 Hello everyone, I'm Naima Nassar and my own medical focus is on government arrangements for medical devices in South Africa or the specific focus in Kenya. The medical devices and equipment are often imported as critical to improving newborn care, quality of newborn care, and also reducing newborn mortality. However, many of these medical devices come with several challenges and those may be challenges related to their availability and access, the quality of the medical device and appropriateness, and also issues to do with safety, including significant harm to the wider health system. And key to addressing some of these challenges are governance arrangements. What are these governance arrangements? Governance itself is quite a broad concept, but generally it goes to rules, processes and structures that may be informal or formal that are interpreted and applied across the health system and tend to guide the rules and relationships of multiple actors that includes policy makers, healthcare providers and people. Governance enables different functions across the health system and specifically for medical devices that includes regulation, oversight, accountability and management. So governance influence is how medical devices will be selected, introduced and adopted within health systems, but as I said many of the medical device strategies are often linked to inadequate policies and processes for governance. I did a scope review in the first year of my review and it showed that many of the frameworks for governance for medical devices are still largely focused on either international or national frameworks for market approval, so regulatory approval to bring in devices into the market. And it's still quite unclear how governance and oversight are caused in a complex health system, including how devices enter in health facilities and what oversight occurs while they're in use. And that requires an in-depth examination, particularly in the one setting and that's what I'm trying to do. So my digital exam and governance arrangements for medical devices that I introduced when we won't get any hospitals, starting with that international or national level, but also looking at what happens at the counties and what happens when medical devices are introduced within hospitals. And then to see how these different levels interact to shape the introduction and oversight of medical devices. My methodology is largely qualitative, which would even have tasted at least four national hospitals, county hospitals rather, and then interviews with key stakeholders across these levels of policy analysis and document review, and then practice very few workshops with stakeholders. And they aim largely to come up with some key considerations to see how we can strengthen the relevance and the application of governance policies and processes, which then will hopefully contribute to improving quality of new healthcare.