government partners to design oxygen systems for the long-term. Through training of trainers programs, maintenance support, and management training, BHI strengthened local expertise and equipped health facilities to take full ownership of and sustain their biomedical engineering systems.

These efforts are reinforced through partnerships and local ministries of health. Together, these strategic partnerships are enhancing technical capacity building and strengthening oxygen systems that can operate independently for years to come.

Each milestone reflects collaboration across borders and disciplines. And every project moves us closer to a world where access to reliable oxygen is a standard part of dignified care for all.

In solidarity,
The BHI Biomedical Engineering and Medical Oxygen Team

Year in Review

January 2025

The BHI Biomedical Engineering and Medical Oxygen team kicks off the year with pressure swing adsorption (PSA) plant Maintenance and Management Training in Zanzibar.

February 2025

The Lancet publishes a comprehensive study that reports the disparities in medical oxygen access, including advisory input from BHI, underlining the importance of technical collaboration to close gaps.

March 2025

Recognizing the importance of capacity building in Challenging Operating Environments (COEs), the BHI team travels to Niger to provide medical oxygen training.

April 2025

To meet increased training demands, BHI Biomedical Engineering and Medical Oxygen staff convene in Kigali, Rwanda to complete a Training of Trainers (TOT) and expand team capabilities.

May 2025

Biomedical engineers complete post-commissioning assessments at four new PSA plant installations in Liberia, supported by the Global Fund Project BOXER.

June 2025

The team travels to Asia and utilizes local language translation to provide a series of medical oxygen training in Cambodia and Mongolia.

July 2025

On-site in Kigali, Rwanda, BHI films educational content to assist biomedical technicians and engineers with PSA plant maintenance tasks.

August 2025

BHI welcomes trainees from the Ministry of Health of Ethiopia at the Rwanda Training Center, supported by Clinton Health Access Initiative (CHAI).

September 2025

The team installs a PSA plant at the newly constructed Maternal Center of Excellence (MCOE) in Sierra Leone in preparation to receive patients in early 2026.

October 2025

Supported by the Global Oxygen Alliance (GO2AL), BHI kicks off a project to develop guidelines to create practical, accessible technical guidance on powering oxygen systems with solar and other renewable energy sources in low-and-middle income countries.

November 2025

BHI conducts medical oxygen training – including Maintenance, Management, Repair Assessment, and Electrical Assessment Trainings – in Angola and the Central African Republic.

December 2025

Partnering with Partners In Health and the Dalton Foundation, the team provides remote PSA plant Maintenance Training for biomedical engineers and technicians in Haiti.

Impact

2025 - In Numbers

288

PSA plants supported with Technical Advisory in 2025

45+

Countries supported with Technical Advisory in 2025

52

Trainings in 2025

1,006

Training participants in 2025

33

Countries received training in 2025

163

Educational resource documents published across English, French, Spanish, Portuguese, and Russian

Milestones

Global Progress and Evidence-Based Investment

Since The Lancet first underscored the critical role of reliable oxygen in health systems, governments and global partners have made major investments to strengthen access and reliability. Evidence-backed publications such as the Malawi Oxygen Report and substantial findings from The Global Fund continue to guide strategic, data-backed interventions that deliver measurable impact.

Global Progress and Evidence-Based Investment

Since The Lancet first underscored the critical role of reliable oxygen in health systems, governments and global partners have made major investments to strengthen access and reliability. Evidence-backed publications such as the Malawi Oxygen Report and substantial findings from the Global Fund continue to guide strategic, data-backed interventions that deliver measurable impact.

Training of Trainers and Resource Development

BHI’s Training of Trainers (TOT) model, based on the community health worker model, and development of permanent learning resources have been central to building lasting capacity. By embedding technical knowledge within national and regional networks of biomedical personnel, this approach equips engineers and technicians to independently manage, maintain, and expand oxygen access over time.

Training of Trainers and Resource Development

BHI’s Training of Trainers (TOT) model, based on the community health worker model, and development of permanent learning resources have been central to building lasting capacity. By embedding technical knowledge within national and regional networks of biomedical personnel, this approach equips engineers and technicians to independently manage, maintain, and expand oxygen access over time.

Beyond On-Site Training

In the face of funding constraints, the focus is shifting toward scalable, locally driven resources that strengthen technical capacity. Digital learning tools, regional training centers, and comprehensive technical manuals allow teams to troubleshoot and sustain their systems. By investing in these permanent resources, healthcare teams can maintain reliable oxygen systems and respond effectively to evolving challenges.

Beyond On-Site Training

In the face of funding constraints, the focus is shifting toward scalable, locally driven resources that strengthen technical capacity. Digital learning tools, regional training centers, and comprehensive technical manuals allow teams to troubleshoot and sustain their systems. By investing in these educational resources, healthcare teams can maintain reliable oxygen systems and respond effectively to evolving challenges.

“A very informative training course by BHI that really emphasized the importance of technicians and engineers at PSA plants.”
—Maintenance Trainee, Democratic Republic of Congo

Our Partners

Our Partners

“The BHI trainers were professional, knowledgeable, and patient, which is the best aspect of a trainer. The team is of great world-class standard and should keep it up as we save lives one breath at a time.”
—Training of Trainers, Kenya

Reflections

As we reflect on the progress made in 2025, we remain committed to strengthening biomedical engineering and healthcare systems and expanding access to life-saving medical oxygen.

Our educational resource platform offers a growing library of instructional videos, written guides, and tools to support healthcare providers around the world. These resources are available whenever they are needed to ensure reliable oxygen delivery and biomedical systems. Explore the platform today and join us in closing the oxygen gap and saving lives.

“As a manager, I am so happy to receive such an amazing training [from BHI] that is going to help me improve and manage the PSA plant to strengthen oxygen delivery at my station in Mbarara Regional Referral Hospital.”
—Maintenance Trainee, Uganda

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