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Graham HR, Bagayana SM, Bakare AA, Olayo BO, Peterson SS, Duke T, Falade AG. Improving Hospital Oxygen Systems for COVID-19 in Low-Resource Settings: Lessons From the Field. Glob Health Sci Pract 2020; 8:858-862. [PMID: 33361248 PMCID: PMC7784072 DOI: 10.9745/ghsp-d-20-00224] [Citation(s) in RCA: 20] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/18/2020] [Accepted: 09/21/2020] [Indexed: 01/10/2023]
Abstract
Oxygen therapy is an essential medicine and core component of effective hospital systems. However, many hospitals in low- and middle-income countries lack reliable oxygen access-a deficiency highlighted and exacerbated by the coronavirus disease (COVID-19) pandemic. Oxygen access can be challenged by equipment that is low quality and poorly maintained, lack of clinical and technical training and protocols, and deficiencies in local infrastructure and policy environment. We share learnings from 2 decades of oxygen systems work with hospitals in Africa and the Asia-Pacific regions, highlighting practical actions that hospitals can take to immediately expand oxygen access. These include strategies to: (1) improve pulse oximetry and oxygen use, (2) support biomedical engineers to optimize existing oxygen supplies, and (3) expand on existing oxygen systems with robust equipment and smart design. We make all our resources freely available for use and local adaptation.
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Affiliation(s)
- Hamish R Graham
- Centre for International Child Health, University of Melbourne, MCRI, Royal Children's Hospital, Melbourne, Australia. .,Department of Paediatrics, University College Hospital, Ibadan, Oyo, Nigeria
| | - Sheillah M Bagayana
- FREO2 Uganda, FREO2 Foundation, Kampala, Uganda.,Biomedical consultant, Uganda Ministry of Health, Kampala, Uganda
| | - Ayobami A Bakare
- Department of Community Medicine, University College Hospital, Ibadan, Oyo, Nigeria.,Oxygen for Life Initiative, Oyo, Nigeria
| | | | - Stefan S Peterson
- Chief of Health, United Nations Children's Fund, New York, NY, USA.,Department of Women's and Children's Health, Uppsala University, Uppsala, Sweden.,Department of Global Public Health, Karolinska Institutet, Stockholm, Sweden.,School of Public Health, Makerere University, Kampala, Uganda
| | - Trevor Duke
- Centre for International Child Health, University of Melbourne, MCRI, Royal Children's Hospital, Melbourne, Australia.,School of Medicine and Health Sciences, University of Papua New Guinea, National Capital District, Papua New Guinea
| | - Adegoke G Falade
- Department of Paediatrics, University College Hospital, Ibadan, Oyo, Nigeria.,Oxygen for Life Initiative, Oyo, Nigeria
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Graham HR, Bagayana SM, Bakare AA, Olayo BO, Peterson SS, Duke T, Falade AG. Improving Hospital Oxygen Systems for COVID-19 in Low-Resource Settings: Lessons From the Field. Glob Health Sci Pract 2020. [PMID: 33361248 DOI: 10.9745/ghsp-d-20-00224.] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Oxygen therapy is an essential medicine and core component of effective hospital systems. However, many hospitals in low- and middle-income countries lack reliable oxygen access-a deficiency highlighted and exacerbated by the coronavirus disease (COVID-19) pandemic. Oxygen access can be challenged by equipment that is low quality and poorly maintained, lack of clinical and technical training and protocols, and deficiencies in local infrastructure and policy environment. We share learnings from 2 decades of oxygen systems work with hospitals in Africa and the Asia-Pacific regions, highlighting practical actions that hospitals can take to immediately expand oxygen access. These include strategies to: (1) improve pulse oximetry and oxygen use, (2) support biomedical engineers to optimize existing oxygen supplies, and (3) expand on existing oxygen systems with robust equipment and smart design. We make all our resources freely available for use and local adaptation.
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Affiliation(s)
- Hamish R Graham
- Centre for International Child Health, University of Melbourne, MCRI, Royal Children's Hospital, Melbourne, Australia. .,Department of Paediatrics, University College Hospital, Ibadan, Oyo, Nigeria
| | - Sheillah M Bagayana
- FREO2 Uganda, FREO2 Foundation, Kampala, Uganda.,Biomedical consultant, Uganda Ministry of Health, Kampala, Uganda
| | - Ayobami A Bakare
- Department of Community Medicine, University College Hospital, Ibadan, Oyo, Nigeria.,Oxygen for Life Initiative, Oyo, Nigeria
| | | | - Stefan S Peterson
- Chief of Health, United Nations Children's Fund, New York, NY, USA.,Department of Women's and Children's Health, Uppsala University, Uppsala, Sweden.,Department of Global Public Health, Karolinska Institutet, Stockholm, Sweden.,School of Public Health, Makerere University, Kampala, Uganda
| | - Trevor Duke
- Centre for International Child Health, University of Melbourne, MCRI, Royal Children's Hospital, Melbourne, Australia.,School of Medicine and Health Sciences, University of Papua New Guinea, National Capital District, Papua New Guinea
| | - Adegoke G Falade
- Department of Paediatrics, University College Hospital, Ibadan, Oyo, Nigeria.,Oxygen for Life Initiative, Oyo, Nigeria
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