Resources
This library provides a comprehensive set of global and country-specific tools, guidance, and other resources to support oxygen scale-up and long-term respiratory care planning.
Hypoxemia Detection and Oxygen Therapy Practices in Neonatal and Pediatric Wards across Seven District and Referral Hospitals in Rwanda
JOURNAL PUBLICATION | Published in Frontiers in Pediatrics, this study examined the extent to which pediatric and neonatal inpatients are monitored and treated for hypoxemia in Rwanda.
March 2025
By: Harriet H. Webster, Christine Kayitesi, Jasmine Miller, Nang’andu Chizyuka, Felix Musabirema, Alida Ngwije, Brenda Kateera, Sanctus Musafiri, Hamish Graham, Felix Lam, Corneille Ntihabose
Use of Oxygen Therapy in the Emergency Department: A Multicentre Observational Study
JOURNAL PUBLICATION | Published in American Journal of Emergency Medicine, this study, part of the EC-COVID project, evaluated the use of ventilatory support in the emergency department during the COVID-19 epidemic in Italy.
March 2025
By: Alessandra Fusco, Carlotta Rossi, Guido Bertolini, Giorgio Costantino, Pietro Bellone, Andrea Duca, Giovanni Nattino
Automated Oxygen Control for Preterm Infants Receiving Continuous Positive Airway Pressure: An Open-Label Randomised Crossover Trial in South-West Nigeria
JOURNAL PUBLICATION | Published in The Lancet Global Health, this randomized trial compared automated versus manual oxygen control for preterm infants receiving CPAP in southwest Nigeria.
February 2025
By: Rami Subhi, Lachlann McLeod, Quadri Risikat, Alao Ridwan Akanbi, Adeola Baliqis Fasasi, Ayobami A. Bakare, Oluwatosin Helen Adeniyi, Olugbenga Akinrinoye, Olanrewaju Adeigbe, George Dargaville, Patrick James Berkeley Walker, Anneke Grobler, Olufunke Mosebolatan, Shiraz Badurdeen, Timothy Gale, Adegoke G. Falade, Hamish Graham
Clinical Evaluation of a Concentrator Medical Oxygen System with Automated Cylinder Back-up in Western Uganda: A Pragmatic Cluster Quasi-Experimental Trial
JOURNAL PUBLICATION | Published in VeriXiv, this quasi-experimental trial found that a concentrator-based oxygen system with automated back-up reduced oxygen interruptions and transfers for hypoxemic children in western Uganda.
February 2025
By: Rami Subhi, Joseph Mugerwa, David Peake, Graham Moore, Ritah Kenyange, Eleanor Nakintu, Daniel Murokora, Roger Rassool, Marc Sklar, Hamish Graham, Bryn Sobott
Contextual Factors Influencing Bubble Continuous Positive Airway Pressure Implementation for Paediatric Respiratory Distress in Low-Income and Middle-Income Countries: A Realist Review
JOURNAL PUBLICATION | Published in The Lancet Global Health, this study explores contextual factors influencing bCPAP implementation for children in LMICs and to develop a theory on how these factors influence implementation outcomes.
February 2025
By: Nadir Ijaz, Marie Nader, Matthew Ponticiello, Ashlee Vance, Brittney van de Water, Melissa Funaro, Qalab Abbas, John Adabie Appiah, Mohammod Jobayer Chisti, Walter Commerell, Suiyven Elvis Dzelamunyuy, Rudimar Martinez Fernandez, Anjelica Gonzalez, Cintia Johnston, Evance Luckson Kaiwe, Manjinder Kaur, Hans-Joerg Lang, Eric D. McCollum, José Marcos González Moraga, Jayashree Muralidharan, Kelsey Renning, Herng Lee Tan, Laura Alejandra Vélez Ruiz Gaitán, Sebastián González-Dambrauskas, Patrick Wilson, Brenda May Morrow, J. Lucian Davis
Effectiveness of a Short-Term Oxygen Therapy Training Program in Liberia during and after COVID-19
JOURNAL PUBLICATION | Published in Frontiers in Public Health, this study evaluates the implementation of a short-term respiratory care training to rapidly build health worker capacity during the COVID-19 response in Liberia.
February 2025
By: Mark B. Luke, Moses Ziah 2nd, Lily Zhi Ning Lu, Michael D. Davis, Samson Arzoaquoi, Eva Drucker, Foday Kanneh, Gorbee G. Logan, Moses Massaquoi
Managing Home Oxygen and Nasogastric Feeds Post-NICU Discharge: PCP Practices and Perspectives
JOURNAL PUBLICATION | Published in the American Journal of Perinatology, this cross-sectional survey assessed Colorado and Wyoming physicians’ perceptions and practices surrounding technology in NICU graduates, particularly considering the altitude.
February 2025
By: Lauren A. Beard, Blair W. Weikel, Kathleen E. Hannan, Amanda I. Messinger, Stephanie L. Bourque
Reducing Global Inequities in Medical Oxygen Access: The Lancet Global Health Commission on Medical Oxygen Security
JOURNAL PUBLICATION | The Lancet Global Health Commission on medical oxygen security aimed to synthesize available evidence and produce actionable recommendations. This article highlights the results of the Commission’s work.
February 2025
By: Hamish Graham, Carina King, Ahmed Ehsanur Rahman, Freddy Eric Kitutu, Leith Greenslade, Masooma Aqeel, Tim Baker, Lucio Flavio de Magalhães Brito, Harry Campbell, Karen Czischke, Mike English, Adegoke G. Falade, Patricia J. Garcia, Mireia Gil, Stephen Graham, Amy Gray, Stephen Howie, Niranjan Kissoon, Ramanan Laxminarayan, Ines Li Lin, Michael S. Lipnick, Dianne B. Lowe, David Lowrance, Eric D. McCollum, Tisungane Mvalo, Jacquie Oliwa, Stefan S. Peterson, Rediet Shimeles Workneh, Heather J. Zar, Shams El Arifeen, Freddie Ssengooba
Riktlinjer LTOT i hemmet: Nationellt kvalitetsregister för långtidsbehandling med oxygen (LTOT), respirator (LTMV) eller CPAP [Guidelines LTOT at home: National quality register for long-term oxygen therapy (LTOT), ventilator (LTMV) or CPAP]
GUIDANCE | This website outlines treatment guidelines for use of oxygen after COVID-19, including mechanical insufflator-exsufflator (MIE), home ventilator treatment, and oxygen therapy at home.
February 2025
By: Swedevox
The Epidemiology and Impact of Hypoxemia in Sub-Saharan Africa: Prevalence, Practices, and Outcomes
JOURNAL PUBLICATION | Published in Annals of the American Thoracic Society, this study determines the prevalence, clinical care, and outcomes for hospitalized hypoxemic adults in Kenya, Malawi, and Rwanda.
February 2025
By: Innocent Sulani, Lauren A. Onofrey, Letizia Trevisi, Abigail Beane, B. Jason Brotherton, Jeanine Condo, Dingase Dula, Eugene Wesley Ely, Swati Goel, Stephen Gordon, Rashan Haniffa, Bethany Hedt-Gauthier, Alexandra Medline, Carolyne Njoki, Peter Oduor, George Otieno, Jamie Rylance, Theogene Twagirumugabe, Nathalie Umutoni, Doris Lorette Uwamahoro, Sky Vanderburg, Wangari Waweru-Siika, Elisabeth D. Riviello
Factors Associated with Knowledge and Practice Regarding Oxygen Administration: A Cross-Sectional Study among Registered Nurses Working in Wards and ICUs at Muhimbili National Hospital in Dar es Salaam, Tanzania
JOURNAL PUBLICATION | Published in PLoS One, this study aimed to assess factors associated with oxygen administration to critically ill patients among nurses at Muhimbili National Hospital (MNH) in Dar es Salaam, Tanzania.
January 2025
By: Magdalena S. Kimario, Joel Seme Ambikile, Masunga K. Iseselo
Implementation of a Novel Bubble Continuous Positive Airway Pressure System with a Blender in Preterm Infants in a Low Resource Setting
JOURNAL PUBLICATION | Published in Journal of Perinatology, this study assessed if a novel CPAP system is associated with improvement in premature infants in a low-resource setting and if blended oxygen reduced FiO2.
January 2025
By: Emily Ahn, Aisa Shayo, Matei Mselle, Anna Sechu, Jeffrey Perlman
Oxygen Therapy in Preterm Infants: Past, Present and Future
JOURNAL PUBLICATION | Published in Pediatrics and Child Health, this review article focuses on the difficulties of titrating oxygen therapy in preterm infants and provides recommendations for best practice based on up-to-date evidence.
January 2025
By: Sanoj K.M. Ali, Peter A. Dargaville, Samir Gupta
Understanding Health Innovation Adoption: A Realist Evaluation of Pulse Oximeter Implementation in Primary Care for Children under Five in Four West African Countries
JOURNAL PUBLICATION | Published in medRxiv, this study examined how healthcare workers adopted pulse oximeters and explored the contexts influencing their adoption in Burkina Faso, Guinea, Mali, and Niger under the AIRE project.
January 2025
By: Sarah Louart, Habibata Balde, Abdourahmane Coulibaly, Abdoua Elhadji Dagobi, Kadidiatou Kadio, Gildas Boris Hedible, Valériane Leroy, Emilie Robert, Valéry Ridde
Automated Oxygen Administration versus Manual Control in Acute Cardiovascular Care: A Randomised Controlled Trial
JOURNAL PUBLICATION | Published in Heart, this study aimed to compare standard manual oxygen administration with automated oxygen administration (AOA) using the O2matic device.
December 2024
By: Ida Arentz Taraldsen, Johannes Grand, Jasmin Dam Lukoschewitz, Ekim Seven, Ulrik Dixen, Morten Petersen, Laura Rytoft, Marie Munk Jakobsen, Ejvind Frausing Hansen, Jens Dahlgaard Hove
Oxygen Saturation Targets in Neonatal Care: A Narrative Review
JOURNAL PUBLICATION | Published in Early Human Development, this paper emphasizes that the scarcity of oxygen blenders and continuous monitoring may pose a challenge in LMICs, increasing the risks of hypoxia and hyperoxia.
December 2024
By: Tri C. Nguyen, Rajeshwari Madappa, Heather M Siefkes, Michelle J. Lim, Kanya Mysore Siddegowda, Satyan Lakshminrusimha
Prevalence of Inpatient Pulse Oximetry in Operative and Nonoperative Settings: A Multicenter Study
JOURNAL PUBLICATION | Published in CHEST Critical Care, this study examined the frequencies of pulse oximeter monitoring in operative and nonoperative contexts and the observed distribution of pulse oximeter readings.
December 2024
By: Nicholas A. Bosch, Anica C. Law, Ashraf Fawzy, Theodore J. Iwashyna
Pulse Oximetry and Oxygen Services for Under-Five Children with Community-Acquired Pneumonia Attending Primary and Secondary Level Health Facilities in Lagos, Nigeria (INSPIRING-Lagos): A Pre-Implementation and Post-Implementation Study
JOURNAL PUBLICATION |
Published in BMJ Global Health, this study examines whether stabilization rooms equipped with pulse oximetry and oxygen alongside HCW training improved quality of care for children with pneumonia in Nigeria.
December 2024
By: Tim Colbourn, Adegoke G. Falade, Hamish Graham, Omotayo E. Olojede, Ayobami A. Bakare, James Beard, Eric D. McCollum, Agnese Iuliano, Adamu Isah, Osebi Adams, Ibrahim Seriki, Ibrahim Haruna, Tahlil Ahmed, Samy Ahmar, Paula Valentine, Temitayo Folorunso Olowookere, Obioma C. Uchendu, Rochelle Ann Burgess, Carina King
Understanding Pulse Oximetry Adoption in Primary Healthcare Facilities in Nigeria: A Realist Process Evaluation of the INSPIRING-Lagos Stabilisation Room Project
JOURNAL PUBLICATION | Published in BMJ Global Health, this study examines how stabilization rooms under the INSPIRING-Lagos project improved pulse oximetry practices, for whom, and in what contexts in Nigeria.
December 2024
By: Omotayo E. Olojede, Adegoke G. Falade, Ayobami A. Bakare, Eric D. McCollum, Agnese Iuliano, Adamu Isah, Adams Osebi, Samy Ahmar, Paula Valentine, Temitayo Folorunso Olowookere, Matthew MacCalla, Rochelle Ann Burgess, Tim Colbourn, Carina King, Hamish Graham
Effectiveness of Introducing Pulse Oximetry and Clinical Decision Support Algorithms for the Management of Sick Children in Primary Care in India and Tanzania on Hospitalisation and Mortality: The TIMCI Pragmatic Cluster Randomised Controlled Trial
JOURNAL PUBLICATION | Published in The Lancet, this cluster-randomized controlled trial in India and Tanzania evaluated the effects of pulse oximetry and clinical decision support algorithms on child hospitalization and mortality.
November 2024
By: Fenella Beynon, Grace Mhalu, Divas Kumar, Hélène Langet, Gillian Levine, Girdhar Agarwal, Charles Festo, Tracy Glass, Anmol Jacob, Gaurav Kumar, Samwel Lwambura, Lena Matata, Abdallah Mkopi, Robert Moshiro, Fabian Schaer, Vineela Bandi, Leah F. Bohle, Mira Emmanuel-Fabula, Megan Horlacher, Susan Horton, John Maiba, Suzan Makawia, Naomi Masanja, Deusdedit Mjungu, Ibrahim E. Mtebene, Olgah Odek, Vânia Oliveira, Elena Pantjushenko, Elisabeth Reus, Michael Ruffo, Kovid Sharma, Helen Storey, Mansi Tyagi, Valérie D’Acremont, Honorati Masanja, Shally Awasthi, Kaspar Wyss
Acceptability of the Routine Use of Pulse Oximeters in the Integrated Management of Childhood Illness Guidelines at Primary Health Centers in West Africa: A Mixed-Methods Study
JOURNAL PUBLICATION | Published in medRxiv, this study found that integrating pulse oximetry into IMCI consultations in West African primary health centers was generally well accepted, especially after training.
October 2024
By: Sarah Louart, Gildas Boris Hedible, Habibata Balde, Abdourahmane Coulibaly, Abdoua Elhadji Dagobi, Kadidiatou Kadio, Désiré Neboua, Zineb Zair, Valériane Leroy, Valéry Ridde
An Evaluation of Knowledge, Attitudes, Practice, and Associated Factors Regarding Oxygen Therapy Among Resident Doctors in a Tertiary Care Teaching Hospital: A Mixed-Methods Study
JOURNAL PUBLICATION | Published in Journal of Education and Health Promotion, this study assesses the knowledge, attitudes, and practices of resident doctors regarding oxygen therapy.
October 2024
By: M. Yogesh, D. Kadalarasu, Kapil Gandha, Rohankumar Gandhi
Decoding Oxygen Prescriptions: Electronic Health Record Documentation versus Patient-Reported Use
JOURNAL PUBLICATION | Published in BMC Pulmonary Medicine, this study examined the communication of oxygen management plans in the electronic health record (EHR), and their consistency with patient-reported long-term oxygen therapy (LTOT) use.
October 2024
By: Wilson Tang, J. Smith, Jessica Dakkak, A. Balasubramanian, Bhavna Seth, Cory Leotta, Stephen C. Mathai, M.C. McCormack, Sudipta Acharya, Annlise Calypso, Sonye K. Danoff
Effects of Oxygenation Targets on Mortality in Critically Ill Patients in Intensive Care Units: A Systematic Review and Meta-Analysis
JOURNAL PUBLICATION | Published in Anesthesia & Analgesia, the meta-analysis found no significant difference in mortality or intensive care unit outcomes between patients managed with lower or higher oxygenation targets.
October 2024
By: Lei Cao, Qi Chen, Ying-Ying Xiang, Cheng Xiao, Yu-Ting Tan, Hong Li
Identification of Severe Cases with Routine Pulse Oximetry Use into the Integrated Management of Childhood Illness at Primary Health Centres Level in West Africa: A Cross-Sectional Study within the AIRE Project in Burkina Faso, Guinea, Mali and Niger, 2021
JOURNAL PUBLICATION | Preprint in medRxiv, this study examines the use of pulse oximetry integrated into IMCI consultations at primary healthcare centers in West Africa, identifying severe hypoxemia and related factors.
October 2024
By: Gildas Boris Hedible, Abdoul Guaniyi Sawadogo, Zineb Zair, G. Désiré Kargougou, Honorat Agbeci, Bertrand Méda, Peters-Bokol Lucie, Sarah Louart, Yugbaré Solange Ouédraogo, Abdoul Aziz Diakite, Ibrahima Sory Diallo, Hannatou Souleymane Abarry, Désiré Neboua, Vignon Marine, Sandrine Busiere, Lamontagne Franck, Valéry Ridde, Valériane Leroy
Knowledge, Attitude, Practice and Associated Factors of Oxygen Therapy among Health Professionals in Ethiopia: A Systematic Review and Meta-Analysis
JOURNAL PUBLICATION | Published in PLoS One, this study aimed to assess the pooled prevalence of health professionals’ knowledge, attitude, practice, and determinant factors about oxygen therapy in Ethiopia.
September 2024
By: Zewdu Bishaw Aynalem, Mekides Nigusu Abera, Birhaneslasie Gebeyehu Yazew, Melsew Dagne Abate, Ayalew Kassie, Fentahun Meseret, Ahmed Nuru Muhamed, Gebremeskel Kibret Abebe, Meseret Mekuriaw Beyene, Tilahun Degu Tsega
Automated Oxygen Administration in Hospitals: Will it Replace Manual Systems in the Near Future?
JOURNAL PUBLICATION | Published in Respiratory Care, this article summarizes the current status of automated oxygen administration systems, and their potential to improve precision in oxygen delivery.
August 2024
By: B. Ronan O’Driscoll, Louis Kirton
Hypoxaemia and Risk of Death Among Children: Rethinking Oxygen Saturation, Risk-Stratification, and the Role of Pulse Oximetry in Primary Care
JOURNAL PUBLICATION | Published in The Lancet Global Health, this study re-evaluates the role of oxygen saturation levels and pulse oximetry in primary care for managing hypoxemia in children.
August 2024
By: Hamish Graham, Carina King, Trevor Duke, Salahuddin Ahmed, Abdullah Baqui, Tim Colbourn, Adegoke G. Falade, Helena Hildenwall, Shubhada Hooli, Yewande Kamuntu, Rami Subhi, Eric D. McCollum
Unmasking the Contributing Factors to Oxygen Disruption Events in the Inpatient Environment and Emergency Department
JOURNAL PUBLICATION | Published in Patient Safety, this study examines the contributing factors and context of oxygen disruption–related patient safety event reports in the inpatient setting and provides solutions.
July 2024
By: Lucy Bocknek, Deanna-Nicole Busog, Raj Ratwani, Katharine Adams, Rebecca Jones, Seth Krevat
Early Hyperoxaemia and 2-Year Outcomes in Infants with Hypoxic-ischemic Encephalopathy: A Secondary Analysis of the Infant Cooling Evaluation (ICE) Trial
JOURNAL PUBLICATION | Published in The Journal of Pediatrics, this study found that early hyperoxemia in infants with hypoxic-ischemic encephalopathy is linked to higher rates of death and major disability.
April 2024
By: Shiraz Badurdeen, Jeanie Cheong, Susan Donath, Hamish Graham, Stuart Hooper, Graeme Polglase, Sue Jacobs, Peter Davis
Building Respiratory Support in East Africa Through High Flow Versus Standard Flow Oxygen Evaluation (BREATHE)
JOURNAL PUBLICATION | Published in the NIH Clinical Trials Registry, this study will compare high-flow and standard-flow oxygen in hypoxemic adults across five LMIC hospitals to assess mortality, oxygen use, and implementation challenges.
March 2024
By: Elisabeth D. Riviello, Theogene Twagirumugabe
Clinical Predictors of Hypoxic Pneumonia in Children from the Eastern Highlands Province, PNG
JOURNAL PUBLICATION | Published in The Lancet Regional Health – West Pacific, this study identified clinical predictors like reduced breath sounds as key indicators of hypoxic pneumonia in children in PNG.
March 2024
By: Kathryn Britton, William Pomat, Joycelyn Sapura, Birunu Nivio, Rebecca Ford, Wendy Kirarock, Hannah Moore, Lea-Ann Kirkham, Peter Richmond, Jocelyn Chan, Deborah Lehmann, Fiona Russell, Christopher Blyth
Differences in Trauma Care between District and Regional Hospitals and Impact of a Trauma Intake Form with Decision Support Prompts in Ghana: A Stepped-Wedge Cluster Randomized Trial
JOURNAL PUBLICATION | Published in World Journal of Surgery, this study demonstrated that TIF improved trauma care and reduced mortality in Ghanaian hospitals, though regional hospitals outperformed district hospitals.
March 2024
By: Adam Gyedu, Forster Amponsah-Manu, Kwabena Awuku, Kennedy Korankye, Peter Donkor, Charles Mock
NIH Coronavirus Disease 2019 (COVID-19) Treatment Guidelines
GUIDANCE | The COVID-19 Treatment Guidelines were developed to provide clinicians with guidance on caring for patients with COVID-19, as provided by the U.S. National Institutes of Health.
March 2024
By: U.S. National Institutes of Health (NIH)
Digital Health for Remote Home Monitoring of Patients with COVID-19 Requiring Oxygen: A Cohort Study and Literature Review
JOURNAL PUBLICATION | Published in Frontiers in Medicine, this study evaluates the outcome of COVID-19 patients requiring oxygen who benefited from home remote monitoring by a web app and an in-home nurse.
January 2024
By: Johann Chaytee, Aurélien Dinh, Emma D’Anglejan, Frédérique Bouchand, Karim Jaffal, Clara Duran, Catherine Le Gall
Global Strategy for the Diagnosis, Management, and Prevention of Chronic Obstructive Pulmonary Disease
GUIDANCE | This document provides an evidence-based strategy for chronic obstructive pulmonary disease (COPD) diagnosis, management, and prevention, with citations from the scientific literature.
January 2024
By: Global Initiative for Chronic Obstructive Lung Disease
Advanced Cardiac Life Support: Provider Handbook
GUIDANCE | This manual includes the systematic approach to a cardiopulmonary emergency, effective team communication, and the ACLS cases and algorithms.
December 2023
By: Karl Disque
Automated Oxygen Delivery for Preterm Infants with Respiratory Dysfunction
JOURNAL PUBLICATION | Published in Cochrane Database of Systematic Reviews, this review found that automated oxygen delivery systems likely increase time spent within the target SpO2 range compared to manual oxygen control.
November 2023
By: Isabella Stafford, Nai Ming Lai, Kenneth Tan
Assessment of Hospitalisation Costs and their Determinants among COVID-19 Patients in South Central Ethiopia
JOURNAL PUBLICATION | Published in BMC Health Services Research, this study evaluated hospitalization costs of COVID-19 patients in South Central Ethiopia, revealing that severe cases with comorbidities led to the highest costs.
September 2023
By: Abdene Weya Kaso, Esmael Mohammed, Gebi Agero, Gemechu Churiso, Taha Kaso, Helen Ali Ewune, Alemayehu Hailu
Clinical Standards for the Diagnosis and Management of Asthma in Low- and Middle-Income Countries
JOURNAL PUBLICATION | Published in The International Journal of Tuberculosis and Lung Disease, this consensus-based study provides clinical standards for managing asthma in LMICs, covering diagnosis, treatment, and emergencies.
September 2023
By: Shamanthi Jayasooriya, Marie Stolbrink, Ee Ming Khoo, I.T. Sunte, J.I. Awuru, Mark Cohen, David C. Lam, Antonio Spanevello, Dina Visca, Rosella Centis, Giovanni Battista Migliori, Adaeze C. Ayuk, Jefferson Antonio Buendia, Babatunde I. Awokola, Blanca Estella Del-Rio-Navarro, Shamiso Muteti-Fana, Mongkol Lao-Araya, Pieranna Chiarella, Hector Badellino, Somwe Wa Somwe, Mahesh P. Anand, J.R. Garcí-Corzo, Abebe Bekele, M.E. Soto-Martinez, Bertrand Hugo Mbatchou Ngahane, Mihaltan Florin, Kuku Voyi, Khaldoun Tabbah, Bukar Bakki, A. Alexander, B.L. Garba, Elsa Maria Salvador, Gilberto Bueno Fischer, Adegoke G. Falade, Zorica ŽivkoviĆ, Sergio de Jesús Romero-Tapia, Gregory Efosa Erhabor, Heather J. Zar, Bilun Gemicioglu, Heli Vieira Brandão, Xhevat Kurhasani, Nuha El-Sharif, V. Singh, Jeewan C. Ranasinghe, Sanath Thushara Kudagammana, Mohammad Reza Masjedi, J.N. Velásquez, Agam Jain, Ivan Cherrez-Ojeda, L.F.M. Valdeavellano, Rosa Mercedes Gómez, Eris Mesonjesi, Blanca Maria Morfin-Maciel, Achiri E. Ndikum, G.B. Mukiibi, B.K. Reddy, Osman Yusuf, S. Taright-Mahi, J.V. Mérida-Palacio, Sushil K. Kabra, Emmy Nkhama, Nelson Rosário Filho, V.B. Zhjegi, Kevin Mortimer, Sarah Rylance, Refiloe Masekela
WHO Model List of Essential Medicines
TOOL | This list serves as a guide to adopt or adapt in accordance with local priorities and treatment guidelines for the development and updating of national essential medicines lists.
July 2023
By: World Health Organization (WHO)
WHO Model List of Essential Medicines for Children
TOOL | This list provides a guide to adopt or adapt in accordance with local priorities and treatment guidelines for the development and updating of national essential medicines lists for children.
July 2023
By: World Health Organization (WHO)
A Cost-Effectiveness Analysis of COVID-19 Critical Care Interventions in Addis Ababa, Ethiopia: A Modeling Study
JOURNAL PUBLICATION | Published in Cost Effectiveness and Resource Allocation, the study evaluates the cost-effectiveness of noninvasive versus invasive COVID-19 critical care interventions in Ethiopia using a Markov model.
June 2023
By: Senait Alemayehu Beshah, Arega Zeru, Wogayehu Tadele, Atkure Defar, Theodros Getachew, Lelisa Fekadu Assebe
WHO List of Priority Medical Devices for Management of Cardiovascular Diseases and Diabetes
TOOL | This publication was developed in response to the need for a reference list of priority medical devices required for management of noncommunicable diseases (NCDs), focusing on cardiovascular diseases and diabetes.
June 2023
By: World Health Organization (WHO)
Mechanical Ventilation for COVID-19
COURSE / TRAINING VIDEO | This course will provide licensed medical professionals with an understanding of mechanical ventilation so they can support the critical care team caring for patients receiving mechanical ventilation due to COVID-19.
April 2023
By: Harvard University
Oxygen Therapy Part 1 — History, Physiology, and Evaluation
JOURNAL PUBLICATION | In part I of a two-part review in NEJM Evidence, Wemple and colleagues discuss the physiology of tissue hypoxia, mechanisms of hypoxemia, and its clinical assessment.
April 2023
By: Matthew Wemple, Kai Swenson, Erik Swenson
Bubble CPAP Respiratory Support Devices for Infants in Low-Resource Settings
JOURNAL PUBLICATION | Published in Pediatric Pulmonology, this article reviews the use of bbCPAP devices in low-resource settings, highlighting how such devices can reduce neonatal mortality despite limited resources.
March 2023
By: Sofia Poletto, Daniele Trevisanuto, Viraraghavan V. Ramaswamy, Paul Ouedraogo, Raffaele Dellacà, Emanuela Zannin
Creating an Oxygen Ecosystem for Africa
JOURNAL PUBLICATION | Published in The Lancet Respiratory Medicine, this commentary article describes the development and release of Ethiopia’s national oxygen road map (one of the first in sub-Saharan Africa).
March 2023
By: Esther Nakkazi
A Comparison of Four Epidemic Waves of COVID-19 in Malawi: An Observational Cohort Study
JOURNAL PUBLICATION | Published in BMC Infectious Diseases, this study compares four epidemic waves of COVID-19 in Malawi and explores the relationship between viral lineage and outcomes for adult COVID-19 patients.
February 2023
By: Catherine Anscombe, Samantha Lissauer, Herbert Thole, Jamie Rylance, Dingase Dula, Mavis Menyere, Belson Kutambe, Charlotte van der Veer, Ndaziona Banda, Samson Kwazizira Mndolo, Kelvin Mponda, Chimota Phiri, Jane Mallewa, Mulinda Nyirenda, Grace Banda-Katha, Henry Mwandumba, Stephen Gordon, Kondwani Jambo, Jennifer Cornick, Nicholas Feasey, Kayla Barnes, Ben Morton, Philip Ashton
Development of a Small and Sick Newborn Clinical Audit Tool and its Implementation Guide Using a Human-Centred Design Approach Newborn Clinical Audit Process and Design
JOURNAL PUBLICATION | Published in PLoS Global Public Health, this study created a newborn clinical audit tool and implementation guide using a human-centered design approach.
February 2023
By: Muthoni Ogola, John Wainaina, Naomi Muinga, Maureen Muriithi, Jalemba Aluvaala, Mike English, Grace Irimu
Retinopathy of Prematurity in the 21st Century and the Complex Impact of Supplemental Oxygen
JOURNAL PUBLICATION | Published in Journal of Clinical Medicine, this paper describes specific features associated with various retinopathy of prematurity presentations.
February 2023
By: Sarah H. Rodriguez, Anna L. Ells, Michael P. Blair, C. Armitage Harper, Maria Ana Martinez-Castellanos, S. Grace Prakalapakorn, Erima Denis, Rebecca C. Lusobya, Mark J. Greenwald, Sherwin J. Isenberg, Scott R. Lambert, Yvonne E Vaucher, Ann Carroll, Lucy Namakula
Systematic Review on the Impact of the Pneumococcal Conjugate Vaccine Ten Valent (PCV10) or Thirteen Valent (PCV13) on All-Cause, Radiologically Confirmed and Severe Pneumonia Hospitalisation Rates and Pneumonia Mortality in Children 0–9 Years Old
JOURNAL PUBLICATION | Published in Journal of Global Health, this systematic review examined PCV10 and PCV13 impact on all-cause and severe pneumonia hospitalization and mortality rates.
February 2023
By: Rita Reyburn, Anthea Tsatsaronis, Claire von Mollendorf, Kim Mulholland, Fiona Russell
COVID-19 Toolkit: Physicians
REPOSITORY / TOOLKIT | This toolkit provides key clinical resources for physicians, covering topics from ARDS in adults, to pneumonia and from oxygen therapy and mechanical ventilation to other areas of respiratory care.
January 2023
By: Elsevier
Clinical Management of COVID-19: Living Guideline
GUIDANCE | The WHO COVID-19 Clinical management: living guidance contains the Organization’s most up-to-date recommendations for the clinical management of people with COVID-19.
January 2023
By: World Health Organization (WHO)
Therapeutics and COVID-19: Living Guideline
GUIDANCE | The WHO Therapeutics and COVID-19: living guideline contains the most up-to-date recommendations for the use of therapeutics in the treatment of COVID-19.
January 2023
By: World Health Organization (WHO)
Doctors’ and Nurses’ Knowledge and Perceived Barriers Regarding Acute Oxygen Therapy in a Tertiary Care Hospital in Nigeria
JOURNAL PUBLICATION | Published in Advances in Medical Education and Practice, this study highlights gaps in knowledge of acute oxygen therapy among doctors and nurses in Nigeria, pointing out significant delivery barriers.
December 2022
By: Olufemi Desalu, Olutobi Ojuawo, Adekunle O. Adeoti, Olanrewaju Oyedepo, Adeniyi Aladesanmi, Oluwafemi J. Afolayan, Rasheedat Ibraheem, Zakari Suleiman, Christopher Opeyemi
Evaluation of the Routine implementation of Pulse Oximeters into Integrated Management of Childhood Illness (IMCI) Guidelines at Primary Health Care Level in West Africa: The AIRE Mixed-Methods Research Protocol
JOURNAL PUBLICATION | Published in BMC Health Services Research, this study assesses the implementation of pulse oximeters in IMCI guidelines at PHC level in West Africa, identifying key challenges and insights.
December 2022
By: Gildas Boris Hedible, Sarah Louart, Désiré Neboua, Gildas Anago, Abdoul Guaniyi Sawadogo, G. Désiré Kargougou, Bertrand Méda, Jacques Séraphin Kolié, Adama Hema, Mactar Niome, Abdoul Salam Savadogo, Lucie Peters-Bokol, Honorat Agbeci, Zineb Zair, Severin Lenaud, Marine Vignon, Solange Ouedraogo Yugbare, Hannatou Souleymane Abarry, Abdoul Aziz Diakite, Ibrahima Sory Diallo, Franck Lamontagne, Valérie Briand, Désiré Lucien Dahourou, Anthony Cousien, Valéry Ridde, Valériane Leroy
Announcing the Lancet Global Health Commission on Medical Oxygen Security
JOURNAL PUBLICATION | Published in The Lancet Global Health, this article introduces The Lancet Global Health Commission on Medical Oxygen Security, which seeks to close critical gaps in oxygen access, especially in LMICs.
November 2022
By: Freddy Eric Kitutu, Ahmed Ehsanur Rahman, Hamish Graham, Carina King, Shams El Arifeen, Freddie Ssengooba, Leith Greenslade, Zoë Mullan
Basic Course for Planning and Managing Medical Oxygen
COURSE / TRAINING VIDEO | This course aims to improve the planning and management of medical oxygen and to strengthen the rational, sustainable, and safe use of medical oxygen across the Americas.
November 2022
By: Pan American Health Organization (PAHO)
COVID-19 Toolkit: Nursing and Respiratory Therapy
REPOSITORY / TOOLKIT | This toolkit provides trusted nursing knowledge sourced directly from professional practice organizations, regulatory, accreditation, and best practice guidelines.
November 2022
By: Elsevier
Masks versus Prongs as Interfaces for Nasal Continuous Positive Airway Pressure in Preterm Infants
JOURNAL PUBLICATION | Published in Cochrane Database of Systematic Reviews, this study evaluates nasal masks and prongs as interfaces for CPAP in preterm infants, comparing their effects on treatment success, nasal trauma, etc.
November 2022
By: Raj Prakash, Antonio G. De Paoli, Sam Oddie, Peter Davis, William McGuire
Oxygen Therapy and Critical Care: The Case Based Series
PRESENTATION / WEBINAR | This webinar series features 11 learning hubs across Sub-Saharan Africa and Latin America, focused on oxygen therapy and critical care medicine in the context of COVID-19.
November 2022
By: Assist International, Stanford Medicine – Anesthesia Division of Global Health Equity
WHO Guidelines for Malaria
GUIDANCE | The WHO guidelines for malaria provide the clinical recommendations for severe malaria cases, including when and how to administer medical oxygen.
November 2022
By: World Health Organization (WHO)
Adverse Effects, Smoking, Alcohol Consumption, and Quality of Life during Long-Term Oxygen Therapy a Nationwide Study
JOURNAL PUBLICATION | Published in Annals of the American Thoracic Society, this study found that LTOT users commonly experience adverse effects like reduced mobility and dry mouth, which significantly impact quality of life.
October 2022
By: Filip Björklund, Magnus Ekström
Continuous Positive Airway Pressure (CPAP) for Severe Pneumonia in Low- and Middle-income Countries: A Systematic Review of Contextual Factors
JOURNAL PUBLICATION | Published in the Journal of Global Health, this systematic review looks to understand the important contextual factors that impact on implementation, effectiveness, and safety of CPAP in low-resource settings.
October 2022
By: Chris Wilkes, Rami Subhi, Hamish Graham, Trevor Duke
Incidence and Characteristics of Errors Detected by a Short Team Briefing in Pediatric Anesthesia
JOURNAL PUBLICATION | Published in Paediatric Anaesthesia, this study assesses the incidence and characteristics of the detected errors in a modified WHO surgical safety list at a children’s hospital in Germany.
October 2022
By: Oliver Keil, Katja Brunsmann, Dietmar Boethig, Nils Dennhardt, Hendrik Eismann, Stefan Girke, Alexander Horke, Katja Nickel, Vanessa Rigterink, Robert Sümpelmann, Christiane E. Beck
Factors Associated with Non-invasive Oxygen Therapy Failure in COVID-19 Pneumonia: A Single Center, Retrospective Study in a Tertiary Hospital in North India
JOURNAL PUBLICATION | Published in Cureus, this retrospective study examined the predictors for non-invasive oxygen therapy (NIT) failure in patients with moderate to severe COVID-19 in India.
September 2022
By: Sekar L., Inderpaul S. Sehgal, Kamal Kajal, Sandeep Kataria, Madhumita Premkumar, Karan Singla, Deep K. Gorla, Goverdhan D. Puri
Retinopathy of Prematurity: A Global Perspective and Recent Developments
JOURNAL PUBLICATION | Published in Pediatrics, this update provides a comprehensive review of pathophysiology, classification, diagnosis, global screening, and treatment of retinopathy of prematurity.
September 2022
By: Kourosh Sabri, Anna L. Ells, Elizabeth Y. Lee, Anand Vinekar
Cost-Effectiveness and Sustainability of Improved Hospital Oxygen Systems in Nigeria
JOURNAL PUBLICATION | Published in BMJ Global Health, this study found that the Nigeria Oxygen Implementation programme improved hospital oxygen systems and pulse oximetry coverage, demonstrating sustainability over time.
August 2022
By: Hamish Graham, Ayobami A. Bakare, Oyaniyi Olatunde, Oluwabunmi Bakare, Blessing Edunwale, Eleanor Neal, Shamim Ahmad Qazi, Barbara McPake, David Peel, Amy Gray, Trevor Duke, Adegoke G. Falade
Early Essential Newborn Care: Clinical Practice Pocket Guide
GUIDANCE | This step-by-step guide is intended to provide a portable and practical summary of the up-to-date global evidence for newborn care focusing on the first hours and days of life.
August 2022
By: World Health Organization (WHO)
A Qualitative Study of Patient and Carer Experiences with Home Respiratory Therapies: Long-Term Oxygen Therapy and Home Mechanical Ventilation
JOURNAL PUBLICATION | Published in Pulmonology, this exploratory, cross-sectional qualitative study focused on patients’ and carers’ experience with long-term oxygen therapy (LTOT) and home mechanical ventilation (HMV) in three regions of Portugal.
July 2022
By: Cátia Caneiras, Cristina Jácome, Emília Moreira, Daniela Oliveira, Cláudia Camila Dias, Liliane Mendonça, Sagrario Mayoralas-Alises, João Almeida Fonseca, Salvador Diaz-Lobato, Joan Escarrabill, João Carlos Winck
Consolidated Guidelines on HIV, Guidelines on Tuberculosis Hepatitis, and STI Prevention, Diagnosis, Treatment and Care for Key Populations
GUIDANCE | These guidelines outline a public health response for five key populations and discuss new recommendations and guidance from current WHO guidelines.
July 2022
By: World Health Organization (WHO)
Cost-Effectiveness of Pulse Oximetry and Integrated Management of Childhood Illness for Diagnosing Severe Pneumonia
JOURNAL PUBLICATION | Published in PLoS Global Public Health, this study demonstrated that adding pulse oximetry to the IMCI guidelines improved the diagnosis of severe pneumonia in children but increased the cost.
July 2022
By: Kjell Arne Johansson, Bernt Lindtjørn
Global Strategy for Asthma Management and Prevention
GUIDANCE | This strategy aims to increase awareness about asthma and provide a mechanism to translate scientific evidence into improved asthma care worldwide.
July 2022
By: Global Initiative for Asthma
India Training Module: Basics of Medical Oxygen Management System
COURSE / TRAINING VIDEO | The Training of Trainers module is meant for providing training to those participants who are expected to effectively oversee the oxygen ecosystem at their respective levels.
July 2022
By: PATH
Misconception on Oxygen Administration Among Patients and their Caregivers in Ado Ekiti, Nigeria
JOURNAL PUBLICATION | Published in Annals of African Medicine, this study examines misconceptions about oxygen therapy among patients and caregivers in Nigeria, highlighting beliefs that delay oxygen administration.
July 2022
By: Adekunle O. Adeoti, Olufemi Desalu, Tobiloba Elebiyo
Strengthening Oxygen Ecosystem for COVID-19 and Beyond in India
REPOSITORY / TOOLKIT | In order to build capacity for long-term sustainability, PATH developed, translated, and disseminated high-quality, reliable, and ready-reference knowledge products specific to India.
July 2022
By: PATH
A Cost-Utility Analysis of Remote Pulse-Oximetry Monitoring of Patients With COVID-19
JOURNAL PUBLICATION | Published in Value in Health, this study assesses the cost-utility of remote pulse-oximetry monitoring of moderately ill patients with COVID-19 in the United States.
June 2022
By: William Padula, Marlea Miano, Marcella Kelley, Samuel Crawford, Bryson Choy, Robert Hughes, Riley Grosso, Peter Pronovost
An On-Demand Oxygen Flow Meter for Enhanced Patient Comfort and Reduced Oxygen Cost in Hospitals
JOURNAL PUBLICATION | Published in COPD, this observational study assessed whether a new hybrid flow meter reduces oxygen expenditure, is well accepted in a hospital setting, and improves patient comfort during oxygen therapy.
June 2022
By: Eric Derom, Eduard J. Meijer, Joris W.T. van Enschot
Indirect Impacts of the COVID-19 Pandemic at Two Tertiary Neonatal Units in Zimbabwe and Malawi: An Interrupted Time Series Analysis
JOURNAL PUBLICATION | Published in BMJ Open, this study analyzes the indirect impacts of COVID-19 on neonatal care in Zimbabwe and Malawi, highlighting changes in patient outcomes and resource availability.
June 2022
By: Simbarashe Chimhuya, Samuel Neal, Gwen Chimhini, Mario Cortina Borja, Caroline Crehan, Deliwe Nkhoma, Tarisai Chiyaka, Emma Wilson, Tim Hull-Bailey, Felicity Fitzgerald, Msandeni Chiume, Michelle Heys
Medical Oxygen: A Lifesaving Drug During the COVID-19 Pandemic— Source and Distribution
JOURNAL PUBLICATION | Published in the Indian Journal of Pediatrics, this review focuses on sources of medical oxygen like cryogenic oxygen plants, pressure swing adsorption, oxygen concentrators, and oxygen cylinders.
June 2022
By: Javed Ismail, Arun Bansal
COVID-19 Preparedness Critical Questions – Stop Pneumonia / Every Breath Counts
TOOL | This webpage maintained by the Every Breath Counts coalition addresses critical questions about COVID-19 treatment in low- and middle- income countries.
May 2022
By: Every Breath Counts (EBC) coalition
Continuous Positive Airway Pressure for Children in Resource-limited Settings, Effect on Mortality and Adverse Events: Systematic Review and Meta-analysis
JOURNAL PUBLICATION | Published in Archives of Disease in Childhood, this study sought to determine noninvasive ventilation with continuous positive airway pressure (CPAP) outcomes for pediatric respiratory distress in LMICs.
May 2022
By: Kristen L. Sessions, Andrew G. Smith, Peter J. Holmberg, Brian Wahl, Tisungane Mvalo, Mohammod Jobayer Chisti, Ryan W. Carroll, Eric D. McCollum
Knowledge, Attitude, and Practice of Health Professionals for Oxygen Therapy Working in South Gondar Zone Hospitals, 2021: Multicenter Cross-Sectional Study
JOURNAL PUBLICATION | Published in BMC Health Services Research, this study aimed to assess the knowledge, attitude, and practice of health professionals towards oxygen therapy.
May 2022
By: Basazinew Chekol Demilew, Agegnehu Mekonen, Agazhe Aemro, Nakachew Sewnet, Banchiayehu Alebachew Hailu
WHO Consolidated Guidelines on Tuberculosis. Module 4: Treatment—Drug-Susceptible Tuberculosis Treatment
GUIDANCE | These consolidated guidelines inform health care professionals in Member States on how to improve treatment and care for patients with drug susceptible TB (DS-TB).
May 2022
By: World Health Organization (WHO)
COVID-19 Advanced Respiratory Care Educational Training Programme for Healthcare Workers in Lesotho: An Observational Study
JOURNAL PUBLICATION | Published in BMJ Open, this observational study found that a one-day offsite training for respiratory care in Lesotho resulted in significant knowledge improvement among healthcare workers.
April 2022
By: Valerie Osula, Jill Sanders, Tafadzwa Chakare, Lucy Mapota-Masoabi, Makhoase Ranyali-Otubanjo, Bhakti Hansoti, Eric D. McCollum
Clinical Care of Severe Acute Respiratory Infections – Tool kit
REPOSITORY / TOOLKIT | First published in 2020, this toolkit is intended for clinicians working in acute care, managing adult and pediatric patients with acute respiratory infection.
April 2022
By: World Health Organization (WHO)
NEST-ED Clinical Module: Bubble CPAP
GUIDANCE | This NEST-ED Clinical Module has been prepared to help healthcare staff and students understand when and how to use a bubble CPAP device in newborn care.
April 2022
By: NEST360
Evaluation of Science Advice During the COVID-19 Pandemic in Sweden
JOURNAL PUBLICATION | Published in Humanities and Social Sciences Communications, this study evaluates the role of science advice during the COVID-19 pandemic in Sweden..
March 2022
By: Nele Brusselaers, David Steadson, Kelly Bjorklund, Jens Stilhoff Sörensen, Andrew Ewing, Sigurd Bergmann, Gunnar Steineck
Hospital at Home: Another Piece of the Armoury against COVID-19
JOURNAL PUBLICATION | Published in Future Healthcare Journal, this study assessed the implementation of an evidence-based guideline and treatment bundle (dexamethasone, oxygen, intravenous fluids and thromboprophylaxis) for managing severe COVID-19 at home.
March 2022
By: Rebekah Schiff, Maria Oyston, Matthew Quinn, Sharmila Walters, Paul McEnhill, Megan Collins
Navigating COVID-19 Clinical Care Pathways Across the Healthcare System: A Practical Guide for Primary Healthcare Workers
GUIDANCE | This document offers a framework that healthcare workers can use to navigate their healthcare system and serves as a guide to connect COVID-19 patients to equitable care, including oxygen therapy.
March 2022
By: FHI 360
Nirsevimab for Prevention of RSV in Term and Late-Preterm Infants
JOURNAL PUBLICATION | Published in the New England Journal of Medicine, this study assessed infants born at a gestational age >35 weeks who received an injection of nirsevimab or placebo before RSV season.
March 2022
By: Laura Hammitt, Ron Dagan, Yuan Yuan, Manuel Baca Cots, Miroslava Bosheva, Shabir Ahmed Madhi, William J. Muller, Heather J. Zar, Dennis Brooks, Amy Grenham, Ulrika Wählby Hamrén, Vaishali S. Mankad, Pin Ren, Therese Takas, Michael E. Abram, Amanda Leach, M. Pamela Griffin, Tonya Villafana
COVID-19 in India: Oxygen Shortages and a Real-World Trolley Problem
JOURNAL PUBLICATION | Published in BMJ, this article explores the ethical dilemma faced by Indian doctors during the COVID-19 oxygen shortage and highlights the need for a decision-making framework for such extreme situations.
February 2022
By: Akshay D. Baheti, Prakash Nayak
Good Practices in the Rational and Effective Use of Oxygen
GUIDANCE | To promote the rational use of oxygen, a set of guidelines has been put together for the development of an efficient management system to deal with situations of oxygen scarcity.
February 2022
By: Pan American Health Organization (PAHO)
Helmet-based Positive Pressure Ventilation is a Solution for COVID-19 Treatment
GUIDANCE | This website provides useful information to clinicians about helmet use for noninvasive ventilation in patients who have respiratory distress as a complication of COVID-19.
February 2022
By: Helmet-based Ventilation Inc
Respiratory Care Pocket Reference
TOOL | This pocket reference provides a quick reference on respiratory care, including oxygen sources and delivery devices, respiratory mechanics, volume and pressure control, etc.
February 2022
By: Open Critical Care, University of California, San Francisco, Sustaining Technical and Analytic Resources (STAR) project
Working Conditions in Primary Healthcare During the COVID-19 Pandemic: An Interview Study with Physicians in Sweden
JOURNAL PUBLICATION | Published in BMJ Open, the aim of this study was to explore how the COVID-19 pandemic changed the working conditions of physicians in Swedish primary healthcare.
February 2022
By: Hanna Fernemark, Janna Skagerström, Ida Seing, Kristina Schildmeijer, Per Nilsen
Comparison of HFNC and NIV Use in Hypoxic Respiratory Failure in COVID-19 Pneumonia Patients: A Retrospective Study
JOURNAL PUBLICATION | Published in Indian Journal of Critical Care Medicine, this study compared PEAO rates in nasotracheal vs orotracheal intubation in critically ill children.
January 2022
By: Aathira Jose, Vivekananthan, Lakshmikanthcharan Saravanabavan, Muthusamy N. Sivakumar
Integrated Sustainable Childhood Pneumonia and Infectious Disease Reduction in Nigeria (INSPIRING) through Whole System Strengthening in Jigawa, Nigeria: Study Protocol for a Cluster Randomised Controlled Trial
JOURNAL PUBLICATION | Published in Trials, this protocol describes the INSPIRING trial, which aims to reduce childhood pneumonia and infectious diseases in Jigawa, Nigeria, through system-wide health interventions.
January 2022
By: Carina King, Rochelle Ann Burgess, Ayobami A. Bakare, Funmilayo Shittu, Julius Salako, Damola Bakare, Agnese Iuliano, Adamu Isah, Osebi Adams, Ibrahim Haruna, Abdullahi Magama, Tahlil Ahmed, Samy Ahmar, Christine Cassar, Paula Valentine, Temitayo Folorunso Olowookere, Matthew MacCalla, Hamish Graham, Eric D. McCollum, Adegoke G. Falade, Tim Colbourn
Oxygen Provision to Severely Ill COVID-19 Patients at the Peak of the 2020 Pandemic in a Swedish District Hospital
JOURNAL PUBLICATION | Published in PLOS One, this study aimed to estimate the oxygen provision to COVID-19 patients with severe disease in a Swedish district hospital.
January 2022
By: Anna Hvarfner, Ahmed Al-Djaber, Hampus Ekström, Malin Enarsson, Markus Castegren, Tim Baker, Carl Otto Schell
Revised Comprehensive Guidelines for Management of COVID-19 in Children and Adolescents (Below 18 Years)
GUIDANCE | These revised comprehensive guidelines outline the appropriate measures and treatment for the management of COVID-19 in children and adolescents below the age of 18 years.
January 2022
By: India Ministry of Health and Family Welfare
Effect of High-Flow Oxygen Therapy vs Conventional Oxygen Therapy on Invasive Mechanical Ventilation and Clinical Recovery in Patients With Severe COVID-19
JOURNAL PUBLICATION | Published in the Journal of the American Medical Association, researchers sought to determine the effect of high-flow oxygen therapy through a nasal cannula in the clinical recovery of severe COVID-19.
December 2021
By: Gustavo A. Ospina-Tascón, Luis Eduardo Calderón-Tapia, Alberto F. García
Malawi’s National Medical Oxygen Ecosystem Roadmap (2021-2026)
GOVERNMENT POLICY / STRATEGY | This oxygen roadmap provides a structured and attainable plan to establish and maintain a comprehensive national medical oxygen ecosystem in Malawi.
December 2021
By: Malawi Ministry of Health and Population, PATH, UNICEF
Management of Pneumonia in Critically Ill Patients
JOURNAL PUBLICATION | Published in BMJ, this article reviews current knowledge on the management of pneumonia in critically ill patients, including community-acquired and hospital-acquired pneumonia.
December 2021
By: Catia Cillóniz, Antoni Torres, Michael S. Niederman
NEST-ED Clinical Modules
GUIDANCE | Newborn Essential Solutions and Technologies-Education (NEST-ED) Clinical Modules provide educational support for each of the technologies included in the NEST360° bundle for newborn care.
December 2021
By: NEST360
Oxygen Management among Infants in Neonatal Units in Sub-Saharan Africa: A Cross-Sectional Survey
JOURNAL PUBLICATION | Published in the Journal of Perinatology, this study provides more comprehensive data on the management of oxygen supplementation in neonates in sub-Saharan Africa.
November 2021
By: Scott Herrod, Alex Stevenson, Yvonne E Vaucher, Scott R. Lambert, Sherwin J. Isenberg, Vivien L. Yap, V. Chinyere Ezeaka, Waldemar A. Carlo
COVID-19 Critical Care Training Forum
COURSE / TRAINING VIDEO | This forum focuses on teaching critical care topics followed by an open discussion for early career professionals and non-ICU trained healthcare providers.
October 2021
By: American Thoracic Society
Changes in the Availability of Medical Oxygen and its Clinical Practice in Ethiopia during a National Scale Up Program: A Time Series Design from Thirty-two Public Hospitals
JOURNAL PUBLICATION | Published in BMC Pediatrics, this study evaluates whether availability of oxygen and its clinical practice in public hospitals of Ethiopia changed during the time of their oxygen roadmap implementation.
October 2021
By: Habtamu Seyoum Tolla, Yigeremu Abebe Asemere, Alebel Yaregal Desale, Dinkineh Bikila Woyessa, Zinabie Feleke Fekadu, Alemayehu Berhanu Belete, Audrey Battu, Felix Lam
Children’s Oxygen Administration Strategies and Nutrition Trial (COAST-Nutrition): A Protocol
JOURNAL PUBLICATION | Published in Wellcome Open Research, COAST-Nutrition is a Phase II trial investigating the impact of supplementary RUTF on outcomes in children with severe pneumonia.
October 2021
By: Sarah Kiguli, Peter Olopot-Olupot, Florence Alaroker, Charles Engoru, Robert Opika Opoka, Abner Tagoola, Mainga Hamaluba, Hellen Mnjalla, Ayub Mpoya, Christabel Mogaka, Damalie Nalwanga, Eva Nabawanuka, Charles Nyaigoti, André Briend, Job van Woensel, Richard Grieve, Zia Sadique, Thomas Williams, Karen Thomas, David Harrison, Kathryn Rowan, Kathryn Maitland
Guidebook on Medical Oxygen Management System
GUIDANCE | This guidebook presents a comprehensive view at the entire oxygen ecosystem in Meghalaya, India and will be helpful to various stakeholders in the field.
October 2021
By: Government of Meghalaya, Nishtha, Jhpiego, PATH
National Roadmap to Increase Access to Medical Oxygen in Liberia (2021-2024)
GOVERNMENT POLICY / STRATEGY | This roadmap is intended to guide implementation and coordination of oxygen activities in Liberia, to provide cost estimates for implementation, and to support resource mobilization efforts.
October 2021
By: Liberia Ministry of Health
Surviving Sepsis Campaign Guidelines 2021
GUIDANCE | These updated guidelines place an increased emphasis on improving care for sepsis patients after they are discharged from the ICU and represent greater geographic and gender diversity than previous versions.
October 2021
By: Society of Critical Care Medicine
Essential Emergency and Critical Care: A Consensus among Global Clinical Experts
JOURNAL PUBLICATION | Published in BMJ Global Health, this study aimed to specify the content of EECC and additionally the essential diagnosis-specific care for critically ill patients with COVID-19.
September 2021
By: Carl Otto Schell, Karima Khalid, Alexandra Wharton-Smith, Jacquie Oliwa, Hendry R. Sawe, Nobhojit Roy, Alex Sanga, John C. Marshall, Jamie Rylance, Claudia Hanson, Raphael K. Kayambankadzanja, Lee A. Wallis, Maria Jirwe, Tim Baker
High-Flow Nasal Cannula and COVID-19: A Clinical Review
JOURNAL PUBLICATION | Published in Respiratory Care, this narrative review provides an overview of the recent evidence on the physiologic rationale, risks, and benefits of using HFNC instead of conventional oxygen therapy.
September 2021
By: Claudia Crimi, Paola Pierucci, Teresa Renda, Lara Pisani, Annalisa Carlucci
Improving Newborn and Pediatric Quality of Care by Strengthening Access to Safe Use of Oxygen, Pulse Oximetry, and Infection Prevention and Control Measures
INFORMATION BRIEF | These case studies demonstrate how UNICEF Bangladesh, Liberia, Kenya, and Nepal supported governments to ensure COVID-19 investments led to improved oxygen access for newborns and children.
September 2021
By: UNICEF
COVID Protocols: Supplemental Oxygen
GUIDANCE | COVIDprotocols.org was launched to create open access adaptable protocols for the management of COVID-19 patients, including in low-resource settings.
August 2021
By: Brigham and Women’s Hospital, Partners in Health, Open Critical Care
NEST360 Clinical Job Aid: Acare Suction Pump
TOOL | This clinical job aid from NEST360 provides an overview of an Acare suction pump, including assessment and preparation as well as repair and maintenance of the device.
August 2021
By: NEST360
NEST360 Clinical Job Aid: AirSep Oxygen Concentrator
TOOL | This clinical job aid from NEST360 provides an overview of an AirSep oxygen concentrator, including assessment and preparation as well as repair and maintenance of the device.
August 2021
By: NEST360
NEST360 Clinical Job Aid: Aspeed Suction Pump
TOOL | This clinical job aid from NEST360 provides an overview of an Aspeed suction pump, including assessment and preparation as well as repair and maintenance of the device.
August 2021
By: NEST360
NEST360 Clinical Job Aid: Bubble CPAP
TOOL | This clinical job aid from NEST360 provides an overview of a bubble CPAP device.
August 2021
By: NEST360
NEST360 Clinical Job Aid: Canta Oxygen Concentrator
TOOL | This clinical job aid from NEST360 provides an overview of a Canta oxygen concentrator, including assessment and preparation as well as repair and maintenance of the device.
August 2021
By: NEST360
NEST360 Clinical Job Aid: Flow Splitter
TOOL | This clinical job aid from NEST360 provides an overview of a flow splitter, including assessment and preparation as well as repair and maintenance of the device.
August 2021
By: NEST360
The CircumVent Project: A CPAP/O 2 Helmet Solution for Noninvasive Ventilation Using an Implementation Research Framework
JOURNAL PUBLICATION | Published in PubMed: Implementation Science Communications, this study evaluated the feasibility, adaptability, and acceptability of the CPAP/O2 helmet solution for noninvasive ventilation in Nigeria.
August 2021
By: Aimalohi A. Ahonkhai, Adesola Z. Musa, André A. Fenton, Muktar H. Aliyu, Igho Ofotokun, Alex Hornstein, Baba M. Musa, Nnamdi Nwosu, Ifeoma Ulasi, Samuel Ajayi, Catherine Falade, Adedamola Dada, Aliyu Abdu, Mogaji Sunday, Adenike Odewabi, Onome Ogueh, Alan Steinbach, Gbenga Ogedegbe, Babatunde L. Salako, Oliver C. Ezechi
Clinical Presentation, Outcomes and Factors Associated with Mortality: A Prospective Study from Three COVID-19 Referral Care Centres in West Africa
JOURNAL PUBLICATION | Published in International Journal of Infectious Diseases, this study from West Africa found that COVID-19 mortality is influenced by factors like age, gender, and chronic hypertension.
July 2021
By: Marie Jaspard, Mamadou Saliou Sow, Sylvain Juchet, Beatrice Serra, Richard Kojan, Billy Sivahera, Caroline Martin, Moumouni Kinda, Hans-Joerg Lang, Fodé Bangaly Sako, Fodé Amara Traoré, Eudoxie Koumbem, Halidou Tinto, Adama Sanou, Apoline Sondo, Flavien Kaboré, Joseph Donamou, Jean-Paul-Yassa Guilavogui, Fanny Velardo, Brice Bicaba, Olivier Marcy, Augustin Augier, Sani Sayadi, Armel Poda, Sakoba Keita, Xavier Anglaret, Denis Malvy
Consolidated Guidelines on HIV Prevention, Testing, Treatment, Service Delivery, and Monitoring: Recommendations for a Public Health Approach
GUIDANCE | These consolidated guidelines on HIV prevention, testing, treatment, service delivery and monitoring bring together existing and new clinical and programmatic recommendations across different ages, populations and settings.
July 2021
By: World Health Organization (WHO)
Oxygen Systems and Quality of Care for Children with Pneumonia, Malaria, and Diarrhea: Analysis of a Stepped-wedge Trial in Nigeria
JOURNAL PUBLICATION | Published in PLOS One, this study evaluates the effect of improved hospital oxygen systems on quality of care for children with severe pneumonia, severe malaria, and diarrhea with severe dehydration.
July 2021
By: Hamish Graham, Jaclyn Maher, Ayobami A. Bakare, Cattram D. Nguyen, Adejumoke I. Ayede, Oladapo B. Oyewole, Amy Gray, Rasa Izadnegahdar, Trevor Duke, Adegoke G. Falade
Oxygen and Mortality in COVID-19 Pneumonia: A Comparative Analysis of Supplemental Oxygen Policies and Health Outcomes across 26 Countries
JOURNAL PUBLICATION | Published in Frontiers in Public Health, this study examined whether variation in national oxygen guidelines had any association with COVID-19 mortality rates looking at the 29 worst-affected countries.
July 2021
By: Fatma Mansab, Harry Donnelly, Albrecht Kussner, James Neil, Sohail Bhatti, Daniel K. Goyal
Estimated Cost-Effectiveness of Solar-Powered Oxygen Delivery for Pneumonia in Young Children in Low-Resource Settings
JOURNAL PUBLICATION | Published in JAMA Open Network, this study reviewed the cost-effectiveness of solar-powered oxygen delivery for young children with severe pneumonia in low-resource settings.
June 2021
By: Yiming Huang, Qaasim Mian, Nicholas Conradi, Robert Opika Opoka, Andrea L. Conroy, Sophie Namasopo, Michael Hawkes
A COASTal View: Where Prior Beliefs and Uncertainty Collide
JOURNAL PUBLICATION | Published in Intensive Care Medicine, the COAST trial, conducted in Uganda and Kenya, compared humidified HFNT and standard low-flow nasal oxygen in children with severe hypoxemia.
May 2021
By: Mark Peters, William Macharia, Elizabeth Molyneux
Critical Preparedness, Readiness, and Response Actions for COVID-19
GUIDANCE | Published by WHO, this document provides interim guidance to help countries manage COVID-19 through a series of preparedness and response measures.
May 2021
By: World Health Organization (WHO)
Patient Care and Clinical Outcomes for Patients with COVID-19 Infection Admitted to African High-care or Intensive Care Units (ACCCOS): A Multicenter, Prospective, Observational Cohort Study
JOURNAL PUBLICATION | The African COVID-19 Critical Care Outcomes Study aimed to determine which resources, comorbidities, and critical care interventions are associated with mortality in African critically ill COVID-19 patients.
May 2021
By: The Lancet
The Use of Pulse Oximeter by Public & Healthcare Providers in the Community for Suspected and Confirmed COVID-19 Cases
GUIDANCE | This is a guidance document to support the use of pulse oximeter for assessment of suspected and confirmed cases of COVID-19 in the community.
May 2021
By: Africa Centres for Disease Control and Prevention (CDC)
Anesthesia Pocket Reference
TOOL | This pocket guide contains quick reference for airway management, common induction and sedation agents and more.
April 2021
By: Open Critical Care, University of California, San Francisco, Sustaining Technical and Analytic Resources (STAR) project
NEST-ED Technical Module: Bubble CPAP
GUIDANCE | The NEST-ED Technical Modules help technical staff and students understand the basics of when and how to use equipment essential to newborn care, such as a bubble CPAP device.
April 2021
By: NEST360
NEST-ED Technical Module: Flow Splitter
GUIDANCE | The NEST-ED Technical Modules help technical staff and students understand the basics of when and how to use equipment essential to newborn care, such as flow splitters.
April 2021
By: NEST360
NEST-ED Technical Module: Oxygen Concentrator
GUIDANCE | The NEST-ED Technical Modules help technical staff and students understand the basics of when and how to use equipment essential to newborn care, such as oxygen concentrators.
April 2021
By: NEST360
NEST-ED Technical Module: Oxygen Cylinder
GUIDANCE | The NEST-ED Technical Modules help technical staff and students understand the basics of when and how to use equipment essential to newborn care, such as oxygen cylinders.
April 2021
By: NEST360
NEST-ED Technical Module: Suction Pump
GUIDANCE | The NEST-ED Technical Modules help technical staff and students understand the basics of when and how to use equipment essential to newborn care, such as suction pumps.
April 2021
By: NEST360
PIH Technical Toolkit: Building Resilient Oxygen Systems
TOOL | This tool is meant to support the strengthening of oxygen ecosystems, including infrastructure design and maintenance, supply chain, training and ongoing mentorship, and clinical guideline development.
April 2021
By: Partners in Health, Build Health International, Jim Ansara, Frances Cherestal, Noah Hudelson, Forrest Shroyer, Paul Sonenthal
Respiratory Therapy and ICU Care for COVID-19: An Update
COURSE / TRAINING VIDEO | This video by Christian Medical College (CMC) Vellore describes how and when to use noninvasive ventilation for COVID-19 patients.
April 2021
By: Christian Medical College (CMC) Vellore
The Oxygen Series
PRESENTATION / WEBINAR | This webinar series highlights the diagnosis and therapy for hypoxemia, both pediatric and adult.
April 2021
By: Assist International, Stanford Medicine – Anesthesia Division of Global Health Equity
Ventilator Circuit, Filters, and Humidication Setup
TOOL | This visual aid provides a quick reference for common circuit, humidification system, and bacterial viral filter combinations for dual and single limb circuits and both mechanical ventilation and noninvasive ventilation.
April 2021
By: Open Critical Care, Sustaining Technical and Analytic Resources (STAR) project, University of California, San Francisco
Introduction to Airway Management by Dr. Sandra Lopez and Dr. Nico Risko
COURSE / TRAINING VIDEO | On March 8th 2021, Dr. Sandra Lopez presented the approach to emergency airway management and endotracheal intubation.
March 2021
By: Jhpiego
NEST-ED Clinical Module: Oxygen Therapy
GUIDANCE | This NEST-ED Clinical Module has been prepared to help healthcare staff and students understand when and how to use oxygen therapy in newborn care.
March 2021
By: NEST360
NEST-ED Clinical Module: Suction Pump
GUIDANCE | This NEST-ED Clinical Module has been prepared to help healthcare staff and students understand when and how to use suction pumps in newborn care.
March 2021
By: NEST360
NEST360 Clinical Scenario: Continuous Positive Airway Pressure
TOOL | This tool from NEST360 provides a clinical scenario for continuous positive airway pressure (CPAP).
March 2021
By: NEST360
NEST360 Clinical Scenario: Oxygen Concentrator and Flow Splitter
TOOL | This tool from NEST360 provides a clinical scenario for oxygen concentrator and flow splitter.
March 2021
By: NEST360
NEST360 Clinical Scenario: Suction Pump
TOOL | This tool from NEST360 provides a clinical scenario for suction pumps.
March 2021
By: NEST360
Preguntas: Presentación y Encuesta Sobre Terapias con O2 [Questions: Presentation and Survey on Oxygen Therapies]
TOOL | This reference note provides answers to key questions related to providing oxygen therapy as a treatment for COVID-19.
March 2021
By: Open Critical Care
COVID-19: Opportunities for Interdisciplinary Research to Improve Care for Older People in Sweden
JOURNAL PUBLICATION | Published in Scandinavian Journal of Public Health, this communication highlights COVID-19’s severe impact on older people in Sweden and identifies key areas for interdisciplinary research.
February 2021
By: Rebecca Baxter, Wossenseged Birhane Jemberie, Xia Li, Mascha Pauelsen, Jacques Shebehe, Emilia W.E. Viklund, Xin Xia, Linn Elena Zulka
Gaps in COPD Guidelines of Low- and Middle-Income Countries: A Systematic Scoping Review
JOURNAL PUBLICATION | Published in Chest, this study systematically reviewed national COPD guidelines, focusing on worldwide availability, content, context, and quality gaps that may hamper effective implementation.
February 2021
By: Aizhamal Tabyshova, John R. Hurst, Joan B. Soriano, William Checkley, Erick Wan-Chun Huang, Antigona C. Trofor, Oscar Flores-Flores, Patricia Alupo, Gonzalo Gianella, Tarana Ferdous, David Meharg, Jennifer Alison, Jaime Correia de Sousa, Maarten J. Postma, Niels H. Chavannes, Job F.M. van Boven
Nurses’ Supplemental Oxygen Therapy Knowledge and Practice in Debre Tabor General Hospital: A Cross-Sectional Study
JOURNAL PUBLICATION | Published in Open Access Emergency Medicine, this study assessed the knowledge and practice of nurses on supplemental oxygen therapy in Debre Tabor General Hospital in 2019.
February 2021
By: Shegaw Zeleke, Demewoz Kefale
COVID-19 Guidelines Dashboard
GUIDANCE | This resource aggregates guidelines for COVID-19 care from leading global health authorities and consolidates them into a single recommendation based on concordance.
January 2021
By: University of California, San Francisco, NEJM Group, Open Critical Care
COVID-19: A Patient’s Perspective
JOURNAL PUBLICATION | Published in Indian Journal of Respiratory Care, this article provides narratives of two patients who suffered from COVID-19.
January 2021
By: Ravi Andrews
Clinical Management of COVID-19
GUIDANCE | This manual is intended for healthcare providers in Malawi to identify and provide appropriate care for patients with acute respiratory infection when COVID-19 is suspected.
January 2021
By: Public Health Institute of Malawi
Response to Oxygen Therapy Using Oxygen Concentrators Run off Solar Power in Children with Respiratory Distress in Remote Primary Health Facilities in Papua New Guinea
JOURNAL PUBLICATION | Published in Tropical Doctor, this prospective observational study looked at the use of oxygen concentrators using solar power in remote health facilities of Papua New Guinea.
January 2021
By: Francis Pulsan, Trevor Duke
COVID Protocols: Oxygen Care
GUIDANCE | This COVIDprotocols.org section on oxygen care outlines treatment options in patients, both invasive and noninvasive ventilation.
December 2020
By: Brigham and Women’s Hospital, Partners in Health, Open Critical Care
COVID-19 Has Turned the Spotlight on the Uneven Provision of Oxygen—A Stark Health Inequity
ARTICLE | Published in BMJ Opinion, this article describes how the COVID-19 crisis has exposed the inequities in oxygen availability between rich and poor countries.
December 2020
By: Kevin Watkins, Adamu Isah
COVID-19 Vaccines Operational Guidelines
GUIDANCE | This operational guidelines provide guidance on COVID-19 vaccine rollout and distribution to ensure all Indian citizens have access to proper prevention tools for the disease.
December 2020
By: India Ministry of Health and Family Welfare
COVIDProtocols v2.0
GUIDANCE | COVIDprotocols.org was launched to create open access adaptable protocols for the management of COVID-19 patients, including guidelines focused on COVID-19 care in resource-limited settings.
December 2020
By: Brigham and Women’s Hospital, Partners in Health, Open Critical Care
Improving Hospital Oxygen Systems for COVID-19 in Low-resource Settings: Lessons From the Field
JOURNAL PUBLICATION | As highlighted in this Global Health: Science and Practice article, field experience from African and Asia-Pacific contexts reveal practical strategies whereby hospitals can rapidly improve their oxygen systems.
December 2020
By: Hamish Graham, Sheillah M. Bagayana, Ayobami A. Bakare, Bernard Olayo, Stefan S. Peterson, Trevor Duke, Adegoke G. Falade
NIH COVID-19 Treatment Guidelines: Oxygenation and Ventilation
GUIDANCE | This website provides current guidelines on treating COVID-19, as provided by the U.S. National Institutes of Health. This section emphasizes considerations for both mechanical and nonmechanical ventilation.
December 2020
By: U.S. National Institutes of Health (NIH)
Oxigenación de Alto Flujo en Anestesia y Cuidados Críticos [High-flow Oxygenation in Anesthesia and Critical Care]
GUIDANCE | This tutorial aims to provide an overview of the use of high-flow nasal oxygenation in anesthesia and intensive care in daily practice.
December 2020
By: World Federation of Societies of Anaesthesiologists (WFSA)
Mechanical Ventilation: Management of COVID-19
COURSE / TRAINING VIDEO | This video comes from the HarvardX course, Mechanical Ventilation for COVID-19. The content in this video discusses how mechanical ventilation is different in COVID-19 patients.
November 2020
By: Harvard University
The Impact of Pulse Oximetry and Integrated Management of Childhood Illness (IMCI) Training on Antibiotic Prescribing Practices in Rural Malawi: A Mixed-Methods Study
JOURNAL PUBLICATION | Published in PLoS One, this study assesses the impact of portable pulse oximeters and IMCI continued education on the diagnosis and treatment of fever among pediatric patients in rural Malawi.
November 2020
By: Fiona Sylvies, Lucy Nyirenda, Alden Blair, Kimberly Baltzell
NEST360 Resources
GUIDANCE | This collection of resources provides an evidence-based model for sustainable, high-quality hospital-based newborn care in limited-resource settings, including respiratory care and oxygen therapy.
October 2020
By: NEST360
What Does Severe Acute Respiratory Syndrome Coronavirus 2 Mean for Global Pneumonia Prevention, Diagnosis, and Treatment?
JOURNAL PUBLICATION | As highlighted in this CHEST Journal article, the COVID-19 pandemic has revealed just how unprepared most countries have been to deal with widescale, rapidly increasing outbreaks of viral pneumonia.
October 2020
By: Shally Awasthi, Harry Campbell, Charles S. Dela Cruz, Hamish Graham, Leith Greenslade, Fyezah Jehan, Heather J. Zar
COVID-19 and the Oxygen Bottleneck
JOURNAL PUBLICATION | This article in the Bulletin of the World Health Organization outlines key gaps and challenges around providing medical oxygen to patients who need it.
September 2020
By: Tatum Anderson
Impact of Oxygen Therapy Algorithm on Oxygen Usage in the Emergency Department
JOURNAL PUBLICATION | Published in Journal of Postgraduate Medicine, this article explores the impact of an oxygen therapy algorithm on reducing inappropriate oxygen use in an Indian emergency department.
September 2020
By: Kpp Abhilash, H. Acharya, Jasleen Dua, Sunil Kumar, Bagyalakshmi Selvaraj, Ganesan Priya
Implementing Bubble Continuous Positive Airway Pressure in a Lower Middle-Income Country: A Nigerian Experience
JOURNAL PUBLICATION | Published in the Pan African Medical Journal, study assesses the implementation of a multi-center, comprehensive hospital-based bCPAP program in three states of Nigeria using a low-cost device.
September 2020
By: Chiamaka Aneji, Tyler Hartman, Oluyinka Olutunde, Eghosa Ewumwen, Oniyire Adetiloye, Joseph de Graft-Johnson, V. Chinyere Ezeaka, Angela Okolo, Ngozi Ibeziako, Obumneme Ezeanosike, Patricia Medupin, George Little
Newborn Signal Functions in Bangladesh: Identification through Expert Consultation and Assessment of Readiness among Public Health Facilities-Study Protocol Using Delphi Technique
JOURNAL PUBLICATION | Published in BMJ Open, this study, a first of its kind, will identify newborn signal functions in Bangladesh on which newborn service availability at a health facility can be assessed.
September 2020
By: Ahmed Ehsanur Rahman, Goutom Banik, Shema Mhajabin, Tazeen Tahsina, Md Jahurul Islam, Farid Uddin Ahmed, Mushair Ul Islam, Md Abdul Mannan, Sanjoy Kumer Dey, Shamina Sharmin, Fida Mehran, Mahbuba Khan, Anisuddin Ahmed, Ahmed Al Sabir, Shahin Sultana, Ziaul Ahsan, Sayed Rubayet, Joby George, Afsana Karim, Mohammod Shahidullah, Shams El Arifeen
PIH Guide COVID-19 Part II: Clinical Management of COVID-19
GUIDANCE | This document describes the procedures for ensuring health facilities are properly equipped to manage patient care during the COVID-19 pandemic.
September 2020
By: Stop COVID, Partners in Health
COVID-19 Catalog of Training Resources for Healthcare Workers
REPOSITORY / TOOLKIT | This catalogue provides a comprehensive list of training resources aimed to better equip healthcare workers in LMICs who are directly involved in patient care to address the COVID-19 pandemic.
August 2020
By: PATH
Clinical Management Guidelines for COVID-19 Acute Respiratory Disease
GUIDANCE | This guidance document provides key information on the clinical management of COVID-19 acute respiratory disease, including case definition, modes of transmission, and diagnosis, and treatment protocols.
August 2020
By: Myanmar Ministry of Health and Sports
Emergency Care of COVID-19 in Adults in Low-resource Settings
GUIDANCE | The purpose of this document is to provide clinical guidance to clinicians working in a low-resource setting during the COVID-19 pandemic.
August 2020
By: African Federation for Emergency Medicine (AFEM)
Home Care for Patients with Suspected or Confirmed COVID-19 and Management of Their Contacts
GUIDANCE | Published by the World Health Organization, this guidance document provides recommendations for safe home care of COVID-19 patients with mild symptoms and management of their contacts.
August 2020
By: World Health Organization (WHO)
Prone Positioning for Pregnant Women With Hypoxemia Due to Coronavirus Disease 2019 (COVID-19)
COURSE / TRAINING VIDEO | This article published in Obstetrics and Gynecology outlines an algorithm for prone positioning of both intubated and nonintubated pregnant women.
August 2020
By: Mary Catherine Tolcher, Jennifer R. McKinney, Catherine S. Eppes, David Muigai, Amir Shamshirsaz, Kalpalatha K. Guntupalli, Joseph L. Nates
High-flow, Noninvasive Ventilation and Awake (Nonintubation) Proning in Patients with Coronavirus Disease 2019 with Respiratory Failure
JOURNAL PUBLICATION | This article in the CHEST Journal attempts to separate fact from fiction and perception from reality pertaining to aerosol dispersion with noninvasive ventilation, high-flow nasal cannula, and awake proning.
July 2020
By: Suhail Raoof, Stefano Nava, Charles Carpati, Nicholas S. Hill
Respiratory Therapy Pocket Reference
TOOL | This card provides a summary tool on respiratory therapy, but is not a substitute for clinical decision making based on the medical condition presented.
July 2020
By: Zuckerberg San Francisco General, University of California, San Francisco
Single-Dose Nirsevimab for Prevention of RSV in Preterm Infants
JOURNAL PUBLICATION | Published in the New England Journal of Medicine, this study evaluated nirsevimab for the prevention of RSV-associated lower respiratory tract infection in healthy infants who had been born preterm.
July 2020
By: M. Pamela Griffin, Yuan Yuan, Therese Takas, Joseph B. Domachowske, Shabir Ahmed Madhi, Paolo Manzoni, Eric A.F. Simões, Mark T. Esser, Anis A. Khan, Filip Dubovsky, Tonya Villafana, John P. DeVincenzo
WHO & CED COVID-19 Critical Topic Webinars
PRESENTATION / WEBINAR | WHO and IFMBE Clinical Engineering Division partnered to host a series of COVID-19 Critical Topic 1-hour webinars during May 2020.
July 2020
By: IFMBE Clinical Engineering Division, World Health Organization (WHO)
Community and Caregivers’ Perceptions of Pneumonia and Care‐Seeking Experiences in Nigeria: A Qualitative Study
JOURNAL PUBLICATION | Published in Anesthesia & Analgesia, this study found caregiver and community perceptions of pneumonia in Nigeria are influenced by limited knowledge of symptoms, family dynamics, and cost barriers.
June 2020
By: Ayobami A. Bakare, Hamish Graham, Imaria Agwai, Funmilayo Shittu, Carina King, Tim Colbourn, Agnese Iuliano, Zeus Aranda, Eric D. McCollum, Adamu Isah, Solomon Bahiru, Paula Valentine, Adegoke G. Falade, Rochelle Ann Burgess
Implementation Guide for Non-COVID-19 Essential Services in Ethiopia During COVID-19 Pandemic
GOVERNMENT POLICY / STRATEGY | The purpose of this document is to re-commence and maintain non-COVID-19 essential services, which were halted during the COVID-19 epidemic response in health facilities, across Ethiopia.
June 2020
By: Ethiopia Federal Ministry of Health
NHM Guidance Note on India COVID-19 Emergency Response and Health Systems Preparedness Package
GOVERNMENT POLICY / STRATEGY | This document provides the framework for preparation and implementation of the Emergency COVID Response Plan (ECRP) with details of activities necessary for effective emergency response across India.
June 2020
By: India Ministry of Health and Family Welfare
Preparing Hospitals in India for COVID-19 Pandemic
JOURNAL PUBLICATION | Published in International Journal of Pharmaceutical Sciences and Research, this article describes COVID-19 response strategies that were developed and adopted by a large, multispecialty hospital in India.
June 2020
By: Sameer Jog, Dhananjay Kelkar, Madhav Bhat, Sampada Patwardhan, Purushotham Godavarthy, Ujwal Dhundi, Harshwardhan Pawar, Prasad Rajhans, Balasaheb Pawar, Vishnudas Telbhare, Gouri Ranade, Vaibhavi Upadhye, Parikshit Prayag, Bharat Purandare, Sukrut Purandare, Rajesh Bhavsar
APSF/ASA Guidance on Purposing Anesthesia Machines as ICU Ventilators
GUIDANCE | This document is intended to provide guidance on using anesthesia ventilators safely and effectively as ICU ventilators.
May 2020
By: American Society of Anesthesiologists, Anesthesia Patient Safety Foundation
COVID-19 Clinical Case Management Manual
GUIDANCE | This case management manual is intended to guide clinical care of patients with COVID-19 in Malawi. It is the first edition.
May 2020
By: Malawi Ministry of Health and Population
COVID-19 Clinical Guidance: Oxygen Therapy
GUIDANCE | This tutorial provides a quick reference on the clinical signs of severe COVID-19, when to give oxygen, which methods can be used, and other considerations related to its delivery.
May 2020
By: African Federation for Emergency Medicine (AFEM)
COVID-19 Rapid Review for the Emergency Care
GUIDANCE | The purpose of this review is to present COVID-19-related questions in emergency medicine as pertains to the South African context.
May 2020
By: Emergency Medicine Cape Town (EMCT), African Federation for Emergency Medicine (AFEM)
Clinical Use of Oxygen: Training Package v2.0
REPOSITORY / TOOLKIT | This set of resources includes various oxygen and pulse oximetry trainings and tools collated by Dr. Hamish Graham.
May 2020
By: Hamish Graham
Focus Group Discussions on Low-Flow Oxygen and Bubble CPAP Treatments among Mothers of Young Children in Malawi: A CPAP IMPACT Sub study
JOURNAL PUBLICATION | Published in BMJ Open, this study determined the acceptability of bCPAP and low-flow oxygen among mothers of children who had received either therapy in a district hospital in Malawi.
May 2020
By: Kristen L. Sessions, Laura Ruegsegger, Tisungane Mvalo, Davie Kondowe, Mercy Tsidya, Mina Hosseinipour, Norman Lufesi, Michelle Eckerle, Andrew G. Smith, Eric D. McCollum
Guidelines for Quarantine Facilities COVID-19
GUIDANCE | The purpose of this document is to provide guidelines for setting up of quarantine facilities during the COVID-19 pandemic.
May 2020
By: India Ministry of Health and Family Welfare
Guidelines for Setting up Isolation Facilities/Ward
GUIDANCE | The document provides guidelines for setting up isolation facilities for COVID-19 patients at district hospitals in India.
May 2020
By: India Ministry of Health and Family Welfare
Guidelines on Clinical Management of Severe Acute Respiratory Illness (SARI) in Suspect/Confirmed Novel Coronavirus (nCOV) Cases
GUIDANCE | This document provides clinicians with updated interim guidance on timely, effective, and safe supportive management of patients with COVID-19 and severe acute respiratory infection.
May 2020
By: India Ministry of Health and Family Welfare
Interim Guidelines on Management of COVID-19 in Kenya
GUIDANCE | These interim guidelines and protocols for SARS-CoV-2 and COVID-19 combine both preventive and clinical management of the disease in the Kenyan context.
May 2020
By: Kenya Ministry of Health
Oxygen Sources and Delivery Devices
PRESENTATION / WEBINAR | This presentation provides an introduction to oxygen delivery devices, including general terminology, high-flow vs. low-flow, the various oxygen sources, consumption tracking, delivery devices, and more.
May 2020
By: Open Critical Care, Sustaining Technical and Analytic Resources (STAR) project, University of California, San Francisco
ARDS, COVID-19, and Pronation Therapy
GUIDANCE | This page includes resources to help understand the benefits of the procedure and see how pronation therapy can be done safely.
April 2020
By: American Association of Critical Care Nurses, Linda Bell
African Federation for Emergency Medicine COVID-19 Palliative Care Guideline
GUIDANCE | This document aims to provide clinical guidance on palliative care during the COVID-19 pandemic, specifically for use in low-resource settings.
April 2020
By: African Federation for Emergency Medicine (AFEM)
COVID-19 Airway Management in the Intensive Care Unit
COURSE / TRAINING VIDEO | This video outlines a potential strategy for airway management in the intensive care unit for patients with COVID-19.
April 2020
By: OpenPediatrics
Consensus Guidelines for Managing the Airway in Children with COVID-19
GUIDANCE | This consensus statement provides clarity on airway management for COVID-19 patients and where that guidance differs for pediatric patients.
April 2020
By: Association of Anesthetists, Difficult Airway Society, Association of Pediatric Anesthetists
Essential Care of Critical Illness Must not be Forgotten in the COVID-19 Pandemic
JOURNAL PUBLICATION | Published in The Lancet, a conceptual framework is proposed that illustrates the need for hospital readiness and good quality clinical practice for the identification and care of critically ill patients.
April 2020
By: Tim Baker, Carl Otto Schell, Dan Brun Petersen, Hendry R. Sawe, Karima Khalid, Samson Kwazizira Mndolo, Jamie Rylance, Daniel F McAuley, Nobhojit Roy, John C. Marshall, Lee A. Wallis, Elizabeth Molyneux
How to Set Up an Oxygen Flow Splitter
GUIDANCE | From the MSF Manual of Nursing Care Procedures, this note outlines how to set up an oxygen flow splitter.
April 2020
By: Médecins sans Frontières, Sean King, Kate White
Managing COVID-19 in Resource-limited Settings: Critical Care Considerations
JOURNAL PUBLICATION | From an urgent and pragmatic perspective, this article published in BMC Critical Care suggests creative uses of existing resources and repurposing others for human medical care.
April 2020
By: Wen Ting Siow, Mei Fong Liew, Babu Raja Shrestha, Faisal Muchtar, Kay Choong See
Oxygen Therapy in Maternity
TOOL | This video provides a brief overview of when oxygen therapy may be necessary in maternity care.
April 2020
By: Leeds Teaching Hospitals NHS Trust
Oxygen Therapy with Limited Resources: COVID-19 Severe Acute Respiratory Infection (SARI) and Pneumonia
GUIDANCE | This brief provides information on how to manage oxygen therapy in low-resource settings for severe acute respiratory infection and pneumonia in the context of COVID-19.
April 2020
By: Australasian College for Emergency Medicine, World Federation of Societies of Anaesthesiologists (WFSA)
Oxygenation Strategies in the Emergency Department: A COVID-19 Simulation Walkthrough
COURSE / TRAINING VIDEO | In this video, Dr. Midhun Mohan conducted a simulation exercise to help optimize the oxygenation strategies available at our disposal while managing a COVID-19 case.
April 2020
By: Marrow
Prone Positioning for Acute Respiratory Distress Syndrome (ARDS)
COURSE / TRAINING VIDEO | Rush University System for Health has developed a four-phase checklist to facilitate the process of placing a patient into the prone position.
April 2020
By: Rush University System for Health
The Supportive Care Needs of People Living with Pulmonary Fibrosis and Their Caregivers: A Systematic Review
JOURNAL PUBLICATION | Published in European Respiratory Review, this review aimed to identify the supportive care needs reported by people with pulmonary fibrosis and their caregivers.
April 2020
By: Joanna Y.T. Lee, Gabriella Tikellis, Tamera J. Corte, Nicole S. Goh, Gregory J. Keir, Lissa Spencer, Debra Sandford, Yet H. Khor, Ian Glaspole, John Price, Alison J. Hey-Cunningham, Jamie Maloney, Alan K.Y. Teoh, Alice L. Watson, Anne E. Holland
Trauma Care and Capture Rate of Variables of World Health Organisation Data Set for Injury at Regional Hospitals in Tanzania: First Steps to a National Trauma Registry
JOURNAL PUBLICATION | Published BMC Emergency Medicine, this study determined how well hospitals currently capture the variables that are specified in the World Health Organization (WHO) data set on injuries in Tanzania.
April 2020
By: Teri Reynolds, Ellen Weber, Timothy J. Coats, Lee A. Wallis
A Nationwide Survey on the Use of Heated Humidified High Flow Oxygen Therapy on the Paediatric Wards in the UK: Current Practice and Research Priorities
JOURNAL PUBLICATION | Published in BMC Pediatrics, this study describes current practice related to the use of HHFNC on pediatric wards and high dependency units, weaning practices, and preferred outcome measures.
March 2020
By: Osama Hosheh, Christopher Edwards, Padmanabhan Ramnarayan
COVID-19 Airway Management Principles
GUIDANCE | This guidance highlights proper airway management of patients suspected or confirmed to have COVID-19.
March 2020
By: Association of Anesthetists, Difficult Airway Society, Association of Pediatric Anesthetists
COVID-19 Recommendations: Prehospital Emergency Medical Services (EMS). Draft Document, Version 4.4
GUIDANCE | This document provides general guidance for Emergency Medical Service (EMS) preparedness and response to COVID-19. At a local and state level, regulations and resource configurations may vary.
March 2020
By: Pan American Health Organization (PAHO)
Corona en Anesthesie Reanimation – 3 Airway (PR Afak Nsiri)
COURSE / TRAINING VIDEO | This video provides instruction on the basics of intubation of a critically ill patient.
March 2020
By: University of Hassan II Casablanca
Corona en Anesthesie Reanimation – 4.A Ventilation SDRA (PR Mohammed Mouhaoui)
COURSE / TRAINING VIDEO | This video provides instruction on the modes of mechanical ventilation for a critically ill patient.
March 2020
By: University of Hassan II Casablanca
Corona en Anesthesie Reanimation – 4.B Ventilation Virtuelle SDRA (PR Mohammed Mouhaoui)
COURSE / TRAINING VIDEO | This video provides a simulation of the use of mechanical ventilator on a critically ill patient.
March 2020
By: University of Hassan II Casablanca
Corona en Anesthesie Reanimation – 5 Reanimation Theorie (PR Chafik El Kettani)
COURSE / TRAINING VIDEO | This video provides instruction on monitoring and fluid and pharmacological management of intubated patients as well as on shock management.
March 2020
By: University of Hassan II Casablanca
Corona en Anesthesie Reanimation – 6 Soins Infirmiers (PR Lahoucine Barrou)
COURSE / TRAINING VIDEO | This video provides instruction on the monitoring and care of an intubated patient.
March 2020
By: University of Hassan II Casablanca
Corona en Anesthesie Reanimation – 7 Anesthesie (PR Khalid Yaqini)
COURSE / TRAINING VIDEO | This video provides instruction on how to administer anesthesia for surgery of critically ill patients.
March 2020
By: University of Hassan II Casablanca
Guidelines on the Management of Pediatric Patients During COVID-19 Pandemic
GUIDANCE | This guidance seeks to advise health workers in the pediatric arena during the COVID-19 outbreak in Kenya.
March 2020
By: Kenya Ministry of Health, Kenya Pediatric Association, Keprecon, Save the Children
National Preparedness and Response Plan for COVID-19 Bangladesh
GOVERNMENT POLICY / STRATEGY | The goal of this plan is prevention and control of COVID-19 in Bangladesh to reduce impact on the health, wellbeing, and the economy of the country.
March 2020
By: Bangladesh Ministry of Health
Revised Guidelines on Clinical Management of COVID-19
GUIDANCE | This document is intended for clinicians taking care of hospitalized adult and pediatric patients of COVID-19 in India.
March 2020
By: India Ministry of Health and Family Welfare
WHO Video on Giving Oxygen to Children
COURSE / TRAINING VIDEO | The World Health Organization developed a series of videos in the 1990s on how to give oxygen to children in low- and middle-income countries.
March 2020
By: World Health Organization (WHO)
Availability and Use of Continuous Positive Airway Pressure (CPAP) for Neonatal Care in Public Health Facilities in India: A Cross-Sectional Cluster Survey
JOURNAL PUBLICATION | Published in BMJ Open, this study revealed that CPAP is used in neonatal units across India but faces significant infrastructure and training gaps, with high case fatality rates and complications.
February 2020
By: Juan Emmanuel Dewez, Sushma Nangia, Harish Chellani, Matthews Mathai, Nynke van den Broek
Providing Oxygen to Children in Hospitals: A Realist Review
JOURNAL PUBLICATION | This study highlighted in the Bulletin of the World Health Organization aims to identify and describe interventions to improve oxygen therapy in hospitals in low-resource settings.
February 2020
By: Hamish Graham, Shidan Tosif, Amy Gray, Shamim Ahmad Qazi, Harry Campbell, David Peel, Barbara McPake, Trevor Duke
WHO Clinical Care Severe Acute Respiratory Infection Training
COURSE / TRAINING VIDEO | This course is intended for clinicians who are working in intensive care units in LMICs and managing adult and pediatric patients with severe forms of acute respiratory infection.
February 2020
By: World Health Organization (WHO)
Oxygen Therapy for Children: A Key Tool in Reducing Deaths from Pneumonia
JOURNAL PUBLICATION | This commentary in Pediatric Pulmonology explores the oxygen gap, using Nigeria as an illustrative case study in improving oxygen access, and concluding with key actions for policy and practice.
January 2020
By: Hamish Graham, Ayobami A. Bakare, Chizoba Fashanu, Owens Wiwa, Trevor Duke, Adegoke G. Falade
Efficacy of High-Flow Nasal Cannula vs Standard Oxygen Therapy or Nasal Continuous Positive Airway Pressure in Children with Respiratory Distress: A Meta-Analysis
JOURNAL PUBLICATION | Published in Journal of Pediatrics, this review found that HFNC reduced treatment failure in children with mild hypoxemia, but nCPAP was more effective for infants with severe hypoxemia.
December 2019
By: Jian Luo, Trevor Duke, Mohammod Jobayer Chisti, Valerie Kalinowski, Jie Li
WHO Trauma and Emergency Surgery Kit
REPOSITORY / TOOLKIT | WHO trauma and emergency surgery kit provides materials and drugs to meet the needs of 50 patients requiring surgical care in emergency situations, assuming two operations per patient.
December 2019
By: World Health Organization (WHO)
Bubble Continuous Positive Airway Pressure for Children with High-Risk Conditions and Severe Pneumonia in Malawi: An Open Label, Randomised, Controlled Trial
JOURNAL PUBLICATION | Published in The Lancet Respiratory Medicine, this study found that bCPAP did not improve survival rates in high-risk children with severe pneumonia in Malawi compared to low-flow oxygen.
November 2019
By: Eric D. McCollum, Tisungane Mvalo, Michelle Eckerle, Andrew G. Smith, Davie Kondowe, Don Makonokaya, Dhananjay Vaidya, Veena Billioux, Alfred Chalira, Norman Lufesi, Innocent Mofolo, Mina Hosseinipour
Hypoxemia in Hospitalized Children and Neonates: A Prospective Cohort Study in Nigerian Secondary-level Hospitals
JOURNAL PUBLICATION | This study in eClinical Medicine evaluates the epidemiology of hypoxemia and oxygen use in hospitalized neonates and children in Nigeria.
November 2019
By: Hamish Graham, Ayobami A. Bakare, Adejumoke I. Ayede, Oladapo B. Oyewole, Amy Gray, David Peel, Barbara McPake, Eleanor Neal, Shamim Ahmad Qazi, Rasa Izadnegahdar, Trevor Duke, Adegoke G. Falade
Oxygen Systems to Improve Clinical Care and Outcomes for Children and Neonates: A Stepped-Wedge Cluster-Randomized Trial in Nigeria
JOURNAL PUBLICATION | This paper from PLOS Medicine reports the effects of an improved oxygen system on mortality and clinical practices in 12 general, pediatric, and maternity hospitals in southwest Nigeria.
November 2019
By: Hamish Graham, Ayobami A. Bakare, Adejumoke I. Ayede, Amy Gray, Barbara McPake, David Peel, Olatayo Olatinwo, Oladapo B. Oyewole, Eleanor Neal, Cattram D. Nguyen, Shamim Ahmad Qazi, Rasa Izadnegahdar, John B. Carlin, Adegoke G. Falade, Trevor Duke
Epidemiology of ROP Update—Africa is the New Frontier
JOURNAL PUBLICATION | Published in Seminars in Perinatology, this article emphasizes that retinopathy of prematurity (ROP) is likely to become an increasingly important cause of blindness in children in sub-Saharan Africa.
October 2019
By: Clare Gilbert, Aeesha N.J. Malik, Nazmun Nahar, Sanjoy Kumer Das, Linda Visser, Sarah Sitati, Dupe S. Ademola-Popoola
When the Tank Is Running Low: Oxygen Targets to Improve Patient Care, Reduce Waste, and Increase Availability
JOURNAL PUBLICATION | Published in Annals of the American Thoracic Society, this study assessed a simple education and monitoring intervention to improve care for hypoxemic patients in a Rwandan resource-constrained emergency department.
September 2019
By: Kristina E. Rudd, Hendrik J.F. Helmerhorst
A New Low-Cost Commercial Bubble CPAP (bCPAP) Machine Compared with a Traditional bCPAP Device in Nigeria
JOURNAL PUBLICATION | Published in Paediatrics and International Child Health, this study designed, produced, and trialed an appropriate low-cost bCPAP machine in Nigeria which is functionally effective and safe.
August 2019
By: Hippolite O. Amadi, Ifeoluwa O. Abioye, Amina L. Abubakar, Eyinade K. Olateju, Christiana T. Adesina, Sule Umar, Bessie C. Eziechila
Bubble CPAP Devices for Infants and Children in Resource-Limited Settings: Review of the Literature
JOURNAL PUBLICATION | Published in Paediatric International Child Health, this review identified key components for designing bubble CPAP circuits for children in low-resource settings.
August 2019
By: Alice Won, Daniela Suarez-Rebling, Arianne Baker, Thomas Burke, Brett Nelson
CPAP and High Flow Oxygen to Address High Mortality of Very Severe Pneumonia
JOURNAL PUBLICATION | Published in Paediatric International Child Health, this commentary article contextualizes the importance of research into two treatment modes proposed in low-income countries: CPAP and humidified HFNC.
August 2019
By: Trevor Duke
Nigeria’s National Integrated Pneumonia Control Strategy and Implementation Plan
GOVERNMENT POLICY / STRATEGY | The Federal Government of Nigeria has developed the first-ever national pneumonia control strategy and implementation plan to elevate pneumonia within the integrated newborn and child health agenda.
August 2019
By: Nigeria National Ministry of Health
Bubble CPAP and Oxygen for Child Pneumonia Care in Malawi: A CPAP IMPACT Time Motion Study
JOURNAL PUBLICATION | Published in BMC Health Services Research, this study found that bCPAP required more time from healthcare workers than low-flow nasal oxygen in treating child pneumonia in Malawi.
July 2019
By: Tisungane Mvalo, Davie Kondowe, Mina Hosseinipour, Alfred Chalira, Norman Lufesi, Michelle Eckerle, Andrew G. Smith, Eric D. McCollum
Integrated Management of Childhood Illness: Management of the Sick Young Infant Aged up to 2 Months. IMCI Chart Booklet
TOOL | This chart booklet provides an overview of the integrated management of childhood illness, specifically as it related to the management of sick and young infants aged up to two months.
June 2019
By: World Health Organization (WHO), UNICEF
Uganda National Scale Up of Medical Oxygen Implementation Plan (2018-2022)
GOVERNMENT POLICY / STRATEGY | This National Medical Oxygen Scale Up Implementation Plan articulates a holistic approach to improving demand and supply of medical oxygen in Uganda.
April 2019
By: Uganda Ministry of Health
Providing Oxygen to Children and Newborns: A Multi-faceted Technical and Clinical Assessment of Oxygen Access and Oxygen Use in Secondary-Level Hospitals in Southwest Nigeria
JOURNAL PUBLICATION | This study in the journal International Health evaluates the quality of oxygen therapy in 12 secondary-level Nigerian hospitals.
March 2019
By: Ayobami A. Bakare, Hamish Graham, Adejumoke I. Ayede, David Peel, Olatayo Olatinwo, Oladapo B. Oyewole, Kayode R. Fowobaje, Shamim Ahmad Qazi, Rasa Izadnegahdar, Trevor Duke, Adegoke G. Falade
Use of Bubble Continuous Positive Airway Pressure (bCPAP) in the Management of Critically Ill Children in a Malawian Paediatric Unit: An Observational Study
JOURNAL PUBLICATION | Published in BMJ Open Respiratory Research, this study evaluated the role of bubble continuous positive airway pressure (bCPAP) in the routine care of critically ill children in Lilongwe, Malawi.
March 2019
By: Sarah Myers, Precious Dinga, Margot Anderson, Rachel Mlotha-Mitole, Ajib Phiri, Tim Colbourn, Eric D. McCollum, Charles Mwansambo, Peter Kazembe, Hans-Joerg Lang
Development and Validation of a Questionnaire to Assess the Doctors and Nurses’ Knowledge of Acute Oxygen Therapy
JOURNAL PUBLICATION | Published in PLoS One, this study developed and validated a reliable and valid questionnaire to assess healthcare providers’ knowledge of acute oxygen therapy.
February 2019
By: Olufemi Desalu, Adeniyi Aladesanmi, Olutobi Ojuawo, Christopher Opeyemi, Rasheedat Ibraheem, Zakari Suleiman, Olanrewaju Oyedepo, Kikelomo Adesina, Taofeek Oloyede, Emmanuel Sanya
Treatment of Exacerbations of Chronic Obstructive Pulmonary Disease
JOURNAL PUBLICATION | This study aimed to assess the quality of medical care provided in large Russian hospitals to patients with chronic obstructive pulmonary disease (COPD) exacerbation.
December 2018
By: Sergey N. Avdeev, Natalia V. Truschenko, Viliya V. Gaynitdinova, Galiya S. Nuralieva
Perspectives from COPD Subjects on Portable Long-Term Oxygen Therapy Devices
JOURNAL PUBLICATION | Published in Respiratory Care, the aim of this study was to understand perceived limitations that patients with chronic obstructive pulmonary disease (COPD) experience in using long-term oxygen therapy (LTOT) devices.
November 2018
By: Hejab J. AlMutairi, Constance C. Mussa, Clement T.M. Lambert, David L. Vines, Shawna L. Strickland
Emergency Admissions in Sub-Saharan Africa: Example of the Surgical Emergency Admissions Unit at the Sylvanus Olympio Teaching Hospital of Lome, Togo
JOURNAL PUBLICATION | Published in Médecine et Santé Tropicales, this study on emergency care at the Sylvanus Olympio Teaching Hospital in Lomé found that trauma and appendicitis were common emergencies.
August 2018
By: Saliou Adam, D. Hamza Sama, Tabana Mouzou, A. Akakpovi, Kadjika Tomta, Marion Bellier
The Nasal Oxygen Practice in Intensive Care Units in China: A Multi-Centered Survey
JOURNAL PUBLICATION | Published in PLoS One, this study aimed to investigate the current status, nurses’ management and perception on nasal oxygen therapy in intensive care units in China.
August 2018
By: Zunjia Wen, Junyu Chen, Lanzheng Bian, Ailing Xie, Mingqi Peng, Mei Li, Li Wei
Evaluation of Safety and Cost of an Open-Design Oxygen Mask in a Large Community Hospital
JOURNAL PUBLICATION | Published in Respiratory Care, this retrospective study looked at the implementation of an open-design oxygen mask 12 months before and 12 months after implementation.
April 2018
By: Patricia A. DeJuilio, Maya B. Jenkins, Jeffrey P. Huml
Evaluation of the Feasibility and Performance of Early Warning Scores to Identify Patients at Risk of Adverse Outcomes in a Low-Middle Income Country Setting
JOURNAL PUBLICATION | Published in BMJ Open, this study assesses the feasibility and performance of early warning scores in a low-middle income country setting, highlighting the potential burden on healthcare staff.
April 2018
By: Abigail Beane, Ambepitiyawaduge Pubudu De Silva, Nirodha De Silva, R.M. Dhanapala Rathnayake, P. Chathurani Sigera, Priyantha Lakmini Athapattu, Palitha Mahipala, Aasiyah Rashan, Sithum Bandara Munasinghe, Kosala Saroj Amarasiri Jayasinghe, Arjen Dondorp, Rashan Haniffa
Pneumonia Market Landscape Analysis in the Democratic Republic of the Congo: Improving Access to High-Quality Pneumonia Products and Services for Children Under the Age of Five
REPORT | To understand the barriers to reducing pneumonia burden, PATH collected and analyzed secondary data and conducted a landscape of key pneumonia stakeholders in the Democratic Republic of the Congo.
April 2018
By: PATH
Advanced Trauma Life Support, Students’ Course Manual
GUIDANCE | This manual presents the Advanced Trauma Life Support student course, which does not present new concepts in the field of trauma care; rather, it teaches established treatment methods.
February 2018
By: American College of Surgeons
Nigeria’s National Policy on Medical Oxygen in Health Facilities
GOVERNMENT POLICY / STRATEGY | The publication of this first comprehensive National Policy on Medical Oxygen marks a significant step in improving access to lifesaving medical oxygen to patients in Nigeria.
December 2017
By: Nigeria National Ministry of Health
Effectiveness of Structure Teaching Programme on Paediatric Nurses Knowledge on Pulse Oximetry and Interpretation of The Oximetry Data
JOURNAL PUBLICATION | Published in OISR Journal of Nursing and Health Science, interventional study assessed the knowledge level of pediatric nurses in a tertiary care setting, regarding the use of pulse oximeter.
November 2017
By: Lilly Prasad, Vinitha Ravindran, Ruma Nayak
Hospital Emergency Unit Assessment Tool (HEAT)
TOOL | Published by the World Health Organization, this tool assesses emergency unit capacity and service delivery, with a focus on identifying gaps and improving emergency care quality across healthcare settings.
November 2017
By: World Health Organization (WHO)
Review of Supplemental Oxygen and Respiratory Support for Paediatric Emergency Care in Sub-Saharan Africa
JOURNAL PUBLICATION | Published in the African Journal of Emergency Medicine, this review describes management priorities in emergency care of critically ill children presenting with respiratory problems in resource-limited settings.
November 2017
By: Andreas Hansmann, Brenda May Morrow, Hans-Joerg Lang
A Nationwide Structure for Valid Long-Term Oxygen Therapy: 29-year Prospective Data in Sweden
JOURNAL PUBLICATION | Published in International Journal of Chronic Obstructive Pulmonary Disease, this study analyzed 29 years of data on long-term oxygen therapy (LTOT) in Sweden.
October 2017
By: Magnus Ekström, Zainab Ahmadi, Hillevi Larsson, Tove Nilsson, Josefin Wahlberg, Kerstin Ström, Bengt Midgren
Treatment Outcomes after Implementation of an Adapted WHO Protocol for Severe Sepsis and Septic Shock in Haiti
JOURNAL PUBLICATION | Published in Journal of Critical Care, this study describes patient outcomes before and after implementation of an adapted WHO severe sepsis protocol at a community hospital in Haiti.
October 2017
By: Alfred Papali, T. Eoin West, Avelino C. Verceles, L. Nathalie Colas, Carl H. Jean-Francois, Devang M. Patel, Nevins W. Todd, Michael T. McCurdy
WHO Recommendations on Adolescent Health
GUIDANCE | This publication outlines WHO recommendations on adolescent health in one easy-to-access document for WHO staff, policymakers, program managers, and health professionals.
August 2017
By: World Health Organization (WHO)
Bubble Continuous Positive Airway Pressure in the Treatment of Severe Paediatric Pneumonia in Malawi: A Cost-Effectiveness Analysis
JOURNAL PUBLICATION | Published in BMJ Open, this study found that bCPAP is a cost-effective intervention for treating severe pediatric pneumonia in Malawi, with an incremental cost-effectiveness ratio of US$12.88 per DALY averted.
July 2017
By: Teresa Bleakly Kortz, Benjamin Herzel, Elliot Marseille
Improving Prehospital Trauma Care in Rwanda through Continuous Quality Improvement: An Interrupted Time Series Analysis
JOURNAL PUBLICATION | Published in Injury, this study explores how continuous quality improvement (CQI) methods improved prehospital trauma care in Rwanda, leading to better patient outcomes.
July 2017
By: Jeanne D’Arc Nyinawankusi, Samuel Enumah, Eric Uwitonze, Yihan Hu, Ignace Kabagema, Jean Claude Byiringiro, Robert Riviello, Sudha Jayaraman
Demonstration of Bubble CPAP [Continuous Positive Airway Pressure] for the Low-resource Environment
COURSE / TRAINING VIDEO | In this video, Dr. Wolbrink discusses indications and contraindications for using bubble continuous positive airway pressure (CPAP).
May 2017
By: Boston Children Hospital, World Federation of Pediatric Intensive, Critical Care Societies, Traci Wolbrink
Nigeria’s National Strategy for the Scale Up of Medical Oxygen in Health Facilities (2017-2022)
GOVERNMENT POLICY / STRATEGY | This national strategy aims to reduce mortality and morbidity from hypoxemia in Nigeria by addressing the key gaps in access to medical oxygen.
May 2017
By: Nigeria National Ministry of Health
WHO Recommendations on Child Health
GUIDANCE | This publication outlines WHO recommendations on child health in one easy-to-access document for WHO staff, policymakers, program managers, and health professionals.
May 2017
By: World Health Organization (WHO)
WHO Recommendations on Maternal Health
GUIDANCE | This publication outlines WHO recommendations on maternal health in one easy-to-access document for WHO staff, policymakers, program managers, and health professionals.
May 2017
By: World Health Organization (WHO)
WHO Recommendations on Newborn Health
GUIDANCE | This publication outlines WHO recommendations on newborn health in one easy-to-access document for WHO staff, policymakers, program managers, and health professionals.
May 2017
By: World Health Organization (WHO)
Acceptability of Healthcare Interventions: An Overview of Reviews and Development of a Theoretical Framework
JOURNAL PUBLICATION | Published in BMC Health Services Research, this study developed a multi-construct theoretical framework of acceptability of health interventions that can be applied to intervention deliverers and recipients.
January 2017
By: Mandeep Sekhon, Martin Cartwright, Jill J. Francis
Caregivers’ Perspectives on the Use of Long-Term Oxygen Therapy for the Treatment of Refractory Breathlessness: A Qualitative Study
JOURNAL PUBLICATION | Published in Journal of Pain and Symptom Management, this study aimed to understand caregiver factors associated with long-term oxygen therapy (LTOT) from two states in Australia.
January 2017
By: Aileen Collier, Katrina Breaden, Jane L. Phillips, Meera Agar, Caroline Litster, David C. Currow
Managing Complications in Pregnancy and Childbirth: A Guide for Midwives and Doctors
GUIDANCE | This manual, and a similar one on preterm and sick newborns, provides guidance for health workers caring for pregnant women and newborns, including when respiratory care is necessary.
January 2017
By: World Health Organization (WHO), UNICEF, UNFPA
Non-Invasive Respiratory Support for Infants with Bronchiolitis: A National Survey of Practice
JOURNAL PUBLICATION | Published in BMC Pediatrics, this study describes national practice and clinician preferences on the use of noninvasive respiratory support for infants with acute bronchiolitis in England and Wales.
January 2017
By: Helen Turnham, Rachel Agbeko, John Furness, John Pappachan, Alistair Sutcliffe, Padmanabhan Ramnarayan
Quality of Acute Asthma Care in Two Tertiary Hospitals in a State in South Western Nigeria: A Report of Clinical Audit
JOURNAL PUBLICATION | Published in the Nigerian Medical Journal, this study aimed to audit the quality of acute asthma care in two tertiary hospitals in a state in the southwestern region of Nigeria.
November 2016
By: Olufemi Desalu, Adekunle O. Adeoti, Olarinde Jeffrey Ogunmola, Joseph Olusesan Fadare, Tolutope Fasanmi Kolawole
Oxygen Therapy for Children: A Manual for Health Workers
GUIDANCE | This manual focuses on the availability and clinical use of oxygen therapy in children in health facilities by providing the practical aspects for health workers, biomedical engineers, and administrators.
October 2016
By: World Health Organization (WHO)
Updated Guideline: Pediatric Emergency Triage, Assessment, and Treatment: Care of Critically-ill Children
GUIDANCE | WHO’s pediatric emergency triage, assessment and treatment guidelines aim to identify children presenting with airway obstruction and other breathing problems.
October 2016
By: World Health Organization (WHO), UNICEF, UNFPA
Ethiopia’s National Medical Oxygen and Pulse Oximetry Scale Up Road Map (2016-2021)
GOVERNMENT POLICY / STRATEGY | This roadmap is intended to guide scale up of oxygen and pulse oximeters as well as standardizing the need for comprehensive approach to implementation at all levels throughout Ethiopia.
September 2016
By: Ethiopia Federal Ministry of Health
Does Pulse Oximeter Use Impact Health Outcomes? A Systematic Review
JOURNAL PUBLICATION | Published in Archives of Disease in Childhood, this review indicates that pulse oximetry can improve health outcomes for children by reducing mortality and length of stay.
August 2016
By: Abigail Enoch, Mike English, Sasha Shepperd
Predictors of In-Hospital Mortality and Length of Stay in Community-Acquired Pneumonia: A 5-Year Multi-Centre Case Control Study of Adults in a Developing Country
JOURNAL PUBLICATION | Published in Transactions of the Royal Society of Tropical Medicine and Hygiene, this study investigated predictors of in-hospital mortality and length of stay among adults with CAP in Nigeria.
August 2016
By: Michael O. Iroezindu, Godsent C. Isiguzo, Emmanuel I. Chima, Godwin C. Mbata, Kenneth I. Onyedibe, Cajetan C. Onyedum, Obiageli J. John-Maduagwu, Leo E. Okoli, Ekenechukwu E. Young
The Safe Bubble CPAP Project
MULTIMEDIA | The Safe Newborn bCPAP Project will address the lack of access in low-resource settings to safe and affordable treatment for respiratory distress syndrome.
August 2016
By: The Adara Project
Oxygen Saturation of Medical Inpatients in a Malawian Hospital: Cross-Sectional Study of Oxygen Supply and Demand
JOURNAL PUBLICATION | Published in Pneumonia (Nathan Qld), the aim of this study was to evaluate the need for supplementary oxygen against oxygen delivery capacity at a large teaching hospital in Malawi.
July 2016
By: Hywel-Gethin Tudur Evans, Nadia Mahmood, Duncan Fullerton, Jamie Rylance, Andrew Gonani, Stephen Gordon, Kevin Mortimer, Theresa Allain
Anesthesia Care Capacity at Health Facilities in 22 Low- and Middle-income Countries
JOURNAL PUBLICATION | This systematic review in the World Journal of Surgery examines the results of anesthesia care capacity assessments in LMICs to identify patterns of deficits and useful targets for intervention.
May 2016
By: Rachel A. Hadler, Sagar Chawla, Barclay T. Stewart, Maureen C. McCunn, Adam L. Kushner
Home Oxygen Therapy Reduces Risk of Hospitalisation in Patients with Chronic Obstructive Pulmonary Disease: A Population-Based Retrospective Cohort Study, 2005-2012
JOURNAL PUBLICATION | Published in BMJ Open, this study evaluated the effect of home oxygen therapy (HOT) on hospital admissions in chronic obstructive pulmonary disease (COPD) patients.
November 2015
By: Kyoung Hee Cho, Young Sam Kim, Chung Mo Nam, Tae Hyun Kim, Sun Jung Kim, Kyu-Tae Han, Eun-Cheol Park
The Risk of Burn Injury during Long-term Oxygen Therapy: A 17-Year Longitudinal National Study in Sweden
JOURNAL PUBLICATION | Published in International Journal of Chronic Obstructive Pulmonary Disease, this study estimates the rate of burn injury requiring health care contact during long-term oxygen therapy in Sweden.
November 2015
By: Hanan A. Tanash, Fredrik Huss, Magnus Ekström
Hypoxaemia as a Measure of Disease Severity in Young Hospitalised Nigerian Children with Pneumonia: A Cross-Sectional Study
JOURNAL PUBLICATION | Published in South African Journal of Child Health, this study assesses the impact of hypoxemia on severity and outcome of pediatric pneumonia, showing its predictive value for hospitalization and death.
July 2015
By: Mohammed Bello Abdulkadir, Rasheedat Ibraheem, Abulrazaq Abdullahi Gobir, Wahab Babatunde Rotimi Johnson
Pre- and Intra-Transport Neonatal Care Oxygen Saturation Hypoxemia Among Referred Neonate in a Tertiary Hospital in Nigeria
JOURNAL PUBLICATION | Published in American Journal of Respiratory and Critical Care Medicine, this study examined the potential morbidity attributable to quality of care received during neonatal transportation due to hypoxemia in Nigeria.
May 2015
By: Muhydeen A. Abdulraheem, Adebola E. Orimadegun, Oluwakemi Tongo
Effect of Solar Panels on Inpatient Paediatric Mortality in a District Hospital in Sierra Leone
JOURNAL PUBLICATION | Published in Archives of Diseases in Childhood, this study evaluated the impact of installing a hybrid solar power system on in-patient pediatric mortality at a district hospital in Sierra Leone.
April 2015
By: B. Morrissey, Niall Conroy, A. Estelle
Oxygen Therapy for Lower Respiratory Tract Infections in Children between 3 Months and 15 Years of Age
JOURNAL PUBLICATION | Published in Cochrane Database of Systematic Reviews, this review determines the effectiveness and safety of oxygen delivery methods in the treatment of LRTIs and defines pediatric indications for oxygen.
December 2014
By: Maria Ximena Rojas-Reyes, Claudia Granados Rugeles, Laura Patricia Charry-Anzola
Trauma Capacity in the Central Plateau Department of Haiti
JOURNAL PUBLICATION | Published in the Journal of Surgical Research, this study evaluates the trauma capacity of hospitals in the central plateau of Haiti, adapting the WHO Emergency and Essential Surgical Care survey.
November 2014
By: Lindel Dewberry, Chelsea McCullough, Jonathan Goss, Christopher J. Dente, Jyotirmay Sharma
Evaluation of Oxygen Prescription in Relation to Hospital Admission Rate in Patients with Chronic Obstructive Pulmonary Disease
JOURNAL PUBLICATION | Published in BMC Pulmonary Medicine, this study assesses the impact of oxygen prescription on hospital admission rates in COPD patients, identifying a higher readmission rate among LTOT users.
August 2014
By: Alice Turner, Sourav Sen, Cathryn Steeley, Yasmin Khan, Pamela Sweeney, Yvonne Richards, Rahul Mukherjee
Revised WHO Classification and Treatment of Childhood Pneumonia at Health Facilities
GUIDANCE | The purpose of this document is to provide a summary of WHO-approved pneumonia control recommendations and to assist national child health programs in revising their guidelines to conform to them.
June 2014
By: World Health Organization (WHO)
Pulse Oximetry for Perioperative Monitoring: Cochrane Review
JOURNAL PUBLICATION | Published in Cochrane Database of Systematic Reviews, this review examined perioperative monitoring with pulse oximetry to identify adverse outcomes that might be prevented or improved by its use.
March 2014
By: Tom Pedersen, Amanda Nicholson, Karen Hovhannisyan, Andrew G. Smith, Sharon R. Lewis
Aftermath of a Clinical Trial: Evaluating the Sustainability of a Medical Device Intervention in Ghana
JOURNAL PUBLICATION | A randomized controlled trial recently demonstrated that CPAP effectively decreases respiratory rate in children presenting to Ghanaian district hospitals with respiratory distress.
February 2014
By: Patrick Wilson, Joshua C. Brooks, Easmon Otupiri, Rachel T. Moresky, Marilyn C. Morris
Efficacy of a Low-Cost Bubble CPAP System in Treatment of Respiratory Distress in a Neonatal Ward in Malawi
JOURNAL PUBLICATION | Published in PLoS One, the use of a low-cost bCPAP system in Malawi showed a significant improvement in survival rates for neonates with respiratory distress compared to standard care.
January 2014
By: Kondwani Kawaza, Heather Machen, Jocelyn Brown, Zondiwe Mwanza, Suzanne Iniguez, Alfred Gest, E. O’Brian Smith, Maria Oden, Rebecca R. Richards-Kortum, Elizabeth Molyneux
CPAP: A Guide for Clinicians in Developing Countries
JOURNAL PUBLICATION | Published in Pediatrics and International Child Health, this paper describes two methods which may be appropriate in low-resource settings: (1) bubble-CPAP using oxygen concentrators and (2) HFNC oxygen therapy.
December 2013
By: Trevor Duke
Evidence for Oxygen Use in the Hospitalized Patient: Is More Really the Enemy of Good?
JOURNAL PUBLICATION | Published in Respiratory Care, this paper emphasizes evidence for use with other health conditions for which oxygen is administered relies on anecdotal experiences, case reports, or small, underpowered studies.
October 2013
By: Thomas C. Blakeman
Ventilazione invasiva e non invasiva: impatto sul carico di lavoro infermieristico
JOURNAL PUBLICATION | Published in Assistenza Infermieristica e Ricerca, the aim of this study is to detect the impact of ventilation modes on nursing workload in hospitals in Italy.
October 2013
By: Alberto Lucchini, Stefano Elli, Stefano Bambi, Giuseppe Foti, Roberto Fumagalli
‘It Is Not Going to Change His Life, but It Has Picked Him up’: A Qualitative Study of Perspectives on Long Term Oxygen Therapy for People with Chronic Obstructive Pulmonary Disease
JOURNAL PUBLICATION | Published in Health and Quality of Life Outcomes, this study explores the views and experiences of COPD patients, their carers, and health professionals on the long-term use of oxygen therapy.
July 2013
By: Juliet Goldbart, Abebaw Mengistu Yohannes, Ryan Woolrych, Susan Caton
2013 ACCF/AHA Guideline for the Management of ST-Elevation Myocardial Infarction: A Report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guideline
JOURNAL PUBLICATION | This article describes the process for developing the ACCF/AHA practice guidelines for cardiovascular care to assist healthcare providers in clinical decision making.
January 2013
By: Patrick T. O’Gara, Frederick G. Kushner, Deborah D. Ascheim, Donald E. Casey, Mina K. Chung, James A. de Lemos, Steven M. Ettinger, James C. Fang, Francis M. Fesmire, Barry A. Franklin, Christopher B. Granger, Harlan M. Krumholz, Jane A. Linderbaum, David A. Morrow, L. Kristin Newby, Joseph P. Ornato, Narith Ou, Martha J. Radford, Jacqueline E. Tamis-Holland, Carl L. Tommaso, Cynthia M. Tracy, Y. Joseph Woo, David X. Zhao
Ambulatory Home Oxygen: What is the Evidence for Benefit, and Who Does It Help?
JOURNAL PUBLICATION | Published in Respiratory Care, this review focuses on our current knowledge of the end points for supplemental oxygen at home, such as mortality, and highlights areas for future research.
January 2013
By: Gerard J. Criner
Pocket Book of Hospital Care for Children: Guidelines for the Management of Common Childhood Illnesses
GUIDANCE | This pocket book for hospital care for children is one of a series of documents and tools that support the Integrated Management of Childhood Illness (IMCI).
January 2013
By: World Health Organization (WHO)
Predictors and Outcome of Hypoxemia in Severely Malnourished Children under Five with Pneumonia: A Case Control Design
JOURNAL PUBLICATION | Published in PLoS One, this study explored the predictors of hypoxemia in under-five children who were hospitalized for the management of pneumonia and severe acute malnutrition in Bangladesh.
January 2013
By: Mohammod Jobayer Chisti, Mohammed Abdus Salam, Hasan Ashraf, Abu S.G. Faruque, Pradip Kumar Bardhan, Abu Sadat Mohammad Sayeem Bin Shahid, K.M. Shahunja, Sumon Kumar Das, Tahmeed Ahmed
The Story of Oxygen
JOURNAL PUBLICATION | Published in Respiratory Care, this article outlines the history of oxygen from discovery to clinical application for patients with chronic lung disease.
January 2013
By: John E. Heffner
Cost-Effectiveness of Interventions for Chronic Obstructive Pulmonary Disease (COPD) Using an Ontario Policy Model
JOURNAL PUBLICATION | Published in Ontario Health Technology Assessment Series, this study found that COPD smoking cessation programs were cost-effective, while multidisciplinary care and pulmonary rehabilitation were also beneficial but costly.
December 2012
By: Kiran Chandra, Gordon Blackhouse, Bronwen R. McCurdy, M. Bornstein, Kaitryn Campbell, V. Costa, Jacob Franek, Kellee Kaulback, Lisa A. Levin, S. Sehatzadeh, Nancy Sikich, Marroon Thabane, Ron Goeree
New Signal Functions to Measure the Ability of Health Facilities to Provide Routine and Emergency Newborn Care
JOURNAL PUBLICATION | Published in PLoS Medicine, this article proposes maternal and newborn signal functions, focusing on delivery and postnatal care, which could be used to characterize both routine and emergency care.
November 2012
By: Sabine Gabrysch, Giulia Civitelli, Karen M. Edmond, Matthews Mathai, Moazzam Ali, Zulfiqar A. Bhutta, Oona M.R. Campbell
Trauma Care in Africa: A Status Report from Botswana, Guided by the World Health Organization’s “Guidelines for Essential Trauma Care”
JOURNAL PUBLICATION | Published in the World Journal of Surgery, this study aimed to evaluate the trauma care capabilities of Botswana by applying the World Health Organization’s Guidelines for Essential Trauma Care.
October 2012
By: Terje Peder Hanche-Olsen, Lulseged Alemu, Asgaut Viste, Kari S. Hansen
The Natural History of Community-Acquired Pneumonia in COPD Patients: A Population Database Analysis
JOURNAL PUBLICATION | Published in Respiratory Medicine, this study assesses longitudinal incidence rates for community-acquired pneumonia in chronic obstructive pulmonary disease (COPD) patients or risk factors for pneumonia onset.
August 2012
By: Hana Müllerova, Chuba Chigbo, Gerry W. Hagan, Mark A. Woodhead, Marc Miravitlles, Kourtney J. Davis, Jadwiga A. Wedzicha
The Use of Oxygen for Delivery Room Resuscitation of Newborn Infants in Non-Western Countries
JOURNAL PUBLICATION | Published in Early Human Development, this study aimed to determine current neonatal resuscitation practices and availability of oxygen blending equipment in non-Western hospitals.
August 2012
By: Jeremy Koh, Cheo Lian Yeo, Ian Wright, Kei Lui, William Tarnow-Mordi, John Smyth, Ju Lee Oei
Home Oxygen Therapy During Natural Disasters: Lessons from the Great East Japan Earthquake
JOURNAL PUBLICATION | Published in European Respiratory Journal, this article discusses problems in the management of patients receiving home oxygen therapy during disasters, using the 2011 earthquake in Japan as an example.
April 2012
By: Seiichi Kobayashi, Masakazu Hanagama, Shinsuke Yamanda, Masaru Yanai
Oxygen Therapy in Acute Illness
COURSE / TRAINING VIDEO | This video highlights the considerations of administering oxygen therapy in acute illness.
June 2011
By: Influenza Training
Oxygen Therapy in Acute Illness – Section 1: How to Quickly Assess if Supplemental Oxygen is Needed
COURSE / TRAINING VIDEO | This video highlights the considerations of administering oxygen therapy in acute illness. This first session covers how to quickly assess if supplemental oxygen is needed.
June 2011
By: Influenza Training
Clinical Features Associated with Oxygen Use in Children Presenting to Emergency Care in Ibadan, Nigeria
JOURNAL PUBLICATION | Published in American Journal of Respiratory and Critical Care Medicine, this prospective cross-sectional study examined hypoxia in children and the decision to give oxygen in a Nigerian hospital.
May 2011
By: Babatunde O. Ogunbosi, Adebola E. Orimadegun, Shannon S. Carson
Nurse:Patient Ratio and Achievement of Oxygen Saturation Goals in Premature Infants
JOURNAL PUBLICATION | Published in Archives of Disease in Childhood-Fetal and Neonatal Edition, this study examined the number of premature newborns assigned to NICU nurses and achievement of oxygen saturation goals.
March 2011
By: David W. Sink, Shelly Ann E. Hope, James I. Hagadorn
Ambulatory Oxygen: Why Do COPD Patients Not Use their Portable Systems as Prescribed? A Qualitative Study
JOURNAL PUBLICATION | Published in BMC Pulmonary Medicine, this study obtained in-depth information about perceptions and use of prescribed ambulatory oxygen systems from patients with COPD.
February 2011
By: Elizabeth Arnold, Anne Bruton, Maggie Donovan-Hall, Angela Fenwick, Bridget Dibb, Elizabeth Walker
Integrated Management of Adolescent and Adult Illness District Clinician Manual: Hospital Care for Adolescents and Adults
GUIDANCE | This manual is written for clinicians working at the district hospital (first-level referral care) who diagnose and manage sick adolescents and adults in resource-constrained settings.
January 2011
By: World Health Organization (WHO)
Oxygen Supplies for Hospitals in Papua New Guinea: A Comparison of the Feasibility and Cost-Effectiveness of Methods for Different Settings
JOURNAL PUBLICATION | This study in the Papua New Guinea Medical Journal reviews the methods for providing oxygen in Papua New Guinea.
December 2010
By: Trevor Duke, David Peel, Francis Wandi, Rami Subhi, Martin Saavu, Sens Matai
WHO Recommendations on the Management of Diarrhea and Pneumonia in HIV-infected Infants and Children
GUIDANCE | These guidelines are part of a comprehensive set of normative documents for the prevention and treatment of common conditions affecting HIV-infected and -exposed infants and children.
September 2010
By: World Health Organization (WHO)
Nurses’ Compliance with Alarm Limits for Pulse Oximetry: Qualitative Study
JOURNAL PUBLICATION | Published in the Journal of Perinatology, this qualitative study explored nurses’ perceptions of what makes them compliant with alarm limits for pulse oximetry in preterm infants in Germany.
August 2010
By: Jonas Armbruster, Barbara Schmidt, Christian F. Poets, Dirk Bassler
Long-Term Oxygen Therapy: Review from the Patients’ Perspective
JOURNAL PUBLICATION | Published in Chronic Respiratory Disease, this study was a meta-synthesis of qualitative research studies that focused on the psychosocial experience of patients prescribed long-term oxygen therapy.
June 2009
By: Deborah Cullen, Deborah Stiffler
When Should Oxygen Be Given to Children at High Altitude? A Systematic Review to Define Altitude-Specific Hypoxaemia
JOURNAL PUBLICATION | Published in Archives of Disease in Childhood, this study aimed to define normal oxygen saturation and to estimate the threshold of hypoxemia for children permanently living at different altitudes.
January 2009
By: Rami Subhi, Katherine Smith, Trevor Duke
Improved Oxygen Systems for Childhood Pneumonia: A Multihospital Effectiveness Study in Papua New Guinea
JOURNAL PUBLICATION | This study in The Lancet examines the effect of an improved oxygen system on death rate in children with pneumonia in Papua New Guinea.
November 2008
By: Trevor Duke, Francis Wandi, Merilyn Jonathan, Sens Matai, Magdalene Kaupa, Martin Saavu, Rami Subhi, David Peel
Childhood Pneumonia and Oxygen Treatment
JOURNAL PUBLICATION | This article in The Lancet reports that the implementation of oxygen therapy and monitoring systems can be a feasible cost-effective step forward, and can save lives.
August 2008
By: André M. Cantin
Oxygen and Retinopathy of Prematurity
JOURNAL PUBLICATION | This article in the Journal of Perinatology goes over retinopathy of prematurity, particularly the role of oxygen in the disease, and the recent advances in its diagnosis and treatment.
April 2006
By: Ola Didrik Saugstad
The Spectrum of Hypoxaemia in Children Admitted to Hospital in The Gambia, West Africa
JOURNAL PUBLICATION | Published in Tropical Medicine and International Health, this study investigated the prevalence and predictive value of hypoxia in ALRI and other acute infectious diseases in children in The Gambia.
March 2006
By: Sonja Junge, Ayo Palmer, Brian Greenwood, Kim Mulholland, Martin Weber
The Impact of the Danish Oxygen Register on Adherence to Guidelines for Long-Term Oxygen Therapy in COPD Patients
JOURNAL PUBLICATION | Published in Respiratory Medicine, this study aimed to evaluate the impact of The Danish Oxygen Register on chronic obstructive pulmonary disease (COPD) patients.
February 2006
By: Thomas Ringbaek, Peter Lange
Worldwide Perspective of the Quality of Care Provided to Hospitalized Patients with Community-Acquired Pneumonia: Results from the CAPO International Cohort Study
JOURNAL PUBLICATION | Published in Seminars in Respiratory and Critical Care Medicine, this study evaluates the quality of care provided to hospitalized patients with community-acquired pneumonia (CAP) from 36 hospitals in 14 countries.
December 2005
By: Julio Ramirez
Delivery of Paediatric Care at the First-Referral Level in Kenya
JOURNAL PUBLICATION | Published in The Lancet, this study assessed pediatric care at district hospitals in Kenya, highlighting variability in care quality and resource availability.
October 2004
By: Mike English, Fabian Esamai, Aggrey Wasunna, Fred Were, Bernhards Ogutu, Annah Wamae, Robert Snow, Norbert Peshu
Effect of a Clinical Protocol on the Management of Acute Asthma in the Emergency Room of a University Hospital
JOURNAL PUBLICATION | Published in SciELO Brasil, the study found that a clinical protocol for acute asthma in the ER improved diagnostic assessments and adherence to recommended treatments.
April 2004
By: Pérsio Mariano da Rocha, Andréia Kist Fernandes, Fernando Nogueira, Suzie Kang, Eduardo Franciscatto, Thaís Millan, Cristine Hoffmann, Carísi Anne Polanczyk, Sérgio Saldanha Menna Barreto, Paulo de Tarso Roth Dalcin
Overcoming Barriers to Health Service Access: Influencing the Demand Side
JOURNAL PUBLICATION | Published in Health Policy Planning, this review examines demand barriers present in low- and middle-income countries and evidence on the effectiveness of interventions to overcome these obstacles.
March 2004
By: Tim Ensor, Stephanie Cooper
Bulk Liquid Oxygen Supply Failure
JOURNAL PUBLICATION | Published in Anesthesiology, this article reports an oxygen supply tank failure at a medical institution in Birmingham, Alabama.
January 2004
By: Shawn D. Schumacher, Russell Brockwell, J. Jeffrey Andrews, Duane Ogles
Managing Newborn Problems: A Guide for Doctors, Nurses, and Midwives
GUIDANCE | This guide is designed to assist countries with limited resources in their efforts to reduce neonatal mortality and to ensure care for newborn babies facing complications of pregnancy and childbirth.
August 2003
By: World Health Organization (WHO), UNFPA, UNICEF, The World Bank
Randomized Comparison of Oxygen Mask Treatment vs. Nasal Continuous Positive Airway Pressure in Dengue Shock Syndrome with Acute Respiratory Failure
JOURNAL PUBLICATION | Published in the Journal of Tropical Pediatrics, this prospective randomized study compared the effectiveness of oxygen treatment by face mask vs. nasal CPAP for pediatric patients with Dengue Shock Syndrome.
December 2002
By: Bach Van Cam, Do Thanh Tuan, Lise Fonsmark, Anne Poulsen, Nguyen Manh Tien, Ha Manh Tuan, Erik Deichmann Heegaard
Explaining Adherence to Supplemental Oxygen Therapy
JOURNAL PUBLICATION | Published in Journal of General Internal Medicine, this study aimed to describe and explain the patterns of adherence to supplemental oxygen in individuals with hypoxemic COPD in Denver, Colorado.
October 2002
By: Mark A. Earnest
Oxygen Administration in Infants
JOURNAL PUBLICATION | This article in the Archives of Disease in Childhood. Fetal and Neonatal Edition lays out the main methods of oxygen administration to infants.
July 2002
By: Bernard Frey, Frank Shann
A Randomized Trial of Nocturnal Oxygen Therapy in Chronic Obstructive Pulmonary Disease Patients
JOURNAL PUBLICATION | Published in the European Respiratory Journal, this study assessed the effectiveness of nocturnal oxygen therapy (NOT) in chronic obstructive pulmonary disease (COPD) patients with mild-to-moderate daytime hypoxemia.
November 1999
By: Ari Chaouat, Emmanuel Weitzenblum, Romain Kessler, Claire Charpentier, May Enrhart, Roland Schott, Pierre Levi-Valensi, Jan Zieliński, Luc M. Delaunois, Rosa Cornudella, José Moutinho dos Santos
Clinical Predictors of Hypoxaemia in Gambian Children with Acute Lower Respiratory Tract Infection: Prospective Cohort Study
JOURNAL PUBLICATION | Published in BMJ, this prospective cohort study found that simple physical signs could predict hypoxemia in children with acute lower respiratory tract infections in The Gambia.
January 1999
By: Stanley Usen, Martin Weber, Kim Mulholland, Shabbar Jaffar, Anslem Oparaugo, Charles Omosigho, Richard A. Adegbola, Brian Greenwood
Domiciliary Liquid Oxygen versus Concentrator Treatment in Chronic Hypoxaemia: A Cost-Utility Analysis
JOURNAL PUBLICATION | Published in European Respiratory Journal, this trial shows that while liquid oxygen therapy is more costly than concentrator treatment, it provides substantial improvements in quality of life for chronic patients.
December 1998
By: Asa C. Andersson, Kerstin Ström, Håkan Brodin, M. Alton, Gunnar Boman, Per Jakobsson, A. Lindberg, Monica Uddenfeldt, Hallstein Walter, Lisa A. Levin
Effect of Long-Term Oxygen Therapy on Survival in Patients with Chronic Obstructive Pulmonary Disease with Moderate Hypoxaemia
JOURNAL PUBLICATION | Published in Thorax, the aim of this study was to evaluate the rationale for prescribing oxygen to patients with chronic obstructive pulmonary disease (COPD) with moderate hypoxemia.
August 1997
By: Dorota Górecka, Katarzyna Gorzelak, Pawel Sliwiński, Miroslaw Tobiasz, Jan Zieliński
Anaesthetic Equipment for a Developing Country
JOURNAL PUBLICATION | Published in the British Journal of Anaesthesia, this article describes the development of a suitable anesthetic machine for underdeveloped contexts and the match of a suitable oxygen concentrator.
February 1991
By: J. Pedersen, Mette Nyrop
Long Term Domiciliary Oxygen Therapy in Chronic Hypoxic cor pulmonale Complicating Chronic Bronchitis and Emphysema: Report of the Medical Research Council Working Party
JOURNAL PUBLICATION | Published in The Lancet, this article describes a controlled trial of long-term domiciliary oxygen therapy has been carried out in three centres in the United Kingdom.
March 1981
By: The Lancet
COVID-19 Clinical Resources
GUIDANCE | These expert-vetted articles and infographics provide guidance on the clinical management of COVID-19 patients, ICU administration, procedures, supply chain issues, and treatment.
By: American College of Chest Physicians
COVID-19 Ventilator Course: Learn or Review Mechanical Ventilation
COURSE / TRAINING VIDEO | This video series is a collection of previously recorded MedCram videos on mechanical ventilation with the addition of some COVID-19 specific videos.
By: MedCram
Clinical Guidelines for Nursing: Oxygen Delivery
GUIDANCE | This guidance covers various clinical aspects of oxygen delivery, including patient assessment, indications for oxygen delivery, weaning, high- vs low-flow, etc.
By: Royal Children’s Hospital, Melbourne
Essential Emergency and Critical Care (EECC) Network
GUIDANCE | The EECC Network is an informal and independent global community-of-practice of clinicians, researchers, policymakers, and others interested in Essential Emergency and Critical Care.
By: EECC Network, Carl Otto Schell, Karima Khalid, Raphael K. Kayambankadzanja, Tim Baker
Essential Medicine List: Oxygen
GUIDANCE | This website provides the details for medical oxygen for the World Health Organization’s Essential Medicines List.
By: World Health Organization (WHO)
Global Anesthesia and Critical Care Learning Resource Center
REPOSITORY / TOOLKIT | The mission of this learning platform is to improve equity in peri-operative healthcare access through medical education, engaging discussions, remote mentorship, and building professional networks.
By: Stanford Medicine – Anesthesia Division of Global Health Equity
Implementation Toolkit for Small and Sick Newborn Care
REPOSITORY / TOOLKIT | This toolkit brings together knowledge, experiences, resources, and learnings for implementing small and sick newborn care services.
By: NEST360, UNICEF
Lesotho: Oxygen and Critical Care
COURSE / TRAINING VIDEO | This course provides healthcare providers with an understanding of the role of oxygen therapy in critical care.
By: Stanford Medicine – Anesthesia Division of Global Health Equity, Partners in Health
Mechanical Ventilation Essentials
COURSE / TRAINING VIDEO | This course covers everything you need to know about mechanical ventilation during your first night in the intensive care unit.
By: MedMastery, Josh Cosa
Mechanical Ventilation Training
COURSE / TRAINING VIDEO | This course provides healthcare providers with an understanding of mechanical ventilation so they can support the critical care team caring for patients receiving mechanical ventilation due to COVID-19.
By: Imperial London College
Medical Oxygen, Respiratory Care and Therapeutics
GUIDANCE | This website highlights critical information and resources on COVID-19 treatment and required oxygen equipment for principal recipients of The Global Fund.
By: The Global Fund
Noninvasive Ventilation Masterclass
COURSE / TRAINING VIDEO | This course covers the indications for noninvasive ventilation, initiation and optimization, how to monitor patients, and how to wean them from it.
By: MedMastery
Open Critical Care
REPOSITORY / TOOLKIT | This site (currently in beta) aims to help healthcare workers in resource-variable settings find open-access, high-quality critical care learning resources–starting with respiratory care.
By: World Federation of Societies of Anaesthesiologists (WFSA), OpenPediatrics, LifeBox, University of California, San Francisco, Brigham and Women’s Hospital
Oxygen Encyclopedia
REPOSITORY / TOOLKIT | The OCC Encyclopedia contains articles written by OCC editors and partners. Soon users will be able to find answers to everything to know about oxygen in this open-access, peer-reviewed encyclopedia.
By: Open Critical Care, Sustaining Technical and Analytic Resources (STAR) project, University of California, San Francisco
Oxygen FAQ
TOOL | This webpage provides up-to-date, expert answers to frequently asked questions (FAQ) about oxygen supply systems, respiratory care and pulse oximetry written by OCC and collaborators.
By: Open Critical Care, Sustaining Technical and Analytic Resources (STAR) project, University of California, San Francisco
Procedure Manual: COVID-19 Resources
GUIDANCE | This resource guides through procedures unique to the adult progressive and critical care environment, including those performed by advanced practice nurses, in a step-by-step format.
By: American Association of Critical Care Nurses
Pulse Oximeter Frequently Asked Questions
TOOL | This frequently asked questions provides up-to-date, expert answers about oxygen supply systems, respiratory care, and pulse oximetry written by Open Critical Care and collaborators.
By: Open Oximetry
Seasonal Influenza: Clinical Management of Seasonal Influenza
COURSE / TRAINING VIDEO | This short, intermediate-level course is for frontline health workers caring for patients with suspected or confirmed seasonal influenza infection.
By: World Health Organization (WHO)
WHO: Oxygen
REPOSITORY / TOOLKIT | This website provides a one-stop shop for all oxygen resources compiled by WHO, including requirements of medicinal oxygen, components of an oxygen system, guidelines, factsheets, and more.
By: World Health Organization (WHO)
Oxygen Delivery Toolkit: Use Cases
TOOL | This series highlights country examples where tools from the Oxygen Delivery Toolkit helped stakeholders to plan, manage, and communicate the value of scaling up oxygen.
March 2025
By: PATH
WHO Virtual Workshop Series for Developing National Medical Oxygen Scale-Up Plans
PRESENTATION / WEBINAR | WHO hosted a virtual workshop series to introduce practical and applicable knowledge for Member States and partners to expand on or develop costed national oxygen scale-up plans.
March 2025
By: World Health Organization (WHO)
[Expert Consensus on the Application of High-Flow Nasal Oxygen Therapy in Eye and Ear-Nose-Throat Anesthesia Airway Management (2025 Edition)]
GUIDANCE | The Otorhinolaryngology Anesthesiology Group of the Chinese Society of Anesthesiology organized an expert team to formulate this consensus. aiming to promote the standardized application of HFNC technology in ENT anesthesia.
March 2025
By: Otorhinolaryngology Anesthesiology Group of the Chinese Society of Anesthesiology
Global Access to Medical Oxygen: Embedding Nursing Involvement
JOURNAL PUBLICATION | Published in The Lancet Global Health, this paper emphasizes engaging local champions (like nurses), providing them with knowledge and resources, and then empowering them to act to ensure sustainable change.
February 2025
By: Di Brown, Dires Birhanu, Michael Lauri, Obse Lubo, Patrick Kimutai Too, Keshni Naidu, Vinitha Ravindran, Mary Samor
Realising the Benefits of Oxygen through Essential Emergency and Critical Care
JOURNAL PUBLICATION | To maximize the impact of investments, efforts to develop oxygen systems should ensure safe oxygen provision and inclusion of the other highly effective and feasible components of EECC.
February 2025
By: Tim Baker, Karima Khalid, Alhassan Datti Mohammed, Alexandra Wharton-Smith, Ganbold Lundeg, Rob Mitchell, Andrew Argent, Pauline Convocar, Carl Otto Schell
Spotlight Brief: Patient and Caregiver Testimonials
INFORMATION BRIEF | Published in The Lancet Global Health, these testimonials share the experiences of patients and their caregivers and shaped the recommendations of The Lancet Global Health Commission on Medical Oxygen Security.
February 2025
By: The Lancet Global Health
Community Health Worker and Caregiver Experiences and Perceptions of a Multimodal Handheld Pulse Oximeter Used in Sick Child Consultations in Rural Burundi: A Qualitative Evaluation
JOURNAL PUBLICATION | Published in PLoS Global Public Health, this prospective study evaluated acceptability and feasibility of a multimodal pulse oximeter used by CHWs during their iCCM of childhood illness in rural Burundi.
January 2025
By: Sarah Bauler, Leocadie Nivyindika, Titus Kirwa, Vital Habonimana, Dionis Nizigiyimana, Miles A. Kirby, Asrat Tolossa
Estimates of Resource Use in the Public-Sector Health-Care System and the Effect of Strengthening Health-Care Services in Malawi during 2015–19: A Modelling Study (Thanzi La Onse)
JOURNAL PUBLICATION | Published in The Lancet Global Health, this study estimates how health care resources provided by the public sector were used in Malawi and the effects of strengthening health services.
January 2025
By: Timothy B. Hallett, Tara D. Mangal, Asif U. Tamuri, Nimalan Arinaminpathy, Valentina Cambiano, Martin Chalkley, Joseph H. Collins, Jonathan Cooper, Matthew S. Gillman, Mosè Giordano, Matthew M. Graham, William Graham, Iwona Hawryluk, Eva Janoušková, Britta L. Jewell, Ines Li Lin, Robert Manning Smith, Gerald Manthalu, Emmanuel Mnjowe, Sakshi Mohan, Margherita Molaro, Wingston Ng’ambi, Dominic Nkhoma, Stefan Piatek, Paul Revill, Alison Rodger, Dimitra Salmanidou, Bingling She, Mikaela Smit, Pakwanja D. Twea, Tim Colbourn, Joseph Mfutso-Bengo, Andrew N. Phillips
Introduction to Oxygen Systems
COURSE / TRAINING VIDEO | Developed by WHO, this training provides an introduction to oxygen systems, including the oxygen ecosystem, quality assurance and quality control, improving the safety of medical oxygen systems, etc.
December 2024
By: World Health Organization (WHO)
Pulse Oximetry and Oxygen Services for Children with Pneumonia Attending Primary and Secondary Level Health Facilities in Lagos, Nigeria (INSPIRING-Lagos) – A Pre-Post Implementation Study
JOURNAL PUBLICATION | Published in BMJ Global Health, this study examines whether stabilization rooms equipped with pulse oximetry and oxygen alongside HCW training improved quality of care for children with pneumonia in Nigeria.
December 2024
By: Tim Colbourn, Adegoke G. Falade, Hamish Graham, Omotayo E. Olojede, Ayobami A. Bakare, James Beard, Eric D. McCollum, Agnese Iuliano, Adamu Isah, Adams Osebi, Ibrahim Seriki, Ibrahim Haruna, Tahlil Ahmed, Samy Ahmar, Paula Valentine, Temitayo Folorunso Olowookere, Obioma C. Uchendu, Rochelle Ann Burgess, Carina King
Understanding Pulse Oximetry Adoption in Primary Health Care Facilities in Nigeria: A Realist Process Evaluation of the INSPIRING-Lagos Stabilisation Room Project
JOURNAL PUBLICATION | Published in BMJ Global Health, this study examines how stabilization rooms under the INSPIRING-Lagos project improved pulse oximetry practices, for whom, and in what contexts in Nigeria.
December 2024
By: Omotayo E. Olojede, Adegoke G. Falade, Ayobami A. Bakare, Eric D. McCollum, Agnese Iuliano, Adamu Isah, Adams Osebi, Samy Ahmar, Paula Valentine, Temitayo Folorunso Olowookere, Matthew MacCalla, Rochelle Ann Burgess, Tim Colbourn, Carina King, Hamish Graham
Direct and Indirect Household Costs of Care of Children under 5 Years Old Attending Integrated Management of Childhood Illness Consultations at Primary Healthcare Centres in Burkina Faso, Guinea, Mali, and Niger: A Cross-Sectional Costing Study Nested in the Longitudinal AIRE Project 2021-2022
JOURNAL PUBLICATION | Published in medRxiv, this study assesses household out-of-pocket costs for children under-5 receiving IMCI consultations in four African countries.
October 2024
By: Honorat Agbeci, Richard Bakyono, Amadou Oury Touré, Adama Coulibaly, Zineb Zair, Mactar Niome, Adama Hema, Sorry Keita, Lucie Peters-Bokol, Gildas Boris Hedible, Désiré Neboua, Sarah Louart, Valérie Zombré, Dieney Fadima Kaba, Amadou Sidibe, Hannatou Souleymane Abarry, Anthony Cousien, Sandrine Busiere, Franck Lamontagne, Valéry Ridde, Sophie Desmonde, Valériane Leroy
What Were the Challenges and Needs Before Implementing Routine Pulse Oximetry in IMCI Consultations at Primary Health Centres in West Africa? Baseline Site Assessment of the Operational AIRE Project, 2020
JOURNAL PUBLICATION | Published in medRxiv, this study describes AIRE project intervention sites in Burkina Faso, Guinea, Mali, and Niger and measures their capacity to offer IMCI-care prior to project implementation.
October 2024
By: Gildas Boris Hedible, Gildas Anago, Severin Lenaud, Désiré Neboua, Zineb Zair, Abdoul Guaniyi Sawadogo, Sarah Louart, Valérie Zombré, Dieney Fadima Kaba, Amadou Sidibe, Hannatou Souleymane Abarry, Sandrine Busiere, Marine Vignon, Franck Lamontagne, Valéry Ridde, Valériane Leroy
Improving Effective Coverage of Medical-Oxygen Services for Neonates and Children in Health Facilities in Uganda: A Before–After Intervention Study
JOURNAL PUBLICATION | Published in The Lancet Global Health, this study examines an intervention in Uganda aimed at improving medical oxygen services for children, resulting in better oxygen access and reduced mortality.
September 2024
By: Hamish Graham, Freddy Eric Kitutu, Yewande Kamuntu, Blasio Kunihira, Santa Engol, Jasmine Miller, Absolom Zisanhi, Dorcas Kemigisha, Charles Olaro, Harriet Ajilong, Freddie Ssengooba, Felix Lam
Oxygen Therapy Practice and Associated Factors among Nurses Working at an Ethiopian Referral Hospital
JOURNAL PUBLICATION | Published in the African Journal of Emergency Medicine, this study assesses oxygen therapy practices and associated factors influencing oxygen administration among nurses in an Ethiopian hospital.
September 2024
By: Mikiyas Muche Teshale, Nurilign Abebe Moges, Mezinew Sintayehu Bitew, Mihretie Gedfew, Belete Negese, Animut Takele Telayneh, Temesgen Ayenew, Dejen Tsegaye
Pulse Oximetry in Pediatric Care: Balancing Advantages and Limitations
JOURNAL PUBLICATION | Published in World Journal of Clinical Pediatrics, this study evaluates the advantages, limitations, and challenges of pulse oximetry in clinical practice, as well as proposes recommendations to optimize its use.
September 2024
By: Mohammed Al-Beltagi, Nermin Kamal Saeed, Adel Salah Bediwy, Reem Elbeltagi
The Impact and Cost-Effectiveness of Pulse Oximetry and Oxygen on Acute Lower Respiratory Infection Outcomes in Children under-5 in Malawi: A Modelling Study
JOURNAL PUBLICATION | Published in The Lancet, this study evaluates the impact and cost-effectiveness of scaling up pulse oximetry and oxygen on childhood acute lower respiratory infections outcomes in Malawi.
September 2024
By: Ines Li Lin, Eric D. McCollum, Eric Thomas Buckley, Valentina Cambiano, Joseph H. Collins, Matthew M. Graham, Eva Janoušková, Carina King, Norman Lufesi, Tara D. Mangal, Joseph Mfutso-Bengo, Sakshi Mohan, Margherita Molaro, Dominic Nkhoma, Humphreys Nsona, Alexander Rothkopf, Bingling She, Lisa Smith, Asif U. Tamuri, Paul Revill, Andrew N. Phillips, Timothy B. Hallett, Tim Colbourn
History and Social Implications of the Pulse Oximeter
JOURNAL PUBLICATION | Published in Cureus, this paper reviews the history and evolution of pulse oximeters, the scientific laws behind oximetry, and the limitations of pulse oximetry, especially related to skin pigmentation.
August 2024
By: Dean K. Zacharis, Daniel Z. Zhao, Latha Ganti
Effectiveness of Bubble Continuous Positive Airway Pressure for Treatment of Children Aged 1-59 Months with Severe Pneumonia and Hypoxaemia in Ethiopia
JOURNAL PUBLICATION | Published in The Lancet Global Health, the study demonstrated that bCPAP therapy reduced treatment failure and mortality in children with severe pneumonia and hypoxemia in Ethiopian hospitals.
May 2024
By: Meseret Gebre, Kassa Haile, Trevor Duke, Md Tanveer Faruk, Mehnaz Kamal, Md Farhad Kabir, Md Fakhar Uddin, Muluye Shimelis, Tigist Beyene, Bethelhem Solomon, Meles Solomon, Abebe Genetu Bayih, Alemseged Abdissa, Taye Tolera Balcha, Asrat Demtse, Abate Yeshidinber Weldetsadik, Bitseat W. Haile, Abu Sadat Mohammad Sayeem Bin Shahid, Tahmeed Ahmed, Mohammod Jobayer Chisti
Increasing Access to Medical Oxygen in Rwanda National Strategy (2024-2027)
GOVERNMENT POLICY / STRATEGY | This strategy provides a clear roadmap for increasing access to medical oxygen to reach those in need at all levels of the healthcare system in Rwanda.
May 2024
By: Rwanda Ministry of Health
‘Let Him Die in Peace’: Understanding Caregiver’s Refusal of Medical Oxygen Treatment for Children in Nigeria
JOURNAL PUBLICATION | Published in BMJ Global Health, this study examines caregiver, community, and healthcare provider perspectives, experiences, and acceptance of medical oxygen treatments for sick children in Nigeria.
May 2024
By: Ayobami A. Bakare, Julius Salako, Carina King, Omotayo E. Olojede, Damola Bakare, Olabisi Olasupo, Rochelle Ann Burgess, Eric D. McCollum, Tim Colbourn, Adegoke G. Falade, Helle Molsted-Alvesson, Hamish Graham
Implementation of Bubble Continuous Positive Airway Pressure for Children with Severe Pneumonia and Hypoxemia in Intensive Care Unit of Dhaka Hospital, Bangladesh—Effect on Pneumonia Mortality
JOURNAL PUBLICATION | Published in Pediatric Pulmonology, this study evaluates the use of bCPAP in improving outcomes and reducing mortality in children with severe pneumonia and hypoxemia in Bangladesh.
April 2024
By: K.M. Shahunja, Abu Sadat Mohammad Sayeem Bin Shahid, Monira Sarmin, Farzana Afroze, Nusrat Shaly, Md Farhad Kabir, Shams El Arifeen, Tahmeed Ahmed, Trevor Duke
Lower vs Higher Oxygenation Target and Days Alive Without Life Support in COVID-19: The HOT-COVID Randomized Clinical Trial
JOURNAL PUBLICATION | Published in JAMA, this trial evaluates the impact of lower versus higher oxygenation targets on days alive without life support for COVID-19 patients, showing lower oxygenation levels may improve recovery.
April 2024
By: Frederik Nielsen, Thomas Klitgaard, Martin Siegemund, Katrin Thormar, Jade Cole, Søren Aagaard, Anne-Marie Bunzel, Stine Vestergaard, Peter Langhoff, Caroline Pedersen, Josefine Hejlesen, Salim Abdelhamid, Anna Dietz, Caroline Gebhard, Nuria Zellweger, Alexa Hollinger, Lone Poulsen, Sarah Weihe, Nina Andersen-Ranberg, Ulf Pedersen, Ole Mathiesen, Anne Sofie Andreasen, Helene Brix, Jonas Thomsen, Christina Petersen, Morten Bestle, Sine Wichmann, Martin Lund, Karoline Mortensen, Björn Brand, Nicolai Haase, Susanne Iversen, Klaus Marcussen, Anne Brøchner, Morten Borup, Thorbjørn Grøfte, Thomas Hildebrandt, Maj-Brit Kjær, Janus Engstrøm, Theis Lange, Anders Perner, Olav Schjørring, Bodil Rasmussen
Cost Analysis of Different Medical Oxygen Sources for a Healthcare Facility in India
JOURNAL PUBLICATION | Published in Indian Journal of Anaesthesia, this study found that PSA plants are the most cost-effective source of medical oxygen when used at full capacity with electricity.
March 2024
By: Varun Manhas, Mahipal Rawat, Yogesh Kaurav, Sanjay Dhir, Kalyani Sangineni
Factors Predicting Mortality in Hospitalised HIV-Negative Children with Lower-Chest-Wall Indrawing Pneumonia and Implications for Management
JOURNAL PUBLICATION | Published in PLoS One, this study assesses mortality risk factors in hospitalized HIV-negative children with LCWI pneumonia, recommending hospital care for those with hypoxemia, HIV exposure, or malnutrition.
March 2024
By: Katherine Gallagher, Juliet Awori, Maria Knoll, Melissa Higdon, Laura Hammitt, Christine Prosperi, Henry Baggett, W. Abdullah Brooks, Nicholas Fancourt, Daniel Feikin, Stephen Howie, Karen Kotloff, Orin Levine, Shabir Ahmed Madhi, David M. Murdoch, Katherine O’Brien, Donald Thea, Vicky Baillie, Bernard E. Ebruke, Alice Kamau, David Moore, Lawrence Mwananyanda, Emmanuel Olutunde, Philip Seidenberg, Somsak Thamthitiwat
Solar-Powered O2 Delivery for the Treatment of Children with Hypoxaemia in Uganda: A Stepped-wedge, Cluster Randomised Controlled Trial
JOURNAL PUBLICATION | Published in The Lancet, this study examined if installation of solar-powered O2 systems in the pediatric ward of rural Ugandan hospitals leads to a reduction in mortality among hypoxemic children.
February 2024
By: Nicholas Conradi, Robert Opika Opoka, Qaasim Mian, Andrea L. Conroy, Laura L. Hermann, Jackson Amone, Juliet Nabwire, Bonita E. Lee, Abdullah Saleh, Piush Mandhane, Sophie Namasopo, Michael Hawkes
Variability of Oxygen Requirements in Critically Ill COVID-19 Patients
JOURNAL PUBLICATION | Published in the Journal of Global Health, this sub-analysis of the COVID-19 Critical Care Consortium database assesses the oxygen consumption requirements of COVID-19 patients admitted to intensive care units.
February 2024
By: Lisa Smith, Samuel Huth, Alexander Rothkopf, Nicole White, Gianluigi Li Bassi, Jacky Suen, John Fraser
Conservative versus Liberal Oxygenation Targets in Critically Ill Children (Oxy-PICU): A UK Multicentre, Open, Parallel Group, Randomised Clinical Trial
JOURNAL PUBLICATION | Published in Intensive Care Medicine, the Oxy-PICU trial found no significant differences in clinical outcomes between conservative and liberal oxygenation targets for critically ill children.
January 2024
By: Mark Peters, Doug Gould, Samiran Ray, Karen Thomas, Irene Chang, Marzena Orzol, Lauran O’Neill, Rachel Agbeko, Carly Au, Elizabeth Draper, Lee Elliot-Major, Elisa Giallongo, Gareth Jones, Lamprini Lampro, Jon Lillie, John Pappachan, Sam Peters, Padmanabhan Ramnarayan, Zia Sadique, Kathryn Rowan, David Harrison, Paul Mouncey
Predicting the Potential Impact of Scaling up Four Pneumonia Interventions on Under-Five Pneumonia Mortality: A Prospective Lives Saved Tool (LiST) Analysis for Bangladesh, Chad, and Ethiopia
JOURNAL PUBLICATION | Published in the Journal of Global Health, this study used the Lives Saved Tool to prospectively analyze the potential impact of upscaling pneumonia interventions in Bangladesh, Chad, and Ethiopia.
January 2024
By: Theresa Pfurtscheller, Felix Lam, Rasheduzzaman Shah, Rana Shohel, Maria Suau Sans, Narcisse Tounaikok, Abas Hassen, Alemayehu Berhanu Belete, Dinkineh Bikila Woyessa, Elizabeth Berryman, Tedila Habte, Leith Greenslade, Rebecca Nantanda, Kevin Baker
Third Delay in Care of Critically Ill Patients: A Qualitative Investigation of Public Hospitals in Kenya
JOURNAL PUBLICATION | Published in BMJ Open, this exploratory qualitative study identifies delays in delivery of care to critically ill patients and possible ways to address these delays in four public Kenyan hospitals.
January 2024
By: Onesmus O. Onyango, Jacob McKnight, Carl Otto Schell, Tim Baker, Elibariki Mkumbo, John Maiba, Karima Khalid, Mike English, Jacquie Oliwa
Evaluation of Feasibility Phase of Adaptive Version of Locally Made Bubble Continuous Positive Airway Pressure Oxygen Therapy for the Treatment of COVID-19 Positive and Negative Adults with Severe Pneumonia and Hypoxaemia
JOURNAL PUBLICATION | Published in Journal of Global Health, this study assesses the feasibility of using locally made bCPAP oxygen therapy for adults with severe pneumonia and hypoxemia.
November 2023
By: Mohammod Jobayer Chisti, Ahmed Ehsanur Rahman, Taufiq Hasan, Tahmeed Ahmed, Shams El Arifeen, John David Clemens, Abu Sayem Mirza Md Hasibur Rahman, Md Fakhar Uddin, Md Robed Amin, Md Titu Miah, Md Khairul Islam, Mohiuddin Sharif, Abu Sadat Mohammad Sayeem Bin Shahid, Anisuddin Ahmed, Goutom Banik, Meemnur Rashid, Md Kawsar Ahmed, Lubaba Shahrin, Farzana Afroze, Monira Sarmin, Sharika Nuzhat, Supriya Sarkar, Jahurul Islam, Muhammad Shariful Islam, John Norrie, Harry Campbell, Harish Nair, Steve Cunningham
Hospital Care for Critical Illness in Low-Resource Settings: Lessons Learned During the COVID-19 Pandemic
JOURNAL PUBLICATION | Published in BMJ Global Health, this article analyzes the impact of the COVID-19 pandemic on hospital care for critical illness in low-resource settings and provides recommendations for future improvements.
November 2023
By: Mike English, Jacquie Oliwa, Karima Khalid, Onesmus O. Onyango, Tamara Mulenga Willows, Rosanna Mazhar, Elibariki Mkumbo, Lorna Guinness, Carl Otto Schell, Tim Baker, Jacob McKnight
Prevalence and Pattern of Retinopathy of Prematurity at Two National Referral Hospitals in Uganda: A Cross-sectional Study
JOURNAL PUBLICATION | Published in BMC Ophthalmology, this cross-sectional study of preterm infants from the neonatal units of two Ugandan hospitals examined retinopathy of prematurity (ROP).
November 2023
By: Iddi Ndyabawe, Flavia Namiiro, Anita Tumwebaze Muhumuza, Juliet Otiti, Anne Ampaire, Moses Kasadhakawo, Fransisco Msonge, Siyad Mohamed, Mary Nyanzi, Victor Spector Tumukunde, Andrew Weil Semulimi, David Mukunya, Dan Bwonya, Primrose Magala, Clare Gilbert, Nancy Maria Douat Dietrich, Patricia Zanotelli Cagliari, Rebecca Jones, James Nyonyintono, Aisha Muhamad Doka, Bariirah Bushirah Nakitende, Hamish Graham, Susan Mary Carden, Rami Subhi, Grace Ssali Nsibirwa
Predictors Associated with Critical Care Need and In-Hospital Mortality among Children with Laboratory-Confirmed COVID-19 Infection in a High HIV Infection Burden Region
JOURNAL PUBLICATION | Published in Frontiers in Pediatrics, this study assessed predictors of critical care needs and hospital mortality in South African children with COVID-19 infection in a region with high HIV burden.
September 2023
By: Liliane N. Byamungu, Jean B. Nachega, Ashendri Pillay, Patrick D.M.C. Katoto, Prakash Jeena, Lindsay Zurba, Refiloe Masekela
Prevalence and Phenotypic Trajectories of Hypoxemia among Hospitalised Adults in Kenya: A Single-Centre, Prospective Cohort Study
JOURNAL PUBLICATION | Published in BMJ Open, this study examined the prevalence and phenotypic trajectories of hypoxemia among hospitalized adults in Kenya, with a focus on chronic hypoxemia.
September 2023
By: Neelima Navuluri, David K. Lagat, Elcy Birgen, Sylvia Kitur, Peter S. Kussin, David M. Murdoch, Nathan M. Thielman, Alice Parish, Cynthia L. Green, Neil R. MacIntyre, Joseph R. Egger, Kara Wools-Kaloustian, Loretta G. Que
COVID-19 Tele-Education Series Resource Library
REPOSITORY / TOOLKIT | This resource library, managed by Assist International, provides various tools and resources on COVID-19 treatment and care, including surgical care, oxygen therapy, infection control, and resource planning.
August 2023
By: Assist International
Critical Illness at the Emergency Department of a Tanzanian National Hospital in a Three-year Period 2019–2021
JOURNAL PUBLICATION | Published in BMC Emergency Medicine, this study highlights that over 10% of patients at a Tanzanian hospital’s ED were critically ill, with respiratory and cardiovascular issues being the primary causes.
August 2023
By: Erick Mboya, Harrieth Ndumwa, Davis Amani, Victoria Mlele, Happines Biyengo, Ramadhan Mashoka, Rashan Haniffa, Abigail Beane, Juma Mfinanga, Bruno Sunguya, Tim Baker
Ethiopian Medical Oxygen Roadmap II (2022-2027)
GOVERNMENT POLICY / STRATEGY | Their second iteration, this oxygen roadmap provides a comprehensive approach to overcome prevailing bottlenecks and improve access to medical oxygen, diagnostics, and hypoxemia management.
August 2023
By: Ethiopia Federal Ministry of Health
Provider Adherence to Clinical Care Recommendations for Infants and Children who Died in Seven Low- and Middle-income Countries in the Child Health and Mortality Prevention Surveillance (CHAMPS) Network
JOURNAL PUBLICATION | Published in EClinicalMedicine, this study describes adherence to WHO recommendations for the management of leading causes of death among children across a number of LMICs.
August 2023
By: Chris A. Rees, Kitiezo Aggrey Igunza, Zachary J. Madewell, Dickens Onyango, Shams El Arifeen, Emily S. Gurley, Mohammad Zahid Hossain, Afruna Rahman, Muntasir Alam, Nega Assefa, Lola Madrid, Anteneh Belachew, Haleluya Leulseged, Samba O. Sow, Milagritos D. Tapia, Adama Mamby Keita, Diakaridia Sidibe, Antonio Sitoe, Rosauro Varo, Sara Ajanovic, Quique Bassat, Inácio Mandomando, Beth A. Tippett Barr, Ikechukwu Ogbuanu, Carrie Jo Cain, Ima-Abasi Bassey, Ronita Luke, Khadija Gassama, Shabir Ahmed Madhi, Ziyaad Dangor, Sana Mahtab, Sithembiso Velaphi, Jeanie du Toit, Portia C. Mutevedzi, Dianna M. Blau, Robert F. Breiman, Cynthia G. Whitney
WHO O2CoV2: Oxygen Requirements and Respiratory Support in Patients with COVID-19 in Low-and-Middle Income Countries—Protocol for a Multicountry, Prospective, Observational Cohort Study
JOURNAL PUBLICATION | Published in BMJ Open, this study aims to describe the requirements and use of oxygen at the facility and patient level of approximately 4,500 patients with COVID-19 in 30 countries.
August 2023
By: Pryanka Relan, Srinivas Murthy, John C. Marshall, Sylvie Chevret, Yaseen M. Arabi, Wangari Waweru-Siika, Sara Dominguez Rodriguez, Pauline Convocar, Janet Diaz
A Health Systems Approach to Critical Care Delivery in Low-Resource Settings: A Narrative Review
JOURNAL PUBLICATION | Published in Intensive Care Medicine, this narrative review examines critical care delivery in low-resource settings from a health systems perspective and provides actionable recommendations.
July 2023
By: Stephen Spencer, Faustina Excel Adipa, Tim Baker, Ana Maria Crawford, Paul Dark, Dingase Dula, Stephen Gordon, David Oliver Hamilton, Dawit Kebede Huluka, Karima Khalid, Sulaiman Lakoh, Felix Limbani, Jamie Rylance, Ibrahim Simiyu, Wangari Waweru-Siika, Eve Worrall, Ben Morton
Focused Needs Assessment and Tailored Training Pilot for Emergency Care Providers in Rwanda
JOURNAL PUBLICATION | Published in Prehospital and Disaster Medicine, this article discusses a pilot program in Rwanda to enhance emergency care by assessing needs and delivering targeted training to providers.
July 2023
By: Naz Karim, Catalina Gonzalez Marques, Angela Zhang, Mikaela Belsky, Jean Marie Uwitonze, Jeanne D’Arc Nyinawankusi, Pascal Mugemangango, Zeta Mutabazi, Adam R. Aluisio
Randomised Trials in Child and Adolescent Health in Developing Countries
JOURNAL PUBLICATION | Each year this booklet is compiled to summarize the evidence on child and adolescent health derived from randomized or controlled trials in developing countries over the previous year.
July 2023
By: Royal Children’s Hospital, Melbourne, Paediatric Society of Papua New Guinea
Oxygen Therapy Part 2 — Indications and Toxicity
JOURNAL PUBLICATION | In this second part in NEJM Evidence, we discuss the acute and chronic indications for oxygen, the delivery of supplemental oxygen, and its potential adverse effects and toxicity.
June 2023
By: Matthew Wemple, Kai Swenson, Erik Swenson
Patient Experience with Chronic Obstructive Pulmonary Disease: A Nationally Representative Demonstration Study on Quality and Cost of Healthcare Services
JOURNAL PUBLICATION | Published in Frontiers in Public Health, this study attempted to investigate the journey of patients with COPD in the healthcare system using nationally representative data in Iran.
June 2023
By: Seyyed-Hadi Ghamari, Farnam Mohebi, Mohsen Abbasi-Kangevari, Besharat Rahimi, Naser Ahmadi, Yousef Farzi, Shahedeh Seyfi, Nazila Shahbal, Mitra Modirian, Mehrdad Azmin, Hossein Zokaei, Maryam Khezrian, Roya Sherafat, Mohammad-Reza Malekpour, Shahin Roshani, Negar Rezaei, Mohammad Javad Fallahi, Maryam Haddadzadeh Shoushtari, Zahra Akbaripour, Shahab Khatibzadeh, Saeid Shahraz
Process Document for Setting and Operationalization of Oxygen Skill Labs
GUIDANCE | This document provides the details of setting up and operationalization of oxygen skill labs. Oxygen skill labs will employ an interactive and participatory teaching mechanism for training.
June 2023
By: PATH
Development and Internal Validation of Clinical Hypoxemia Scores for Outpatient Child Pneumonia Care Lacking Pulse Oximetry in Bangladesh and Malawi: A Pooled Analysis
JOURNAL PUBLICATION | Published in the American Journal of Respiratory and Critical Care Medicine, this study presents a pooled analysis of four IMCI-related models predicting SpO2 <93% (primary) and <90% (secondary).
May 2023
By: Holly Schuh, Shubhada Hooli, Salahuddin Ahmed, Carina King, Charles Makwenda, Arunangshu Roy, Norman Lufesi, Asmd Ashraful Islam, Tisungane Mvalo, Nabidul Chowdhury, Amy Sarah Ginsburg, Tim Colbourn, William Checkley, Abdullah Baqui, Eric D. McCollum
Technical Innovation in Critical Care in a World of Constraints: Lessons from the COVID-19 Pandemic
JOURNAL PUBLICATION | Published in American Journal of Respiratory and Critical Care Medicine, this article describes how innovations in oxygen delivery should incorporate all aspects of the oxygen system yet be frugal.
May 2023
By: Armand Mekontso Dessap, Jean-Christophe Marie Richard, Tim Baker, Aurélie Godard, Guillaume Carteaux
Nigeria’s National Strategy for the Scale-up of Medical Oxygen in Health Facilities (2023-2027)
GOVERNMENT POLICY / STRATEGY | This second national strategy builds on the foundations laid by the first plan (2017-2022) for more equitable access to medical oxygen in health facilities in Nigeria.
April 2023
By: Nigeria National Ministry of Health
Home Oxygen Monitoring and Therapy: Learning from the Pandemic
JOURNAL PUBLICATION | Published in Current Opinion in Critical Care, this review explores the role of home oxygen monitoring during the COVID-19 pandemic, analyzing its effectiveness, cost implications, and potential equity concerns.
February 2023
By: Thomas Beaney, Jonathan Clarke
How Rwanda’s COVID-19 Response Strengthened its Strategy on Medical Oxygen
ARTICLE | Rwanda’s national COVID-19 response strategy greatly increased the provision of oxygen to its health facilities, which became a determining factor in the survival of the population.
February 2023
By: The World Bank, Amparo Gordillo-Tobar, Nataliya de Francisco Serpa, Francine Umutesi, Patrice Mwitende
Same Label, Different Patients: Health-workers’ Understanding of the Label ‘Critical Illness’
JOURNAL PUBLICATION | Published in Frontiers in Health Services, this study aimed to determine how Kenyan and Tanzanian health workers understand the label ‘critical illness’.
February 2023
By: Elibariki Mkumbo, Tamara Mulenga Willows, Onesmus O. Onyango, Karima Khalid, John Maiba, Carl Otto Schell, Jacquie Oliwa, Jacob McKnight, Tim Baker
What are the Risk Factors for Death among Children with Pneumonia in Low- and Middle-Income Countries? A Systematic Review
JOURNAL PUBLICATION | Published in the Journal of Global Health, this review aimed to identify the most important risk factors for mortality among children aged under ten years with pneumonia.
February 2023
By: Chris Wilkes, Mohamed Bava, Hamish Graham, Trevor Duke
Formulation of an Oxygen Policy to Ensure Adequate Supply of Oxygen Reserves during the Second Wave of COVID-19 Pandemic
JOURNAL PUBLICATION | Published in Medical Gas Research, this article highlights oxygen conservation strategies that were used in India that helped balance supply and demand of oxygen during the pandemic’s 2nd wave.
January 2023
By: Tanmay Tiwari, Divya Narain Upadhyaya, Yadvendra Dheer, Gyan Prakash Singh, Sandeep Tiwari
Ghana’s Strategic Action Plan for the National Medical Oxygen Policy
GOVERNMENT POLICY / STRATEGY | This strategic action plan goes into detail on the strategic framework, as outlined by the National Medical Oxygen Policy, and lays the foundation for scaling up medical oxygen across Ghana.
January 2023
By: Ghana Ministry of Health
Home Oxygen Therapy Before, During, and After the COVID-19 Pandemic: Our Reality
JOURNAL PUBLICATION | Published in the European Respiratory Journal, this study explores the changes and challenges in home oxygen therapy practices before, during, and after the COVID-19 pandemic.
January 2023
By: R.A. Toribio Abreu, S. Espinal
What you Need to Know about Stillbirths: Answers to Common Questions about this Tragic Loss of Life
ARTICLE | This webpage provides answers to key questions about stillbirths.
January 2023
By: UNICEF
NEST360 Newborn Technology Landscape
REPORT | This NEST360 report outlines a compendium of newborn healthcare technologies, both commercially available and in development, suitable for use in resource-limited settings.
December 2022
By: NEST360
Digital Health Initiatives in Transforming Healthcare Delivery During Pandemic Outbreak
JOURNAL PUBLICATION | Published in NeuroQuantology, the study examines how Kerala’s eHealth project, incorporating telemedicine and digital health tools, supported healthcare during the pandemic.
November 2022
By: Kunnathodi Ayisha, C.P. Ayoob
Pneumonia and Diarrhea Progress Report Card
REPORT | IVAC’s annual Pneumonia and Diarrhea Progress Report evaluates the progress across 10 high-impact indicators outlined in the Global Action Plan for the Prevention and Control of Pneumonia and Diarrhea (GAPPD).
November 2022
By: International Vaccine Access Center (IVAC)
Strengthening Oxygen Data Management Systems: Zambia Oxygen Data Dashboard Report
REPORT | This report provides survey results related to use of Zambia’s oxygen data dashboard, which demonstrates many were aware of the dashboard, but most did not use it regularly.
November 2022
By: PATH
Analysis of the Renewed European Medical Device Regulations in the Frame of the Non – EU Regulatory Landscape during the COVID Facilitated Change
JOURNAL PUBLICATION | Published in Journal of Pharmaceutical Sciences, this review evaluates the updated European Medical Device Regulations and their global impact, emphasizing stricter compliance requirements post-COVID-19.
October 2022
By: S.P. Yamini Kanti, Ildikó Csóka, Lívia Adalbert, Orsolya Jójárt-Laczkovich
Oxygen as an Essential Medicine
JOURNAL PUBLICATION | Published in Critical Care Clinics, this article advocates for oxygen as an essential medicine and highlights the global need for improved oxygen access, particularly in low-resource settings.
October 2022
By: Matthew Mart, Cornelius Sendagire, Eugene Wesley Ely, Elisabeth D. Riviello, Theogene Twagirumugabe
Perception and Experience of Clinicians and Caregivers in Treating Childhood Severe Pneumonia and Hypoxemia using Bubble Continuous Positive Airway Pressure in Ethiopian Tertiary and General Hospitals
JOURNAL PUBLICATION | Published in PLoS One, this study examined the perceptions and experiences of hospital workers and caregivers on the feasibility and acceptability of bCPAP in treating hypoxemic children in Ethiopian hospitals.
October 2022
By: Meseret Gebre, Md Fakhar Uddin, Trevor Duke, Kassa Haile, Md Tanveer Faruk, Mehnaz Kamal, Md Farhad Kabir, Abebe Genetu Bayih, Rahel Argaw Kebede, Asrat Demtse, Abate Yeshidinber Weldetsadik, Abayneh Girma Demisse, Bitseat W. Haile, Alemseged Abdissa, Teferi Elfu, Biruk Tesfaye, Taye Tolera Balcha, Muluye Shemeles, Tahmeed Ahmed, Mohammod Jobayer Chisti
An Assessment of Nigeria’s Health Systems Response to COVID-19
JOURNAL PUBLICATION | Published in Ghana Medical Journal, this study examines selected health interventions in Nigeria considered significant both in terms of COVID-19 responses and in strengthening the overall health system.
September 2022
By: Chinyere Okeke, Benjamin Uzochukwu, Chioma Onyedinma, Obinna Onwujekwe
Oxygen as a Drug and Scarce Commodity: Do We Use It Rationally?
JOURNAL PUBLICATION | Published in South African Family Practice, this study examines oxygen therapy practices in hospitals, revealing significant issues with prescription errors, oxygen administration mistakes, and wastage.
September 2022
By: Linda Groenewald, Lurika Faber, Jean-Pierre Fourie, Miécke Müller, Kayla Van der Westhuizen, Dian D. Kapp, Righard Swanepoel, Hanneke Brits
Assessment of Knowledge, Attitude, and Factors Associated with Oxygen Therapy for Critically Ill Patients among Nurses at the University of Gondar Comprehensive Specialized Hospital Northwest, Ethiopia, 2021
JOURNAL PUBLICATION | Published in Annals of Medicine and Surgery, the study revealed that nurses at a hospital in Ethiopia had a positive attitude towards oxygen therapy but lacked sufficient knowledge.
August 2022
By: Yosef Belay Bizuneh, Yayeh Adamu Getahun, Debas Yaregal Melesse
Effectiveness of Bubble Continuous Positive Airway Pressure (BCPAP) for Treatment of Children Aged 1-59 Months with Severe Pneumonia and Hypoxemia in Ethiopia: A Pragmatic Cluster Randomized Controlled Clinical Trial
JOURNAL PUBLICATION | Published in Journal of Clinical Medicine, this trial assesses BCPAP versus low-flow oxygen therapy for treating childhood pneumonia and hypoxemia in Ethiopia.
August 2022
By: Meseret Gebre, Kassa Haile, Trevor Duke, Md Tanveer Faruk, Mehnaz Kamal, Md Farhad Kabir, Md Fakhar Uddin, Muluye Shimelis, Bethelhem Solomon, Abebe Genetu Bayih, Alemseged Abdissa, Taye Tolera Balcha, Asrat Demtse, Bitseat W. Haile, Tahmeed Ahmed, Mohammod Jobayer Chisti
Management and Safe Use of Medical Devices
GUIDANCE | The WHO developed a technical series to expand the expertise in medical devices to support member states to ensure improved access, quality and use of medical products and technologies.
August 2022
By: World Health Organization (WHO)
Delivering Oxygen at Doorstep: A Case Study on Rajasthan’s Oxygen Concentrator Banks
INFORMATION BRIEF | This case study highlights the Nishtha project’s efforts to deliver oxygen directly to people’s doorsteps in Rajasthan, India through Oxygen Concentrator Banks.
July 2022
By: Nishtha, Jhpiego, PATH
Standard Operating Procedures (SOPs): Use of Oxygen Concentrator at Health and Wellness Centre (HWC) for Management of Hypoxia
GUIDANCE | The document details the purpose and use of an oxygen concentrator at a health and wellness centre.
July 2022
By: PATH, Nishtha, Jhpiego
Strengthening Oxygen Utilization and Respiratory Care Ecosystems (SOURCE) Project
INFORMATION BRIEF | This factsheet offers an overview of the Strengthening Oxygen Utilization and Respiratory Care Ecosystems (SOURCE) project to support countries to equitably improve oxygen access.
July 2022
By: PATH
Sustaining Pressure Swing Adsorption (PSA) Functionalities: A Case of SCB Medical College and Hospital at Cuttack in Odisha, India
INFORMATION BRIEF | This case study documents the installation of two PSA plants in SCB Medical College and Hospital at Cuttack and how oxygen supply was sustained and distributed through the MGPS.
July 2022
By: PATH, Nishtha, Jhpiego
Factors Associated with Hospital Length of Stay in Patients Admitted with Suspected Malaria in Kenya: Secondary Analysis of a Cross-Sectional Survey
JOURNAL PUBLICATION | Published in BMJ Open, this study evaluates factors influencing hospital length of stay in patients with suspected malaria in Kenya, emphasizing the need for early recognition and severe malaria management.
June 2022
By: Beatrice Machini, Thomas Achia, Hillary Kipruto, Jacqueline Chesang
Learning Resource Package for Medical Oxygen Management
INFORMATION BRIEF | This success story details the need, process, and mechanisms of developing a standardized oxygen ecosystem learning resource package for trainers.
June 2022
By: Reaching Impact, Saturation, and Epidemic Control (RISE) project
NEST360 Qualified Technologies
TOOL | The NEST360 qualified technologies are a list of newborn care technologies best suited for use in low-resource setting hospitals, including being effective, affordable, rugged, and simple to use.
June 2022
By: NEST360
National Guideline on Oxygen Therapy
GUIDANCE | This document provides guidance on oxygen sources and delivery devices, basic care, and maintenance of oxygen equipment, medical oxygen therapy, special considerations for different patient populations, etc.
June 2022
By: Tanzania Ministry of Health, Community Development, Gender, Elderly and Children
Decentralizing Oxygen Availability and Use at Primary Care for Children Under-Five with Severe Pneumonia at 12 Health Centers in Ethiopia: A Pre-Post Non-Experimental Study
JOURNAL PUBLICATION | Published in BMC Health Services Research, this study highlights the positive outcomes of decentralizing oxygen services in Ethiopia’s health centers.
May 2022
By: Habtamu Seyoum Tolla, Dinkineh Bikila Woyessa, Rahel Belete Balkew, Yigeremu Abebe Asemere, Zinabie Feleke Fekadu, Alemayehu Berhanu Belete, Martha Gartley, Audrey Battu, Felix Lam, Alebel Yaregal Desale
Medicinal Oxygen Monograph for 11th Edition of the International Pharmacopoeia
GUIDANCE | This outlines the proposed update to the definition of medical oxygen, particularly the specifics of 93% and 99.5% purity of medical oxygen, as of May 2022.
May 2022
By: World Health Organization (WHO)
Paediatric Hospitalisations due to COVID-19 during the First Sars-Cov-2 Omicron (B.1.1.529) Variant Wave in South Africa: A Multicentre Observational Study
JOURNAL PUBLICATION | Published in The Lancet Child and Adolescent Health, the Tshwane Maternal-Child COVID-19 study investigated clinical manifestations and outcomes of pediatric patients in South Africa during the 4th wave of COVID-19.
May 2022
By: Jeané Cloete, Annelet Kruger, Maureen Masha, Dini Mawela, Mphailele Tshukudu, Tabea Manyane, Lekwetji Komane, Marietjie Venter, Waasila Jassat, Ameena Goga, Ute Feucht
Pulse Oximetry and Oxygen Services for the Care of Children with Pneumonia Attending Frontline Health Facilities in Lagos, Nigeria (INSPIRING-Lagos): Study Protocol for a Mixed-Methods Evaluation
JOURNAL PUBLICATION | Published in BMJ Open, this evaluation determines whether stabilization rooms equipped with pulse oximetry and oxygen alongside health worker training improves quality of care for children with pneumonia.
May 2022
By: Hamish Graham, Omotayo E. Olojede, Ayobami A. Bakare, Eric D. McCollum, Agnese Iuliano, Adamu Isah, Adams Osebi, Ibrahim Seriki, Tahlil Ahmed, Samy Ahmar, Christine Cassar, Paula Valentine, Temitayo Folorunso Olowookere, Matthew MacCalla, Rochelle Ann Burgess, Tim Colbourn, Carina King, Adegoke G. Falade
The International Pharmacopoeia – Medicinal Oxygen (11th Edition)
GUIDANCE | This outlines the update to the definition of medical oxygen, particularly the specifics of 93% and 99.5% purity of medical oxygen, as of May 2022.
May 2022
By: World Health Organization (WHO)
An Evaluation of Severe Anesthetic-Related Critical Incidents and Risks from the South African Paediatric Surgical Outcomes Study: A 14-Day Prospective, Observational Cohort Study of Pediatric Surgical Patients
JOURNAL PUBLICATION | Published in Anesthesia & Analgesia, this study found a significantly higher incidence of severe anesthetic-related critical incidents in South African pediatric surgeries compared to high-income countries.
April 2022
By: Larissa Cronjé, Alexandra Torborg, Heidi Meyer, Anisa Bhettay, Johan Diedericks, Celeste Cilliers, Hyla-Louise Kluyts, Busisiwe Mrara, Mandisa Kalipa, Esther Cloete, Annemie Burke, Palesa Mogane, Christella Alphonsus, Motselisi Mbeki, Jennifer Thomas, Reitze Rodseth, Bruce Biccard
High-Flow Nasal Cannula versus Conventional Oxygen Therapy in Acute COPD Exacerbation with Mild Hypercapnia: A Multicenter Randomized Controlled Trial
JOURNAL PUBLICATION | Published in Critical Care, this study compares high-flow nasal cannula and conventional oxygen therapy in chronic obstructive pulmonary disease (COPD) patients with mild hypercapnia, evaluating their effects on respiratory outcomes.
April 2022
By: Jingen Xia, Sichao Gu, Wei Lei, Hui Wei, Han Zhang, Rongli Lu, Liqiong Zhang, Mingyan Jiang, Chao Hu, Cheng Tao
Hypoxemia Prevalence and Management among Children and Adults presenting to Primary Care Facilities in Uganda: A Prospective Cohort Study
JOURNAL PUBLICATION | Published in PLOS Global Public Health, this study assessed the prevalence and management of hypoxemia at primary care facilities in Uganda.
April 2022
By: Hamish Graham, Yewande Kamuntu, Jasmine Miller, Anna Barrett, Blasio Kunihira, Santa Engol, Lorraine Kabunga, Felix Lam, Charles Olaro, Harriet Ajilong, Freddy Eric Kitutu
Measuring Coverage and Quality of Supportive Care for Inpatient Neonatal Infections: EN-BIRTH Multi-Country Validation Study
JOURNAL PUBLICATION | Published in Journal of Global Health, this study assesses the coverage and quality of supportive care for neonatal infections across multiple countries, identifying gaps in care and suggesting improvements.
April 2022
By: Shafiqul Ameen, Nahya Salim, K.C. Ashish, Harriet Ruysen, Tazeen Tahsina, Anisuddin Ahmed, Md Hafizur Rahman, Shema Mhajabin, Sabrina Jabeen, Kimberly Peven, Stefanie Kong, Louise Day, Evelyne Assenga, Shamim Ahmad Qazi, Qazi Rahman, Shams El Arifeen, Ahmed Ehsanur Rahman, Joy Lawn
NEST-ED Clinical Module: Pulse Oximeter
GUIDANCE | This NEST-ED Clinical Module has been prepared to help healthcare staff and students understand when and how to use pulse oximeters in newborn care.
April 2022
By: NEST360
Respiratory Equipment Training – How to Get a Pulse Oximeter Ready to Use
COURSE / TRAINING VIDEO | WHO has developed training videos on use of respiratory equipment, for every step of the process. This training video focuses on how to get pulse oximeters ready to use.
April 2022
By: World Health Organization (WHO)
Respiratory Equipment Training – How to Get an Oxygen Concentrator Ready to Use
COURSE / TRAINING VIDEO | WHO has developed training videos on use of respiratory equipment, for every step of the process. This training video focuses on how to get oxygen concentrators ready to use.
April 2022
By: World Health Organization (WHO)
Anesthesia Facility Assessment Tool
TOOL | This questionnaire supports the creation of a data set to help evaluate national capacity for anesthesia care and to provide guidance for improving or maintaining safe anesthesia standards.
March 2022
By: World Federation of Societies of Anaesthesiologists (WFSA)
Assessment Report on the Availability of Oxygen and Biomedical Equipment in Health Facilities: DRC Facility Survey Report
REPORT | This report summarizes observations from the collected data of a biomedical equipment survey and is intended to help global and national stakeholders understand COVID-19 treatment capacity in DRC.
March 2022
By: PATH
Assessment of Practice and Barriers of Oxygen Therapy in Critically Ill Patients among Nurses: A Survey from University of Gondar Comprehensive Specialized Hospital Northwest, Ethiopia, 2021
JOURNAL PUBLICATION | Published in Annals of Medicine and Surgery, this study found that only 47% of nurses practiced oxygen therapy effectively in critically ill patients, with age and knowledge positively influencing practice.
March 2022
By: Yayeh Adamu Getahun, Yosef Belay Bizuneh, Debas Yaregal Melesse
COVID-19 Case Management Webinar Series: COVID-19 in Children and Young Persons
PRESENTATION / WEBINAR | This webinar focuses on key elements to consider in the clinical management of mild, moderate, or severe COVID-19 in children and young persons.
March 2022
By: World Health Organization (WHO)
Every Last One: Compassionate, Comprehensive Healthcare Powered by Scalable Oxygen and Digital Solutions
PRESENTATION / WEBINAR | This presentation outlines the activities of The Luke Commission in improving comprehensive health services in Eswatini, including efforts to scale up COVID-19 vaccination and strengthening oxygen delivery.
March 2022
By: The Luke Commission
Factors Associated with Community Acquired Severe Pneumonia among Under Five Children in Dhaka, Bangladesh: A Case Control Analysis
JOURNAL PUBLICATION | Published in PLoS One, this study assesses risk factors for community-acquired severe pneumonia in children under five in Bangladesh, identifying key factors such as male sex, fever, and severe stunting.
March 2022
By: Sabiha Nasrin, Md Tariqujjaman, Marufa Sultana, Rifat A. Zaman, Shahjahan Ali, Abu S.G. Faruque, Tahmeed Ahmed, Niklaus Gyr, Nur H. Alam
Care, Cleaning, and Disinfection of BiPAP/CPAP Devices
TOOL | This poster is intended for healthcare workers, biomedical engineers, and staff in charge of caring, cleaning, decontaminating, and sterilizing respiratory medical equipment like BiPAP or CPAP.
January 2022
By: World Health Organization (WHO)
Care, Cleaning, and Disinfection of High-flow Nasal Cannula
TOOL | This poster is intended for healthcare workers, biomedical engineers, and staff in charge of caring, cleaning, decontaminating, and sterilizing respiratory medical equipment like high-flow nasal cannula.
January 2022
By: World Health Organization (WHO)
Care, Cleaning, and Disinfection of Invasive Mechanical Ventilators
TOOL | This poster is intended for healthcare workers, biomedical engineers, and staff in charge of caring, cleaning, decontaminating, and sterilizing respiratory medical equipment like mechanical ventilators.
January 2022
By: World Health Organization (WHO)
Care, Cleaning, and Disinfection of Oxygen Concentrators
TOOL | This poster is intended for healthcare workers, biomedical engineers, and staff in charge of caring, cleaning, decontaminating, and sterilizing respiratory medical equipment like oxygen concentrators.
January 2022
By: World Health Organization (WHO)
How to Design and Implement National Oxygen Roadmaps for Oxygen Scale Up: Case Study from Ethiopia
ARTICLE | In 2016, the Ethiopian Ministry of Health designed and implemented an oxygen and pulse oximetry scale up road map, which resulted in significant improvements in oxygen availability and use.
January 2022
By: Ethiopia Federal Ministry of Health, Clinton Health Access Initiative (CHAI)
Preparing Hospitals’ Medical Oxygen Delivery Systems for a Respiratory “Twindemic”
ARTICLE | Published in JAMA Network, this editorial posits how best to prepare hospitals’ medical oxygen delivery ecosystems for health emergencies.
January 2022
By: Melissa Suran
Resources and Geographic Access to Care for Severe Pediatric Pneumonia in Four Resource-limited Settings
JOURNAL PUBLICATION | This study (published in American Journal of Respiratory and Critical Care Medicine) sought to identify healthcare facilities that were adequately resourced to manage severe pediatric pneumonia.
January 2022
By: Suzanne M. Simkovich, Lindsay J. Underhill, Miles A. Kirby, Mary E. Crocker, Dina Goodman, John P. McCracken, Lisa M. Thompson, Anaité Diaz-Artiga, Adly Castañaza-Gonzalez, Sarada S. Garg, Kalpana Balakrishnan, Gurusamy Thangavel, Ghislaine Rosa, Jennifer L. Peel, Thomas F. Clasen, Eric D. McCollum, William Checkley
Cambodia Oxygen Preparedness Plan (2022-2025)
GOVERNMENT POLICY / STRATEGY | The objective of this Oxygen Preparedness Plan is to identify and implement priority activities which urgently need to be undertaken to respond to the current COVID-19 outbreak in Cambodia.
December 2021
By: Cambodia Ministry of Health
Care, Cleaning, and Disinfection of Respiratory Equipment in Sterile Services Department
TOOL | This collection of posters are intended for healthcare workers, biomedical engineers, and staff in charge of caring, cleaning, decontaminating, and sterilizing respiratory medical equipment in health facilities.
December 2021
By: World Health Organization (WHO)
Checklists for Care, Cleaning, Disinfection, and Sterilization of Respiratory Devices
TOOL | This collection of posters are intended for healthcare workers, biomedical engineers, and staff in charge of caring, cleaning, decontaminating, and sterilizing respiratory medical equipment in health facilities.
December 2021
By: World Health Organization (WHO)
From Production to Patient: A Roadmap to Strengthen Oxygen Access in Malawi
ARTICLE | PATH partnered with the Malawi Ministry of Health and UNICEF to develop and launch a roadmap to establish and maintain a comprehensive national medical oxygen ecosystem.
December 2021
By: PATH
Medical Equipment Related to Oxygen Therapy – Cleaning Task Sequence
TOOL | This collection of posters are intended for healthcare workers, biomedical engineers, and staff in charge of caring, cleaning, decontaminating, and sterilizing respiratory medical equipment in health facilities.
December 2021
By: World Health Organization (WHO)
Oxygen Systems Strengthening as an Intervention to Prevent Childhood Deaths due to Pneumonia in Low-Resource Settings: Systematic Review, Meta-Analysis, and Cost-effectiveness
JOURNAL PUBLICATION | Published in BMJ Global Health, this paper reviews evidence on the effectiveness of strengthening oxygen systems on mortality for children with pneumonia to populate estimates in the Lives Saved Tool.
December 2021
By: Felix Lam, Angela Stegmuller, Victoria B. Chou, Hamish Graham
Progressive Realisation of Universal Health Coverage in Low- and Middle-Income Countries: Beyond the “Best Buys”
JOURNAL PUBLICATION | Published in International Journal of Health Policy Management, this study analyzes WHO CHOICE and the comparative cost-effectiveness of 479 intervention scenarios across 20 disease programs and risk factors.
November 2021
By: Melanie Bertram, Jeremy A. Lauer, Karin Stenber, Ambinintsoa H. Ralaidovy, Tessa Tan-Torres Edejer
The World Federation of Societies of Anesthesiologists Minimum Capnometer Specifications 2021—A Guide for Healthcare Decision Makers
JOURNAL PUBLICATION | The World Federation of Societies of Anesthesiologists (WFSA) has developed the “WFSA—Minimum Capnometer Specifications 2021”, which are published in Anesthesia & Analgesia.
November 2021
By: Adrian W. Gelb, Robert J. McDougall, Julian Gore-Booth, Phoebe-Anne Mainland
Assessment of Knowledge and Practice of Oxygen Therapy among Doctors and Nurses: A Survey from Ondo State, Southwest Nigeria
JOURNAL PUBLICATION | Published in the Journal of the Pan African Thoracic Society, this study found that healthcare workers in Ondo State, Nigeria had mixed levels of knowledge and practice regarding oxygen therapy.
October 2021
By: Bamidele Olaiya Adeniyi, Oluwabukola Olushola Akinwalere, Faith Chinwendu Ekwughe, Adesola Olawumi Kareem, Olalekan David Olakanye, Gregory Efosa Erhabor, Chukwuyem Abejegah
Characterization of Prescription Patterns and Estimated Costs for Use of Oxygen Concentrators for Home Oxygen Therapy in the U.S.
JOURNAL PUBLICATION | Published in JAMA Network Open, this study assesses the financial burden of using oxygen concentrators for home oxygen therapy, emphasizing significant variations in electricity costs across U.S. states.
October 2021
By: Peter Kahn, Christopher Worsham, Gretchen Berland
Pulse Oximetry Adoption and Oxygen Orders at Pediatric Admission over 7 Years in Kenya: A Multihospital Retrospective Cohort Study
JOURNAL PUBLICATION | Published in BMJ, this study characterizes the adoption and explores specific clinical and patient factors that might influence pulse oximetry and oxygen use in LMICs over time.
September 2021
By: Timothy Tuti, Jalemba Aluvaala, Samuel Akech, Ambrose Agweyu, Grace Irimu, Mike English
Unmet Need of Essential Treatments for Critical Illness in Malawi
JOURNAL PUBLICATION | Published in PLOS One, this study suggests a quality-of-care gap that may negatively affect COVID-19 outcomes and recommends a focus on quality of essential care in the COVID-19 response.
September 2021
By: Raphael K. Kayambankadzanja, Carl Otto Schell, Isaac Mbingwani, Samson Kwazizira Mndolo, Markus Castegren, Tim Baker
WHO Pakistan Biomedical Equipment Survey
REPORT | This report highlights an assessment of biomedical equipment in Pakistan, especially focusing on oxygen supply systems.
September 2021
By: World Health Organization (WHO)
2020 Year in Review: Mechanical Ventilation During the First Year of the COVID-19 Pandemic
JOURNAL PUBLICATION | This narrative review published in Respiratory Care systematically analyzes whether COVID-19–associated respiratory failure is essentially ARDS, with perhaps a somewhat different course of presentation.
August 2021
By: Richard Kallet
NEST360 Clinical Job Aid: Bistos Pulse Oximeter
TOOL | This clinical job aid from NEST360 provides an overview of a Bistos pulse oximeter, including assessment and preparation as well as repair and maintenance of the device.
August 2021
By: NEST360
NEST360 Clinical Job Aid: LifeBox Pulse Oximeter
TOOL | This clinical job aid from NEST360 provides an overview of a LifeBox pulse oximeter, including assessment and preparation as well as repair and maintenance of the device.
August 2021
By: NEST360
NEST360 Training Videos
COURSE / TRAINING VIDEO | These NEST360 training videos demonstrate model-specific equipment setup, use, and maintenance and are used as training aids in clinical and technical training.
August 2021
By: NEST360
Barriers to Access for MNCH Medical Devices: Landscape Review of Existing Evidence
REPORT | This report outlines the results of a rapid desk research exercise on maternal, neonatal, and child health (MNCH) medical devices and the challenges/barriers they face.
July 2021
By: PATH
Cost Analysis and Critical Success Factors of the Use of Oxygen Concentrators versus Cylinders in Sub-Divisional Hospitals in Fiji
JOURNAL PUBLICATION | Published in BMC Health Services Research, this study showed that using oxygen concentrators in Fiji’s hospitals would reduce costs by 55% compared to using oxygen cylinders alone.
July 2021
By: Susan McAllister, Louise Thorn, Sainimere Boladuadua, Mireia Gil, Rick Audas, Tim Edmonds, Eric Rafai, Philip Hill, Stephen Howie
Rationalising Oxygen Usage in a Level II Special Newborn Care Unit in Madhya Pradesh, India
JOURNAL PUBLICATION | Published in BMJ Open Quality, this study reduced oxygen consumption in the special newborn care units from 8 to 4 cylinders per day, by rationalizing indications, monitoring, and delivery method.
July 2021
By: Jaiprakash Parmar, Vandana Pawar, Aarti Warathe, Rajashree Bajaj, Jogender Kumar, Anu Thukral, Deepak Chawla, Praveen Kumar, Ashok Deorari
Respiratory Equipment Training – How to Get a CPAP or BiPAP Machine Ready for Use
COURSE / TRAINING VIDEO | WHO has developed training videos on use of respiratory equipment, for every step of the process: the following video focuses on “How get a CPAP/BiPAP machine ready for use.”
July 2021
By: World Health Organization (WHO)
Respiratory Equipment Training – How to Get a High-flow Nasal Cannula Device Ready for Use
COURSE / TRAINING VIDEO | WHO has developed training videos on use of respiratory equipment, for every step of the process: the following video focuses on “How get a high-flow nasal cannula ready for use.”
July 2021
By: World Health Organization (WHO)
Respiratory Equipment Training – How to Get a Mechanical Ventilator Ready for Use
COURSE / TRAINING VIDEO | WHO has developed training videos on use of respiratory equipment, for every step of the process: the following video focuses on “How get a mechanical ventilator ready for use.”
July 2021
By: World Health Organization (WHO)
Respiratory Equipment Training – How to Get a Patient Monitor Ready for Use in a Health Facility
COURSE / TRAINING VIDEO | WHO has developed training videos on use of respiratory equipment, for every step of the process: the following video focuses on “How get a patient monitor ready for use.”
July 2021
By: World Health Organization (WHO)
Respiratory Equipment Training – How to Get an Oxygen Cylinder Ready for Use in a Health Facility
COURSE / TRAINING VIDEO | WHO has developed training videos on use of respiratory equipment, for every step of the process: the following video focuses on “How get an oxygen cylinder ready for use.”
July 2021
By: World Health Organization (WHO)
WHO Technical Consultation on Oxygen Access Scale Up for COVID-19
GUIDANCE | WHO convened a consultation, held over four meetings, with groups that have proven experience implementing oxygen scale up activities to accelerate oxygen access at the country level.
July 2021
By: World Health Organization (WHO)
Adult Oxygen Therapy Escalation Algorithm
TOOL | This document, featuring an algorithm to assess adult oxygen therapy escalation, is part of a set of tools that can be locally modified to train health providers in respiratory care.
June 2021
By: Open Critical Care, Sustaining Technical and Analytic Resources (STAR) project, University of California, San Francisco
Neonatal Oxygen Therapy Escalation Algorithm
TOOL | This document, featuring an algorithm to assess neonatal oxygen therapy escalation, is part of a set of tools that can be locally modified to train health providers in respiratory care.
June 2021
By: Open Critical Care, Sustaining Technical and Analytic Resources (STAR) project, University of California, San Francisco
Oxygen Therapy Escalation Algorithm
TOOL | This document, featuring an algorithm to assess oxygen therapy escalation, is part of a set of tools that can be locally modified to train health providers in respiratory care.
June 2021
By: Open Critical Care, Sustaining Technical and Analytic Resources (STAR) project, University of California, San Francisco
Pediatric Oxygen Therapy Escalation Algorithm
TOOL | This document, featuring an algorithm to assess pediatric oxygen therapy escalation, is part of a set of tools that can be locally modified to train health providers in respiratory care.
June 2021
By: Open Critical Care, Sustaining Technical and Analytic Resources (STAR) project, University of California, San Francisco
Biomedical Equipment for COVID-19 Case Management: Zambia COVID-19 Treatment Facility Survey Report
REPORT | This report summarizes observations from the collected data of a biomedical equipment survey and is intended to help global and national stakeholders understand COVID-19 treatment capacity in Zambia.
May 2021
By: PATH
COVID-19 Global Oxygen Needs and Solutions
PRESENTATION / WEBINAR | This WHO webinar highlights the challenges and solutions in the systems response for oxygen in COVID-19 clinical settings.
May 2021
By: World Health Organization (WHO)
COVID-19 Webinar by AIIMS, Delhi: Nonventilatory Oxygen Therapy for Patients of COVID-19
PRESENTATION / WEBINAR | This video by the All India Institute Of Medical Sciences (AIIMS), New Delhi discusses nonventilatory oxygen therapy for patients with COVID-19.
May 2021
By: All India Institute Of Medical Sciences, New Delhi
Centre Undertakes Multiple Initiatives to Enhance Oxygen Availability, Distribution and Storage Infrastructure
ARTICLE | In order to address the surge in demand, the Indian government undertook key measures to increase availability, streamline distribution, and strengthen the oxygen storage infrastructure in the country.
May 2021
By: India Ministry of Commerce and Industry
Complimentary Scenarios for COVID-19 Preparedness
TOOL | To assist in preparing staff and teams, Laerdal Medical and partners have created a set of free scenarios to better address COVID-19.
May 2021
By: Laerdal Medical
Neonatal Mortality in Rural Northern Ghana and the Three Delays Model: Are We Focusing on the Right Delays?
JOURNAL PUBLICATION | Published in Tropical Medicine & International Health, this study evaluates neonatal mortality in rural northern Ghana, applying the Three Delays Model to understand contributing factors.
May 2021
By: Elizabeth Kaselitz, Brian Cunningham-Rhoads, Raymond Aborigo, John Williams, Katherine James, Cheryl Moyer
Pulse-dose Oxygen Conservation System for the COVID-19 India Crisis
PRESENTATION / WEBINAR | To maximize oxygen delivery, a device has been developed to detect patient inhalation and deliver oxygen during only the inspiratory phase, which can allow cylinders to last 2-3x longer.
May 2021
By: Stanford University
Randomised Controlled Trial of Oxygen Therapy and High-Flow Nasal Therapy in African Children with Pneumonia
JOURNAL PUBLICATION | Published in Intensive Care Medicine, this study aimed to examine the life-saving role of oxygen therapy in Ugandan and Kenyan children with severe pneumonia.
May 2021
By: Kathryn Maitland, Sarah Kiguli, Mainga Hamaluba, Karen Thomas, Florence Alaroker, Robert Opika Opoka, Abner Tagoola, Victor Bandika, Ayub Mpoya, Eva Nabawanuka, William Okiror, Margaret Nakuya, Denis Aromut, Charles Engoru, Emmanuel Oguda, Thomas Williams, Justin Fraser, David Harrison, Kathryn Rowan
Respiratory Care Order Set (Protocol) Templates
TOOL | These respiratory care order set templates cover the key principles for respiratory care for both adult and pediatric patients.
May 2021
By: Open Critical Care, Sustaining Technical and Analytic Resources (STAR) project, University of California, San Francisco
When Technology Precedes Regulation: The Challenges and Opportunities of E-Pharmacy in Low-Income and Middle-Income Countries
JOURNAL PUBLICATION | Published in BMJ Global Health, this study examined the e-pharmacy regulatory systems in LMICs, drawing on existing literature and a set of key informant interviews in Kenya, Nigeria and India.
May 2021
By: Rosalind Miller, Francis Wafula, Chima A. Onoka, Prasanna Saligram, Anita Musiega, Dosila Ogira, Ikedichi Okpani, Ufuoma Ejughemre, Shrutika Murthy, Surekha Garimella, Marie Sanderson, Stefanie Ettelt, Pauline Allen, Devaki Nambiar, Abdul Salam, Emmanuel Kweyu, Kara Hanson, Catherine Goodman
An Audit of Oxygen Supplementation in a Large Tertiary Hospital – We Should Treat Oxygen as Any Other Drug (USA)
JOURNAL PUBLICATION | Published in Hospital Practice, this study found that oxygen therapy in a tertiary hospital was often administered without proper orders, leading to widespread hyperoxia and potential patient harm.
April 2021
By: Neil Devoe, Periklis Kyriazis, Ahmed Eltanbedawi, Anisha Contractor, Anthony Esposito, Muhammad Khan, Joseph Daniel, Mihaela Stefan
Assessing the Medical Oxygen Ecosystem: Tools from National to Primary Healthcare Levels
TOOL | This collection of tools is a resource to support meaningful assessments and better target effective interventions for those who are building the oxygen ecosystem.
April 2021
By: Meeting Targets and Maintaining Epidemic Control (EpiC) project
Assessment Report on the Availability of Oxygen and Biomedical Equipment in Health Facilities: City Province of Kinshasa, DRC, Facility Survey Report
REPORT | This report summarizes observations from the collected data of a biomedical equipment survey and is intended to help global and national stakeholders understand COVID-19 treatment capacity in Kinshasa, DRC.
April 2021
By: PATH
Biomedical Equipment for COVID-19 Case Management: Senegal Facility Survey Report
REPORT | This report summarizes observations from the collected data of a biomedical equipment survey and is intended to help global and national stakeholders understand COVID-19 treatment capacity in Senegal.
April 2021
By: PATH
COVID-19 Webinar by AIIMS, Delhi: Talk on Treatment Algorithm and Oxygen Therapy
PRESENTATION / WEBINAR | This webinar by the All India Institute Of Medical Sciences (AIIMS), New Delhi discusses the treatment algorithm and oxygen therapy requirements for COVID-19.
April 2021
By: All India Institute Of Medical Sciences, New Delhi
COVID-19 Webinar by AIIMS, Delhi: Treatment Protocols for COVID-19
PRESENTATION / WEBINAR | This video by the All India Institute Of Medical Sciences (AIIMS), New Delhi discusses the update on current medical management of COVID-19, including for oxygen therapy.
April 2021
By: All India Institute Of Medical Sciences, New Delhi
NEST360 Technical Scenario: Bubble CPAP
TOOL | This tool from NEST360 provides a technical scenario for a bubble CPAP device.
April 2021
By: NEST360
NEST360 Technical Scenario: Flow Splitter
TOOL | This tool from NEST360 provides a technical scenario for a flow splitter.
April 2021
By: NEST360
NEST360 Technical Scenario: Oxygen Concentrator
TOOL | This tool from NEST360 provides a technical scenario for an oxygen concentrator.
April 2021
By: NEST360
NEST360 Technical Scenario: Suction Pump
TOOL | This tool from NEST360 provides a technical scenario for a suction pump.
April 2021
By: NEST360
WHO’s Science in 5 on COVID-19 : Medical Oxygen
PRESENTATION / WEBINAR | Science in 5 series – Episode #33 / Medical oxygen is an essential medicine in the treatment of COVID-19.
April 2021
By: World Health Organization (WHO)
Infographic: Comparison of Helmet NIV, Face Mask, and Invasive Mechanical Ventilation
TOOL | This infographics provides a side-by-side comparison of face mask, helmet, and endotracheal intubation to demonstrate the key considerations of each option.
March 2021
By: Helmet-based Ventilation Inc
Red de Aprendizaje para la Respuesta a la COVID-19 en América Latina: Guías Prácticas Para Ventilación Mecánica en Pacientes Diagnosticados con Neumonía por COVID-19 [Learning Network for Response to COVID-19 in Latin America: Practical Guidelines for Mechanical Ventilation in Patients Diagnosed with COVID-19 Pneumonia]
PRESENTATION / WEBINAR | This webinar aims to address the proper management of mechanical ventilation in ARDS due to COVID-19, including ICU basics, intubation and airway management, and more.
March 2021
By: Health Policy Plus project, Meeting Targets and Maintaining Epidemic Control (EpiC) project, Sustaining Technical and Analytic Resources (STAR) project
STAR-UCSF Webinar: Optimizing the Impact of Oxygen Scale Up
PRESENTATION / WEBINAR | Experts from the USAID STAR-UCSF COVID-19 Technical Advisory Group present a webinar and question and answer on optimizing the impact of oxygen scale up.
March 2021
By: Open Critical Care, Sustaining Technical and Analytic Resources (STAR) project, University of California, San Francisco
Solar-Powered Oxygen, Quality Improvement and Child Pneumonia Deaths: A Large-Scale Effectiveness Study
JOURNAL PUBLICATION | Published in Archives of Disease in Childhood, this study evaluated a program for improving reliable oxygen therapy using concentrators, pulse oximeters, and solar power in nine PNG provinces.
March 2021
By: Trevor Duke, Francis Pulsan, Doreen Panauwe, Martin Saavu, Jonah Karubi, Eleanor Neal, Hamish Graham, Rasa Izadnegahdar, Susan Donath
[Home Telemonitoring and Oxygen Therapy in COVID-19 Patients: Safety, Patient Satisfaction, and Cost-Effectiveness]
JOURNAL PUBLICATION | Published in Nederlands Tijdschrift voor Geneeskunde, this study evaluated the implementation of home telemonitoring and oxygen therapy in COVID-19 patients.
March 2021
By: Michael van Herwerden, Job van Steenkiste, Rachida El Moussaoui, Jan den Hollander, Gea Helfrich, Iris Verberk-Jonkers
Red de Aprendizaje para la Respuesta a la COVID-19 en América Latina: Guías Prácticas Para Terapia con Oxígeno Previo a Intubación en Pacientes con Neumonía COVID-19 [Learning Network for the Response to COVID-19 in Latin America: Practical Guidelines for Oxygen Therapy Prior to Intubation in Patients with COVID-19 Pneumonia]
PRESENTATION / WEBINAR | This webinar focuses on case management and common clinical difficulties within the evaluation of hypoxemia, low-flow oxygen therapy, prone positioning, and noninvasive mechanical ventilation.
February 2021
By: Health Policy Plus project, Meeting Targets and Maintaining Epidemic Control (EpiC) project, Sustaining Technical and Analytic Resources (STAR) project
Biomedical Equipment for COVID-19 Case Management: Malawi Facility Survey Report
REPORT | This report summarizes observations from the collected data of a biomedical equipment survey and is intended to help global and national stakeholders understand COVID-19 treatment capacity in Malawi.
January 2021
By: PATH
Liberia Oxygen Assessment
REPORT | CHAI supported the Liberia Ministry of Health to conduct an assessment of select facilities to understand current availability of oxygen equipment, as well as facility readiness to provide oxygen therapy.
January 2021
By: Liberia Ministry of Health, Clinton Health Access Initiative (CHAI)
Pragmatic Recommendations for the Management of Acute Respiratory Failure and Mechanical Ventilation in Patients with COVID-19 in Low- and Middle-income Countries
JOURNAL PUBLICATION | This article in the American Journal of Tropical Medicine and Hygiene outlines pragmatic recommendations for acute respiratory failure and mechanical ventilation in severe COVID-19 patients in LMICs.
January 2021
By: Ary Serpa Neto, William Checkley, Chaisith Sivakorn, Madiha Hashmi, Alfred Papali, Marcus J. Schultz
COVID-19 Communications Strategy 2020
GOVERNMENT POLICY / STRATEGY | This communication strategy supports the COVID-19 vaccines rollout in India seeks to disseminate timely, accurate and transparent information about the vaccine(s) to ensure its acceptance and uptake.
December 2020
By: India Ministry of Health and Family Welfare
Mechanical Ventilation with Room Air is Feasible in a Moderate Acute Respiratory Distress Syndrome Pig Model – Implications for Disaster Situations and Low-Income Nations
JOURNAL PUBLICATION | Published in Prehospital and Disaster Medicine, this study explores the feasibility of mechanical ventilation with room air in ARDS models, suggesting its potential use in low-resource settings.
December 2020
By: Pinchas Halpern, Michael Goldvaser, Guy Yacov, Ada Wenger, Keren Bachar, Shahaf Katalan
National Guidelines on Use of Oxygen Therapy for Management of Newborn and Paediatric Hypoxemia
GUIDANCE | This guideline is focused on improving the quality of care for severely ill children – describing detection of hypoxemia, use of pulse oximetry, oxygen delivery system, etc.
December 2020
By: Anm Ehtesham Kabir, Sharmin Afroze
Oxygen Use in Low-Resource Settings: An Intervention Still Triggered by Intuition
JOURNAL PUBLICATION | Published in Resuscitation Plus, this study examined the variables associated with the decision to provide supplemental oxygen made by emergency department staff, without access to oximetry, in a Ugandan hospital.
December 2020
By: Lucien Wasingya-Kasereka, Pauline Nabatanzi, Immaculate Nakitende, Teopista Namujwiga, John Kellett
Health Workforce Estimator
TOOL | This tool estimates the number of contact tracers needed to identify and trace COVID-19 cases and estimate the number of health workers needed to treat COVID-19 cases.
November 2020
By: World Health Organization (WHO)
Oxygen and COVID-19: UNICEF’s Global, Rapid, and Multi-faceted Approach
ARTICLE | UNICEF is working with governments and partners to find the best solutions to scale up oxygen for each unique country context.
November 2020
By: UNICEF
WHO Priority Medical Devices List for the COVID-19 Response and Associated Technical Specifications
TOOL | This document describes the medical devices required for the clinical management of COVID-19, selected and prioritized according to the latest available evidence and interim guidelines.
November 2020
By: World Health Organization (WHO)
WHO Technical Consultation on Oxygen Scale Up
PRESENTATION / WEBINAR | WHO convened a consultation, held over four meetings, with groups that have proven experience implementing oxygen scale up activities to accelerate oxygen access at the country level.
October 2020
By: World Health Organization (WHO)
Oxygen Therapy, Awake Self Positioning, and Noninvasive Ventilation: Lessons from Respiratory ICU
PRESENTATION / WEBINAR | This is the first lecture in the CMC Vellore COVID Public Lecture Series (COVID PULSE).
September 2020
By: Christian Medical College (CMC) Vellore
Technical Review of Oxygen Supply
REPORT | This report provides a summary of the oxygen supply in Kenya, specifically looking at county capacity, quality of service, and country administration, operations, and safety.
August 2020
By: Kenya Ministry of Health
Assessing the Hospital Surge Capacity of the Kenyan Health System in the Face of the COVID-19 Pandemic
JOURNAL PUBLICATION | This study from PLOS One assessed surge capacity of the Kenyan health system in terms of general hospital and intensive care unit beds during the COVID-19 pandemic.
July 2020
By: Edwine W. Barasa, Paul O. Ouma, Emelda A. Okiro
COVID-19 Health Facility Readiness Assessment: Oxygen Availability
REPORT | This assessment took stock of the readiness status of health facilities to respond to the COVID-19 pandemic, including an assessment of oxygen supply and delivery systems.
July 2020
By: Kenya Ministry of Health
Ending Preventable Newborn Deaths and Stillbirths by 2030
REPORT | The Every Newborn Action Plans provides a roadmap to end preventable newborn mortality, reduce disability, and end preventable stillbirths by 2030.
July 2020
By: UNICEF
Good Data Is Critical to Equitably Improve Oxygen Access: A Call to Action to Fill Data Gaps and Ensure Every Breath Counts
ARTICLE | Availability of oxygen is not currently a standard health system indicator. The EBC coalition has been working to improve the way oxygen and key pneumonia-related indicators are collected and reported.
July 2020
By: Clinton Health Access Initiative (CHAI), Karolinska Institutet, Murdoch Children’s Research Institute, PATH, Center for Public Health and Development Kenya, Every Breath Counts (EBC) coalition, Felix Lam, Carina King, Hamish Graham, Lisa Smith, Bernard Olayo
Infographic: Helmet Setup for Noninvasive Ventilation for COVID-19 (NIV Hood)
TOOL | This infographics provides a description of the helmet setup for noninvasive ventilation for COVID-19.
July 2020
By: Helmet-based Ventilation Inc
Summary Findings of the Inventory Assessment for Biomedical Equipment for COVID-19 Case Management in Ethiopia
REPORT | An inventory assessment was conducted in Ethiopia in all public and functional COVID-19 treatment facilities to understand the readiness and capacity of these facilities for COVID-19 case management.
July 2020
By: Ethiopia Federal Ministry of Health, Clinton Health Access Initiative (CHAI)
Biomedical Engineering Session Library
COURSE / TRAINING VIDEO | This training series provides biomedical professionals with remote training, and a platform for discussion and sharing of best practices in caring for COVID-19 patients within low-resource settings.
June 2020
By: Assist International
Ethical Considerations for Emergency Care During COVID-19 in Africa
GUIDANCE | This document aims to clarify the ethical considerations inherent to the COVID-19 pandemic and the provision of emergency care in resource-constrained settings.
June 2020
By: African Federation for Emergency Medicine (AFEM)
Improved Oxygen Systems at Hospitals in Three Nigerian states: An Implementation Research Study
JOURNAL PUBLICATION | Published in Pediatric Pulmonology, this article discusses the implementation of improved oxygen systems in Nigerian hospitals and their impact on reducing child mortality due to pneumonia.
June 2020
By: Chizoba Fashanu, Tinsae Mekonnen, Joseph Amedu, Adebimpe Adebiyi, Oluseyi Omokere, Tayo Olaleye, Martha Gartley, Seyi Gansallo, Funsho Lewu, Abraham Okita, Mahmud Musa, Ashiru Abubakar, Tolulope Ojo, Amina Ja’afar, Adebayo Abdulateef Ekundayo, Mohammed Lawal Abubakar, Kate Schroder, Audrey Battu, Owens Wiwa, Jason Houdek, Felix Lam
Maintaining Essential Health Services during the COVID-19 Outbreak
GUIDANCE | This page provides different resources to maintain preventive and curative services while also meeting the demand for care of COVID-19 patients.
June 2020
By: World Health Organization (WHO)
Pulse Oximeter with Integrated Management of Childhood Illness for Diagnosis of Severe Childhood Pneumonia at Rural Health Institutions in Southern Ethiopia: Results from a Cluster-Randomised Controlled Trial
JOURNAL PUBLICATION | Published in BMJ Open, this study aimed to assess whether pulse oximetry improves health workers’ performance in diagnosing severe childhood pneumonia at health centres in Southern Ethiopia.
June 2020
By: Solomon H. Tesfaye, Yabibal Gebeyehu, Eskindir Loha, Kjell Arne Johansson, Bernt Lindtjørn
COVID-19 Respiratory Care Response Coordination Project
INFORMATION BRIEF | This factsheet outlines the COVID-19 Respiratory Care Response Coordination project to support countries in the development of a comprehensive respiratory care strategy for COVID-19 and beyond.
May 2020
By: PATH
Coronavirus Disease (COVID-19) Technical Guidance: Patient Management
GUIDANCE | This guidance document is intended for clinicians caring for COVID-19 patients during all phases of their disease (i.e. screening to discharge).
May 2020
By: World Health Organization (WHO)
Direct and Indirect Costs of Home Healthcare in Japan: A Cross-Sectional Study
JOURNAL PUBLICATION | Published in Health & Social Care in the Community, this study explores the direct and indirect costs of home healthcare in Japan, revealing indirect costs contribute significantly.
May 2020
By: Shiori Tomita, Eri Hoshino, Keisuke Kamiya, Mahbubur Rahman
PulmCrit – Awake Proning for COVID-19
TOOL | This is a retrospective case series describing 15 nonintubated patients with hypoxemic respiratory failure who underwent proning.
May 2020
By: EmCrit Project, Josh Farkas
Survive and Thrive: Transforming Care for Every Small and Sick Newborn
REPORT | This joint report focuses on the world’s most vulnerable: outlines the global problem, emphasizes progress made, and summarizes what can be done to transform care for small and sick newborns.
May 2020
By: UNICEF, World Health Organization (WHO)
Updated Containment Plan for Large Outbreaks – Novel Coronavirus Disease 2019 (COVID-19)
GUIDANCE | This plans lays out containment strategies for India for the COVID-19 pandemic under different transmission scenarios.
May 2020
By: India Ministry of Health and Family Welfare
COVID-19 Pneumonia: Time Course, Monitoring, and Treatment
PRESENTATION / WEBINAR | This webinar shares observations on COVID-19 as well as criteria on when to ventilate a COVID-19 patient as well as the differences between ARDS and COVID-19 infected lung anatomy.
April 2020
By: GE Healthcare
COVID-19 Resources: Summary of Recommendations on the Management of Patients with COVID-19 and ARDS
TOOL | This poster provides a summery of the recommendations on the management of patients with COVID-19 and acute respiratory distress syndrome.
April 2020
By: Society of Critical Care Medicine
COVID-19 Webinar by AIIMS, Delhi: ICU and Ventilation Strategy
PRESENTATION / WEBINAR | This webinar by the All India Institute Of Medical Sciences (AIIMS), New Delhi discusses care protocols in the intensive care unit and ventilation strategies for COVID-19 patients.
April 2020
By: All India Institute Of Medical Sciences, New Delhi
COVID-19 Webinar by AIIMS, Delhi: Mechanical Ventilation
PRESENTATION / WEBINAR | This webinar by the All India Institute Of Medical Sciences (AIIMS), New Delhi discusses the modes of ventilation and management strategy as well as weaning from the ventilator and extubation.
April 2020
By: All India Institute Of Medical Sciences, New Delhi
Covinar Series: Ventilator Management for COVID-19 Patients
PRESENTATION / WEBINAR | This webinar is part of a ‘COVINAR’ webinar series on updates to the COVID-19 pandemic. This one focuses on ventilator management for COVID-19 patients.
April 2020
By: Aga Khan University
Guidance Document on Appropriate Management of Suspect/Confirmed Cases of COVID-19
GUIDANCE | This document outlines standard operating procedures to ensure optimal utilization of available resources in India, thereby providing appropriate care to all the COVID-19 patients.
April 2020
By: India Ministry of Health and Family Welfare
Impact of COVID-19 on Medical Gas Systems
PRESENTATION / WEBINAR | This presentation is meant to help medical gas professionals and healthcare facilities better understand the impact that treating COVID-19 patients may have on a hospital’s medical gas systems.
April 2020
By: MGPHO Medical Gas
Neonatal Oxygen Therapy in Low- and Middle-Income Countries: A Pragmatic Review
JOURNAL PUBLICATION | Published in Early Human Development, this article outlines the history and future of Cochrane Neonatal, highlighting its role in shaping evidence-based neonatal care through systematic reviews that influence global guidelines.
April 2020
By: Roger Soll, Colleen Ovelman, William McGuire
Oxygen Insecurity and Mortality in Resource-Constrained Healthcare Facilities in Rural Kenya
JOURNAL PUBLICATION | Published in Pediatric Pulmonology, this study assesses availability of therapeutic oxygen, reliability of the electrical supply, and effects of suboptimal oxygen delivery on patient outcomes in rural Kenya.
April 2020
By: Dickson Otiangala, Nicholas Agai, Bernard Olayo, Steve Adudans, Chin Hei Ng, Ryan Calderon, Ella Forgie, Christine Bachman, Daniel Lieberman, David Bell, Michael Hawkes, Akos Somoskovi
SEARO-IMAI Oxygen Survey at District and Regional Hospitals
TOOL | This guide and Excel tool should be used to administer the SEARO-IMAI oxygen survey at district and regional hospitals.
April 2020
By: Regional Office for the World Health Organization’s South-East Asia Region (WHO-SEARO)
COVID-19 Airway Management
TOOL | This set of posters provides guidance to healthcare workers on airway management for COVID-19 patients.
March 2020
By: Safe Airway Society
Emergency and Critical Care Services in Malawi: Findings from a Nationwide Survey of Health Facilities
JOURNAL PUBLICATION | Published in the Malawi Medical Journal, this study assesses the availability of resources for emergency and critical care in Malawi using data from the Service Provision Assessment.
March 2020
By: Raphael K. Kayambankadzanja, Andrew Likaka, Samson Kwazizira Mndolo, Grace Mayamiko Chatsika, Eric Umar, Tim Baker
Severe Acute Respiratory Infections Treatment Centre: Interim Guidance
GUIDANCE | This practical manual outlines how to set up and manage a severe acute respiratory infection (SARI) treatment center and a SARI screening facility in healthcare facilities.
March 2020
By: World Health Organization (WHO)
Severe Acute Respiratory Infections Treatment Centre: Practical Manual to Set up and Manage a SARI Treatment Centre and a SARI Screening Facility in Healthcare Facilities
GUIDANCE | This is the first edition of the practical manual to set up and manage a severe acute respiratory infection (SARI) treatment center and a SARI screening facility in healthcare facilities.
March 2020
By: World Health Organization (WHO)
Standard Operating Procedures for Case Management and Infection, Prevention, and Control
GUIDANCE | The purpose of this document is to provide clinical guidance to clinicians working in Tanzania during the COVID-19 pandemic.
March 2020
By: Tanzania Ministry of Health, Community Development, Gender, Elderly and Children
The Prevalence of Hypoxemia among Pediatric and Adult Patients Presenting to Healthcare Facilities in Low- and Middle-income Countries: Protocol for a Systematic Review and Meta-analysis
JOURNAL PUBLICATION | Published in Systemic Reviews, this study aims to fill a key evidence gap by providing comprehensive estimates of hypoxemia prevalence.
March 2020
By: Felix Lam, Rami Subhi, Jason Houdek, Kate Schroder, Audrey Battu, Hamish Graham
Evaluation of Hypoxemia Among Patients Admitted to a Tertiary Referral Hospital in Western Kenya
JOURNAL PUBLICATION | Published in American Journal of Respiratory and Critical Care Medicine, this study assesses hypoxemia in Western Kenya, identifying key factors and suggesting improvements.
February 2020
By: Neelima Navuluri, Loretta G. Que, David M. Murdoch, Nathan M. Thielman, Neil R. MacIntyre, Jerry Krishnan, David K. Lagat, Peter S. Kussin
European Pharmacopoeia: Oxygen (93 Percent)
GUIDANCE | This guidance outlines the definition, production, testing, and storage requirements and allowed impurities for oxygen 93 percent, as laid out in the 9th edition of the European Pharmacopoeia.
December 2019
By: European Pharmacopoeia
Solar-Powered Oxygen Delivery for the Treatment of Children with Hypoxemia: Protocol for a Cluster-Randomized Stepped-Wedge Controlled Trial in Uganda
JOURNAL PUBLICATION | Published in Trials, this study aims to demonstrate the efficacy of SpO2 in children hospitalized with acute hypoxemic respiratory illness across Uganda.
December 2019
By: Nicholas Conradi, Qaasim Mian, Sophie Namasopo, Andrea L. Conroy, Laura L. Hermann, Charles Olaro, Jackson Amone, Robert Opika Opoka, Michael Hawkes
Variability in the Use of Pulse Oximeters with Children in Kenyan Hospitals
JOURNAL PUBLICATION | Published in PLoS Medicine, this study explored when and which pulse oximeters are used for children in Kenyan hospitals, how its use impacts treatment provision, and the barriers to use.
December 2019
By: Mike English, Gerald McGivern, Sasha Shepperd
Exacerbations, Health Resource Utilization, and Costs Among Medicare Beneficiaries with Chronic Obstructive Pulmonary Disease Treated with Nebulized Arformoterol Following a Respiratory Event
JOURNAL PUBLICATION | Published in Chronic Obstructive Pulmonary Diseases, this study assesses the impact of switching to nebulized arformoterol on exacerbations, HRU, and costs among Medicare beneficiaries with COPD.
October 2019
By: Maryam Navaie, Bartolome Celli, Zhun Xu, Carole Dembek, Todd Gilmer
Exploratory Meeting to Review New Evidence for Integrated Management of Childhood Illness (IMCI) Danger Signs
REPORT | In order to identify questions for future research for IMCI, pneumonia research experts, epidemiologists, and child health specialists from a range of countries participated in a convening in September 2018.
October 2019
By: World Health Organization (WHO)
We Are All Serving the Same Ugandans’: A Nationwide Mixed-Methods Evaluation of Private Sector Surgical Capacity in Uganda
JOURNAL PUBLICATION | Published in PLoS One, this study describes a nationwide mixed-methods evaluation of private and private-not-for-profit surgical capacity in Uganda, conducted in partnership with the Ministry of Health.
October 2019
By: Katherine Albutt, Gustaf Drevin, Rachel R. Yorlets, Didacus Namanya, Mark Shrime, Peter Kayima
Oxygen Devices and Delivery Systems
JOURNAL PUBLICATION | Published in Breathe (Sheffield, England), this article reviews oxygen devices and delivery systems, including concentrators and cylinders, and discusses their indications, benefits, and limitations for managing respiratory failure and hypoxemia.
September 2019
By: Georgia Hardavella, Ioannis Karampinis, Armin Frille, Ilona Rousalova
Barriers to Pediatric Inpatient Care Guideline Adherence: A Mixed Method Assessment of Eight Hospitals in Asia and Africa
JOURNAL PUBLICATION | Published in PLoS One, this study identified barriers to implementing pediatric inpatient care guidelines in nine hospitals across sub-Saharan Africa and South Asia.
March 2019
By: Kirkby Tickell, Dorothy Mangale, Stephanie Tornberg-Belanger, Johnstone Thitiri, Molline Timbwa, Jenala Njirammadzi, Wieger Voskuijl, Tahmeed Ahmed, Abu Sadat Mohammad Sayeem Bin Shahid, Abdoulaye Diallo, Issaka Ouédrago, Al Fazal Khan, Ali F. Saleem, Fehmina Arif, Zaubina Kazi, Ezekiel Mupere, John Mukisa, Priya Sukhtankar, Judd Walson, Donna Denno
Solar-Powered Oxygen Delivery to Treat Childhood Pneumonia in Low-Resource Settings: A Randomised Controlled Non-Inferiority Trial and Cost-Effectiveness Study
JOURNAL PUBLICATION | Published in The Lancet, this study compared outcomes for solar-powered oxygen delivery with that of standard oxygen cylinders for pediatric patients with pneumonia in Uganda.
March 2019
By: Qaasim Mian, Yiming Huang, Andrea L. Conroy, Robert Opika Opoka, Sophie Namasopo, Michael Hawkes
Use of Pulse Oximetry During Initial Assessments of Children under Five with Pneumonia: A Retrospective Cross-Sectional Study from 14 Hospitals in Ethiopia
JOURNAL PUBLICATION | Published in the Journal of Global Health Reports, this study describes the use of pulse oximetry during the initial patient assessment among children under five diagnosed with pneumonia in Ethiopia.
February 2019
By: Habtamu Seyoum Tolla, Mekitew Letebo, Yigeremu Abebe Asemere, Alemayehu Berhanu Belete, Tegegn Chote Tumbule, Zinabie Feleke Fekadu, Dinkineh Bikila Woyessa, Simret Ameha, Yibeltal Mekonen Feyisa, Felix Lam
Comparison of European, U.S., and Japanese Pharmacopoeia Monographs for Medicinal Gases
GUIDANCE | This publication provides a comparison between the specifications and the test methods defined for medicinal gases in each of the regional pharmacopoeia compendiums – European, U.S., and Japanese.
November 2018
By: European Industrial Gases Association
Solar-Powered Oxygen Delivery in Low-Resource Settings: A Randomized Clinical Non-inferiority Trial
JOURNAL PUBLICATION | Published in JAMA Pediatrics, this randomized clinical trial compares solar-powered oxygen delivery vs standard oxygen delivery using compressed oxygen cylinders among hypoxemic children in Uganda.
July 2018
By: Michael Hawkes, Andrea L. Conroy, Sophie Namasopo, Ravi Bhargava, Kevin C. Kain, Qaasim Mian, Robert Opika Opoka
Adoption of Paediatric and Neonatal Pulse Oximetry by 12 Hospitals in Nigeria: A Mixed-Methods Realist Evaluation
JOURNAL PUBLICATION | Published in BMJ Global Health, this study found that pulse oximetry use in 12 Nigerian hospitals improved from under 5% to over 90% within a year of targeted intervention.
June 2018
By: Hamish Graham, Ayobami A. Bakare, Amy Gray, Shamim Ahmad Qazi, Barbara McPake, Rasa Izadnegahdar, Trevor Duke, Adegoke G. Falade
Assessment and Recommendations to Increase Access to Oxygen and Pulse Oximetry in Kenya
REPORT | The information in this report focuses on oxygen access in Kenya and was collected through a combination of desk research and in-country stakeholder interviews and observations.
March 2018
By: PATH
Market Assessment and Recommendations to Increase Access to Oxygen and Pulse Oximetry in India
REPORT | The information in this country report focuses on India and is intended to guide key decision-makers in India as they work to improve access to safe oxygen delivery.
March 2018
By: PATH
Market Assessment and Recommendations to Increase Access to Oxygen and Pulse Oximetry in Indonesia
REPORT | The information in this report focuses on oxygen access in Indonesia and was collected through a combination of desk research and in-country stakeholder interviews and observations.
March 2018
By: PATH
Burden of Early-Term Birth on Adverse Infant Outcomes: A Population-Based Cohort Study in Brazil
JOURNAL PUBLICATION | Published in BMJ Open, this cohort study in Brazil showed that infants born at 37-38 weeks’ gestation are at greater risk for adverse outcomes, such as NICU admission and death.
December 2017
By: Maria do Carmo Leal, Ana Paula Esteves Pereira, Marcos Nakamura-Pereira, Rosa Maria Soares Madeira Domingues, Marcos Augusto Bastos Dias, Silvana Granado Nogueira da Gama
A Complex Intervention to Improve Implementation of World Health Organization Guidelines for Diagnosis of Severe Illness in Low-Income Settings: A Quasi-Experimental Study from Uganda
JOURNAL PUBLICATION | Published in Implementation Science, the study evaluated a multi-modal intervention using the WHO “Quick Check” triage tool in four Ugandan hospitals.
November 2017
By: Matthew Cummings, Elijah Goldberg, Savio Mwaka, Olive Kabajaasi, Eric Vittinghoff, Adithya Cattamanchi, Achilles Katamba, Nathan Kenya-Mugisha, Shevin Jacob, J. Lucian Davis
Evidence to Support Oxygen Guidelines for Children with Emergency Signs in Developing Countries: A Systematic Review and Physiological and Mechanistic Analysis
JOURNAL PUBLICATION | Published in Journal of Tropical Pediatrics, this study reviews evidence to support oxygen saturation targets for children with emergency signs in developing countries.
October 2017
By: Shidan Tosif, Trevor Duke
Improving Oxygen Therapy for Children and Neonates in Secondary Hospitals in Nigeria: Study Protocol for a Stepped-Wedge Cluster Randomised Trial
JOURNAL PUBLICATION | Published in Trials, this study protocol outlines a trial designed to improve oxygen therapy for children and neonates in Nigerian hospitals through better equipment and healthcare training.
October 2017
By: Hamish Graham, Ayobami A. Bakare, David Peel, Amy Gray, Barbara McPake, Eleanor Neal, Shamim Ahmad Qazi, Rasa Izadnegahdar, Trevor Duke
An Evidence-Based Study: Evaluating the Management of Acute Heart Failure in the Gaza-Strip Hospitals
JOURNAL PUBLICATION | Published in Journal of Cardiac Failure, a clinical audit of 200 acute heart failure cases found poor adherence to international guidelines, inadequate documentation, low utilization of diagnostic tests, etc.
August 2017
By: Enas Alaloul, Reem Dabbour, Mohammed Alkhatib, Tamer Abd-Alghafoor, Bettina Böttche
Improved Oxygen Systems in District Hospitals in Lao PDR: A Prospective Field Trial of the Impact on Outcomes for Childhood Pneumonia and Equipment Sustainability
JOURNAL PUBLICATION | Published in BMJ Paediatrics Open, this article examines the effect of improved oxygen systems on childhood pneumonia outcomes in district hospitals in Lao PDR.
August 2017
By: Amy Gray, Melinda Morpeth, Trevor Duke, David Peel, Christian Winter, Manivanh Satvady, Kongkham Sisouk, Bouasengnignom Prasithideth, Khamsay Detleuxay
British Thoracic Society Guideline for Oxygen Use in Adults in Healthcare and Emergency Settings
JOURNAL PUBLICATION | Published in BMJ Open Respiratory Research, this article summarizes the recommendations and good practice points in the British Thoracic Society Guideline for Oxygen Use in Adults.
May 2017
By: B. Ronan O’Driscoll, Luke S. Howard, John Earis, Vincent Mak
WHO List of Priority Medical Devices for Cancer Management
TOOL | This publication is based on the list of clinical interventions selected from clinical guidelines on prevention, screening, diagnosis, treatment, palliative care, monitoring and end of life care.
February 2017
By: World Health Organization (WHO)
Predicting Hospitalised Paediatric Pneumonia Mortality Risk: An External Validation of RISC and mRISC, and Local Tool Development (RISC-Malawi) from Malawi
JOURNAL PUBLICATION | Published in PLoS One, this study performed an external validation of two prediction tools and compared this to a locally developed tool to identify children admitted with pneumonia in Malawi.
December 2016
By: Shubhada Hooli, Tim Colbourn, Norman Lufesi, Anthony Costello, Bejoy Nambiar, Satid Thammasitboon, Charles Makwenda, Charles Mwansambo, Eric D. McCollum, Carina King
Pulse Oximetry for Children with Pneumonia Treated as Outpatients in Rural Malawi
JOURNAL PUBLICATION | Published in the Bulletin of the World Health Organization, this study aims to investigate implementation of outpatient pulse oximetry among children with pneumonia in Malawi.
December 2016
By: Eric D. McCollum, Carina King, Rashid Deula, Beatiwel Zadutsa, Limangeni Mankhambo, Bejoy Nambiar, Charles Makwenda, Gibson Masache, Norman Lufesi, Charles Mwansambo, Anthony Costello, Tim Colbourn
Improving Access to Essential Oxygen Therapy and Pulse Oximetry for Childhood Pneumonia Treatment
MULTIMEDIA | This poster presentation from the ASTMH 2016 Annual Meeting summarizes efforts to identify barriers and implement scalable solutions to improve access to oxygen and pulse oximetry.
November 2016
By: PATH
One is too Many: Ending Child Deaths from Pneumonia and Diarrhea
REPORT | This report highlights current pneumonia and diarrhea related mortality, and illustrates the startling divide between the children being reached and the considerable number of those left behind.
November 2016
By: UNICEF
Oxygen as an Essential Medicine: Under- and Over-Treatment of Hypoxemia in Low- and High-Income Nations
JOURNAL PUBLICATION | Published in Critical Care Medicine, this article critiques the over- and under-treatment of hypoxemia globally, urging for better guidelines and the rational use of oxygen therapy, particularly in resource-constrained settings.
October 2016
By: Tori Sutherland, Sanctus Musafiri, Theogene Twagirumugabe, Elisabeth D. Riviello
Hypoxaemia in Mozambican Children <5 Years of Age Admitted to Hospital with Clinical Severe Pneumonia: Clinical Features and Performance of Predictor Models
JOURNAL PUBLICATION | Published in Tropical Medicine and International Health, this study investigates the prevalence of hypoxemia in young children with severe pneumonia in Mozambique and evaluates the effectiveness of clinical prediction models.
September 2016
By: Quique Bassat, Miguel Lanaspa, Sónia Machevo, Lola Madrid, Tacilta Nhampossa, Sozinho Acácio, Anna Roca, Pedro L. Alonso
A Clinical Guidance Tool to Improve the Care of Children Hospitalized with Severe Pneumonia in Lusaka, Zambia
JOURNAL PUBLICATION | Published in BMC Pediatrics, this study evaluates the impact of a clinical guidance tool designed to improve outcomes for children hospitalized with severe pneumonia in Zambia.
August 2016
By: Catherine Sutcliffe, Donald Thea, Philip Seidenberg, James Chipeta, Lawrence Mwananyanda, Somwe Wa Somwe, Julie Duncan, Magdalene Mwale, Justin Mulindwa, Musaku Mwenechenya, Rasa Izadnegahdar, William Moss
Interagency List of Priority Medical Devices for Essential Interventions for Reproductive, Maternal, Newborn and Child Health
TOOL | This list highlights the medical devices required to provide the essential reproductive, maternal, newborn and child health interventions defined by existing WHO guidelines and publications.
June 2016
By: World Health Organization (WHO)
Oxygen for Children and Newborns in Non-Tertiary Hospitals in South-West Nigeria: A Needs-Assessment
JOURNAL PUBLICATION | Published in African Journal of Medicine and Medical Science, this study assesses structural, technical, and clinical barriers to the provision of safe and effective oxygen therapy in Nigeria.
May 2016
By: Hamish Graham, Ayobami A. Bakare, David Peel, Adegoke G. Falade, Trevor Duke
Solar-Powered Oxygen Delivery: Proof of Concept
JOURNAL PUBLICATION | Published in International Journal of Tuberculosis and Lunge Disease, this study piloted a solar-powered oxygen delivery system for the pediatric pneumonia in a resource-limited pediatric hospital in Uganda.
May 2016
By: Hayley Turnbull, Andrea L. Conroy, Robert Opika Opoka, Sophie Namasopo, Kevin C. Kain, Michael Hawkes
Cost-Effectiveness of Interventions for Reproductive, Maternal, Neonatal, and Child Health
GUIDANCE | This chapter summarizes the findings of a systematic search of the cost-effectiveness literature on RMNCH, which builds on previous work.
April 2016
By: The World Bank, Susan Horton, Carol Levin
A National Trauma Capacity Assessment of Haiti
JOURNAL PUBLICATION | Published in Journal of Surgical Research, this study assessed trauma care capacity in Haiti, revealing severe shortages in essential equipment, surgical personnel, and trauma training.
March 2016
By: Chelsea McCullough, Vincent DeGennaro Jr., Joel Bagley, Jyotirmay Sharma, Mackenson Saint-Fort, Jean Hugues Henrys
Non-invasive Ventilation with Bubble CPAP is Feasible and Improves Respiratory Physiology in Hospitalised Malawian Children with Acute Respiratory Failure
JOURNAL PUBLICATION | Published in Paediatric International Child Health, this study demonstrates the feasibility and effectiveness of bCPAP in treating acute respiratory failure in Malawian children.
February 2016
By: Jona Walk, Precious Dinga, Clever Banda, Thomson Msiska, E. Chitsamba, N. Chiwayula, Norman Lufesi, Rachel Mlotha-Mitole, Anthony Costello, Ajib Phiri, Tim Colbourn, Eric D. McCollum, Hans-Joerg Lang
Mortality and its Risk Factors in Malawian Children Admitted to Hospital with Clinical Pneumonia, 2001-12: Retrospective Observational Study
JOURNAL PUBLICATION | Published in The Lancet Global Health, this study investigates the mortality and risk factors in Malawian children hospitalized with pneumonia, highlighting delayed care, malnutrition, etc.
January 2016
By: Marzia Lazzerini, Nadine Seward, Norman Lufesi, Sophie Sinyeka, Gibson Masache, Bejoy Nambiar, Charles Makwenda, Anthony Costello, Eric D. McCollum, Tim Colbourn
WHO Safe Childbirth Checklist Implementation Guide: Improving the Quality of Facility-Based Delivery for Mothers and Newborns
TOOL | The WHO Safe Childbirth Checklist was designed as a tool to improve the quality of care provided to women giving birth.
November 2015
By: World Health Organization (WHO)
Hypoxemia as a Mortality Risk Factor in Acute Lower Respiratory Infections in Children in Low- and Middle-Income Countries: Systematic Review and Meta-Analysis
JOURNAL PUBLICATION | This systematic review and meta-analysis in PLOS One examines observational studies to evaluate the association between hypoxemia and mortality from acute lower respiratory infections in children in LMICs.
September 2015
By: Marzia Lazzerini, Michela Sonego, Maria Chiara Pellegrin
Utility and Feasibility of Integrating Pulse Oximetry into the Routine Assessment of Young Infants at Primary Care Clinics in Karachi, Pakistan: A Cross-Sectional Study
JOURNAL PUBLICATION | Published in BMC Pediatrics, this study characterizes the operational feasibility and parent/guardian acceptability of incorporating pulse oximetry into the routine clinical assessment of young infants in Pakistan.
September 2015
By: Connor A. Emdin, Fatima Mir, Shazia Sultana, Abdul Momin Kazi, Anita K.M. Zaidi, Michelle C. Dimitris, Daniel E. Roth
Hospital Treatment Costs and Factors Affecting These Costs in Community-Acquired Pneumonia
JOURNAL PUBLICATION | Published in Turkish Thoracic Journal, this study examines the treatment costs of community-acquired pneumonia and the factors influencing hospital expenses in Türkiye.
July 2015
By: Haitian Children’s Institute, Fatma Tokgöz Akyıl, Armağan Hazar, İpek Erdem, Murat Yalçınsoy, İlim Irmak, Umut Sabri Kasapoğlu
Solar-Powered Oxygen Delivery: Study Protocol for a Randomized Controlled Trial
JOURNAL PUBLICATION | Published in Trials, this randomized controlled trial examined solar-powered oxygen delivery systems with a conventional method (oxygen from cylinders) in patients with hypoxemic respiratory illness.
July 2015
By: Saleh Nyende, Andrea L. Conroy, Robert Opika Opoka, Sophie Namasopo, Kevin C. Kain, Arthur Mpimbaza, Ravi Bhargava, Michael Hawkes
Neonatal Admissions, Quality of Care and Outcome: 4 Years of Inpatient Audit Data from the Gambia’s Teaching Hospital
JOURNAL PUBLICATION | Published in Paediatric International Child Health, this study examines neonatal admissions at a hospital in The Gambia, identifying key mortality risk factors and recommending improved IPC strategies.
June 2015
By: Uduak A Okomo, Tida Dibbasey, Kalipha Kassama, Joy Lawn, Syed M.A. Zaman, Beate Kampmann, Stephen Howie, Kalifa Bojang
A Resource Planning Analysis of District Hospital Surgical Services in the Democratic Republic of the Congo
JOURNAL PUBLICATION | Published in Global Health: Science and Practice, this study found severe gaps in surgical capacity across 12 district hospitals in the DRC, with many lacking essential procedures, infrastructure, and resources.
March 2015
By: Melanie Sion, Dheepa Rajan, Hyppolite Kalambay, Jean-Pierre Lokonga, Joseph Bulakali, Mathias Mossoko, Dieudonne Kwete, Gerard Schmets, Edward Kelley, Tarcisse Elongo, Luis Sambo, Meena Cherian
Fear of Oxygen Therapy for Children in Malawi
JOURNAL PUBLICATION | Published in Archives of Disease in Childhood, this study examines the fear of oxygen therapy for children in Malawi, identifying key factors influencing acceptance and suggesting strategies to improve uptake.
March 2015
By: Anna Clare Stevenson, Christopher Edwards, Josephine Langton, Neil Kennedy
Hospital Care for Children: Quality Assessment and Improvement Tool: A Systematic Standard Based Participatory Approach. 2nd Edition
TOOL | Published by the WHO Regional Office for Europe, this tool assesses the quality of hospital care for children, focusing on infrastructure, case management, and policies, and supports quality improvement efforts.
March 2015
By: World Health Organization (WHO)
Hospital Care for Mothers and Newborn Babies: Quality Assessment and Improvement Tool a Systematic Standard Based Participatory Approach, 2nd Edition
TOOL | Published by the World Health Organization, this tool assesses and improves the quality of hospital care for mothers and newborn babies, providing a participatory approach to quality enhancement.
October 2014
By: World Health Organization (WHO)
Reducing Deaths from Severe Pneumonia in Children in Malawi from by Improving Delivery of Pneumonia Case Management
JOURNAL PUBLICATION | Published in PLoS One, this study evaluated the pneumonia case fatality rate following the implementation of a Child Lung Health Programme in Malawi to improve delivery of pneumonia case management.
July 2014
By: Robert Gie, Charles Mwansambo, Carl Lombard, Donald Enarson, Stephen Graham
Estimating Oxygen Needs for Childhood Pneumonia in Developing Country Health Systems: A New Model for Expecting the Unexpected
JOURNAL PUBLICATION | Published in PLoS One, the study reviewed a new model for estimating oxygen needs for childhood pneumonia in developing countries, emphasizing the importance of accounting for temporal variability.
February 2014
By: Beverly Bradley, Stephen Howie, Timothy Chan, Yu-Ling Cheng
Prevalence and Predictors of Hypoxemia in Respiratory and Non-respiratory Primary Diagnoses Among Emergently Ill Children at a Tertiary Hospital in South Western Nigeria
JOURNAL PUBLICATION | This study investigated prevalence and predictors of hypoxemia in ALRI and non-ALRI according to age and primary diagnoses in emergently ill children in south western Nigeria.
September 2013
By: Adebola E. Orimadegun, Babatunde O. Ogunbosi, Shannon S. Carson
Perfil Dos Atendimentos Realizados Por Uma Unidade De Suporte Avançado Do Serviço De Atendimento Móvel De Urgência (Samu) Do Rio Grande Do Sul [Profile of the Services Provided by an Advanced Support Unit of the Mobile Emergency Care Service (SAMU) in Rio Grande do Sul]
JOURNAL PUBLICATION | This study describes the profile of care provided by a Mobile Emergency Care Service in Brazil, aiming to contribute to the planning and organization of mobile emergency services.
July 2013
By: Denise Casagrande, Bruna Stamm, Marinês Tambara Leite
Determinants of Oxygen Therapy in Childhood Pneumonia in a Resource-Constrained Region
JOURNAL PUBLICATION | Published in ISRN Pediatrics, this study identifies key predictors of hypoxemia in rural Gambia, particularly grunting and cyanosis, and children with these signs should be given oxygen therapy.
June 2013
By: Bankole Peter Kuti, Samuel Ademola Adegoke, Stephen Howie, Oyeku Akibu Oyelami, Martin Ota
Quality in Triage: Indicators in Patients with Respiratory Disease
JOURNAL PUBLICATION | Published in Pediatric Emergency Care, this retrospective, comparative study applied quality indicators in respiratory disease triage to all patients attending an emergency department in Paraguay.
June 2013
By: Silvina Elizabeth Lugo, Viviana Pavlicich
Decreasing Hospital Length of Stay for Bronchiolitis by Using an Observation Unit and Home Oxygen Therapy
JOURNAL PUBLICATION | Published in JAMA Pediatrics, this study demonstrates that implementing an OU-HOT protocol for bronchiolitis in children reduces hospital stays and healthcare costs, while maintaining patient safety.
May 2013
By: David Sandweiss, Michael Mundorff, Tracy Hill, Tom Greene, Seth Andrews, Tiffany Glasgow
Evaluation the Clinical Practices in Delivery Room in Brazil, 2011-2012
JOURNAL PUBLICATION | The aim of this study was to evaluate the clinical practices in delivery room in Brazil and identify if there are inequalities in healthy term newborn care immediately after birth.
May 2013
By: Maria do Carmo Leal, Ana Paula Esteves Pereira
Implementation of the World Health Organization Surgical Safety Checklist, Including Introduction of Pulse Oximetry, in a Resource-Limited Setting
JOURNAL PUBLICATION | Published in Annals of Surgery, this article explores the impact of implementing the WHO Surgical Safety Checklist and pulse oximetry in a resource-limited hospital.
April 2013
By: Alvin Kwok, Luke Funk, Ruslan Baltaga, Stuart Lipsitz, Alan Merry, Gerald Dziekan, Gheorghe Ciobanu, William Berry, Atul Gawande
Use of a Portable Oxygen Concentrator and Its Effect on the Overall Functionality of a Remote Field Medical Unit at 3650m Elevation
JOURNAL PUBLICATION | This study was conducted to ascertain the economy achieved by employing a small portable oxygen concentrator for oxygen therapy to improve functionality of a surgical unit in remote environments.
March 2013
By: Rehan Masroor, Amjad Iqbal, Khalid Buland
Oxygen 93 – A New Option for German Hospitals
JOURNAL PUBLICATION | Published in Anesthesiologie & Intensivmedizin, this article covers the medical, device, and regulatory aspects that need to be considered when making a decision about the use of oxygen 93.
January 2013
By: T. Prien, I. Meineke, K. Züchner, J. Rathgeber
Barriers to Uptake of Oxygen Therapy in Malawi: A Qualitative Study
JOURNAL PUBLICATION | Published in Thorax (BMJ), the study on oxygen therapy in Malawi revealed that fear, misinformation, and limited knowledge were significant barriers to its use.
November 2012
By: Anna Clare Stevenson, Christopher Edwards, Josephine Langton, Neil Kennedy
Degree of Observance of the WHO Surgical Safety Checklist
JOURNAL PUBLICATION | Published in Trauma Monthly, this study assessed the adherence to the WHO surgical safety checklist at hospitals in Tehran and found that overall observance was moderate.
October 2012
By: Abulreza Khorshidifar, Hamidreza Kadkhodaee, Zahra Zamen
An Audit of the Quality of Initial Trauma Resuscitation in a Regional Hospital
JOURNAL PUBLICATION | This study aimed to review the quality of initial trauma resuscitation in a regional hospital in South Africa and determine quality indicators to measure improvements after potential interventions.
August 2012
By: Nikki Allorto, Nivisha Parag, Damian Clarke
Birth in Brazil: National Survey into Labour and Birth
JOURNAL PUBLICATION | Published in Reproductive Health, this study examined the rise of Caesarean sections in Brazil and its links to adverse maternal and neonatal outcomes, including prematurity and low birth weight.
August 2012
By: Maria do Carmo Leal, Antonio Augusto Moura da Silva, Marcos Augusto Bastos Dias, Silvana Granado Nogueira da Gama, Daphne Rattner, Mariza Miranda Theme Filha, Rosa Maria Soares Madeira Domingues, Ana Paula Esteves Pereira, Jacqueline Alves Torres, Sonia Duarte Azevedo Bittencourt, Eleonora D’orsi, Antonio Jla Cunha, Alvaro Jorge Madeiro Leite, Rejane Silva Cavalcante, Sônia Lansky, Carmem Simone Grilo Diniz, Célia Landmann Szwarcwald
Guidelines for Essential Trauma Care
GUIDANCE | These guidelines seek to set achievable standards for trauma treatment services which could realistically be made available to almost every injured person in the world, including for respiratory care.
June 2012
By: World Health Organization (WHO)
Quality of Hospital Care for Sick Newborns and Severely Malnourished Children in Kenya: A Two-Year Descriptive Study in 8 Hospitals
JOURNAL PUBLICATION | As part of a larger study, this study—published in BMC Health Services Research—explored how well interventions supported better health services for neonatal illnesses and severe malnutrition in Kenya.
November 2011
By: David Gathara, Newton Opiyo, John Wagai, Philip Ayieko, Charles Opondo, Annah Wamae, Santau Migiro, Wycliffe Mogoa, Aggrey Wasunna, Fred Were, Grace Irimu, Mike English
Assessment of Power Availability and Development of a Low-Cost Battery-Powered Medical Oxygen Delivery System: For Use in Low-Resource Health Facilities in Developing Countries
ARTICLE | Published in the 2011 IEEE Global Humanitarian Technology Conference, this study explores the use of oxygen concentrators as a solution to oxygen shortages in developing countries.
October 2011
By: Beverly Bradley, Yu-Ling Cheng, David Peel, Stephen Howie
Maximal Oxygen Uptake is Lower for a Healthy Indian Population Compared to White Populations
JOURNAL PUBLICATION | Published in Journal of Cardiopulmonary Rehabilitation and Prevention, this study develops a VO₂max prediction equation for the Indian population.
September 2011
By: Neethu John, Balamugesh Thangakunam, Augustine Joshua Devasahayam, Devasahayam J. Christopher
[Costs of Chronic Obstructive Pulmonary Disease in Patients Treated in Ambulatory Care in Poland]
JOURNAL PUBLICATION | Published in Pneumonologia i Alergologia Polska, this study examined direct, mean costs of COPD in Poland under usual clinical practice form societal perspective.
May 2011
By: Karina Jahnz-Rózyk, Tomasz Targowski, Sławomir From, Tomasz Faluta, Lukasz Borowiec
An Evaluation of Oxygen Systems for Treatment of Childhood Pneumonia
JOURNAL PUBLICATION | Published in BMC Public Health, this review found that improving oxygen systems could significantly reduce childhood pneumonia mortality but faces challenges in affordability and sustainability.
April 2011
By: Alastair Catto, Lina Zgaga, Evropi Theodoratou, Tanvir Huda, Harish Nair, Shams El Arifeen, Igor Rudan, Trevor Duke, Harry Campbell
Knowledge and Views of Paediatricians about Pulse Oximetry: A Nationwide Online Survey in Nigeria
JOURNAL PUBLICATION | Published in the African Journal of Respiratory Medicine, this study was carried out to determine the level of knowledge and competencies relating to the use of pulse oximetry for children.
January 2011
By: Adebola E. Orimadegun, Babatunde O. Ogunbosi, Felix Olukayode Akinbami
Prevalence of Undiagnosed Hypoxemia in Adults and Children in an Under-Resourced District Hospital in Zambia
JOURNAL PUBLICATION | Published in the International Journal of Emergency Medicine, this cross-sectional analysis of the prevalence of hypoxemia was conducted in Kapiri Mposhi, Zambia, at the 60-bed district hospital.
October 2010
By: Mark Foran, Roy Ahn, Joseph Novik, Kennedy Chilufya, Kasseba Katamba, Thomas Burke
Programa De Oxigenoterapia Domiciliar Para Crianças Egressas De Uma Unidade Neonatal: Relato Da Experiência De Dez Anos [Home Oxygen Therapy Program for Children Discharged from a Neonatal Unit: Report of a Ten-Year Experience]
JOURNAL PUBLICATION | This was a cross-sectional study with an analytical component to evaluate the home oxygen therapy program of a neonatal unit of a public university hospital in São Paulo, Brazil.
September 2010
By: Elaine Aparecida L. Garcia, Maria Aparecida Mezzacappa, Mônica Aparecida Pessoto
Patients’ Experience of Oxygen Therapy and Dyspnea: A Qualitative Study in Home Palliative Care
JOURNAL PUBLICATION | Published in Support Care Cancer, this study reported the prevalence and experience of dyspnea, pattern of oxygen use, and patients’ perceived benefits/burdens of oxygen therapy in home palliative care.
June 2010
By: Darin Jaturapatporn, Erica Moran, Chris Obwanga, Amna Husain
Strengthening Care for the Injured: Success Stories and Lessons Learned from around the World
REPORT | The goal of this publication is to share some of the valuable lessons learned by those working on different but overlapping aspects of trauma care worldwide.
April 2010
By: World Health Organization (WHO)
Oxygen Concentrators for Use in Tropical Countries A Survey
JOURNAL PUBLICATION | Published in Journal of Clinical Engineering, this survey evaluates 11 oxygen concentrator models for use in tropical countries, identifying the most effective models based on performance, cost, etc.
October 2009
By: David Peel, Stephen Howie
Safe Surgery Checklist
TOOL | The WHO Surgical Safety Checklist was developed after extensive consultation aiming to decrease errors and adverse events and increase teamwork and communication in surgery.
July 2009
By: World Health Organization (WHO)
The Prevalence of Hypoxemia Among Ill Children in Developing Countries: A Systematic Review
JOURNAL PUBLICATION | In this review of studies of acute lower respiratory tract infection in The Lancet Infectious Diseases, the median prevalence of pneumonia hypoxemia requiring hospitalization was 13%, but prevalence varied widely.
April 2009
By: Rami Subhi, Matthew Adamson, Harry Campbell, Martin Weber, Katherine Smith, Trevor Duke
WHO Guidelines for Safe Surgery: Safe Surgery Saves Lives
GUIDANCE | These guidelines provide the knowledge for operational teams to work together effectively to minimize life-threatening complications to surgical patients.
April 2009
By: World Health Organization (WHO)
[Comparison of Outpatient and Inpatient Costs of Moderate and Severe Exacerbations of Chronic Obstructive Pulmonary Disease in Poland]
JOURNAL PUBLICATION | Published in Pneumonologia i Alergologia Polska, this study examined direct and indirect costs of chronic obstructive pulmonary disease exacerbations in primary and secondary care in Poland.
June 2008
By: Karina Jahnz-Rózyk, Tomasz Targowski, Sławomir From
Challenges to Improving Case Management of Childhood Pneumonia at Health Facilities in Resource-Limited Settings
JOURNAL PUBLICATION | Published in Bulletin of the World Health Organization, this review identifies challenges in improving pneumonia case management in resource-limited settings.
May 2008
By: Stephen Graham, Mike English, Tabish Hazir, Penny Enarson, Trevor Duke
Implementing an Oxygen Programme in Hospitals in Papua New Guinea
JOURNAL PUBLICATION | Published in Annals of Tropical Paediatrics, this article examines the implementation of an oxygen programme in hospitals in Papua New Guinea to improve child survival rates.
March 2008
By: Sens Matai, David Peel, Francis Wandi, Merilyn Jonathan, Rami Subhi, Trevor Duke
Clinical Efficacy and Cost-Benefit Analysis of Nocturnal Home Oxygen Therapy in Patients with Central Sleep Apnea Caused by Chronic Heart Failure
JOURNAL PUBLICATION | Published in Circulation Journal, this study found that nocturnal home oxygen therapy in CHF patients with central sleep apnea resulted in significant reductions in hospital and outpatient visits.
November 2007
By: Yoshihiko Seino, Hidehiko Imai, Takaaki Nakamoto, Shigetake Sasayama
Hypoxemia Among Children in Rural Hospitals in Papua New Guinea: Epidemiology and Resource Availability-A Study to Support a National Oxygen Programme
JOURNAL PUBLICATION | This study in the Annals of Tropical Pediatrics examined the incidence of hypoxemia, its geographical distribution, epidemiological determinants, and resource availability in several regions of the country.
December 2006
By: Francis Wandi, David Peel, Trevor Duke
In Children Aged 2-59 Months with Pneumonia, which Clinical Signs Best Predict Hypoxaemia?
JOURNAL PUBLICATION | Published in Journal of Tropical Pediatrics, this article identifies clinical signs that predict hypoxemia in children with pneumonia, helping guide treatment decisions in low-resource settings.
October 2006
By: Philip Ayieko, Mike English
Cost Impact of COPD in Japan: Opportunities and Challenges?
JOURNAL PUBLICATION | Published in Respirology, this study found that chronic obstructive pulmonary disease imposes a significant economic burden on Japan, with total costs amounting to 805.5 billion yen annually.
November 2004
By: Shuzo Nishimura, Carol Zaher
Assessment of Inpatient Paediatric Care in First Referral Level Hospitals in 13 Districts in Kenya
JOURNAL PUBLICATION | Published in The Lancet, the study evaluated pediatric inpatient care in 13 Kenyan district hospitals, finding significant gaps in care practices and data quality.
June 2004
By: Mike English, Fabian Esamai, Aggrey Wasunna, Fred Were, Bernhards Ogutu, Annah Wamae, Robert Snow, Norbert Peshu
Use of an Oxygen Concentrator in a Nigerian Neonatal Unit: Economic Implications and Reliability
JOURNAL PUBLICATION | Published in the Annals of Tropical Pediatrics, this study explored the 3-year experience of using an oxygen concentrator in a Nigerian newborn unit and economic appraisal of its effectiveness.
September 2002
By: Olugbenga A. Mokuolu, Oluade A. Ajayi
Oxygen Supply in Rural Africa: A Personal Experience
JOURNAL PUBLICATION | Published International Journal of Tuberculosis and Lung Disease, this paper compares the costs incurred using oxygen cylinders with a solar operated oxygen concentrator in a rural Gambian setting.
June 2001
By: Gisela Schneider
Quality of Hospital Care for Seriously Ill Children in Less-Developed Countries
JOURNAL PUBLICATION | Published in The Lancet, this qualitative study assessed initial triage, emergency and inpatient care, staff knowledge and practices, and hospital support services in seven less-developed countries.
January 2001
By: Tom Nolan, Patria Angos, Antonio Jla Cunha, Shamim Ahmad Qazi, Eric A.F. Simões, Girgio Tamburlini, Martin Weber, Nathaniel F. Pierce
Oxygen Concentrators for the Delivery of Oxygen in Remote High-Altitude Areas
JOURNAL PUBLICATION | Published in Wilderness Environmental Medicine, this study highlights the use of oxygen concentrators in remote high-altitude hospitals, demonstrating significant cost savings and reliable oxygen delivery compared to traditional cylinders.
October 2000
By: James Litch, Rachel Bishop
Field Trials of Oxygen Concentrators in Upper Egypt
JOURNAL PUBLICATION | Published in The Lancet, this article details a field trial in Upper Egypt that tests the effectiveness of oxygen concentrators in small rural hospitals.
June 1996
By: M. Dobson, David Peel, N. Khallaf
Home Treatment for Chronic Respiratory Insufficiency: The Situation in Europe in 1992. The European Working Group on Home Treatment for Chronic Respiratory Insufficiency
JOURNAL PUBLICATION | Published in the European Respiratory Journal, this study analyzes home treatment practices for chronic respiratory insufficiency across 13 European countries, identifying key differences in policy, equipment use, and patient supervision.
September 1994
By: Brigitte Fauroux, Peter Howard, Jean-François Muir
Oxygen Concentrators
JOURNAL PUBLICATION | Published in the Canadian Journal of Anaesthesia, this study assessed the features of a Kinox-2 concentrator at the Military Hospital in Kathmandu.
September 1987
By: Bal Bahadur Swar
Oxygen Concentrator in a Remote Hospital in Zaire
JOURNAL PUBLICATION | Published in Tropical Doctor, this study looks at the use of oxygen concentrators in a remote hospital in Zaire, now the Democratic Republic of the Congo.
January 1985
By: Philip Wood
African Federation for Emergency Medicine (AFEM) Resources
REPOSITORY / TOOLKIT | AFEM’s resources are Africa-specific for clinical, nursing, and pre-hospital emergency care.
By: African Federation for Emergency Medicine (AFEM)
Bioforge OxySaver
TOOL | This presentation highlights the Bioforge Oxysaver, which was developed as a more affordable product for LMICs, compared to the Demand Oxygen Delivery Systems (DODS) currently available.
By: Bioforge Health Systems, Dewan Choudhury
COVID-19 Respiratory Equipment
COURSE / TRAINING VIDEO | This course was developed due to the enormous emphasis placed on need for safe provision of oxygen to patients with COVID-19, but can be used for conditions beyond COVID-19.
By: World Health Organization (WHO)
COVID-19: Your Questions Answered
REPOSITORY / TOOLKIT | This toolkit provides answers to many questions related to COVID-19. The answers were curated from evidence-based literature and peer-reviewed resources.
By: Stanford Medicine – Anesthesia Division of Global Health Equity
Health Products Policy and Standards: Medical Use of Oxygen
GUIDANCE | This webpage highlights World Health Organization guidance and resources on the use of medical oxygen.
By: World Health Organization (WHO)
Medevis: Priority Medical Devices Information System
REPOSITORY / TOOLKIT | Medevis is an open access WHO electronic database on appropriate medical devices according to the levels of care, setting and intended health intervention.
By: World Health Organization (WHO)
Oxygen Talks
PRESENTATION / WEBINAR | The Oxygen Talk is where the Oxygen Alliance invites experts to come and speak about an oxygen-related topic.
By: OpenO2 at the Global Health Informatics Institute, Oxygen Alliance
U.S. Pharmacopeia: Oxygen (93 Percent)
GUIDANCE | This guidance outlines the definition, production, testing, and storage requirements and allowed impurities for oxygen 93 percent, as laid out in the U.S. Pharmacopoeia.
By: U.S. Pharmacopeia
WHO Access to Oxygen Initiative
REPOSITORY / TOOLKIT | The WHO Access to Oxygen Initiative provides technical and operational support to Member States on solutions to enable a resilient oxygen ecosystem.
By: World Health Organization (WHO)
WHO Trainings for Medical Devices
COURSE / TRAINING VIDEO | As part of the COVID-19 response, WHO developed a series of training videos for medical equipment related to oxygen therapy.
By: World Health Organization (WHO)
Oxygen Therapy Project
ARTICLE | UNICEF’s Oxygen Therapy Project, jointly with the World Health Organization, aims to provide governments with practical tools for building oxygen systems in their countries.
By: UNICEF
UCSF-CHESA Critical Care Facility Level Assessment Tool
TOOL | This assessment should be completed with input from healthcare providers with current, firsthand knowledge of the facility’s intensive care and oxygen infrastructure.
By: University of California, San Francisco
Kenya Medical Oxygen Roadmap 2025-2030
GOVERNMENT POLICY / STRATEGY | The Kenya Medical Oxygen Roadmap is set to ensure equitable access to high-quality, sustainable, and affordable medical oxygen for all Kenyans by 2030.
May 2025
By: Kenya Ministry of Health
The African Critical Illness Outcomes Study (ACIOS): A Point Prevalence Study of Critical Illness in 22 Nations in Africa
JOURNAL PUBLICATION | Published in The Lancet, this prospective study examined all inpatients >18 years to assess the co-primary outcomes of critical illness and 7-day mortality in acute hospitals across Africa.
March 2025
By: African Critical Illness Outcomes Study (ACIOS) Investigators
Pulse Oximetry: A Vital Tool with Important Functional Limitations for Patients with Dark Skin Color
JOURNAL PUBLICATION | Published in Universal Library of Clinical Nursing, this review reports the extent of measurement bias for pulse oximeters, describes its clinical importance, and discusses approaches to eliminating it.
January 2025
By: David E. Harris
Guideline on Management of Pneumonia and Diarrhoea in Children up to 10 years of age
GUIDANCE | This guideline aims to help WHO Member States and their partners make evidence-informed decisions on the appropriate actions in their efforts to address common childhood illnesses, including pneumonia and diarrhea.
December 2024
By: World Health Organization (WHO)
The Affordable Care Act’s Call for Nondiscrimination: Addressing the Role of Pulse Oximetry in Racial Disparities
JOURNAL PUBLICATION | Published in Annals of the American Thoracic Society, this paper describes how this rule recognizes that pulse oximeters are less reliable on dark skin pigmentation and needs to be addressed.
December 2024
By: Howard L. Saft, Nirav R. Bhakta, An-Kwok Ian Wong, Sharron J. Crowder, Stuart C. Sweet, Indira Gurubhagavatula
India’s Medical Oxygen Management National Guidelines
GUIDANCE | This guideline serves as a useful and practical guide in the selection of optimal medical oxygen source modalities, usage, administration, and conservation of medical oxygen as well as safety aspects.
November 2024
By: India Ministry of Health and Family Welfare
Medical Oxygen Ecosystem Capacity Assessment for Kenya
REPORT | This report analyzes data collected via facility assessments to provide a snapshot of the medical oxygen ecosystem from 113 health facilities in seven counties across Kenya.
November 2024
By: PATH, Kenya Ministry of Health
Medical Oxygen Ecosystem Capacity Assessment for Senegal
REPORT | This report analyzes and presents data collected during facility assessments in 14 provinces across Senegal, by service ward, to provide a snapshot of the country’s oxygen ecosystem.
November 2024
By: PATH
Medical Oxygen Ecosystem Capacity Assessment for Tanzania
REPORT | The purpose of this assessment is quantifying the Tanzania’s capacity to produce, distribute, and utilize medical oxygen. Results demonstrate that oxygen production covers only 20% of estimated oxygen need.
November 2024
By: PATH, Tanzania Ministry of Health, Community Development, Gender, Elderly and Children
Medical Oxygen Ecosystem Capacity Assessment for the Democratic Republic of the Congo
REPORT | This report analyzes data collected through facility assessments from 340 health facilities in 26 provinces across DRC to provide a snapshot of their medical oxygen ecosystem.
November 2024
By: PATH
Medical Oxygen Ecosystem Gap Assessment for Zambia
REPORT | This report analyzes data collected during facility assessments in ten provinces across Zambia, by service ward type, to provide a snapshot of the country’s medical oxygen ecosystem.
November 2024
By: PATH, Zambia Ministry of Health
Racial Biases Associated with Pulse Oximetry: Longitudinal Social Network Analysis of Social Media Advocacy Impact
JOURNAL PUBLICATION | Published in Journal Medical Internet Research, this study explores the impact of social media, specifically X, on increasing awareness of racial disparities in the accuracy of pulse oximetry.
October 2024
By: Wasim Ahmed, Mariann Hardey, Bradford David Winters, Aarti Sarwal
The Effectiveness of Community Health Worker Training, Equipping, and Deployment in Reducing COVID-19 Infections and Deaths in Rural Western Kenya: A Comparison of Two Counties
JOURNAL PUBLICATION | Published PLoS Global Public Health, this study measures the effectiveness of deploying trained and equipped CHWs in reducing COVID-19 infections and deaths in two counties in rural Western Kenya.
March 2024
By: Neema Kaseje, Kennedy Oruenjo, Dan Kaseje, Marcel Tanner, Andy Haines
Standardized Trauma Intake Form with Clinical Decision Support Prompts Improves Care and Reduces Mortality for Seriously Injured Patients in Non-Tertiary Hospitals in Ghana: Stepped-Wedge Cluster Randomized Trial
JOURNAL PUBLICATION | Published in the British Journal of Surgery, this study examines the effectiveness of a standardized trauma intake form for improving key performance indicators in initial trauma care in Ghana.
October 2023
By: Adam Gyedu, Barclay T. Stewart, Emmanuel Nakua, Peter Donkor
Risk and Accuracy of Outpatient-identified Hypoxaemia for Death among Suspected Child Pneumonia Cases in Rural Bangladesh: A Multifacility Prospective Cohort Study
JOURNAL PUBLICATION | Published in The Lancet Respiratory Medicine, this study sought to establish the outpatient burden, mortality risk, and prognostic accuracy of death from hypoxemia in children with suspected pneumonia in Bangladesh.
September 2023
By: Eric D. McCollum, Salahuddin Ahmed, Arunangshu Roy, Asmd Ashraful Islam, Holly Schuh, Carina King, Shubhada Hooli, Mohammad Abdul Quaiyum, Amy Sarah Ginsburg, William Checkley, Abdullah Baqui, Tim Colbourn
The Burden of Critical Illness among Adults in a Swedish Region—A Population-Based Point-Prevalence Study
JOURNAL PUBLICATION | Published in the European Journal of Medical Research, this study aimed to estimate the prevalence of critical illness in a Swedish region.
September 2023
By: Carl Otto Schell, Andreas Wellhagen, Miklós Lipcsey, Petronella Bjurling-Sjöberg, Cecilia Stålsby Lundborg, Markus Castegren, Tim Baker
Role of Oxygenation Devices in Alleviating the Oxygen Crisis in India
JOURNAL PUBLICATION | Published in PLoS Global Public Health, this study aims to assess the value of improved access and use of oxygen concentrators and cylinders during the COVID-19 pandemic in India.
August 2023
By: Deepshikha Batheja, Vinith Kurian, Sharon Buteau, Ajay Nair
Lesotho’s National Medical Oxygen Strategy and Scale-Up Plan (2023-2028)
GOVERNMENT POLICY / STRATEGY | Under the four interdependent strategic objectives, this strategy provides policy and implementation framework for scaling up medical oxygen within the system in Lesotho.
July 2023
By: Lesotho Ministry of Health
Regeneration of Zeolite for Medical Oxygen Generation in LMIC-Settings
JOURNAL PUBLICATION | Published in The Lancet, this study investigated the feasibility of regenerating old zeolite for use in oxygen concentrators.
June 2023
By: Gerald Paul Douglas, Chimwemwe Tiyesi, Effa Newo Solomon, Mwabi Lungu
Zambian National Medical Oxygen Strategic Plan (2022–2026)
GOVERNMENT POLICY / STRATEGY | The Zambian National Medical Oxygen Strategic Plan 2022–2026 provides strategic direction for ensuring the supply of safe medical oxygen needed to manage clients with respiratory conditions, including COVID-19.
May 2023
By: Zambia Ministry of Health
Ghana’s National Medical Oxygen Policy
GOVERNMENT POLICY / STRATEGY | This policy establishes the framework and lay the foundation for a national strategy for scaling-up production, availability, access, and use of medical oxygen across Ghana.
January 2023
By: Ghana Ministry of Health
Eswatini’s National Medical Oxygen Operational Plan (2023-2025)
GOVERNMENT POLICY / STRATEGY | The overarching objective of this operational plan is to improve access to medical oxygen for all people in Eswatini and ensure effective use to save lives by the year 2025.
December 2022
By: Eswatini Ministry of Health
Childhood Pneumonia: Everything You Need to Know
ARTICLE | This article outlines key questions related to pneumonia and its treatment and key solutions to reduce morbidity and mortality from pneumonia in children.
November 2022
By: UNICEF
Financial Implications of Tariffs for Medical Oxygen on Rwandan Public Hospitals’ Finance Management During the Coronavirus Epidemic
JOURNAL PUBLICATION | Published in Global Health: Science and Practice, this article examines the financial burden of oxygen tariffs on Rwandan hospitals during COVID-19 and their implications for hospital finance management.
October 2022
By: Diana Kizza, Hyacinth Mushumbamwiza, Siyabonga Ndwandwe, Regis Hitimana, Damien Kirchoffer, Jason Houdek, Eoghan Brady, Logan Brenzel, Nathalie Umutoni, Donatien Bajyanama, Zuberi Muvunyi
A 2-Phase Survey to Assess a Facility’s Readiness for Pediatric Essential Emergency and Critical Care in Resource-Limited Settings: A Literature Review and Survey Development
JOURNAL PUBLICATION | Published in Pediatric Emergency Care, this study aimed to develop a comprehensive, digital, open-access health facility survey to assess facility readiness to provide pediatric critical care in resource-limited settings.
August 2022
By: Jollee Fung, Bella Hwang, Dustin Dunsmuir, Suiyven Elvis Dzelamunyuy, Odiraa Nwankwor, Abner Tagoola, Jessica Trawin, J. Mark Ansermino, Niranjan Kissoon
Acute Oxygen Therapy: An Audit of Prescribing and Delivery Practices in the Medical Wards at Dr. George Mukhari Academic Hospital, Pretoria, Gauteng
JOURNAL PUBLICATION | Published in Open Journal of Respiratory Diseases, this study found that oxygen therapy prescriptions in a South African hospital were frequently incomplete, with only 27% of patients having a prescription.
August 2022
By: E.A. Akazie, Matthew J. Mpe
Augmenting Oxygen Management Capacity through Upskilling—A Success Story from Lok Nayak Jai Prakash Hospital, New Delhi
INFORMATION BRIEF | This success story highlights the importance of upskilling and capacity strengthening of internal technicians and healthcare service providers within a hospital in India.
July 2022
By: Reaching Impact, Saturation, and Epidemic Control (RISE) project
Nishtha: Compendium of Case Studies on Oxygen Systems in India
INFORMATION BRIEF | This compendium is a compilation of six case studies on ramping up of oxygen infrastructure and overall oxygen ecosystem strengthening in India.
July 2022
By: PATH, Nishtha, Jhpiego
The Clinical Predictors of Hypoxaemia in Children with WHO Defined Pneumonia Aged 2 Months to 59 Months
JOURNAL PUBLICATION | Published in SAS Journal of Medicine, this study determines the clinical predictors of hypoxemia in children with WHO defined pneumonia aged 2 to 59 months in a Bangladeshi hospital.
July 2022
By: A.Z. Azad, S. Prodhan, Mariya Islam, S. Shormin, Rubel Biswas Chowdhury, A.R. Mondal
Achievement of Key Performance Indicators in Initial Assessment and Care of Injured Patients in Ghanaian Non-tertiary Hospitals: An Observational Study
JOURNAL PUBLICATION | Published in World Journal of Surgery, this study found that initial trauma assessments at Ghanaian hospitals were well performed, but key evaluations like oxygen saturation were frequently missed.
June 2022
By: Adam Gyedu, Emmanuel Quainoo, Emmanuel Nakua, Peter Donkor, Charles Mock
Tanzania’s National Medical Oxygen Scale-Up Plan
GOVERNMENT POLICY / STRATEGY | This plan aims to ensure availability, accessibility, and affordability of quality medical oxygen therapy to meet universal health coverage in the country.
June 2022
By: Tanzania Ministry of Health, Community Development, Gender, Elderly and Children
Silent Hypoxia in Coronavirus Disease-2019: Is it More Dangerous? A Retrospective Cohort Study
JOURNAL PUBLICATION | Published in Lung India, this retrospective study looked at the presence of hypoxia without dyspnea in patients with SARS-CoV-2 infection.
May 2022
By: Prashant Sirohiya, Arunmozhimaran Elavarasi, Hari Krishna Raju Sagiraju, Nishkarsh Gupta, Rohit Kumar Garg, Saurav Sekhar Paul, Brajesh Kumar Ratre, Ram Singh, Balbir Kumar, Saurabh Vig, Anuja Pandit, Abhishek Kumar, Rakesh Garg, Ved Prakash Meena, Saurabh Mittal, Saurabh Pahuja, Nupur Das, Tanima Dwivedi, Ritu Gupta, Sunil Kumar, Manisha Pandey, Abhinav Mishra, Karanvir Singh Matharoo, Anant Mohan, Randeep Guleria, Sushma Bhatnagar
The Intersection of Age, Sex, Race, and Socioeconomic Status in COVID-19 Hospital Admissions and Deaths in South Africa
JOURNAL PUBLICATION | Published in the South African Journal of Science, this study aimed to compare demographic characteristics and trends in SARS-CoV-2 admissions and the health care they received in South Africa.
May 2022
By: Waasila Jassat, Lovelyn Ozougwu, Shehnaz Munshi, Caroline Vika, Tracy Arendse, Maureen Masha, Richard Welch, Nevashan Govender, Joy Ebonwu, Michelle Groome, Andre Joseph, Shabir Ahmed Madhi, Cheryl Cohen, Lucille Blumberg
Standards of Inpatient Care during Acute Exacerbation of COPD in a Tertiary Care Hospital, Karachi, Pakistan
JOURNAL PUBLICATION | Published in the Rawal Medical Journal, this study evaluates the quality of care of patients with acute exacerbation of COPD and the change in practice after educational program and recommendations.
April 2022
By: Saima Akhter, Sadhna Priya, Naseem Ahmed, Nadeem Rizvi
Success and Time Implications of SpO2 Measurement through Pulse Oximetry among Hospitalised Children in Rural Bangladesh: Variability by Various Device-, Provider- and Patient-Related Factors
JOURNAL PUBLICATION | Published in Journal of Global Health, this study assessed pulse oximetry performance of different types of assessors in inpatient settings after an update to the existing IMCI package in Bangladesh.
April 2022
By: Ahmed Ehsanur Rahman, Shafiqul Ameen, Sabrina Jabeen, Tamanna Majid, Azim Uddin Afm, Tania Sultana Tanwi, Goutom Banik, Md Ziaul Haque Shaikh, Md Jahurul Islam, Sabina Ashrafee, Husam Muhammad Shah Alam, Ashfia Saberin, Ehtesham Kabir Anm, Sabbir Ahmed, Mahbuba Khan, Anisuddin Ahmed, Qazi Rahman, Mohammod Jobayer Chisti, Steve Cunningham, Muhammad Shariful Islam, David H. Dockrell, Harish Nair, Shams El Arifeen, Harry Campbell
Review on People’s Trust on Home Use Medical Devices during COVID‑19 Pandemic in India
JOURNAL PUBLICATION | Published in Health and Technology, this article aims to create awareness about commonly used medical devices during the COVID-19 pandemic and to survey trust in home usable devices in India.
February 2022
By: Garima Saini, Vikas Budhwar, Manjusha Choudhary
The Alarm Burden of Excess Continuous Pulse Oximetry Monitoring Among Patients with Bronchiolitis
JOURNAL PUBLICATION | Published in Journal of Hospital Medicine, this study examined continuous pulse oximetry monitoring of hospitalized infants with bronchiolitis who are not receiving supplemental oxygen.
December 2021
By: Irit Rasooly, Spandana Makeneni, Amina Khan, Naveen Muthu, Christopher Bonafide
World Bank-Oxygen Management in Kerala. What Made the State Oxygen Positive?
INFORMATION BRIEF | Kerala’s ability to treat COVID-19 is a result of the timely steps taken to strengthen its medical oxygen capacities. Their experience offers valuable insights into building a strong oxygen system.
October 2021
By: PATH
Madagascar’s National Strategic Plan for Oxygen Therapy (2021-2023)
GOVERNMENT POLICY / STRATEGY | This strategic plan for oxygen therapy aims to achieve 100% oxygen coverage at each level of the health system in Madagascar, through autonomy of oxygen production at the regional level.
September 2021
By: Madagascar Ministry of Public Health
Using a Human-Centred Design Approach to Develop a Comprehensive Newborn Monitoring Chart for Inpatient Care in Kenya
JOURNAL PUBLICATION | Published in BMC Health Services Research, this article describes the approach to co-design a newborn monitoring chart in Kenya using human-centered design, as a means to reduce neonatal mortality.
September 2021
By: Naomi Muinga, Chris Paton, Edith Gicheha, Ibukun-Oluwa Omolade Abejirinde, Lenka Benova, Mike English, Marjolein Zweekhorst
Improving Access to Marginalized Population—A Case Study of Little Flower Leprosy Hospital, Bihar
INFORMATION BRIEF | This document outlines the case of Little Flower Leprosy Hospital located in Bihar, the challenges it faced during COVID-19, the support extended by PATH, and learnings for the future.
August 2021
By: PATH
Neonatal Mortality in Kenyan Hospitals: A Multisite, Retrospective, Cohort Study
JOURNAL PUBLICATION | Published in BMJ Global Health, this study analyzes neonatal mortality in Kenyan hospitals, identifying major risk factors and calling for improved prenatal and neonatal care to reduce mortality.
May 2021
By: Grace Irimu, Jalemba Aluvaala, Lucas Malla, Morris Ogero, George Mbevi, Mary Waiyego, Caroline Mwangi, Fred Were, David Gathara, Ambrose Agweyu, Samuel Akech, Mike English
Situational Analysis of Management of Childhood Diarrhea and Pneumonia in 13 District Hospitals in India
JOURNAL PUBLICATION | Published in Indian Pediatrics, this study generated evidence on the current situation of hospital care for managing children presenting with diarrhea and pneumonia at 13 district hospitals in India.
April 2021
By: Harish Kumar, Ashfaq Ahmed Bhat, Varun Alwadhi, Rajat Khanna, Sutapa B. Neogi, Ajay Khera, Sila Deb
A Feasibility Study Evaluating a Reservoir Storage System for Continuous Oxygen Delivery for Children with Hypoxemia in Kenya
JOURNAL PUBLICATION | Published in BMC Pulmonary Medicine, this study evaluated a medium pressure reservoir (MPR) system for continuous oxygen delivery in Kenyan pediatric wards.
March 2021
By: Dickson Otiangala, Nicholas Agai, Bernard Olayo, Steve Adudans, Chin Hei Ng, Ryan Calderon, Ella Forgie, Christine Bachman, Daniel Lieberman, David Bell, Michael Hawkes, Akos Somoskovi
Systemic Oxygen Utilization in Severe COVID-19 Respiratory Failure: A Case Series
JOURNAL PUBLICATION | Published in the Indian Journal of Critical Care Medicine, the objective of this study was to examine systemic oxygen utilization in a case series of patients with this disease.
February 2021
By: Rajeev K. Garg, Tara Kimbrough, Wajahat Lodhi
Utilization Cost of Maternity Services for Childbirth among Pregnant Women with Coronavirus Disease 2019 in Nigeria’s Epicenter
JOURNAL PUBLICATION | Published in the International Journal of Gynaecology and Obstetrics, this study estimates utilization costs of spontaneous vaginal delivery and cesarean delivery for pregnant women with COVID-19 in Nigeria.
February 2021
By: Aduragbemi Banke-Thomas, Christian Chigozie Makwe, Mobolanle Balogun, Theresa Amaogechukwu Alex-Nwangwu, Charles Anawo Ameh
Rural Healthcare Workers’ Views on the Introduction of Solar Power and Oxygen Concentrators in Health Facilities in Papua New Guinea: A Qualitative Study
JOURNAL PUBLICATION | Published in Tropical Doctor, this study explored the views of rural health workers in Papua New Guinea on the impact of a program to improve their oxygen delivery systems.
January 2021
By: Francis Pulsan, Trevor Duke, John D. Vince
The Development and Implementation of An Oxygen Treatment Solution for Health Facilities in Low- and Middle-Income Countries
JOURNAL PUBLICATION | Published in the Journal of Global Health, this study describes the development and field testing of two oxygen supply solutions suitable for the realities of health facilities in LMICs.
December 2020
By: Stephen Howie, Bernard E. Ebruke, Mireia Gil, Beverly Bradley, Ebrima Nyassi, Sainimere Boladuadua, Senimili Rasili, Eric Rafai, Grant Mackenzie, Yu-Ling Cheng, David Peel, Joan Vives-Tomas, Syed M.A. Zaman
Tackling the COVID-19 Pandemic: The Bangladesh Perspective
JOURNAL PUBLICATION | Published in Journal of Public Health Response, this study describes the response of Bangladesh to tackle the COVID-19 pandemic, particularly given its limited resources.
October 2020
By: Md Taimur Islam, Anup Kumar Talukder, Md Nurealam Siddiqui, Tofazzal Islam
The Impact of COVID-19 on South-East Asia
REPORT | This policy brief examines how the eleven countries of South-East Asia are coping with the immediate impacts of COVID-19 and provides four sets of recommendations for a resilient recovery.
July 2020
By: United Nations
The Burden and Risks of Pediatric Pneumonia in Nigeria: A Desk‐Based Review of Existing Literature and Data
JOURNAL PUBLICATION | Published in Pediatrics Pulmonology, the study aimed to quantify the regional burden and risks of pediatric pneumonia in Nigeria, and specifically the states of Lagos and Jigawa.
June 2020
By: Agnese Iuliano, Zeus Aranda, Tim Colbourn, Imaria Agwai, Solomon Bahiru, Ayobami A. Bakare, Rochelle Ann Burgess, Christine Cassar, Funmilayo Shittu, Hamish Graham, Adamu Isah, Eric D. McCollum, Adegoke G. Falade, Carina King
Situation Analysis of Inpatient Care of Newborns and Young Infants in Rwanda
REPORT | Rwanda’s Ministry of Health conducted a situation analysis of inpatient care of newborns and young infants to identify gaps within the continuum of care.
April 2020
By: Rwanda Ministry of Health
Status of Oxygen Monitoring in Four Selected Special Care Newborn Units in India
JOURNAL PUBLICATION | Published in Indian Pediatrics, this study aimed to investigate the status of oxygen monitoring in special newborn care units delivering a model program for retinopathy of prematurity.
April 2020
By: Shalinder Sabherwal, Clare Gilbert, Allen Foster, Praveen Kumar
The Prevalence and Outcomes of Sepsis in Adult Patients in Two Hospitals in Malawi
JOURNAL PUBLICATION | Published in the American Journal of Tropical Medicine and Hygiene, this study determines in-hospital prevalence and outcomes of sepsis in two hospitals in Malawi.
April 2020
By: Raphael K. Kayambankadzanja, Carl Otto Schell, Felix Namboya, Grace Banda-Katha, Samson Kwazizira Mndolo, Andy Bauleni, Markus Castegren, Tim Baker
The Epidemiology of Hypoxemic Pneumonia among Young Infants in Malawi
JOURNAL PUBLICATION | Published in the American Journal of Tropical Medicine and Hygiene, this retrospective analysis of a prospective cohort study investigates infants participating in pneumonia surveillance in Malawi.
March 2020
By: Shubhada Hooli, Carina King, Beatiwel Zadutsa, Bejoy Nambiar, Charles Makwenda, Gibson Masache, Norman Lufesi, Charles Mwansambo, Lucas Malla, Anthony Costello, Tim Colbourn, Eric D. McCollum
The “Just Right” Amount of Oxygen: Improving Oxygen Use in a Rwandan Emergency Department
JOURNAL PUBLICATION | Published in Annals of the American Thoracic Society, this study determines if some oxygen overuse in a Rwandan emergency department might coexist with oxygen shortages and underuse for other patients.
September 2019
By: Tori Sutherland, Victor Moriau, Joseph M. Niyonzima, Lise Kabeja, Theogene Twagirumugabe, Noah Rosenberg, Olivier F. Umuhire, Daniel S. Talmor, Elisabeth D. Riviello
Acute Oxygen Therapy on Hospital Wards in Low Middle-Income Country: Experience from a Referral Centre in Ilorin, Nigeria
JOURNAL PUBLICATION | Published in West African Journal of Medicine, this study found that acute oxygen administration in a Nigerian hospital was often inadequate, with only 40.7% of prescriptions meeting documentation standards.
May 2019
By: Olufemi Desalu, Olanrewaju Oyedepo, Olutobi Ojuawo, Rasheedat Ibraheem, Adeniyi Aladesanmi, Zakari Suleiman, Christopher Opeyemi, Kikelomo Adesina, Emmanuel Sanya, Kazeem Salami
Approaching Quality Improvement at Scale: A Learning Health System Approach in Kenya
JOURNAL PUBLICATION | Published in Archives of Disease in Childhood, this study introduces the Clinical Information Network in Kenya, which applies a Learning Health System model to enhance pediatric care in county hospitals.
November 2018
By: Grace Irimu, Morris Ogero, George Mbevi, Ambrose Agweyu, Samuel Akech, Thomas Julius, Rachel Nyamai, David Githang’a, Philip Ayieko, Mike English
A Nationwide Assessment of Pediatric Surgical Capacity in Mongolia
JOURNAL PUBLICATION | Published in World Journal of Surgery, this study assessed pediatric surgical capacity in Mongolia, revealing that only 33.3% have pediatric surgeons and many lack essential equipment.
October 2018
By: Laura Goodman, Erdenetsetseg Chuluun, Burmaa Sanjaa, Sanchin Urjin, Sarnai Erdene, Narantuya Khad, Adiyasuren Jamiyanjav, Jacob Stephenson, Diana Farmer
Severe Outcomes Associated with Respiratory Viruses in Newborns and Infants: A Prospective Viral Surveillance Study in Jordan
JOURNAL PUBLICATION | Published in BMJ Open, this study assesses virus-specific hospitalization rates, risk factors for illness severity, and seasonal trends in children hospitalized with acute respiratory infections in Jordan.
May 2018
By: Najwa Khuri-Bulos, Lindsey Lawrence, Bhinnata Piya, Li Wang, Christopher Fonnesbeck, Samir Faouri, Asem Shehabi, Sten Vermund, John Williams, Natasha Halasa
The Effect of Implementation Strength of Basic Emergency Obstetric and Newborn Care (BEmONC) on Facility Deliveries and the Met Need for BEmONC at the Primary Health Care Level in Ethiopia
JOURNAL PUBLICATION | Published in BMC Pregnancy and Childbirth, this study examined the impact of a package of interventions to 134 health centers, covering 91 rural districts of Ethiopia.
May 2018
By: Gizachew Tadele Tiruneh, Ali Mehryar Karim, Bilal Iqbal Avan, Tewabech Gebrekiristos Wereta, Deepthi Wickremasinghe, Zinar Nebi Keweti, Zewditu Kebede, Wuleta Aklilu Betemariam
A Pediatric Death Audit in a Large Referral Hospital in Malawi
JOURNAL PUBLICATION | Published in BMC Pediatrics, this study audited pediatric deaths at a Malawian hospital, finding that 44% occurred within 24 hrs and were due to malaria, malnutrition, HIV-related illnesses, and sepsis.
February 2018
By: Elizabeth Fitzgerald, Rachel Mlotha-Mitole, Emily Ciccone, Alyssa Tilly, Jennie Montijo, Hans-Joerg Lang, Michelle Eckerle
Effect on Pediatric Hospital Mortality of a Multifaceted Intervention to Improve the Quality of Hospital Care for Children in Rwanda: A Time Series Analysis
JOURNAL PUBLICATION | Published in Pediatrics, this study demonstrates that the ETAT+ intervention significantly reduced hospital mortality among children under five in Rwanda.
January 2018
By: Celestin Hategeka, Lisine Tuyiseng, Michael Law
Safe Surgery for All: Early Lessons from Implementing a National Government-Driven Surgical Plan in Ethiopia
JOURNAL PUBLICATION | Published in World Journal of Surgery, this article describes surgical system reform by the Ethiopian Federal Ministry of Health and the preliminary results of implementation of the SaLTS program.
December 2017
By: Daniel Burssa, Atlibachew Teshome, Katherine Iverson, Olivia Ahearn, Tigistu Ashengo, David Barash, Erin Barringer, Isabelle Citron, Kaya Garringer, Victoria McKitrick, John Gerard Meara, Abraham Mengistu, Swagoto Mukhopadhyay, Cheri Reynolds, Mark Shrime, Asha Varghese, Samson Esseye, Abebe Bekele
Tachypnea and Other Danger Signs vs Pulse Oximetry for Prediction of Hypoxia in Severe Pneumonia/Very Severe Disease
JOURNAL PUBLICATION | Published in Indian Pediatrics, this study compared the performance of respiratory rate and other clinical signs against pulse oximetry for predicting hypoxia in children as per IMNCI classification.
September 2017
By: Varun Alwadhi, Pooja Dewan, Rajeev Kumar, Piyush Gupta
Severity of Pneumonia in Under 5-Year-Old Children from Developing Countries: A Multicenter, Prospective, Observational Study
JOURNAL PUBLICATION | Published in The American Journal of Tropical Medicine and Hygiene, this study aimed to evaluate the microbiological agents linked with hypoxemia in hospitalized children with pneumonia from developing countries.
July 2017
By: Thomas Bénet, Valentina Sanchez Picot, Shally Awasthi, Ashish Bavdekar, Anand Kawade, Annick Robinson, Mala Rakoto-Andrianarivelo, Maryam Sylla, Souleymane Diallo, Graciela Russomando, Wilma Basualdo, Florence Komurian-Pradel, Hubert Endtz, Philippe Vanhems, Gláucia Paranhos-Baccalà
A Prospective Registry Evaluating the Epidemiology and Clinical Care of Traumatic Brain Injury Patients Presenting to a Regional Referral Hospital in Moshi, Tanzania: Challenges and the Way Forward
JOURNAL PUBLICATION | Published in International Journal of Injury Control and Safety Promotion, this study assessed traumatic brain injury care in Tanzania, revealing high mortality among severe patients due to limited interventions.
March 2017
By: Catherine Staton, Daniel Msilanga, George Kiwango, Joao Ricardo Vissoci, Luciano de Andrade, Rebecca Lester, Michael Hocker, Charles Gerardo, Mark Mvungi
Standard of Inpatient Care during Exacerbation in Territory Care Hospital, Pakistan; A Completed Audit Cycle
JOURNAL PUBLICATION | Published in The European Respiratory Journal, this study evaluated the quality of care of patients with acute exacerbation of COPD and evaluated the change in practice after an educational program.
September 2016
By: Saima Akhter, Nadeem Rizvi, Shaista Ghazal
A Cross-Sectional Survey of Emergency and Essential Surgical Care Capacity among Hospitals with High Trauma Burden in a Central African Country
JOURNAL PUBLICATION | Published in BMC Health Services Research, this study assessed emergency and essential surgical care capacity across 12 hospitals in Cameroon, revealing shortages in infrastructure, trained personnel, and equipment.
October 2015
By: Marquise Kouo-Ngamby, Fanny Dissak-Delon, Isabelle Feldhaus, Catherine Juillard, Kent Stevens, Martin Ekeke Monono
Adherence with National Guidelines in Hospitalized Patients with Community-Acquired Pneumonia: Results from the Capo Study in Venezuela
JOURNAL PUBLICATION | Published in Archivos de Bronconeumología, this study found that while empiric antibiotic therapy for hospitalized CAP patients in Venezuela was timely, adherence to other national guidelines was low.
April 2015
By: Gur Levy, Mario Perez, Benito Rodríguez, Ana Hernández Voth, Jorge Perez, Martin Gnoni, Robert Kelley, Timothy Wiemken, Julio Ramirez
Uganda Hospital and Health Centre Iv Census Survey 2014
REPORT | This Service Availability and Readiness Assessment (SARA) in 2014 provides reliable information on health service availability and readiness to support efforts to improve service delivery in Uganda.
June 2014
By: Uganda Ministry of Health, World Health Organization (WHO)
A Cross-Sectional Survey of Essential Surgical Capacity in Somalia
JOURNAL PUBLICATION | Published in BMJ Open, this study assessed emergency and essential surgical capacity across 14 health facilities in Somalia, revealing severe shortages in infrastructure, trained personnel, and essential equipment.
May 2014
By: Natalie Elkheir, Akshay Sharma, Meena Cherian, Omar Abdelrahman Saleh, Marthe Everard, Ghulam Rabani Popal, Abdi Awad Ibrahim
The Quality of Pre-Hospital Oxygen Therapy in Patients with Multiple Trauma: A Cross-Sectional Study
JOURNAL PUBLICATION | Published in Red Crescent Medical Journal, this study investigated the quality of pre-hospital oxygen therapy in patients with multiple traumas in Shahid Beheshti Medical Center, Kashan, Iran.
March 2014
By: Mohsen Adib-Hajbaghery, Farzaneh Maghaminejad, Mohammad Paravar
Accuracy of Pulse Oximetry in Children
JOURNAL PUBLICATION | Published in Pediatrics, this study found that pulse oximetry overestimates arterial oxygen saturation (SaO₂) in children, particularly in the hypoxemic range (76%-90%).
January 2014
By: Patrick Ross, Christopher Newth, Robinder Khemani
A Quantitative Analysis of Surgical Capacity in Santa Cruz, Bolivia
JOURNAL PUBLICATION | Published in Journal of Surgical Research, this study found significant disparities in surgical capacity between urban and rural areas in Santa Cruz, Bolivia.
November 2013
By: Abraham Markin, Roxana Barbero, Jeffrey Leow, Reinou Groen, Evan Skow, Keith Apelgren, Benedict Nwomeh
Uganda Service Availability and Readiness Assessment (SARA) 2012
REPORT | This Service Availability and Readiness Assessment (SARA) from 2012 assists the health sector in assessing and monitoring service readiness and capacity at district and health facility levels.
January 2013
By: Uganda Ministry of Health, World Health Organization (WHO)
A Rapid Assessment of the Quality of Neonatal Healthcare in Kilimanjaro Region, Northeast Tanzania
JOURNAL PUBLICATION | Published in BMC Pediatrics, this study found severe deficiencies in neonatal care across 13 Tanzanian health facilities, including poor documentation, lack of premature care units, and frequent medication dosing errors.
November 2012
By: Bernard Mbwele, Elizabeth Reddy, Hugh Reyburn
The Effect of Staff and Community Education on Oxygen Uptake by Paediatric Patients in a Rural Hospital in Malawi
JOURNAL PUBLICATION | Published in Archives of Childhood Disease, this study assessed the impact of a twofold brief education intervention on the use of oxygen therapy at a rural hospital in Southern Malawi.
May 2012
By: Christopher Edwards
The Quality of the Maternal Health System in Eritrea
JOURNAL PUBLICATION | Published in International Journal of Gynaecology and Obstetrics, this study examined the quality of the maternal health system in Eritrea to understand system deficiencies and its relevance to maternal mortality.
December 2011
By: Mona Sharan, Saifuddin Ahmed, Mismay Ghebrehiwet
Rwandan Surgical and Anesthesia Infrastructure: A Survey of District Hospitals
JOURNAL PUBLICATION | Published in the World Journal of Surgery, this survey assessed surgical and anesthesia infrastructure in Rwanda as part of a larger study examining low-income African countries.
August 2011
By: Michelle Notrica, Lisa Knowlton, K.A. Kelly McQueen
The Functioning of Oxygen Concentrators in Resource-Limited Settings: A Situation Assessment in Two Countries
JOURNAL PUBLICATION | Published in the International Journal of Tuberculosis and Lung Disease, the study describes oxygen concentrator functioning in Malawi and Mongolia as a primary source of oxygen treatment for children.
May 2011
By: Sophie La Vincente, David Peel, Susanne Carai, Martin Weber, Penny Enarson, Ellubey Maganga, Gochoo Soyolgerel, Trevor Duke
The Impact of Increasing Oximetry Usage in India: A Pilot Study
JOURNAL PUBLICATION | Published in Indian Journal of Anaesthesia, this paper reports on pilot work undertaken in four hospitals in one Indian State to increase patient safety during anesthesia and surgery.
May 2011
By: Gretl A. McHugh, Brian J. Pollard, Sarla Hooda, Gavin M. Thoms
Accuracy of Symptoms and Signs in Predicting Hypoxaemia among Young Children with Acute Respiratory Infection: A Meta-Analysis
JOURNAL PUBLICATION | Published in International Journal of Tuberculosis and Lung Disease, this meta-analysis found that clinical symptoms alone are unreliable for predicting hypoxemia in children with acute respiratory infections.
March 2011
By: Linjie Zhang, Raul Mendoza-Sassi, José C. H. Santos, Joseph Lau
Summary of the Consultation on a Strategy for Services for Chronic Obstructive Pulmonary Disease (COPD) in England
JOURNAL PUBLICATION | Published in Primary Care Respiratory Journal, the Strategy for Services for Chronic Obstructive Pulmonary Disease (COPD) in England outlines service standards for providers of COPD care.
November 2010
By: Rupert Jones, Kevin Gruffydd-Jones, Hilary Pinnock, Judith Lawrence, Jane Scullion, Patrick White, Steve Holmes
Oxygen for Treatment of Severe Pneumonia in The Gambia, West Africa: A Situational Analysis
JOURNAL PUBLICATION | Published in The International Journal of Tuberculosis and Lung Disease, this study assessed national oxygen availability and use in 12 health facilities in The Gambia.
May 2009
By: Sarah Hill, Ousman Njie, Momodou Sanneh, Mariatou Jallow, David Peel, Malick Njie, Martin Weber, Philip Hill, Richard A. Adegbola, Stephen Howie
Rwanda Service Provision Assessment Survey 2007
REPORT | The 2007 Rwanda Service Provision Assessment (RSPA) assessed the strengths and weaknesses of the infrastructure and systems supporting health services in the country.
September 2008
By: Rwanda Ministry of Health, Demographic and Health Surveys (DHS) program
Clinical Assessment and Treatment in Paediatric Wards in the North-East of the United Republic of Tanzania
JOURNAL PUBLICATION | Published in Bulletin of the World Health Organization, a study in north-east Tanzania found poor clinical assessment practices in pediatric wards.
February 2008
By: Hugh Reyburn, Emmanuel Mwakasungula, Semkini Chonya, Ib Bygbjerg, Anja Poulsen, Raimos Olomi
The Thai Anesthesia Incidents Study (Thai Study) of Anesthetic Outcomes: Anesthetic Profiles and Adverse Events
JOURNAL PUBLICATION | Published in the Journal of the Medical Association of Thailand, the purpose of this study was to survey patients, surgical, anesthetic profiles, and determine factors related to adverse events.
November 2005
By: Somrat Charuluxananan, Yodying Punjasawadwong, Suwannee Suraseranivongse, Oranuch Kyokong, Thitima Chinachoti, Thavat Chanchayanon, Mali Rungreungvanich, Somboon Thienthong, Chomchaba Sirinan, Oraluxna Rodanant
A Randomized Trial of Strategies for Assessing Eligibility for Long-Term Domiciliary Oxygen Therapy
JOURNAL PUBLICATION | Published in American Journal of Respiratory and Critical Care Medicine, this study found reassessing domiciliary oxygen therapy applicants after two months reduced overall oxygen use without affecting patient outcomes.
September 2005
By: Gordon Guyatt, Mika Nonoyama, Christina Lacchetti, Ron Goeree, Douglas McKim, Diane Heels-Ansdell, Roger Goldstein
The Cost of Breathing: An Economic Analysis of the Patient Cost of Home Oxygen Therapy
JOURNAL PUBLICATION | Published in the American Journal of Hospice and Palliative Care, this study presents a brief analysis of the cost of operating an oxygen concentrator from the perspective of the patient.
October 2004
By: Gary M. Reisfield, George R. Wilson
The Oxygen Concentrator: An Appropriate Technology for Treating Hypoxaemic Children in Developing Countries
JOURNAL PUBLICATION | Published in the International Journal for Tuberculosis and Lung Disease, this study explored the use of oxygen concentrators compared to cylinders to treat children in a hospital in Ndioum, Senegal.
September 2004
By: Antoine Perrelet, Jean-Pierre Zellweger, Ibrahima Talla, Youssou Ndiaye, Emanuel Gautier, Mario Gehri
The Oxygen Concentrator is a Reasonable Alternative to Oxygen Cylinders in Nepal
JOURNAL PUBLICATION | Published in the Canadian Journal of Anaesthesia, this study aims to review the efficacy and reliability of oxygen concentrators used over the last six years in Nepal.
January 2002
By: Bisharad M. Shrestha, Birendra B. Singh, Madhav P. Gautam
Situation Analysis of Obstetric Care Services in a Rural District in Zimbabwe
JOURNAL PUBLICATION | Published in the Central African Journal of Medicine, this study aimed to conduct a situation analysis of obstetric services in a rural district of Zimbabwe.
June 2000
By: Rose A. Kambarami, Mike Chirenje, Simbarashe Rusakaniko