The challenges of installing Picture Archiving and Communication Systems (PACS) in a low- or poor-income resource nation: Our experience in a teaching hospital in Sub-Saharan Africa

The practice of radiology as a subspecialty of medicine has undergone remarkable advancement as a result of picture archiving and communication Systems(PACS) technology. This technology allows for storage and retrieval of radiographic images and reports at any time, and possible transfer to other locations for secondary viewing and opinions. PACS enables healthcare professionals to access and review medical images quickly, allowing for faster and more accurate diagnosis and treatment planning. However, there are challenges involved in its installation and operations in our health facility, a teaching hospital in Sub-Saharan Africa. These challenges range from lack of huge financial resources required to acquire PACS equipment and accessories to lack of steady and regular electric power supply. Other challenges include inadequate dedicated space for its installation, inadequate functional cooling systems for its sensitive components, inadequate internet services for end users and paucity of qualified and trained personnel. There is, therefore, need for increased government and private sector funding in order to surmount these challenges, thereby enhancing health promotion in Sub-Saharan Africa.