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.
TOOL | Africa Medical Supplies Platform enables the discovery, payment, and fulfillment of critical medical equipment by authorized African government entities to help fight the COVID-19 pandemic.
REPOSITORY / TOOLKIT | AFEM’s resources are Africa-specific for clinical, nursing, and pre-hospital emergency care.
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.
COURSE / TRAINING VIDEO | In this course, biomedical engineers with a strong background in biomedical engineering or electronics will be given a refresher on oxygen concentrators.
REPOSITORY / TOOLKIT | The Biomedical Equipment Technician (BMET) Library is a free library containing resources for the repair, maintenance and operation of medical equipment.
COURSE / TRAINING VIDEO | This course covers crucial factors that determine oxygenation of blood in the lungs and oxygen transport and delivery to peripheral tissues.
ARTICLE | Project Boxer is a Global Fund initiative that provides: advice on country oxygen needs, support to local and central procurement and installation, and technical assistance in bulk oxygen production.
REPOSITORY / TOOLKIT | This suite of tools and resources focus on preventative and corrective maintenance and repair of pressure swing adsorption (PSA) oxygen generation plants developed by Build Health International.
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.
DATA DASHBOARD | This data dashboard provides the most up-to-date data on COVID-19 cases and deaths as well as vaccination rates.
TOOL | This form allows organizations to report their donations for COVID-19.
DATA DASHBOARD | This dashboard provides an interactive tool for partners, manufacturers, and countries to follow the developments of COVID-19 vaccines, therapeutics, and the medical oxygen market.
DATA DASHBOARD | The solutions outlined on this website are centered around demand, supply, and matching sections around the problems associated with rising oxygen needs because of COVID-19.
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.
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.
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.
GUIDANCE | This guidance covers various clinical aspects of oxygen delivery, including patient assessment, indications for oxygen delivery, weaning, high- vs low-flow, etc.
PRESENTATION / WEBINAR | Open O2 and Sanrai invites technicians to join their weekly Concentrator Talk to train on how to repair concentrators, troubleshoot current problems, and give quick answers to pressing questions.
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.
GUIDANCE | This website provides the details for medical oxygen for the World Health Organization’s Essential Medicines List.
TOOL | This set of questions provides basic answers for the installation and maintenance of a PSA or VSA oxygen generation plant, including overall considerations for planning a PSA system.
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.
DATA DASHBOARD | The Global Health Expenditure Database (GHED) provides comparable data on health expenditure for 194 countries and territories since 2000 with open access to the public.
GUIDANCE | This dashboard illustrates visualizations, data, metadata, and related indicators on the number of biomedical engineers.
DATA DASHBOARD | The WHO Global Tuberculosis Programme works towards the goal of a world free of TB—data is reported by countries to WHO to estimate tuberculosis burden.
TOOL | The Health Facility Assessment (HFA) resources are systematically developed to assess service readiness for small and sick newborn care.
GUIDANCE | This webpage highlights World Health Organization guidance and resources on the use of medical oxygen.
TOOL | Published by the WHO, HeRAMS is designed to provide up-to-date information on health resources and services to support decision-making at various levels.
REPOSITORY / TOOLKIT | This website provides courses and other training materials on clinical engineering.
DATA DASHBOARD | The Global Burden of Disease (GBD) is a tool that provides a comprehensive picture of mortality and disability across countries, time, age, and sex, including those requiring respiratory care.
REPOSITORY / TOOLKIT | This toolkit brings together knowledge, experiences, resources, and learnings for implementing small and sick newborn care services.
COURSE / TRAINING VIDEO | This course covers the history, development, and clinical application of pulse oximetry; how a pulse oximeter works; why it is critical to monitor oxygenation saturation; and caveats of pulse oximetry.
COURSE / TRAINING VIDEO | This course provides healthcare providers with an understanding of the role of oxygen therapy in critical care.
REPOSITORY / TOOLKIT | This library provides different resources specific to oxygen equipment technicians.
DATA DASHBOARD | This data portal provides the most up-to-date global health data organized in the areas of maternal, newborn, child, and adolescent health and ageing.
COURSE / TRAINING VIDEO | This course covers everything you need to know about mechanical ventilation during your first night in the intensive care unit.
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.
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.
GUIDANCE | This website highlights critical information and resources on COVID-19 treatment and required oxygen equipment for principal recipients of The Global Fund.
DATA DASHBOARD | This National Medical Oxygen Grid (NMOG) is a cellphone-based app to help hospitals and health officials keep track of where medical oxygen is needed and where supplies are plentiful.
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.
MULTIMEDIA | This image library provides free images for educational purposes from Open Critical Care (OCC), including images of key critical and respiratory care equipment and supplies.
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.
DATA DASHBOARD | This website provides a set of data dashboards that provide real-time facility information for every district in India, including managing and monitoring demand and supply for oxygen.
TOOL | This resource provides a list of various makes and models of existing pulse oximeters.
TOOL | This list provides research study protocols to maximize accuracy, equity, and comparability of data collected by oximeter performance studies worldwide.
TOOL | Open Source Medical Supplies provides a curated open-source library and guidance to support local groups in effectively organizing fabrication and distribution efforts to meet the local demand for medical supplies.
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.
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.
TOOL | This website provides details on where and how the Oxygen Hub support countries in the production and distribution of affordable medical oxygen.
DATA DASHBOARD | The UNICEF Oxygen Market Dashboard showcases information on the global medical oxygen market.
TOOL | UNICEF worked with industry to rapidly develop an innovative emergency solution: the Oxygen Plant-in-a-Box—a fully functional pressure swing adsorption (PSA) oxygen plant.
TOOL | This website provides the oxygen technology from Fritz Stephan GmbH – tailor-made ventilation solutions for premature infants, children, and adults.
TOOL | This tool provides a calculator to estimate oxygen demand based on oxygen source, total supply and usage, and patient needs.
TOOL | These web-based applications by the WHO currently consist of a package of six different tools that estimate oxygen need gaps, related costs, and other performance metrics for oxygen.
PRESENTATION / WEBINAR | The Oxygen Talk is where the Oxygen Alliance invites experts to come and speak about an oxygen-related topic.
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.
TOOL | The PIPES (Personnel, Infrastructure, Procedures, Equipment and Supplies) survey assesses gaps in the availability of essential and emergency surgical care at resource constrained health facilities.
TOOL | The PIPES (Personnel, Infrastructure, Procedures, Equipment and Supplies) survey assesses gaps in the availability of essential and emergency surgical care at resource constrained health facilities.
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.
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.
GUIDANCE | This webpage provides an overview, targets and indicators, progress and other information on the 3rd Sustainable Development Goal – Ensure healthy lives and promote well-being for all at all ages.
COURSE / TRAINING VIDEO | This short, intermediate-level course is for frontline health workers caring for patients with suspected or confirmed seasonal influenza infection.
TOOL | The Service Provision Assessment (SPA) is a health facility survey that collects information on service availability and Quality of Care (QoC) measures within a country’s health system.
REPOSITORY / TOOLKIT | This resource library brings together new 2019 novel coronavirus disease (COVID-19) content from across the Lancet journals as it is published.
DATA DASHBOARD | The NHWA data portal hosts global health workforce statistics data and provides users with six main functions of data analytics and visualizations.
TOOL | The OxBox device allows for rapid scaling up oxygen delivery capacity in low-resource settings by mitigating two main barriers: electricity and cost-effectiveness.
REPOSITORY / TOOLKIT | This oxygen library by the Oxygen Alliance includes videos, comprehensive service manuals, and other information on every oxygen concentrator the Alliance has analyzed in the past.
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.
TOOL | This assessment should be completed with input from healthcare providers with current, firsthand knowledge of the facility’s intensive care and oxygen infrastructure.
TOOL | UNICEF Procurement Services is a strategic programmatic and development platform that enables governments and other partners to leverage UNICEF’s procurement scale and expertise.
GUIDANCE | This webpage provides updates and resources from the World Health Organization related to universal health coverage.
TOOL | NASA’s Jet Propulsion Laboratory designed an FDA qualifiable ventilating device that can serve a targeted subset of the patient population suffering from acute respiratory distress syndrome caused by COVID-19.
REPOSITORY / TOOLKIT | The WHO Access to Oxygen Initiative provides technical and operational support to Member States on solutions to enable a resilient oxygen ecosystem.
DATA DASHBOARD | This dashboard provides real-time statistics on COVID-19, as reported to the World Health Organization.
DATA DASHBOARD | WHO invites stakeholders to contribute anonymized clinical COVID-19 data to the Global COVID-19 Clinical Data Platform—which will be used to inform the WHO COVID-19 clinical guidance.
DATA DASHBOARD | This indicator demonstrates the countries that have a national policy on the management of pneumonia among children.
TOOL | This World Health Organization assessment tool examines different components of surgery services, including existing infrastructure, service delivery, workforce, financing, and information management.
COURSE / TRAINING VIDEO | As part of the COVID-19 response, WHO developed a series of training videos for medical equipment related to oxygen therapy.
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.
TOOL | This factsheet outlines key information and resources for pursuing funding for medical oxygen and pulse oximetry through the Pandemic Fund.
JOURNAL PUBLICATION | Published in Public Health Action, this study assesses the electronic dashboard for oxygen monitoring and stockout prevention implemented during the COVID-19 pandemic across 12 hospitals in Lesotho.
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.
JOURNAL PUBLICATION | Published in British Journal of Anesthesia, this study hypothesized that color bias in pulse oximetry results from the optical properties of two LED sources typically used in commercial pulse oximeters.
TOOL | Open Oximetry has created a simple process to help build a custom pulse oximetry infographic.
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.
TOOL | Part of PATH’s Oxygen Delivery Toolkit, the primer provides data, messages, and resources to help understand the planning, policies, and technologies involved in oxygen delivery scale up.
TOOL | As part of PATH’s Oxygen Delivery Toolkit, these two tools are Excel-based resources that quantify the potential need and associated cost for oxygen and pulse oximeters.
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.
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.
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.
JOURNAL PUBLICATION | Published in The Lancet Global Health, this study describes reliable oxygen availability and functional availability in 39 low-income and middle-income countries and to compare across WHO subregions.
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.
JOURNAL PUBLICATION | Published in The Lancet Global Health, this paper urges WHO, governments, ministries of health, and funders to implement these 5 recommendations to strengthen the biomedical engineering profession.
JOURNAL PUBLICATION | Published in the Journal of Global Health, this paper presents concerted efforts that were undertaken to optimize the medical oxygen system in Cameroon to enhance patient care and reduce mortality.
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.
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.
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.
JOURNAL PUBLICATION | Published in The Lancet Global Health, this paper discusses how Ethiopia’s efforts to improve medical oxygen security can provide valuable insights for other LMICs.
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.
JOURNAL PUBLICATION | Published in The Lancet Global Health, this Comment highlights grassroots interventions that show the potential of local capacity to strengthen medical oxygen security in LMICs.
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.
JOURNAL PUBLICATION | Published in The Lancet Global Health, the paper emphasizes an urgent need for more investment in health systems and research to develop sustainable and safe access to medical oxygen.
JOURNAL PUBLICATION | Published in medRxiv, this study analyzed the frequency of missed opportunities for hospitalization of IMCI severe pneumonia cases under the AIRE project in Burkina Faso, Guinea, Mali, and Niger.
GUIDANCE | This guidance is intended to support the development of an actionable plan for medical oxygen scale up, which should follow a clear methodology and elements for continuous monitoring and evaluating.
JOURNAL PUBLICATION | Published in medRxiv, this study explores Peru’s challenges in ensuring reliable oxygen supplies, with a focus on those laid bare or exacerbated by the COVID-19 pandemic.
INFORMATION BRIEF | Published in The Lancet Global Health, this policy brief provides a high-level overview of the results of The Lancet Global Health Commission on Medical Oxygen Security.
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.
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.
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.
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.
JOURNAL PUBLICATION | There is a precedent: over recent decades, the pharmaceutical industry has increasingly recognized its pivotal role in global health and acknowledged the importance of expanding access to medicine globally.
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.
JOURNAL PUBLICATION | Published in The Lancet Global Health, this case study focuses on the incorporation and expansion of pulse oximetry within the Integrated Management of Childhood Illnesses (IMCI) programme in Bangladesh.
JOURNAL PUBLICATION | Published in The Lancet Global Health, this case study outlines a national medical oxygen grid in India, which aims to ensure high-quality medical oxygen supply in routine and surge scenarios.
JOURNAL PUBLICATION | Published in The Lancet Global Health, this case study focuses on the financing of medical oxygen in Malawi following the COVID-19 pandemic—describing achieved financing, key barriers, and successes.
JOURNAL PUBLICATION | Published in The Lancet Global Health, this case study focuses on the political environment surrounding medical oxygen in Nigeria, assessing the adoption of national policies at State and local levels.
JOURNAL PUBLICATION | Published in The Lancet Global Health, this case study focuses on the provision, access, and demand of oxygen to the ageing population of Sweden, particularly in home-based settings.
JOURNAL PUBLICATION | Published in The Lancet Global Health, this case study focuses on the current state of medical oxygen supply chain at multiple levels of the Ugandan health system.
JOURNAL PUBLICATION | Published in The Lancet Global Health, this review aimed to estimate hypoxemia prevalence for adults and children with acute illness attending health facilities in low-income and middle-income countries (LMICs).
JOURNAL PUBLICATION | Published in The Lancet Global Health, this study highlights a rapid assessment of oxygen systems through cross-sectional survey data across 39 LMICs in six WHO subregions.
JOURNAL PUBLICATION | Published in The Lancet Global Health, this article explores interventions that seem to work under some conditions but not others, specifically focusing on bubble CPAP for children with pneumonia.
JOURNAL PUBLICATION | Published in Annals of the American Thoracic Society, this article examines which patients require long-term oxygen therapy.
GUIDANCE | AUDA-NEPAD launched the 24-priority medical products list and an accompanying roadmap for regional manufacturing as practical steps toward achieving self-reliance in Africa.
JOURNAL PUBLICATION | Published in Sensors, this study sought to further investigate the root causes of overestimation of arterial oxygen saturation (SpO2) in individuals with darker skin.
JOURNAL PUBLICATION | Published in medRxiv, this randomized crossover trial evaluated the feasibility and preliminary effects of continuous automated oxygen titration in the homes of patients on long-term oxygen therapy for COPD.
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.
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.
ARTICLE | The U.S. Food and Drug Administration published new draft guidance aimed at helping improve the accuracy and performance of pulse oximeters across the range of skin pigmentation.
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.
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.
PRESENTATION / WEBINAR | Published by Masimo, this webinar explores the impact of skin pigmentation on pulse oximeter accuracy and introduces advanced technology solutions to improve readings across all skin tones.
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.
JOURNAL PUBLICATION | Published in Engineering and Technology Journal, this study aims to solve the problems of most aftermarket pulse oximeters by developing a cheap, durable, easy to operate, and enhanced reflectance option.
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.
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.
JOURNAL PUBLICATION | Published in Social Science and Medicine, this study aims to describe and analyze the social lives of medical oxygen and explore opportunities for oxygen justice.
JOURNAL PUBLICATION | Published in IEEE, this study investigates the impact of melanin concentration on the accuracy of oxygen saturation (SpO2) estimation using reflective photoplethysmography (PPG) measurements.
JOURNAL PUBLICATION | Published in Heart, this study aimed to compare standard manual oxygen administration with automated oxygen administration (AOA) using the O2matic device.
JOURNAL PUBLICATION | Published in Journal of Clinical Medicine, this study compares the quality of oxygenation from automated ventilation provided by INTELLiVENT-Adaptive Support Ventilation vs. ventilation that is not automated.
JOURNAL PUBLICATION | This paper proposes a conceptualization of a particular delivery model that takes a broader approach than the traditional oxygen procurement and delivery – ‘Outsourced Oxygen-to-the-Bedside’ (O2B).
JOURNAL PUBLICATION | Published in Pediatric Pulmonology, this study assesses families’ perceptions of consumer-grade oxygen saturation monitors, highlighting usage patterns and the need for education.
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.
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.
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.
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.
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.
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.
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.
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.
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.
GUIDANCE | The purpose of this document is to present a comprehensive package of technical specifications for medical oxygen system products and components: source, storage and distribution.
JOURNAL PUBLICATION | Published in Journal of Hospital Medicine, this study found that most continuous pulse oximetry monitoring in stable bronchiolitis patients was done without clinical justification.
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.
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.
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.
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.
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.
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.
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.
TOOL | This factsheet outlines critical questions and answers related to using medical gas piping systems to deliver medical oxygen.
REPORT | This investigation examined five innovative technical options spanning facility design, material, and component sourcing, and installation that could help alleviate barriers to install piping for medical oxygen.
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.
JOURNAL PUBLICATION | Published in Journal of Education and Health Promotion, this study assesses the knowledge, attitudes, and practices of resident doctors regarding oxygen therapy.
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.
JOURNAL PUBLICATION | Published in medRxiv, this study assesses household out-of-pocket costs for children under-5 receiving IMCI consultations in four African countries.
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.
JOURNAL PUBLICATION | Posted on medRxiv in 2024, the study reviewed the epidemiology, pathways, patterns of care, and Day-14 mortality of severe hypoxemic cases among children under 5 in West Africa.
TOOL | The Global Oxygen Alliance has developed this strategic framework and investment case as a resource in creating costed oxygen plans or making the case for investing in oxygen.
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.
REPORT | The WHO convened a meeting in Dakar, Senegal, from May 14 to 16, 2024 to produce a template for developing evidence-based, inclusive and costed national plans for oxygen scale up.
PRESENTATION / WEBINAR | Taking place on the sidelines of the World Health Summit, this event highlights the critical role of sustained financing and donor commitments in access to medical oxygen.
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.
MULTIMEDIA | This webpage describes four critical ways to sustain oxygen generation plants and ensure oxygen access for decades to come.
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.
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.
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.
JOURNAL PUBLICATION | Published in Lung India, this study determines normative values of SpO2 by pulse oximetry in apparently healthy children and to explore variation in oxygen saturation levels by age and gender.
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.
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.
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.
JOURNAL PUBLICATION | Published in Global Health: Science and Practice, this study analyzed Ethiopia’s PSA plant program, showing increased access but persistent challenges in affordability and hospital preparedness.
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.
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.
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.
REPORT | This report highlights significant advancements in oxygen production, distribution, and delivery, driven by the COVID-19 pandemic, which are crucial for improving health care in LMICs.
JOURNAL PUBLICATION | Published in Annals of the American Thoracic Society, this study aimed to quantify the association between potential risk factors and chronic hypoxemia among adults hospitalized in Kenya.
JOURNAL PUBLICATION | Published in Archives of Disease in Childhood, this study found that childhood severe pneumonia management costs were higher in urban tertiary-level facilities in Bangladesh.
GUIDANCE | This updated guidance on medical device donation includes new evidence, new references on considerations for medical device solicitation and provision, risks associated with inappropriate donations, etc.
JOURNAL PUBLICATION | Published in Nigerian Journal of Paediatrics, this study evaluates neonatal resuscitation practices in Nigerian primary and secondary health facilities, identifying gaps in equipment and training that hinder effective neonatal care.
TOOL | This website provides an overview of the components of a pressure swing adsorption (PSA) plant, the types of PSA plants and their delivery as well as configuration options.
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.
INFORMATION BRIEF | This brief provides an overview of program-based budgeting and associated performance frameworks, and advice on choosing oxygen-related indicators to include in program-based budgets.
JOURNAL PUBLICATION | Published in the Pan African Medical Journal, this paper examines the current challenges and advancements in the oxygen supply chain within LMICs, focusing on availability, infrastructure, and usage.
INFORMATION BRIEF | This summary provides an overview of the Global Oxygen Alliance (GO2AL)’s Strategy, its five key objectives, its governance, and what is needed to close the oxygen gap.
GUIDANCE | The Procurement Manual is intended to provide operational guidance on procurement policies and procedures in the various stages of the procurement actions conducted by the United Nations.
ARTICLE | The first-ever WHO Road to Oxygen Access meeting concluded on 16 May 2024 in Dakar, Senegal -marking a significant milestone in achieving universal access to medical oxygen.
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.
JOURNAL PUBLICATION | Published in The Lancet, this article presents global mortality and life expectancy data from 1950 to 2021, highlighting the impact of COVID-19 on population health.
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.
ARTICLE | MSF-supported South Hospital in Sudan, has received hundreds of casualties since an escalation of fighting on 10 May. MSF’s deputy medical coordinator describes the dire situation on the ground.
TOOL | As part of PATH’s Oxygen Delivery Toolkit, this primer is a summary of resources to stakeholders understand the planning, policies, and technologies involved in pulse oximetry scale-up.
ARTICLE | UNICEF has handed over Nigeria’s first fully solar-powered pressure swing adsorption oxygen plant to the Jericho Specialist Hospital, Ibadan in Oyo State.
REPORT | This interim report reviewed USAID oxygen programs in Côte d’Ivoire, the Democratic Republic of the Congo, Ghana, Malawi, Mozambique, and Vietnam.
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.
REPORT | This final report provides an overview of the audit of USAID’s Oxygen Ecosystem Program for COVID-19 Relief using American Rescue Plan Act of 2021 funding.
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.
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.
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.
JOURNAL PUBLICATION | Published in EBioMedicine, this study evaluated eleven popular fingertip pulse oximeters using the U.S. FDA Guidance (2013) and ISO Standards (2017) in 34 humans with diverse skin pigmentation.
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.
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.
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.
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.
JOURNAL PUBLICATION | The study, published in African Journal of Emergency Medicine, found significant deficiencies in emergency care capacity in Sierra Leone, including lacking essential infrastructure, equipment, and trained providers.
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.
ARTICLE | The Zambian Ministry of Health worked with CHAI to install a new liquid oxygen tank at the Levy Mwanawasa University Teaching Hospital.
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.
REPORT | This report highlights AirLiquide’s challenges, successes, and progress in 2023.
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.
REPORT | This project estimates the potential public health impact of the Gaza crisis under different future trajectories of its evolution (7 Feb to 6 Aug 2024).
JOURNAL PUBLICATION | Published in the European Journal of Pediatrics, this scoping review evaluates the use of high-flow nasal cannula therapy in pediatric patients for various indications excluding acute bronchiolitis and neonatal care.
JOURNAL PUBLICATION | Published in BMC Health Services Research, this article examines hospital readiness for critical care in Tanzania, highlighting key challenges in infrastructure, staffing, and equipment.
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.
JOURNAL PUBLICATION | Published in Emergency Medicine International, this review describes strategies for oxygen ecosystems in middle-income countries, with specific experiences from Lebanon.
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.
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.
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.
GUIDANCE | This document provides an evidence-based strategy for chronic obstructive pulmonary disease (COPD) diagnosis, management, and prevention, with citations from the scientific literature.
JOURNAL PUBLICATION | Published in JAMA Network Open, this article investigates the inpatient care costs associated with treating COVID-19 patients, using data from over 1.3 million hospitalizations across the U.S.
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.
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.
JOURNAL PUBLICATION | Published in The Lancet Global Health, this commentary highlights some implications of donated respiratory devices to low-resource countries during the pandemic and provides recommendations.
GUIDANCE | This manual includes the systematic approach to a cardiopulmonary emergency, effective team communication, and the ACLS cases and algorithms.
JOURNAL PUBLICATION | Published in The Lancet Global Health, this article discusses how AI is revolutionizing pneumonia diagnosis and management through deep-learning applications in medical imaging and lung sound analysis.
TOOL | This mechanism aggregated demand for oxygen compressor service kits across LMICs and fulfilled demand in a timely manner using advanced purchases of RIX Industries oxygen compressor service kits.
JOURNAL PUBLICATION | Published in JAMA Network Open, this study aimed to assess the global burden of chronic obstructive pulmonary disease (COPD) through 2050 using modelling and considering COPD risk factors.
JOURNAL PUBLICATION | Published in PLoS Global Public Health, this article evaluates quality improvement efforts to enhance COVID-19 care in Sierra Leone through a modified Delphi process and nationwide assessments.
GUIDANCE | The Lusaka Agenda provides a foundation for coordinated action to support shifts in global health, and a path towards a joint long-term vision of domestically financed health systems and UHC.
JOURNAL PUBLICATION | Published in Global Surgery, this conference abstract presents the results of a survey of perioperative safety practices at secondary and tertiary facilities in Plateau State, Nigeria.
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.
ARTICLE | This analysis used computational epidemiology and extreme events modeling simulations to estimate the risk of future mortality from epidemics in two categories—respiratory diseases and viral hemorrhagic fevers.
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.
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.
JOURNAL PUBLICATION | Published in Journal of the American College of Surgeons, this study evaluates baseline surgical safety practices in Nigeria to inform targeted interventions for improving patient safety and surgical outcomes.
JOURNAL PUBLICATION | Published in Paedetrics & Child Health, this prospective study looked at SpO2 measurements in healthy neonates admitted to postnatal wards and followed up in Calgary, Alberta, Canada.
REPORT | This report summarizes the results of an analysis conducted on PSA plant failures, and opportunities for improved management.
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).
JOURNAL PUBLICATION | Published in The Lancet Global Health, this study makes the case for oxygen saturation (SpO2) measured by pulse oximetry as an essential fifth vital sign in all sick children.
JOURNAL PUBLICATION | Published in Frontiers in Pediatrics, this study developed and validated clinical models to identify hypoxemic pneumonia in children without pulse oximeters in low-resource settings.
JOURNAL PUBLICATION | Published in BMC Health Services Research, this study evaluates critical care capacity in medical wards across Malawi, identifying significant barriers in both district and central hospitals.
JOURNAL PUBLICATION | Published in PLoS Digital Health, this article investigates how digital determinants of health contribute to bias in health technologies and their potential impact on healthcare equity.
INFORMATION BRIEF | Between 2021 and 2023, PATH undertook a series of analyses to better characterize the oxygen generation plant market and its ownership costs.
JOURNAL PUBLICATION | Published in The Lancet, this study provides global, regional, and national estimates of preterm birth rates for 2020, highlighting trends since 2010 and calling for targeted interventions.
JOURNAL PUBLICATION | Published in ERJ Open Research, this systematic review summarizes the existing evidence for SpO2 thresholds in children with respiratory distress.
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.
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.
JOURNAL PUBLICATION | Published in Anesthesia & Analgesia, this study found that most major referral hospitals in Kenya lack sufficient anesthetic monitoring equipment, with only one hospital meeting all recommended guidelines.
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.
JOURNAL PUBLICATION | Published in The Lancet Respiratory Medicine, this article calls for a revision of WHO’s pneumonia guidelines in light of new findings from Bangladesh.
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.
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.
JOURNAL PUBLICATION | Published in Journal of Global Health, this review describes the landscape of pulse oximetry training for health workers in LMICs prior to the COVID-19 pandemic, as described in the literature.
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.
JOURNAL PUBLICATION | Published in medRixv, this study aimed to describe the surge capacity of curative-healthcare institutions for disaster management at disease endemic district of Sri Lanka.
JOURNAL PUBLICATION | Published in the European Journal of Medical Research, this study aimed to estimate the prevalence of critical illness in a Swedish region.
JOURNAL PUBLICATION | Published in BMC Health Services Research, this review explored the acceptability of health technology innovations in sub-Saharan Africa, revealing a lack of consistent frameworks.
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.
JOURNAL PUBLICATION | Published in Annals of Global Health, this study examines Malawi’s critical care units and identifies significant barriers such as equipment shortages and stockouts.
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.
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.
JOURNAL PUBLICATION | Published in Archives of Community Medicine and Public Health, this paper shares the experience of Chad in its efforts to improve the availability of oxygen for the management of respiratory...
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.
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.
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.
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.
JOURNAL PUBLICATION | Published in The Lancet Regional Health – West Pacific, this study evaluated surgical care capacity in five Pacific Island Countries and identified key gaps and disparities in surgical specialist densities.
REPORT | The SPA 2021-22 Report provides a comprehensive analysis of health service availability and quality in Ethiopia, focusing on infrastructure, staffing, and essential health services to inform health policy and planning.
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.
MULTIMEDIA | This World Health Assembly (WHA) high-level side event marked the adoption of the “Increasing Access to Medical Oxygen” WHA resolution and introduced the Global Oxygen Alliance (GO2AL).
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.
JOURNAL PUBLICATION | Published in Medical Research Archives, this review explores the challenges and regional initiatives in addressing oxygen shortages in the WHO Eastern Mediterranean Region during the COVID-19 pandemic.
GUIDANCE | This technical resource document for ensuring the quality of medical oxygen, whether produced on-site or outsourced, aims to serve as a reference and includes tools for practical application.
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.
REPORT | According to this report, of the approximately 140 SDG targets that can be evaluated, half of them show moderate or severe deviations from the desired trajectory.
JOURNAL PUBLICATION | Published in PLoS Global Public Health, this study explores the usability of pulse oximeters for community health and primary care workers in Cambodia, Ethiopia, South Sudan, and Uganda.
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.
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.
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.
TOOL | Published by the World Health Organization, this document provides the combined HHFA questionnaire for evaluating health facility capacities, covering service availability, readiness, management, and finance.
JOURNAL PUBLICATION | Published in Journal of Patient Safety, this article highlights the rise in hospital fire outbreaks during the COVID-19 pandemic in LMICs and calls for enhanced fire prevention measures.
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.
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.
JOURNAL PUBLICATION | Published in Health Policy and Planning, this study describes a problem-driven political economy analysis in Kenya, Malawi, and Uganda to explore local decision-making environments for health.
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.
JOURNAL PUBLICATION | Published in The Lancet, this study investigated the feasibility of regenerating old zeolite for use in oxygen concentrators.
ARTICLE | The lack of access to reliable supplies of quality-assured and safe medical oxygen can be due to multiple factors. WHO is committed to strengthening the supply of quality-assured medical oxygen.
ARTICLE | PATH is supporting capacity-building initiatives to facilitate the rollout of the Tanzanian government’s Medical Equipment and Infrastructure Management Information System (MEIMIS), to management respiratory care equipment and beyond.
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.
JOURNAL PUBLICATION | Published in BMJ Global Health, this article emphasizes the challenges in bridging the gap between prioritizing health services for universal health coverage (UHC) and implementing them effectively.
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).
MULTIMEDIA | The Global Oxygen Alliance is designed to provide sustained support for low- and middle-income countries to fill yawning gaps in the availability and supply of medical oxygen.
JOURNAL PUBLICATION | Published in The Lancet Respiratory Medicine, this article emphasizes how access to home oxygen therapy is inadequate in many parts of the world, resulting in gaps in patient care.
JOURNAL PUBLICATION | Published in Opportunities and Advances in Pediatric Global Health, this study evaluates the diagnostic performance of a SpO2 measurement as a test for radiographic pneumonia in children in Bangladesh.
JOURNAL PUBLICATION | Published in the American Journal of Respiratory and Critical Care Medicine, this study received healthcare workers’ input on designing a pediatric smartphone-based pulse oximeter in South Africa.
JOURNAL PUBLICATION | Published in the American Journal of Epidemiology, this study analyzed pulse oximeter accuracy on darker skin pigmentation and its association with COVID-19 treatment outcomes in Northern California.
REPORT | Published in the Bangladesh Medical Research Council Bulletin, the study aimed to assess availability and readiness based on logistics, workforce, clinical management, and IPC.
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.
TOOL | This World Health Organization (WHO) resolution recognizes and reaffirms the critical role of medical oxygen in resilient health systems planning and in achieving the Sustainable Development Goals for health.
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.
JOURNAL PUBLICATION | Published in International Journal of Infectious Diseases, this study evaluates the role of pulse oximetry in improving pneumonia risk stratification and patient outcomes in children under 5 years.
JOURNAL PUBLICATION | Published in Journal of Chemical Education, this study highlights the role of knowledge transfer in the development of oxygen concentrators during the COVID-19 pandemic.
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.
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.
JOURNAL PUBLICATION | Published in Frontiers in Medicine, this literature review and analysis considered SpO2 targets used in previous trials, international and national society guidelines, and direct trial evidence.
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.
REPORT | This report tracks six global gas companies’ initiatives to increase access and provides insights into what they can do to supply LOX during emergencies and for day-to-day needs of LMICs.
ARTICLE | To address recruitment challenges in Nigeria and improve medical oxygen supplies, CHAI collaborated with the Biomedical Engineering Training Institute to conduct a national TOT for biomedical engineers.
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.
GUIDANCE | This document offers guidance for adjusting public health and social measures, while managing the risk of a resurgence of cases.
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).
JOURNAL PUBLICATION | Published in The Lancet Global Health, this study provides a comparative assessment of global health spending at the onset of the COVID-19 pandemic and examines expectations for future spending.
TOOL | The Global Fund is partnering with UNICEF to source oxygen products. The current product list, including pricing and a link to the technical specifications, can be found in this document.
JOURNAL PUBLICATION | Published in Sensors, this article describes a basic model of measurement uncertainty that specifies the factors that may degrade the accuracy of an observed measurement value from a clinical sensor.
TOOL | This brief outlines key information and resources for pursuing funding for oxygen and respiratory care systems through the Global Fund via the C19RM and country grants.
ARTICLE | WHO Nepal handed over a solar power generation system to Province Hospital, Surkhet to power their PSA plant and support other medical and IT equipment.
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.
JOURNAL PUBLICATION | Published in medRxiv, this systematic review found that most research on medical oxygen emerged post-COVID-19, highlighting gaps in empirical studies on its accessibility and use.
ARTICLE |
One year ago, Malawi launched its first National Medical Oxygen Ecosystem Roadmap. It is already helping to close the oxygen access gap.
REPORT | This report summarizes suggested key performance indicators, which can be used to measure performance and identify areas for improvement within the global medical oxygen response.
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.
JOURNAL PUBLICATION | The study, published in BMJ Open, found significant gaps in emergency care capacity in Northern Tanzania, with deficiencies in infrastructure, training, and resources.
JOURNAL PUBLICATION | Published in Cost Effectiveness and Resource Allocation, the study reviewed the costs of EECC and advanced critical care in Tanzania and Kenya, highlighting its cost-effectiveness in low-resource settings.
GUIDANCE | This document has been compiled to capture definitions, technical requirements, tools and resources related to medical oxygen systems.
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.
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.
JOURNAL PUBLICATION | Published in Journal of Trauma and Acute Care Surgery, this article identifies key factors leading to trauma patient mortality in low-resource settings and provides recommendations for quality improvement.
JOURNAL PUBLICATION | Published in the Indian Journal of Community Medicine, this study appraised the manufacturing, supply, and distribution of medical oxygen during the COVID-19 pandemic in India.
REPORT | PATH partnered with the Malawian Ministry of Health to conduct a detailed equipment inventory survey that documents current availability and functionality of key medical equipment.
JOURNAL PUBLICATION | This article in Global Health: Science and Practice highlights how expedited solutions must be balanced with locally-led and context-specific sustainability planning for oxygen sourcing and supply infrastructures.
JOURNAL PUBLICATION | Published in JAMA, this Viewpoint discusses how some pulse oximeters can provide incorrect oxygen saturation data for dark-skinned patients compared with light-skinned patients.
JOURNAL PUBLICATION | Published in Pneumonia (Nathan Qld.), this review looks at past pulse oximetry implementation attempts in LMICs and proposes barriers and solutions for integration in the health system.
JOURNAL PUBLICATION | Published in Journal of Clinical Medicine, this paper describes specific features associated with various retinopathy of prematurity presentations.
JOURNAL PUBLICATION | Published in Frontiers in Health Services, this study aimed to determine how Kenyan and Tanzanian health workers understand the label ‘critical illness’.
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.
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.
JOURNAL PUBLICATION | Published in Nature Reviews Bioengineering, this viewpoint highlights the pressing challenges that need to be addressed to make biomedical engineering more equitable.
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.
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.
GUIDANCE | The WHO Executive Board decided to recommend to the 76th World Health Assembly the adoption of a resolution focused on increasing access to medical oxygen.
GUIDANCE | The publication provides a comprehensive update on the status and key actions needed for providing reliable, modern energy to health-care facilities in low- and middle-income countries.
DATA DASHBOARD | This World Bank dashboard highlights exports by countries from 2022, including medical ventilators, continuous positive airway pressure (CPAP), bilevel positive airway pressure (BiPAP), and oxygen concentrators.
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.
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.
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.
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.
JOURNAL PUBLICATION | Published in International Journal of Older People Nursing, this study investigates the challenges and emotional toll on nursing assistants working in Swedish nursing homes during the 1st wave of COVID-19.
REPORT | Published by Grand View Research, this market report examines the oxygen concentrators industry, focusing on growth drivers such as respiratory disease prevalence, technological advancements, etc.
JOURNAL PUBLICATION | Published in Neonatology, this study compares pulse oxygen saturation for neonates at different altitudes in China to establish cutoff values identifying hypoxemia between 30 and 120 min after birth.
JOURNAL PUBLICATION | Published in BMC Health Services Research, this study assessed the facility readiness for the provision of postpartum care within the immediate postpartum period in the greater Mpigi region, Uganda.
TOOL | India procured numerous PSA plants during COVID-19 however many are underutilized due to electricity needs. Creating a low-cost power alternative is pertinent for their sustainability in the country.
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.
JOURNAL PUBLICATION | Published in International Journal of Disaster Risk Reduction, this study assesses whether eldercare was included in national pandemic plans and into initial COVID-19 responses in Finland, Iceland, and Sweden.
ARTICLE | This webpage provides answers to key questions about stillbirths.
JOURNAL PUBLICATION | Published in PLoS Digital Health, this study reviewed the development of ePOCT+ and the medAL-suite, emphasizing their role in improving pediatric outpatient care in LMICs.
JOURNAL PUBLICATION | Published in Global Health: Science and Practice, the study examines a social enterprise model that established PSA plants in Kenya, Rwanda, and Ethiopia, improving access to oxygen in underserved areas.
REPORT | This report details achievements of the ACT-Accelerator through Sept 2022, tracking progress in expanding oxygen access, accelerating vaccine delivery, and advancing test-and-treat programs.
JOURNAL PUBLICATION | Published in Psychology, Health & Medicine, this study examines how electrification in LMICs improves healthcare outcomes, particularly in antenatal care, emergency services, and medical supply reliability.
JOURNAL PUBLICATION | Published in Current Medical Research and Opinion, this cost-effectiveness analysis compares two SpO2 thresholds for discharging infants with viral bronchiolitis from the hospital.
JOURNAL PUBLICATION | Published in Journal of Adult and Continuing Education, the purpose of this scoping review is to summarize data from the past decade on CPD models.
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.
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.
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.
JOURNAL PUBLICATION | Published in BMJ Open, this study describes the prevalence and clinical course of patients hospitalized with COVID-19 in Canada based on oxygenation and pneumonia status at presentation.
DATA DASHBOARD | This dashboard provides statistics related to COVID-19 that can be viewed at both global and country level.
REPORT | Published by the AtMF and Chatham House, this report summarizes the roundtable discussions on sustaining long-term LOX access in LMICs, focusing on funding, production, and public-private collaboration.
REPORT | This NEST360 report outlines a compendium of newborn healthcare technologies, both commercially available and in development, suitable for use in resource-limited settings.
JOURNAL PUBLICATION | Published in Global Health Action, this study explored perceptions of child deaths and socio-cultural factors influencing the reporting of child deaths in Jigawa State, Nigeria.
DATA DASHBOARD | This data dashboard provides country-level data on pneumonia across the globe.
ARTICLE | Published in Respiratory Care, this editorial responds to findings from a recent publication and offers mitigation strategies so the use of pulse oximetry is safe for all patients.
JOURNAL PUBLICATION | Published in Implementation Science, this study describes results of a scoping review to identify gaps of existing Exploration, Preparation, Implementation, and Sustainment (EPIS) framework-guided policy.
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.
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.
REPOSITORY / TOOLKIT | This toolkit provides trusted nursing knowledge sourced directly from professional practice organizations, regulatory, accreditation, and best practice guidelines.
ARTICLE | This article outlines key questions related to pneumonia and its treatment and key solutions to reduce morbidity and mortality from pneumonia in children.
JOURNAL PUBLICATION | Published in NeuroQuantology, the study examines how Kerala’s eHealth project, incorporating telemedicine and digital health tools, supported healthcare during the pandemic.
JOURNAL PUBLICATION | Published in Journal of the American College of Surgeons, this study evaluates access to emergency care in North-Central Nigeria and highlights the challenges in providing timely and effective care.
MULTIMEDIA | The stories gathered on this page are a collection of experiences where access to oxygen mattered – told through the eyes of patients, parents, clinicians, healthcare workers, and others.
PRESENTATION / WEBINAR | This PATH Live Forum brought together thought leaders to discuss challenges and solutions associated with sustainable oxygen access to energize long-term oxygen investment.
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.
TOOL | This sheet is a living document and is being populated with specifications of oxygen concentrators.
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.
JOURNAL PUBLICATION | Published in New England Journal of Medicine, this trial assessed lower, intermediate, and higher SpO2 targets for adults receiving mechanical ventilation in ED and ICU at an academic center.
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).
GUIDANCE | The U.S. Food and Drug Administration (FDA) is informing patients and healthcare providers that pulse oximeters have limitations and a risk of inaccuracy under certain circumstances.
JOURNAL PUBLICATION | Published in The Lancet Respiratory Medicine, this article looks at pulse oximetry-based indices as an alternative for the diagnosis and risk stratification of patients with ARDS.
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.
GUIDANCE | This guidance note provides a comprehensive overview of medical oxygen production, distribution, and use in Asia and the Pacific region and explores how to improve systems over time.
GUIDANCE | The WHO guidelines for malaria provide the clinical recommendations for severe malaria cases, including when and how to administer medical oxygen.
JOURNAL PUBLICATION | Published in The Lancet, this article describes the first comprehensive evaluation of the Access to COVID-19 Tools-Accelerator (ACT-A). It concluded that the design was “top-down” and several aspects were misconceived.
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.
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.
REPORT | This report describes ways to ensure that the attention that medical oxygen has received can be leveraged to create a broader network – a grid of oxygen resources.
JOURNAL PUBLICATION | Published in Disaster Medicine and Public Health Preparedness, this study found that regulatory bottlenecks in India’s medical oxygen supply chain worsened during the COVID-19 crisis.
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.
REPORT | This external evaluation was a rapid, forward-looking exercise to learn from the Access to COVID-19 Tools-Accelerator (ACT-A) experiences and to identify key lessons learnt for future pandemic preparedness and response.
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.
JOURNAL PUBLICATION | Published in PLoS Global Public Health, this article examines neonatal data quality and prescribing accuracy in Kenyan hospitals, aiming to improve care monitoring for neonates.
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.
JOURNAL PUBLICATION | Published in Tropical Medicine & International Health, this study evaluates the cost-effectiveness of adding pulse oximetry to primary care for acute respiratory infection management in rural Thailand.
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.
TOOL | The Global Fund is partnering with UNICEF to source oxygen products. The current product list, including pricing and a link to the technical specifications, can be found in this document.
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.
JOURNAL PUBLICATION | Published in BMJ Paediatrics Open, this study aimed to estimate the point prevalence of pneumonia and malnutrition and explore associations with household socioeconomic factors in Jigawa state, Nigeria.
JOURNAL PUBLICATION | In this article published in Nature, two groups of researchers analyze skin pigmentation’s impact on pulse oximetry readings and its effects on people with dark skin.
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.
ARTICLE | This statement by the heads of African states and governments calls for the full implementation of Africa’s New Public Health Order.
JOURNAL PUBLICATION | The study, published in Pediatrics, found that emergency department-initiated home oxygen therapy for viral bronchiolitis is a safe and cost-effective alternative to hospitalization.
JOURNAL PUBLICATION | Published in Open Access Emergency Medicine, this study assesses the capacity of essential and emergency surgical services in primary hospitals of Gedeo zone and Sidama region, South Ethiopia.
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.
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.
JOURNAL PUBLICATION | Published in Infection and Drug Resistance, this review aimed to summarize information on the prevalence, risk factors, and outcomes of patients with happy hypoxia to improve their management.
JOURNAL PUBLICATION | Published in Pediatrics, this update provides a comprehensive review of pathophysiology, classification, diagnosis, global screening, and treatment of retinopathy of prematurity.
JOURNAL PUBLICATION | Published in Revista do Colégio Brasileiro de Cirurgiões, this study assesses surgical care capacity among hospitals providing care for the rural populations in the Amazonas state of Brazil.
REPORT | This report aims to assess the potential of multimodal pulse oximeters to improve the integrated diagnosis and treatment of illnesses for patients presenting at health facilities in LMICs.
DATA DASHBOARD | This indicator demonstrates the percentage of children aged under five years with pneumonia symptoms who are taken to a healthcare provider.
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.
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.
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.
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.
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.
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.
JOURNAL PUBLICATION | Published in BMC Medicine, this study evaluates the external validation of neonatal mortality prediction models in high-mortality settings, highlighting improved calibration and predictive accuracy after model updates.
GUIDANCE | In this book, part of the Medical device technical series, WHO presents the different roles the biomedical engineer can have in the life cycle of a medical device.
JOURNAL PUBLICATION | Published in BMJ Global Health, this study highlights the importance of eliciting tacit knowledge from healthcare workers to improve facility-based care in low-resource settings.
JOURNAL PUBLICATION | Published in the Journal of Patient Safety, this article describes the multifaceted etiology of the outbreak of fires in health facilities across India, including increased use of oxygen.
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.
REPORT | This report presents the 2021 Nepal Health Facility Survey findings, covering infrastructure, resource availability, service readiness, and quality of care in the country’s health facilities.
JOURNAL PUBLICATION | Published in the Indian Journal of Critical Care Medicine, this article reports an unfortunate incident of accidental fire arising in health facilities across India during the COVID-19 pandemic.
JOURNAL PUBLICATION | Published in Respiratory Care, this article outlines procedures for estimating medical gas flow limitations within health care organizations and also methods for estimating gas consumption.
GUIDANCE | This SOP intends to bridge the knowledge and skill gap among health facility staff by providing in-depth information on taking samples and sending them for gas analysis at the labs.
JOURNAL PUBLICATION | Published in BMC Medicine, this study systematically reviewed the effects of skin pigmentation on the SpO2 accuracy by pulse oximetry compared with the gold standard SaO2 measured by CO-oximetry.
INFORMATION BRIEF | This case study from Yavatmal district of Maharashtra narrates the challenges faced by a remote hospital set up by a local trust during the oxygen crisis of COVID-19 second wave.
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.
INFORMATION BRIEF | This success story demonstrates the success of its hub-and-spoke approach for strengthening the oxygen management capacities in various health facilities of Gujarat.
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
TOOL | This checklist provides an overview of the pre-commissioning of liquid medical oxygen (LMO) and ensure all important activities are undertaken.
TOOL | This tool is meant to be a checklist for the pre-commissioning or pre-start-up of oxygen medical gas piping system.
TOOL | These tools provide a checklist for pre-commissioning and then pre-installation of stand-up liquid medical oxygen storage tanks.
GUIDANCE | These guidelines outline a public health response for five key populations and discuss new recommendations and guidance from current WHO guidelines.
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.
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.
GUIDANCE | This guide highlights evaluation results and provides 12 opportunities of designing oxygen concentrators, humidifier bottles, and flow splitters to address the oxygen gap in healthcare settings in LMICs.
REPORT | Save the Children, PATH, and UNICEF co-hosted a roundtable at the Geneva Health Forum to discuss the critical role of oxygen as a vital part of strong health systems.
GUIDANCE | This guide and associated tool repository provide vetted methods and tools to better leverage diverse forms of evidence for more effective policy and practice in clinical and public health.
GUIDANCE | This strategy aims to increase awareness about asthma and provide a mechanism to translate scientific evidence into improved asthma care worldwide.
TOOL | This set of eleven posters or job aids supports health providers and other personnel involved in the operation and maintenance of medical oxygen equipment in India.
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.
COURSE / TRAINING VIDEO | This training module provides training relevant to ITI trainers and biomedical engineers to understand the operations and maintenance of oxygen or respiratory equipment.
COURSE / TRAINING VIDEO | This training module provides training relevant to oxygen sample preparation that is critical for medical use.
COURSE / TRAINING VIDEO | This module is meant to train medical and nursing personnel to effectively oversee the management of medical oxygen and judiciously using medical oxygen in respiratory care.
COURSE / TRAINING VIDEO | The Training of Trainers module is intended to provide training to personnel handling oxygen devices in order to meet future demand for medical oxygen.
INFORMATION BRIEF | This case study highlights PATH’s support to identify localized solutions for the installation of a PSA plant in Ram Sagar Mishra Hospital in Lucknow, India.
GUIDANCE | This is a reference guide that provides guidance on conducting oxygen audits with an aim to debunk the myths surrounding such audits in health facilities.
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.
GOVERNMENT POLICY / STRATEGY | This National Strategic Plan on Essential Emergency and Critical Care (EECC) Services will guide stakeholders to effective provision of the prioritized care and improved quality of care in health systems.
INFORMATION BRIEF | This compendium is a compilation of six case studies on ramping up of oxygen infrastructure and overall oxygen ecosystem strengthening in India.
TOOL | This checklist is meant to be used by those technical staff who are managing MGPS, manifolds, PSA plants, and LMO tanks in hospitals.
GUIDANCE | This publication provides an overview of the process of evaluation, adoption, and acquisition of PSA oxygen plants by comparing technical, administrative, and financial aspects of this technology.
GUIDANCE | The document details the purpose and use of an oxygen concentrator at a health and wellness centre.
JOURNAL PUBLICATION | Published in the Pan African Medical Journal, this study evaluated the current state of availability of basic life support devices and essential drugs in healthcare facilities in southern Nigeria.
INFORMATION BRIEF | This case study highlights the Nishtha project’s efforts to strengthen health systems’ capacities to operate and manage medical oxygen generation, storage and supply equipment.
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.
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.
INFORMATION BRIEF | This case study highlights the Nishtha project’s efforts to sustain PSA plant functionality by quick onsite handholding support and effective vendor coordination 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.
REPORT | This document dives deeper into the role of six states in India’s technical support units (TSUs) in strengthening the oxygen management systems.
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.
JOURNAL PUBLICATION | Published in The Lancet Infectious Diseases, this article highlights the results of the 2-year report for the Access to COVID-19 Tools-Accelerator (ACT-A).
PRESENTATION / WEBINAR | This webinar highlights the most updated WHO Compendium of innovative health technologies for low-resource settings.
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.
GUIDANCE | WHO will apply a new collaborative approach to scaling innovations in health aimed at linking the health demand in countries with the supply of mature, assessed innovations.
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.
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.
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.
JOURNAL PUBLICATION | This study – published in Immunology and Inflammation – examined a panel of nanosensors that detect the dysregulated activity of pulmonary host proteases implicated in the response to pneumonia-causing pathogens.
JOURNAL PUBLICATION | Published in Medicine, Conflict and Survival, this study aimed to assess the effectiveness of solar powered oxygen at Hanano General Hospital in Dusamareb, Galmudug State, Somalia, in a conflict-affected region.
MULTIMEDIA | This set of infographics provides a snapshot of the milestones that countries have achieved between 2020-2022 in improving access to oxygen as a critical treatment for COVID-19 and beyond.
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.
JOURNAL PUBLICATION | Published in EClinicalMedicine, this study evaluates the implementation of pulse oximetry in rural Bangladesh to improve the management of childhood pneumonia.
INFORMATION BRIEF | This success story details the need, process, and mechanisms of developing a standardized oxygen ecosystem learning resource package for trainers.
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.
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.
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.
INFORMATION BRIEF | This success story talks about a digital tool – the O2 planner – that was an immediate-term planning tool for facilities, districts, private sector, or public health practitioners in India.
REPOSITORY / TOOLKIT | The Oxygen Alliance aims to improve access to oxygen in LMICs through support of small local businesses that sign and execute maintenance contracts for oxygen concentrators.
ARTICLE | This story provides a snapshot of the milestones that countries, supported by PATH and CHAI, have achieved over the last two years in improving access to oxygen.
COURSE / TRAINING VIDEO | This course covers pulse oximetry use in the time of COVID-19.
JOURNAL PUBLICATION | Published in International Journal of Pharmaceutical Sciences and Research, this study focuses on the devices, including ventilators, which require regulations but still lack the quality check points.
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.
JOURNAL PUBLICATION | Published in BMJ Open, this study assesses the clinical impact and cost-effectiveness of expanding the FREO2 Oxygen System to 20 hospitals and health facilities in Western Uganda.
GUIDANCE | This document provides guidance on appropriate and scalable innovative health technologies, including success stories and considerations, and encourages coordination among relevant stakeholder groups.
TOOL | This webpage maintained by the Every Breath Counts coalition addresses critical questions about COVID-19 treatment in low- and middle- income countries.
GUIDANCE | The clinical presentation of COVID-19 varies from asymptomatic infection to critical illness; symptoms can vary over time. This document provides clinical care considerations for children and adults with COVID-19.
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.
JOURNAL PUBLICATION | Published in BMC Health Services Research, this study highlights the positive outcomes of decentralizing oxygen services in Ethiopia’s health centers.
JOURNAL PUBLICATION | Published in Anesthesia & Analgesia, this study reviews the status of intensive care services in Ethiopia, highlighting infrastructure and training gaps.
JOURNAL PUBLICATION | Published in BMC Health Services Research, this study aimed to assess the knowledge, attitude, and practice of health professionals towards oxygen therapy.
REPORT | This report evaluates the availability and readiness of healthcare services across health facilities in Malawi, focusing on infrastructure, quality of care, and service delivery for key health services.
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.
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.
JOURNAL PUBLICATION | Published in the Bulletin for the World Health Organization, this study investigates survival in children referred from primary care in Malawi, with a focus on hypoglycemia and hypoxemia progression.
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.
JOURNAL PUBLICATION | Published in JAMA Network, this journal article investigated whether there is differential inaccuracy of pulse oximetry by race or ethnicity among patients with COVID-19.
JOURNAL PUBLICATION | Published in Lung India, this retrospective study looked at the presence of hypoxia without dyspnea in patients with SARS-CoV-2 infection.
ARTICLE | In January 2021, Somalia’s Ministry of Health, supported by the WHO Innovation Hub and the WHO Country Office, piloted a solar-powered oxygen delivery system.
GUIDANCE | This guidance is published as a Q&A to prepare those interested in NABL accreditation.
JOURNAL PUBLICATION | Published in Annals of Medicine and Surgery, this study assessed how COVID-19 affected essential and emergency surgical care in Gedeo and Sidama zone hospitals in Ethiopia.
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.
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.
JOURNAL PUBLICATION | Published in Anesthesia & Analgesia, this study presents the state of intensive care provision in public hospitals across Ethiopia.
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).
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.
JOURNAL PUBLICATION | Published in Health Technologies, this study identifies weaknesses and strengths of the scientific, technological, sociopolitical, regulatory, and educational landscape in biomedical engineering in LMICs.
JOURNAL PUBLICATION | Published in Ophthalmic Epidemiology, this study shows that retinopathy of prematurity (ROP) is becoming a significant and increasing cause of childhood blindness in sub-Saharan Africa.
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.
JOURNAL PUBLICATION | Published in Health Science Reports, this paper describes the challenges for Malawi in the effective management of COVID‐19 funds.
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.
JOURNAL PUBLICATION | Published in BMC Pulmonary Medicine, this study evaluated respiratory disease management in Chinese primary care settings. It found that overall management of respiratory diseases was inadequate.
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.
JOURNAL PUBLICATION | Published in PLOS Global Public Health, this study assessed the prevalence and management of hypoxemia at primary care facilities in Uganda.
JOURNAL PUBLICATION | Published in Journal of Global Health, this article explores the integration of pulse oximetry into IMCI services in Bangladesh to improve pneumonia management through stakeholder-driven policy and programme development.
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.
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.
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.
GUIDANCE | This publication aims to give an overview to those who wish to start a process of evaluation and acquisition of oxygen-generating pressure swing adsorption plants.
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.
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.
JOURNAL PUBLICATION | Published in Sensors (Basel, Switzerland), this review aims to study the literature that assesses the influence of skin pigmentation on the accuracy of pulse oximeters.
GUIDANCE | This is guidance provides step-by-step standard operating procedures for gas pipelines in health facilities.
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.
INFORMATION BRIEF | This compilation of testimonials highlights PATH’s support to strengthen capacity to effectively manage medical oxygen systems in India.
INFORMATION BRIEF | This case study highlights PATH’s support to strengthen peripheral systems to PSA oxygen plant in Sadar Hospital, Samastipur, Bihar, India.
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.
TOOL | UNICEF, in collaboration with NEST360 and the Oxygen CoLab, is driving the development of a fit-for-purpose Resilient Oxygen Concentrator for low-resource settings.
JOURNAL PUBLICATION | Published in Respirology, this update to the Thoracic Society of Australia and New Zealand (TSANZ) guidance on acute oxygen therapy is a brief and practical resource for health workers.
JOURNAL PUBLICATION | Published in World Journal of Surgery, this study found that Liberia has a critical shortage of surgical specialists, leading non-specialist physicians to perform the majority of operations.
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.
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.
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.
INFORMATION BRIEF | This publication outlines a human-centered design evaluation to identify opportunities to improve oxygen concentrator usability in low- and middle-income countries.
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.
JOURNAL PUBLICATION | Published in Anesthesia & Analgesia, this study highlighted deficiencies in pediatric anesthesia services and training infrastructure in Sindh, Pakistan, including inconsistent equipment availability and lack of standardized practices.
JOURNAL PUBLICATION | Published in International Journal of Production Research, this study presents a disaster supply chain model integrating information and digital technologies within India’s disaster management framework.
JOURNAL PUBLICATION | Published in Humanities and Social Sciences Communications, this study evaluates the role of science advice during the COVID-19 pandemic in Sweden..
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.
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.
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.
ARTICLE | Though the COVID-19 response has had a positive impact on Africa’s medical oxygen sector, health experts said the gains made during the pandemic should be sustained in the long term.
INFORMATION BRIEF | This case study highlights PATH’s support in installing a swing adsorption plant at the District Combined Hospital in Pilibhit, Uttar Pradesh, India.
JOURNAL PUBLICATION | Published in Indian Journal of Critical Care Medicine, this article highlights the problems with donated medical equipment.
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.
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.
JOURNAL PUBLICATION | Published in The Lancet Global Health, this study presents an estimated number of children who are admitted to hospital due to pneumonia with hypoxemia annually.
JOURNAL PUBLICATION | Using established indicators from WHO, this review—published in Journal of Global Health—evaluate how well existing tools assess quality of care for children presenting with acute respiratory infections.
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 clinically use pulse oximeters.
GUIDANCE | The document provides, in detail, the components and functioning of an oxygen concentrator.
GUIDANCE | This document provides guidance to all staff on safe use and operation of compressed oxygen gas cylinders in healthcare facilities.
GUIDANCE | This is guidance regarding standard operating procedures for PSA plant operations in facilities.
GUIDANCE | This guide provides actionable recommendations, strategies, and good practices for understanding and addressing individual, social and practical or logistical barriers to COVID-19 vaccination among refugee and migrant populations.
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.
JOURNAL PUBLICATION | Published in Journal of Indian Society of Remote Sensing, this study introduces a Geo-ICT framework to curb COVID-19 spread in India, using geo-spatial technologies for real-time data and citizen alerts.
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.
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.
JOURNAL PUBLICATION | Published in Journal of Global Operations and Strategic Sourcing, this study identifies solutions to overcome the issues faced by the oxygen supply chain during the 2nd COVID-19 wave in India.
JOURNAL PUBLICATION | Published in Anesthesia Essays and Researches, this literature review attempts to enrich readers in further strengthening the oxygen supplies in hospitals during pandemics and other natural disasters.
JOURNAL PUBLICATION | Published in Journal of Global Health, this study updated research priorities for childhood pneumonia in the context of the COVID-19 pandemic and explored whether previous priorities have been addressed.
TOOL | Lifebox has worked with its global network of partners to distribute pulse oximeters across 53 countries for the ongoing care of COVID-19 patients as well as developed multi-language educational materials.
JOURNAL PUBLICATION | Published in The British Journal of General Practice, this article discusses the factors that can lead to inaccurate SpO2 readings and its implications for general practitioners and patients.
TOOL | This pocket reference provides a quick reference on respiratory care, including oxygen sources and delivery devices, respiratory mechanics, volume and pressure control, etc.
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.
GUIDANCE | This guidance supports health facility administrators, clinical practitioners, procurement officers, biomedical engineers, infrastructure engineers, and policymakers to follow the PESO certification procedure.
ARTICLE | After widespread oxygen shortages, the ACT-A Oxygen Emergency Taskforce was launched to support countries to address them. This article outlines the success and challenges one year after its launch.
PRESENTATION / WEBINAR | This webinar unveils a training course that was developed to teach health workers how to manage key respiratory medical equipment safely.
TOOL | This tool assists governments, partners, and other stakeholders to forecast the necessary volume of equipment, consumables, supplies, and drugs for supportive care and treatment of COVID-19.
TOOL | This document provides technical specifications for each indicator included in the menu of indicators proposed for primary health care measurement framework and indicators.
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.
MULTIMEDIA | This collection of infographics, videos and clips, available in multiple languages, provides critical tools to raise awareness on the impact and importance of pneumonia.
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.
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.
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.
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.
TOOL | This poster is intended for healthcare workers, biomedical engineers, and staff in charge of caring, cleaning, decontaminating, and sterilizing respiratory equipment like pulse oximeters and patient monitors.
JOURNAL PUBLICATION | Published in Indian Journal of Critical Care Medicine, this study compared PEAO rates in nasotracheal vs orotracheal intubation in critically ill children.
REPORT | The study highlighted in this report describes systems for procurement and management of medical equipment and supplies in Vietnam, including medical oxygen.
JOURNAL PUBLICATION | Published in Sante Publique, this article investigates the functionality of oxygen concentrators in hospitals in North Kivu, DRC, and emphasizes the need for improved maintenance and training.
JOURNAL PUBLICATION | Published in The Lancet, this article traces the evolution of ACT-A’s governance and analyzed it against three principles in its mission statement: participation, transparency, and accountability.
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.
JOURNAL PUBLICATION | Published in the British Journal of Management, this paper examines what makes an innovation ecosystem responsive during emergencies and looked in depth at the innovation ecosystem in Kerala, India.
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.
ARTICLE | Assist International and BHI are engaged in programs to “find and fix” existing PSA plants and concentrators—highlighting the need for repair of these vital equipment on a global scale.
INFORMATION BRIEF | This case study highlights PATH’s support in making medical oxygen available in hard-to-reach areas of India.
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.
ARTICLE | Published in JAMA Network, this editorial posits how best to prepare hospitals’ medical oxygen delivery ecosystems for health emergencies.
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.
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.
JOURNAL PUBLICATION | Published in EClinicalMedicine, this study used a novel research instrument to assess public sector emergency and critical care capacity and service readiness in LICs, with a pilot first in Malawi.
TOOL | A group of changemakers call on the world to invest in open source designs for medical devices and create an enabling environment for accessible, shareable, and scalable technologies in all...
REPORT | This report provides an overview of the respiratory care equipment supplier landscape in Vietnam.
JOURNAL PUBLICATION | Published in the Journal of Critical Care, this study provides a current overview of the state of critical care services in Nigeria, including the basic infrastructure, personnel, equipment, and processes.
INFORMATION BRIEF | These case studies from Dab Bal and Machil villages in Jammu and Kashmir’s Kupwara district offer insights into the challenges of strengthening oxygen systems in difficult-to-reach areas.
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.
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.
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.
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.
TOOL | The document outlines the quality assurance and risk mitigation activities and standards to follow before proceeding with an oxygen procurement.
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.
INFORMATION BRIEF | This case study highlights the collaborative efforts to install an oxygen generation plant in one of the most remote and hard-to-reach areas of Saraikela Kharsawan district of Jharkhand, India.
GOVERNMENT POLICY / STRATEGY | This oxygen roadmap provides a structured and attainable plan to establish and maintain a comprehensive national medical oxygen ecosystem in Malawi.
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.
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.
REPORT | This report examines the state of medical oxygen supply in Vietnam and offers insights into the strengths and weaknesses of the oxygen supply system.
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.
JOURNAL PUBLICATION | Published in Public Health Action, this study assesses the readiness of Lesotho’s hospitals to handle COVID-19, focusing on the gaps in the oxygen ecosystem and infection prevention.
TOOL | The OpenO2-Mobile team of biomedical engineers operate two minibuses equipped with tools and spare parts to repair oxygen concentrators around Malawi.
JOURNAL PUBLICATION | Published in Archives of Disease in Childhood, this study determined reference values for SpO2 among healthy children under five living at moderately high altitude in Papua New Guinea.
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.
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 to perform corrective maintenance on CPAP/BiPAP.”
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 to perform corrective maintenance on mechanical ventilators.”
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 to perform corrective maintenance on patient monitor.”
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 to perform corrective maintenance on pulse oximeters.”
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 to perform corrective maintenance on oxygen cylinders.”
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 to perform preventative maintenance on high-flow nasal cannula.”
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 to perform preventative maintenance on mechanical ventilators.”
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 to perform preventative maintenance on patient monitor.”
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 to perform preventative maintenance on pulse oximeters.”
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 to perform preventative maintenance on oxygen cylinders.”
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.
INFORMATION BRIEF | These brochures highlight the key results for maternal, newborn, and adolescent health, immunization, HIV, and primary healthcare, as outlined in the 2021 Global Annual Results Report for Goal Area 1.
TOOL | In this statement, the Every Breath Counts Coalition calls on all national governments to ensure access to pulse oximetry and oxygen free at all levels of the health system.
JOURNAL PUBLICATION | Published in Autonomic Neuroscience, this study identifies silent hypoxemia and highlights predictors such as new-onset headache and early medical attention.
TOOL | This compendium of frequently asked questions has been compiled from the audience questions that were posed during the webinar series on Oxygen Ecosystem conducted during Sept and Oct 2021.
JOURNAL PUBLICATION | Published in BMJ Open Respiratory Research, this study found that the SpO2 threshold for hypoxemia in well children from Bangladesh was higher than the conventional <90%.
JOURNAL PUBLICATION | Published in Clinical Medical Insights: Pediatrics, this study examined the use of multimodal pulse oximeters integrated with routine OPD of primary health centers after an abridged IMNCI training.
TOOL | The Health Facility Service Readiness Checklist was systematically developed to determine the facility’s service readiness for small and sick newborn care prior to NEST installation.
JOURNAL PUBLICATION | Published in Research Journal of Pharmacy and Technology, this paper presents the medical devices maintenance campaign experience conducted in Ethiopia as part of COVID-19 emergency response.
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.
JOURNAL PUBLICATION | Published in Global Health Action, this study establishes how prepared frontline facilities in Malawi are to implement WHO ETAT guidelines to support policy and planning decisions.
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.
JOURNAL PUBLICATION | This article proposes five priority areas for the research community and actionable changes to current regulations that will help improve oximeter accuracy and help reduce bias in pulse oximeter performance.
PRESENTATION / WEBINAR | This webinar discusses medical oxygen needs for women and children, highlighting the various medical oxygen delivery systems, and presenting a series of technical resources in PATH’s Oxygen Delivery Toolkit.
JOURNAL PUBLICATION | Published in BMJ Global Health, this article systematically reviewed studies of any design comparing one group where pulse oximetry was used and at least one group where it was not.
JOURNAL PUBLICATION | The World Federation of Societies of Anesthesiologists (WFSA) has developed the “WFSA—Minimum Capnometer Specifications 2021”, which are published in Anesthesia & Analgesia.
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.
INFORMATION BRIEF | This brief introduces the oxygen ecosystem and then outlines four business models: bulk supply agreements, cash-and-carry filling stations, direct equipment purchases, and equipment leasing.
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.
JOURNAL PUBLICATION | Published in PLoS One, this study found that essential medicines for children were largely available at low-level private health facilities in Uganda, but crucial equipment and clinical guidelines were lacking.
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.
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.
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.
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.
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.
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.
JOURNAL PUBLICATION | Published in Frontiers in Public Health, this study describes a visual exploratory data analysis and the use of a polynomial model to estimate the number of COVID-19 deaths in Bangladesh.
INFORMATION BRIEF | This case study highlights PATH’s support in procuring and installing PSA plants in India.
JOURNAL PUBLICATION | Published in Social Sciences, this paper describes the conflicts, contestations, and foreign policy fallout following the onset of the COVID-19 pandemic and subsequent measures taken by the Indian government.
GUIDANCE | Arising from an increased demand for medicinal gases, the World Health Organization raised the urgency for the need for guidance on good manufacturing practices for medicinal gases, including oxygen.
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.
JOURNAL PUBLICATION | Published in Operations Management Research, this study provides guidance on health supply chains during a pandemic by proposing a location-allocation model for the locations of temporary testing laboratories.
JOURNAL PUBLICATION | Published in The Lancet Global Health, this study found that while most facilities in 46 countries had sufficient resources for infection prevention, maternal outcomes were worse in low-income areas.
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.
ARTICLE | UNICEF has developed an innovative Oxygen Plant-in-a-Box package in response to COVID-19 to help countries rapidly increase their oxygen producing capacity. This provides an example from Uganda.
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.
JOURNAL PUBLICATION | This study in the Journal of Global Health included a secondary analysis of data obtained from icddr,b-Dhaka Hospital looking at hypoxemia and adverse clinical outcomes from severe pneumonia in children.
JOURNAL PUBLICATION | Published in BMJ Open, this trial protocol investigates the role of pulse oximetry in improving hospital referral rates for Pakistani children under 5 with severe pneumonia.
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.
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.
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.
ARTICLE | Published on Gas World, this article explores oxygen supply chain shortages that ultimately failed to prevent the loss of many thousands of lives.
ARTICLE | Published on Gas World, this articles provides an overview of lessons learned from past epidemics and the interplay between political playbooks and pandemic preparedness.
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.
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.
REPORT | This report highlights an assessment of biomedical equipment in Pakistan, especially focusing on oxygen supply systems.
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.
GUIDANCE | COVIDprotocols.org was launched to create open access adaptable protocols for the management of COVID-19 patients, including in low-resource settings.
INFORMATION BRIEF | This narrative highlights the successful initiatives to equip 62 CHFs with the knowledge and skills needed to manage existing critical care patients and prepare for future health emergencies.
JOURNAL PUBLICATION | Published in the Journal of the Intensive Care Society, this perspective article highlights the critical care preparedness of India for the COVID-19 pandemic and the associated challenges.
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.
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.
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.
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.
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.
TOOL | This clinical job aid from NEST360 provides an overview of a bubble CPAP device.
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.
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.
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.
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.
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.
JOURNAL PUBLICATION | Published in BMJ Open, this study reveals that while private hospitals in Chiapas, Mexico, have better infrastructure, public hospitals perform more surgeries at a lower cost.
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.
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.
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.
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.
INFORMATION BRIEF | This case study from Melghat in Maharashtra’s Amravati district offers insights into the challenges faced in improving and strengthening oxygen systems in difficult-to-reach areas.
TOOL | As part of PATH’s Oxygen Delivery Toolkit, this guide describes how the Global Financing Facility investment case process can be leveraged to increase access to medical oxygen.
JOURNAL PUBLICATION | Published in BMC Health Services Research, this study evaluates the service availability and readiness of public health facilities in Bangladesh to manage childhood pneumonia through IMCI services.
INFORMATION BRIEF | This supply intelligence brief series is intended to be a concise primer to understand the solutions available to meet a health system’s need for medical oxygen and its delivery.
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.
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.
JOURNAL PUBLICATION | Published in eClinical Medicine, this study evaluated the performance of different types of pulse oximeters amongst frontline health workers in Cambodia, Ethiopia, South Sudan, and Uganda.
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.
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.”
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.”
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.”
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.”
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.”
TOOL | PATH, together with the Clinton Health Access Initiative, has developed an initial landscape of respiratory care equipment distributors across sub-Saharan Africa.
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.
MULTIMEDIA | This YouTube channel provides advocacy videos in multiple languages to raise awareness on the impact and importance of pneumonia.
REPORT | In June 2021, Every Breath Counts coalition and Access to Medicine Foundation co-hosted a third roundtable to engage the oxygen industry in the work of ACT-A Oxygen Emergency Taskforce.
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.
JOURNAL PUBLICATION | This article in American Society of Tropical Medicine and Hygiene argues the imperative to consider scalable, sustainable approaches to providing oxygen to those in greatest need at a policy level.
TOOL | This document, featuring common noninvasive oxygen delivery devices, is part of a set of tools that can be locally modified to train health providers in respiratory care.
PRESENTATION / WEBINAR | This webinar covers essential considerations related to installing a PSA plant, including conducting a scope and need analysis, considering overall cost, looking at the advantages of piping, and more.
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.
JOURNAL PUBLICATION | Published in BMJ Global Health, this article presents a case study on oxygen access from 58 health facilities in Lagos state, Nigeria.
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.
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.
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.
JOURNAL PUBLICATION | The members of Pneumo-Strategy Group support the call to stringent regulatory agencies to immediately review the accuracy of pulse oximeters in different populations.
PRESENTATION / WEBINAR | Experts from the USAID STAR-UCSF COVID-19 Technical Advisory Group present a webinar on oxygen concentrator setup, operation, and maintenance, followed up question and answer.
REPORT | UNICEF’s 2020 Annual Report underscores 2020 as a year like no other. School closures, increased vulnerability to abuse, mental health strains, and loss of vital services have hurt children.
ARTICLE | Agreement brokered by Unitaid and CHAI under the COVID-19 Oxygen Emergency Taskforce sees two memoranda of understanding pave the way for increased liquid oxygen supply during COVID-19.
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.
GUIDANCE | This advisory of the India Ministry of Health and Family Welfare outlines the appropriate conditions and considerations for the use of oxygen concentrators in home settings for COVID-19 case management.
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.
PRESENTATION / WEBINAR | This WHO webinar provides as introduction to the oxygen ecosystem, a holistic assessment of oxygen and biomedical equipment, and recommendations for medical device specifications and procurement.
PRESENTATION / WEBINAR | This WHO webinar highlights the challenges and solutions in the systems response for oxygen in COVID-19 clinical settings.
PRESENTATION / WEBINAR | This video by the All India Institute Of Medical Sciences (AIIMS), New Delhi discusses nonventilatory oxygen therapy for patients with COVID-19.
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.
TOOL | To assist in preparing staff and teams, Laerdal Medical and partners have created a set of free scenarios to better address 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.
PRESENTATION / WEBINAR | This webinar covers essential considerations for building a medical oxygen system, including process and planning considerations, gap analysis and production comparison, and more.
TOOL | This document, featuring a tool to quantify facility-level commodities, is part of a set of tools that can be locally modified to train health providers in respiratory care.
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.
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.
JOURNAL PUBLICATION | Published in Journal of Global Health, this scoping review assesses oxygen delivery systems for adults in Sub-Saharan Africa, identifying challenges and recommending solutions for improving health systems.
ARTICLE | This article highlights a country case study from Somalia from the 2021 progress report on the implementation of the Global Action Plan for Healthy Lives and Well-being for All (GAP).
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.
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.
TOOL | This document, featuring how-to information on oxygen concentrators, is part of a set of tools that can be locally modified to train health providers in respiratory care.
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.
TOOL | These respiratory care order set templates cover the key principles for respiratory care for both adult and pediatric patients.
GUIDANCE | These standard operating procedures outline the use of medical oxygen and fire safety for public and private hospitals in Madya Pradesh, India.
PRESENTATION / WEBINAR | Experts from the USAID STAR-UCSF COVID-19 Technical Advisory Group present a webinar on oxygen conservation for the non-engineer.
JOURNAL PUBLICATION | Published in BMJ Global Health, the aim of this paper was to document policy decisions made in response to the COVID-19 pandemic in Malawi from January to August 2020.
JOURNAL PUBLICATION | Published in the Journal of Applied Physiology, this review examined, through multiple databases, the first appearance of “hypoxia” and related terms “hypoxemia” and “hypoxybiosis” in scientific literature.
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.
JOURNAL PUBLICATION | Published in Acta Paediatrica, this study identifies whether Ethiopia’s health extension workers adhere to required guidelines while assessing children under 5 with cough or difficulty breathing.
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.
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.
TOOL | This pocket guide contains quick reference for airway management, common induction and sedation agents and more.
JOURNAL PUBLICATION | Published in THEMIS Rev Derecho, this article analyzes the characteristics of the oxygen market in Peru, with special emphasis on oxygen production, existing suppliers, and market entry barriers.
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.
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.
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.
JOURNAL PUBLICATION | Published in PLoS One, this study examines the COVID-19 preparedness of health facilities and community service points in Sierra Leone that serve PLHIV.
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.
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.
JOURNAL PUBLICATION | Published in BMJ Global Health, this study evaluates the unit costs of COVID-19 case management in Kenya, highlighting the substantial financial burden and the need for resource mobilization.
ARTICLE | Published in Business Insider, this article discusses the rise of a black market for oxygen in India during the COVID-19 pandemic, with prices inflated by as much as 1,000%.
JOURNAL PUBLICATION | Published in BMJ Paediatrics Open, this study investigates the implementation of IMCI in Malawi, focusing on knowledge gaps and resource availability in healthcare settings.
JOURNAL PUBLICATION | Published in Science of The Total Environment, this study evaluates the environmental and economic impacts of three medical oxygen supply systems used in Polish hospitals during the COVID-19 pandemic.
TOOL | This poster is intended for health workers and other personnel on the safety and mitigation measures that need to be adhered to when dealing with medical oxygen piping systems.
TOOL | This poster is intended for health workers and other personnel on the safety and mitigation measures that need to be adhered to when dealing with medical oxygen.
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.
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.
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.
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.
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 pulse oximeters.
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.
TOOL | This tool from NEST360 provides a technical scenario for a bubble CPAP device.
TOOL | This tool from NEST360 provides a technical scenario for a flow splitter.
TOOL | This tool from NEST360 provides a technical scenario for an oxygen concentrator.
TOOL | This tool from NEST360 provides a technical scenario for a pulse oximeter.
TOOL | This tool from NEST360 provides a technical scenario for a suction pump.
GUIDANCE | This guidance aids country teams with program design and source language for developing funding requests for accelerating COVID-19 response efforts.
TOOL | This poster is intended for health workers and other personnel on the safety and mitigation measures that need to be adhered to when dealing with medical oxygen cylinders.
JOURNAL PUBLICATION | Published in Neonatology, this review looked at FiO2 and how it should be changed to reach an optimal SpO2 measured by pulse oximetry target within the first 5-10 min of...
DATA DASHBOARD | Published on Gas World, this interactive map highlights the location of oxygen plants in Africa, the Middle East, the Indian Subcontinent, and South America.
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.
COURSE / TRAINING VIDEO | This video by Christian Medical College (CMC) Vellore describes how and when to use noninvasive ventilation for COVID-19 patients.
PRESENTATION / WEBINAR | Experts from the USAID STAR-UCSF COVID-19 Technical Advisory Group do a live demonstration and answer questions around commonly encountered respiratory care and oxygen delivery equipment.
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.
GUIDANCE | This document provides step-by-step guidance on liquid medical oxygen management.
PRESENTATION / WEBINAR | This webinar series highlights the diagnosis and therapy for hypoxemia, both pediatric and adult.
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.
PRESENTATION / WEBINAR | Science in 5 series – Episode #33 / Medical oxygen is an essential medicine in the treatment of COVID-19.
JOURNAL PUBLICATION | Published in BMC Pulmonary Medicine, this study evaluated a medium pressure reservoir (MPR) system for continuous oxygen delivery in Kenyan pediatric wards.
JOURNAL PUBLICATION | Published in Acta Anaesthesiologica Scandinavica, this study found that spinal anesthesia was the most common method for caesarean sections in Sierra Leone, but many providers lacked formal qualifications.
JOURNAL PUBLICATION | Published in The Lancet, this study aimed to assess the status of essential medical products, oxygen supply, and methods of procurement in COVID-19 treatment facilities across Nepal.
JOURNAL PUBLICATION | Published in Archives of Disease in Childhood, this article reflects on the pandemic response at a hospital in Malawi, highlighting the role of local leadership, community support, and embedded research.
JOURNAL PUBLICATION | Published in Journal of Pharmaceutical Policy and Practice, this paper reviews key entities involved in regional and continental harmonization of medicines regulation and the milestone of the African Medicines Agency.
REPORT | This report presents findings of the registration status of tracer MNCH medicines and the functionality of regulatory agencies with respect to legal provisions, organization and resources, and registration processes.
TOOL | This infographics provides a side-by-side comparison of face mask, helmet, and endotracheal intubation to demonstrate the key considerations of each option.
COURSE / TRAINING VIDEO | On March 8th 2021, Dr. Sandra Lopez presented the approach to emergency airway management and endotracheal intubation.
PRESENTATION / WEBINAR | CHAI and Murdoch Children’s Research Institute held a virtual event moderated by President Bill Clinton, to discuss the urgent need to expand global access to medical oxygen.
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.
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.
TOOL | This tool from NEST360 provides a clinical scenario for continuous positive airway pressure (CPAP).
TOOL | This tool from NEST360 provides a clinical scenario for oxygen concentrator and flow splitter.
TOOL | This tool from NEST360 provides a clinical scenario for suction pumps.
TOOL | This reference note provides answers to key questions related to providing oxygen therapy as a treatment for COVID-19.
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.
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.
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.
JOURNAL PUBLICATION | Published in PLoS One, this study reports the technical results of a field trial of the FREO2 low-pressure oxygen storage system, consisting of improvements to a standard concentrator, in Uganda.
JOURNAL PUBLICATION | Published in Nederlands Tijdschrift voor Geneeskunde, this study evaluated the implementation of home telemonitoring and oxygen therapy in COVID-19 patients.
JOURNAL PUBLICATION | Published in Archives of Disease in Childhood, this study explores the feasibility of splitting a bubble CPAP assembly using a T-piece splitter in a simulation model.
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.
JOURNAL PUBLICATION | Published in Journal of Critical Care, this observational study highlights Ghana’s critical shortage of ICU beds and intensivists, with only 0.5 ICU beds per 100,000 people.
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.
JOURNAL PUBLICATION | Published in Journal of Biosciences and Medicines, this article explores the occurrence of “happy hypoxia” in COVID-19 patients in Kinshasa, highlighting the importance of early detection.
GUIDANCE | ISO’s Action Plan maps out how ISO aims to contribute to improving developing countries’ economic growth and access to world markets and helping to achieve sustainable development.
JOURNAL PUBLICATION | To respond to inflated costs and export restrictions on medical equipment, Mercedes HPP worked with key experts to produce a simple, mechanical noninvasive respiratory device to deliver CPAP.
GUIDANCE | Published by the WHO, this interim guidance provides recommendations for managing blood supplies and collecting convalescent plasma during the COVID-19 pandemic to ensure safety and sufficiency.
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.
JOURNAL PUBLICATION | As noted in this article from The Lancet Respiratory Medicine, oxygen is becoming critical as the 2nd wave of COVID-19 unfolds in Africa and health systems become overwhelmed.
MULTIMEDIA | This survey, covering 230 hospitals across 63 countries, shows the chronic resource and training gaps faced by LMIC health workers as they battle both surgical emergencies and COVID-19 care.
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.
JOURNAL PUBLICATION | Published in Healthcare (Basel, Switzerland), this study investigates the main characteristics of the Romanian market of medicinal oxygen, highlighting top players, market development, etc.
REPOSITORY / TOOLKIT | This website provides a set of resources on pneumonia in India, including childhood pneumonia management guidelines; a campaign guidance note; and other related communication materials.
JOURNAL PUBLICATION | Published in Annals of Global Health, this study estimates surgical and trauma care capacity in rural Nanakpur, Haryana, India using the PIPES and INTACT tools.
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.
ARTICLE | The COVID-19 pandemic accelerated global oxygen demand and made the delivery of oxygen supplies more urgent. WHO is working in the most vulnerable countries to scale up oxygen.
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.
JOURNAL PUBLICATION | Published in BMC Health Services Research, the study found that hospitals with better stock management practices had higher trauma care resource availability in Ghana.
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.
GUIDANCE | This resource aggregates guidelines for COVID-19 care from leading global health authorities and consolidates them into a single recommendation based on concordance.
JOURNAL PUBLICATION | Published in Indian Journal of Respiratory Care, this article provides narratives of two patients who suffered from 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.
REPORT | Published by the Institute for Transformative Technologies (ITT) and Oxygen Hub, this report makes the case for a decentralized, hub-and-spoke network of pressure swing adsorption (PSA) plants in sub-Saharan Africa.
JOURNAL PUBLICATION | Published in Journal of Clinical Nursing, this review highlighted the importance of systematic, human-centered design in creating paper-based nursing records for inpatient care.
JOURNAL PUBLICATION | As highlighted in this Lancet article, weak health systems buckling under the weight of the COVID-19 pandemic have received little support from donors in the global pandemic response.
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.
JOURNAL PUBLICATION | Published in The Lancet Respiratory Medicine, this study reviews global efforts to ensure an adequate medical oxygen supply during the COVID-19 pandemic, highlighting challenges and innovations.
PRESENTATION / WEBINAR | This video presentation features a panel of pulse oximetry experts sharing essential information on how pulse oximetry works, including that Masimo SET® pulse oximetry is not limited by skin pigmentation.
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.
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.
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.
JOURNAL PUBLICATION | Published in Journal of Global Health, this article highlights the importance of pulse oximetry in detecting “silent hypoxemia” and managing COVID-19 patients outside hospital settings.
REPORT | In December 2020, Every Breath Counts coalition and Access to Medicine Foundation co-hosted a second virtual roundtable to hold bilateral discussions and agree to work together to close oxygen gaps.
GUIDANCE | This COVIDprotocols.org section on oxygen care outlines treatment options in patients, both invasive and noninvasive ventilation.
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.
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.
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.
JOURNAL PUBLICATION | Published in BMJ, this article describes the potential response of the Swedish government to offer tighter restrictions if COVID-19 case numbers continue to rise.
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.
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.
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.
REPORT | Published by the World Bank, this report assesses the urban housing challenges and COVID-19 impact in Yangon, Myanmar, focusing on housing conditions, land tenure, and the urban economy.
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.
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.
GUIDANCE | This tutorial aims to provide an overview of the use of high-flow nasal oxygenation in anesthesia and intensive care in daily practice.
JOURNAL PUBLICATION | Published in Archives of Disease in Childhood, this study examines admissions for bronchiolitis, comparing centers in the U.K. with oxygen saturation thresholds for admission of 90% versus 92%.
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.
JOURNAL PUBLICATION | This study analyzed paired pulse oximetry measures of oxygen saturation and measures of arterial oxygen saturation and compared the results to patients who identified themselves as White or Black.
REPORT | This market report serves as a preliminary guide to available suppliers with capacity to provide equipment for respiratory care and is intended to help conduct an initial supplier landscaping.
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.
JOURNAL PUBLICATION | Published in Journal of the American Medical Directors Association, this study compared the mortality rates and ratios for long-term care (LTC) home residents and community-dwelling persons.
TOOL | This is an interactive tool to help stakeholders communicate the urgency of investing in access to medical oxygen and related technologies to meet the needs of COVID-19 in LMICs.
JOURNAL PUBLICATION | Published in the American Journal of Tropical Medicine and Hygiene, this article discusses the context and the COVID-19 initial responses of eight selected Latin American countries.
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.
JOURNAL PUBLICATION | Published in the Bulletin of the National Research Centre, this study examines whether Bangladesh’s stringent policy measures during the COVID-19 pandemic had any positive impact on controlling case numbers.
GUIDANCE | This document specifies requirements for the basic safety and essential performance of an oxygen concentrator in combination with its accessories.
ARTICLE | This presentation outlines Lao PDR’s COVID-19 response, focusing on data systems for case tracking, hospital capacity management, and the use of technology to monitor oxygen availability.
JOURNAL PUBLICATION | At the inaugural Global Forum on Childhood Pneumonia, stakeholders from over 55 countries endorsed a declaration committing to six strategic actions to accelerate progress in reducing child pneumonia deaths.
MULTIMEDIA | This campaign for World Pneumonia Day 2020 provides messaging, visuals, and tools to raise awareness on improvements in diagnosis and treatment, including oxygen therapy, for COVID-19 and pneumonia cases.
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.
ARTICLE | UNICEF is working with governments and partners to find the best solutions to scale up oxygen for each unique country context.
GUIDANCE | 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.
TOOL | This suite of modules is designed to meet country needs throughout the different phases of COVID-19 preparedness, response, and recovery and is aligned with all published WHO guidance on COVID-19.
ARTICLE | This project explored the possibilities of producing concentrated medical-grade oxygen with direct solar power during daytime and store it as compressed gas for night-time use.
REPORT | This survey provides detailed information on the delivery of services and the functioning of the various elements of the health system in Senegal in 2019, including those related to oxygen...
JOURNAL PUBLICATION | Published in Journal of the Indian Institute of Science, this article provides an overview of the emergence of healthcare information technology globally and recommends policy intervention for the Indian context.
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.
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.
JOURNAL PUBLICATION | This article in the American Journal of Physiology highlights some of the key issues around adequately addressing pneumonia and COVID-19 in low- and middle-income countries.
MULTIMEDIA | This flyer provides a snapshot of the oxygen need in Ethiopia: how the country made efforts to improve oxygen access and how COVID-19 exacerbated the challenges related to oxygen access.
TOOL | The Adaptt Surge Planning Support Tool is an Excel-based graphical tool intended for policymakers and senior planners to focus on surge planning information.
JOURNAL PUBLICATION | Published in BMJ Open, this study reveals significant shortages in essential equipment and medications for non-communicable diseases and injuries across eight low-income countries.
JOURNAL PUBLICATION | Published in Journal of Advanced Biotechnology and Experimental Therapeutics, this article describes the current Bangladesh situation as well as the consequences in the country due to COVID-19.
GUIDANCE | This toolkit is designed to help young people develop as youth advocates and raise their voice against stigma and discrimination during the COVID-19 pandemic.
JOURNAL PUBLICATION | Published in International Journal of Surgery, this article presents an updated surgical assessment tool to evaluate key elements of surgical care delivery in low- and middle-income countries.
JOURNAL PUBLICATION | Published in Journal of Cross-Cultural Gerontology, this article shares the experiences of a frontline worker in a care home in Sweden during the COVID-19 pandemic.
PRESENTATION / WEBINAR | This presentation highlights how Ethiopia built on their success in increasing the availability of oxygen to leverage equipment investments from the COVID-19 pandemic.
TOOL | This list of priority medical devices in the context of COVID-19 provides descriptions for the management of patients with severe acute respiratory infection when a COVID-19 infection is suspected.
PRESENTATION / WEBINAR | This PATH Live Forum disentangles key challenges impeding access—from demand planning to financing to supply and distribution systems—as well as innovative solutions to solve them for COVID-19 and beyond.
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.
JOURNAL PUBLICATION | Published in PLOS Med, this study determined mortality outcomes of infants and children diagnosed and referred using clinical guidelines with or without pulse oximetry in Malawi.
JOURNAL PUBLICATION | Published in the Journal of the American College of Surgeons, this study evaluated infrastructure and prices for operations in public and private hospitals in Chiapas state, Mexico.
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.
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.
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.
REPORT | This document presents the objectives, achievements, and future priorities of the ACT-Accelerator initiative in the global COVID-19 response.
REPORT | In September 2020, the Every Breath Counts coalition and the Access to Medicine Foundation co-hosted a first-of-its-kind virtual roundtable to explore opportunities to increase access to medical oxygen in LMICs.
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.
TOOL | This catalog lists all medical devices that may be requested through the COVID-19 Supply Portal.
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.
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.
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.
JOURNAL PUBLICATION | Published in The Lancet Global Health, this article calls for better data collection on oxygen availability in sub-Saharan Africa to improve its access, particularly in light of the COVID-19 pandemic.
PRESENTATION / WEBINAR | This is the first lecture in the CMC Vellore COVID Public Lecture Series (COVID PULSE).
GUIDANCE | This document describes the procedures for ensuring health facilities are properly equipped to manage patient care during the COVID-19 pandemic.
JOURNAL PUBLICATION | Published in Journal of Nepal Health Research Council, this study assesses the perspective of doctors working in Nepal regarding hospital preparedness for COVID-19 infection prevention measures, etc.
JOURNAL PUBLICATION | Published in The Lancet Global Health, this study surveyed Ethiopian hospitals for the presence and functionality of pulse oximeters and capacity for oxygen saturation monitoring.
ARTICLE | This document provides information regarding the S.O. 3322(E) Order in New Delhi on September 25, 2020.
JOURNAL PUBLICATION | Published in the African Journal of Emergency Medicine, this study examines Rwanda’s pre-hospital emergency system as well as their electronic pre-hospital registry and CQI project.
INFORMATION BRIEF | This factsheet provides an overview of international development assistance related to pneumonia, including projects focused on prevention and treatment.
ARTICLE | OjoPúblico found that two global companies cornered the sale of medicinal oxygen to the Peruvian Ministry of Health and regional governments in the past few years.
REPOSITORY / TOOLKIT | The Ventilator Training Alliance provides a library of training and product resources for medical professionals.
TOOL | Published by the World Health Organization, this resource lists supply coordinators in the COVID-19 pandemic response across low- and middle- income countries to facilitate collaboration.
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.
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.
JOURNAL PUBLICATION | Published in International Journal of Surgery, this study developed a surgical assessment tool to evaluate Ethiopia’s surgical capacity.
GUIDANCE | The purpose of this document is to provide clinical guidance to clinicians working in a low-resource setting during the COVID-19 pandemic.
GUIDANCE | As part of PATH’s Oxygen Delivery Toolkit, this guide provides recommendations on how to create or improve high-quality, country-specific resources for health facility infrastructure and medical device requirements.
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.
ARTICLE | This article examines the oxygen shortages in sub-Saharan Africa during the COVID-19 pandemic, revealing the challenges hospitals faced in providing critical care due to high costs and limited supply.
TOOL | This document provides a list of nodal officers and volunteers for procuring medical oxygen in India.
ARTICLE | Published by the WHO, this document outlines Yangon’s successful mass media campaign to promote COVID-19 awareness and protective behaviors.
COURSE / TRAINING VIDEO | This article published in Obstetrics and Gynecology outlines an algorithm for prone positioning of both intubated and nonintubated pregnant women.
GUIDANCE | These guidelines provide recommendations for how to perform safe surgery during COVID-19 pandemic in Myanmar, including triage of patients, emergency patients under criteria of PUI, etc.
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.
REPORT | WHO published the first COVID-19 Strategic Response and Preparedness Plan on February 3, 2020.
REPORT | This report explores how COVID-19 is exacerbating the already overwhelming health crisis in Yemen and identifies several recommendations based on information from health teams in Yemen.
JOURNAL PUBLICATION | Published in BMC Public Health, this study found that only 4 of 116 hospitals in Malawi were fully equipped for pediatric emergency care, with critical shortages in essential supplies.
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.
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.
TOOL | As part of PATH’s Oxygen Delivery Toolkit, this tool is designed to help track daily oxygen use and, ultimately, inform future procurement planning.
JOURNAL PUBLICATION | This article in the journal Antibiotics talks about patients with pneumonia and other respiratory diseases in hospital settings.
TOOL | The document provides a list of medical oxygen, manufacturers, refillers, and suppliers listed with All India Industrial Gases Manufacturers’ Association (AIIGMA).
GUIDANCE | As part of PATH’s Oxygen Delivery Toolkit, this guide outlines recommendations for understanding electricity access as well as methods for improving procurement and deployment of related medical devices.
REPORT | The Every Newborn Action Plans provides a roadmap to end preventable newborn mortality, reduce disability, and end preventable stillbirths by 2030.
REPORT | This dashboard illustrates the evolution of solar PV module cost by data source between 1970 and 2020.
INFORMATION BRIEF | This brief provides an overview of childhood pneumonia in Angola, the health and system factors that contribute to that situation, and key calls to action to appropriately address it.
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.
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.
TOOL | This infographics provides a description of the helmet setup for noninvasive ventilation for COVID-19.
JOURNAL PUBLICATION | Published in the Archives of Diseases in Childhood, this article discusses medical care for children during the COVID-19 pandemic, for the disease and other causes, especially in low-resource settings.
TOOL | This document provides local authorities, leaders, and policymakers in cities with a checklist tool to ensure that key areas have been covered for strengthening preparedness for COVID-19.
GUIDANCE | As part of PATH’s Oxygen Delivery Toolkit, this guide describes the key steps that should be followed when procuring and contracting for an oxygen delivery system.
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.
PRESENTATION / WEBINAR | This presentation provides information on Rwanda’s current oxygen production and distribution, key barriers to oxygen access in Rwandan health facilities, and the country’s plans to increase oxygen access for COVID-19.
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.
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.
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.
TOOL | UNICEF has developed an Excel-based tool to help stakeholders plan their oxygen supply system.
GUIDANCE | This rapid advice guide examines the evidence and makes recommendations for the use of chest imaging in acute care of adult patients with suspected, probable, or confirmed COVID-19.
JOURNAL PUBLICATION | Published in African Journal of Primary Health Care and Family Medicine, this article highlights different technologies used in Africa to combat COVID-19 oxygen shortages and how to leverage them long-term.
PRESENTATION / WEBINAR | WHO and IFMBE Clinical Engineering Division partnered to host a series of COVID-19 Critical Topic 1-hour webinars during May 2020.
JOURNAL PUBLICATION | Published in Pediatric Pulmonology, this study examined stakeholder perspectives on pediatric pneumonia in Nigeria, revealing gaps in pneumonia-specific policies, healthcare infrastructure, and community awareness.
JOURNAL PUBLICATION | Published in Mayo Clinic Proceedings, this study aimed to identify markers associated with in-hospital death in patients with coronavirus disease 2019 (COVID-19)-associated pneumonia in Wuhan, China.
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.
TOOL | This survey assesses quantified availability and the causes for nonfunctioning of different sources of oxygen delivery and supply systems to the patient to determine priorities and re-allocation requirements.
REPOSITORY / TOOLKIT | This document was created to support country decision-makers in developing and executing a comprehensive respiratory care plan to meet the demands of COVID-19.
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.
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.
INFORMATION BRIEF | This brief provides an overview of childhood pneumonia in Afghanistan, the health and system factors that contribute to that situation, and key calls to action to appropriately address it.
INFORMATION BRIEF | This brief provides an overview of childhood pneumonia in Bangladesh, the health and system factors that contribute to that situation, and key calls to action to appropriately address it.
INFORMATION BRIEF | This brief provides an overview of childhood pneumonia in Chad, the health and system factors that contribute to that situation, and key calls to action to appropriately address it.
INFORMATION BRIEF | This brief provides an overview of childhood pneumonia in DRC, the health and system factors that contribute to that situation, and key calls to action to appropriately address it.
INFORMATION BRIEF | This brief provides an overview of childhood pneumonia in Ethiopia, the health and system factors that contribute to that situation, and key calls to action to appropriately address it.
INFORMATION BRIEF | This brief provides an overview of childhood pneumonia in India, the health and system factors that contribute to that situation, and key calls to action to appropriately address it.
INFORMATION BRIEF | This brief provides an overview of childhood pneumonia in Indonesia, the health and system factors that contribute to that situation, and key calls to action to appropriately address it.
INFORMATION BRIEF | This brief provides an overview of childhood pneumonia in Kenya, the health and system factors that contribute to that situation, and key calls to action to appropriately address it.
INFORMATION BRIEF | This brief provides an overview of childhood pneumonia in Mali, the health and system factors that contribute to that situation, and key calls to action to appropriately address it.
INFORMATION BRIEF | This brief provides an overview of childhood pneumonia in Niger, the health and system factors that contribute to that situation, and key calls to action to appropriately address it.
INFORMATION BRIEF | This brief provides an overview of childhood pneumonia in Nigeria, the health and system factors that contribute to that situation, and key calls to action to appropriately address it.
INFORMATION BRIEF | This brief provides an overview of childhood pneumonia in Pakistan, the health and system factors that contribute to that situation, and key calls to action to appropriately address it.
INFORMATION BRIEF | This brief provides an overview of childhood pneumonia in Somalia, the health and system factors that contribute to that situation, and key calls to action to appropriately address it.
INFORMATION BRIEF | This brief provides an overview of childhood pneumonia in South Sudan, the health and system factors that contribute to that situation, and key calls to action to appropriately address it.
JOURNAL PUBLICATION | Published in Pediatric Pulmonology, this article explores health system challenges in managing childhood pneumonia in Lagos and Jigawa, Nigeria, and provides recommendations for improvements.
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.
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.
ARTICLE | The Peruvian Supreme Court overruled the appeals filed by 3 oxygen companies on the sanctions for illegal collusion of the medical oxygen market from Jan 1999 to Jun 2004.
GUIDANCE | This page provides different resources to maintain preventive and curative services while also meeting the demand for care of COVID-19 patients.
GUIDANCE | Published by the WHO, this guidance offers practical actions for maintaining essential health services during the COVID-19 pandemic, ensuring continued access to healthcare while managing increased demand.
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.
JOURNAL PUBLICATION | Published in the Indian Journal of Critical Care Medicine, this article shares the experience of a multispecialty hospital and designated COVID-19 center in India.
JOURNAL PUBLICATION | Published in The Pan African Medical Journal, this study assesses primary health workers’ experience of neonatal resuscitation and audit primary health centers for related equipment availability.
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.
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.
JOURNAL PUBLICATION | Published in Chaos, Solitons, and Fractals, this paper generates real-time forecasts of future COVID-19 cases for multiple countries and risk assessment of COVID-19 for some profoundly affected countries.
JOURNAL PUBLICATION | Published in Geocarto International, this article reports a COVID-19 management strategy from India, using an integrated satellite remote sensing, GIS, and local knowledge-based approach.
REPORT | This survey provides information on the delivery of services and the functioning of the various elements of the health system in Senegal in 2018, including those related to oxygen delivery.
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.
GUIDANCE | This guide is intended to support a value-based procurement approach when planning for and procuring new medical equipment in resource-constrained health systems.
GUIDANCE | This document provides technical specifications for the minimum requirements that a PSA oxygen plant must meet for use for the administration of medical-grade oxygen.
GUIDANCE | This document is intended to provide guidance on using anesthesia ventilators safely and effectively as ICU ventilators.
GUIDANCE | The purpose of this document is to provide guidance on preventive measures, isolation, and quarantine of health care functionaries during the COVID-19 pandemic.
GUIDANCE | As part of PATH’s Oxygen Delivery Toolkit, this guide offers resources to help track medical device upkeep and, over the long term, improve future procurement decisions.
TOOL | As part of PATH’s Oxygen Delivery Toolkit, this manual provides resources to train those involved in conducting a baseline assessment of the current status of oxygen delivery systems.
GUIDANCE | This case management manual is intended to guide clinical care of patients with COVID-19 in Malawi. It is the first edition.
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.
JOURNAL PUBLICATION | Published in The Lancet Global Health, this study analyzes Malawi’s healthcare system’s preparedness for COVID-19, revealing crucial gaps in oxygen, PPE, and isolation facilities.
GUIDANCE | The purpose of this review is to present COVID-19-related questions in emergency medicine as pertains to the South African context.
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.
INFORMATION BRIEF | With the increased attention to oxygen supply brought by COVID-19, there is an opportunity to build adequate infrastructure to deliver oxygen in a systematic manner.
REPOSITORY / TOOLKIT | This set of resources includes various oxygen and pulse oximetry trainings and tools collated by Dr. Hamish Graham.
GUIDANCE | In alignment with India’s strategic approach, this document provides action that needs to be taken for containing a cluster to break cycle of transmission and decrease COVID-19 morbidity and mortality.
GUIDANCE | This guidance document is intended for clinicians caring for COVID-19 patients during all phases of their disease (i.e. screening to discharge).
COURSE / TRAINING VIDEO | This course is based on the WHO manual on decontamination and reprocessing of medical devices for health care facilities, as well as in collaboration with the US CDC.
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.
JOURNAL PUBLICATION | Published in The Lancet Global Health, this review defines and measures effective coverage in MNCAHN, proposes a standardized approach to include quality of care, and outlines research priorities.
JOURNAL PUBLICATION | Published in BMC Emergency Medicine, this study assesses the emergency care capacity at government referral hospitals in Eswatini, identifying key gaps and suggesting improvements.
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.
GUIDANCE | The purpose of this document is to provide guidelines for setting up of quarantine facilities during the COVID-19 pandemic.
GUIDANCE | The document provides guidelines for setting up isolation facilities for COVID-19 patients at district hospitals in India.
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.
TOOL | Published by the World Health Organization, this document outlines harmonized assessment modules to evaluate health facility readiness, resources, and service continuity in response to the COVID-19 pandemic.
GUIDANCE | Published by the Department of Health, Philippines, this document outlines urgent measures to enhance case investigation and contact tracing, including the formation of COVID-19 Special Teams for regional response.
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.
TOOL | This tool helps hospitals and health systems evaluate piped medical gas system capacity and show the usage of a particular system while different types of therapies are in use.
REPOSITORY / TOOLKIT | This Oxygen Delivery Toolkit provides materials to help plan, manage, and communicate the value of scaling up oxygen delivery systems and access to oxygen and pulse oximetry.
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.
TOOL | This is a retrospective case series describing 15 nonintubated patients with hypoxemic respiratory failure who underwent proning.
GUIDANCE | As part of PATH’s Oxygen Delivery Toolkit, this guide presents a framework for decision-making based on reference prices.
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.
GUIDANCE | This plans lays out containment strategies for India for the COVID-19 pandemic under different transmission scenarios.
GUIDANCE | This page includes resources to help understand the benefits of the procedure and see how pronation therapy can be done safely.
GUIDANCE | This document aims to provide clinical guidance on palliative care during the COVID-19 pandemic, specifically for use in low-resource settings.
COURSE / TRAINING VIDEO | This video outlines a potential strategy for airway management in the intensive care unit for patients with COVID-19.
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.
TOOL | This poster provides a summery of the recommendations on the management of patients with COVID-19 and acute respiratory distress syndrome.
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.
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.
TOOL | This document describes commodities used in managing COVID-19 epidemics.
GUIDANCE | This consensus statement provides clarity on airway management for COVID-19 patients and where that guidance differs for pediatric patients.
GUIDANCE | To gauge the need for supplies/equipment and health work force requirements during the COVID-19 pandemic, WHO has developed a suite of complimentary surge calculators.
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.
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.
TOOL | The clinical characterization case record form (clinical CRF) is intended to provide Member States with a standardized approach to collect clinical data to on 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.
GUIDANCE | This document provides guidelines for cleaning externally contaminated medical gas cylinders/containers.
GUIDANCE | From the MSF Manual of Nursing Care Procedures, this note outlines how to set up an oxygen flow splitter.
COURSE / TRAINING VIDEO | This is an instructional video to show the use of a LifeBox pulse oximeter in the context of the COVID-19 pandemic.
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.
GUIDANCE | Published by the National Health Mission, this document provides a comprehensive framework for India’s COVID-19 response and preparedness, focusing on healthcare infrastructure, diagnostics, and treatment facilities.
TOOL | This document provides a list of nationwide control room help line numbers in India.
TOOL | Published by PESO, this document lists the contact details and assigned regions for nodal officers overseeing the supply and manufacture of medical oxygen across India during the COVID-19 pandemic.
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.
GUIDANCE | The aim of this document is to set out a plan to contain the outbreak of COVID-19 in defined geographic areas in India.
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.
COURSE / TRAINING VIDEO | This video provides an overview of oxygen concentrators, including how they work and how to maintain them.
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.
GUIDANCE | This interim guidance describes how to quantify oxygen demand, identify oxygen sources that are available, and select appropriate surge sources to best respond to COVID-19 patients’ needs, especially in LMICs.
TOOL | This video provides a brief overview of when oxygen therapy may be necessary in maternity care.
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.
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.
REPORT | There is a need for continued and regular public messaging from the Government of Myanmar to try and calm the population and convince people not to panic during COVID-19.
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.
TOOL | This guide and Excel tool should be used to administer the SEARO-IMAI oxygen survey at district and regional hospitals.
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.
GUIDANCE | This SOP outlines how to convert industrial oxygen cylinders and other gas cylinders to ensure uninterrupted supply of oxygen to hospital and other healthcare facilities.
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.
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.
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.
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.
COURSE / TRAINING VIDEO | This instructional video demonstrates how to use a pulse oximeter in the COVID-19 pandemic.
TOOL | This flowchart lays out use of pulse oximetry in the decision-making process for COVID-19 treatment with oxygen therapy.
GUIDANCE | These technical specifications describe the minimum requirements that invasive and noninvasive ventilators must comply with to ensure quality, safety, and effectiveness for COVID-19 management.
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.
JOURNAL PUBLICATION | Published in BMC Health Services Research, this study examined the quality of neonatal care in district facilities in Malawi, revealing major shortcomings in infection control, equipment, and newborn care.
TOOL | This set of posters provides guidance to healthcare workers on airway management for COVID-19 patients.
GUIDANCE | This guidance highlights proper airway management of patients suspected or confirmed to have COVID-19.
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.
COURSE / TRAINING VIDEO | This video provides instruction on the basics of intubation of a critically ill patient.
COURSE / TRAINING VIDEO | This video provides instruction on the modes of mechanical ventilation for a critically ill patient.
COURSE / TRAINING VIDEO | This video provides a simulation of the use of mechanical ventilator on a critically ill patient.
COURSE / TRAINING VIDEO | This video provides instruction on monitoring and fluid and pharmacological management of intubated patients as well as on shock management.
COURSE / TRAINING VIDEO | This video provides instruction on the monitoring and care of an intubated patient.
COURSE / TRAINING VIDEO | This video provides instruction on how to administer anesthesia for surgery of critically ill patients.
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.
GUIDANCE | This guidance seeks to advise health workers in the pediatric arena during the COVID-19 outbreak in Kenya.
JOURNAL PUBLICATION | Published in the New England Journal of Medicine, this study assessed whether targeting the lower limit of the Pao2 range would improve outcomes in patients with ARDS.
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.
GUIDANCE | Published by the WHO, this interim guidance document offers operational considerations for COVID-19 case management, focusing on infection control, treatment protocols, and healthcare facility preparedness, particularly in resource-limited settings.
REPORT | This report outlines an implementation plan to provide oxygen services as a utility, which is a potential new way forward to address many of the issues that limit oxygen access.
GUIDANCE | This document is intended for clinicians taking care of hospitalized adult and pediatric patients of COVID-19 in India.
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.
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.
GUIDANCE | The purpose of this document is to provide clinical guidance to clinicians working in Tanzania during the COVID-19 pandemic.
TOOL | In collaboration with UNICEF, NEST360 is driving the development of target product profiles for newborn care in low-resource settings.
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.
JOURNAL PUBLICATION | Published in Systemic Reviews, this study aims to fill a key evidence gap by providing comprehensive estimates of hypoxemia prevalence.
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.
JOURNAL PUBLICATION | Published in Journal of Critical Care, this study reveals Uganda’s ICU capacity is limited, with only 12 functional ICUs serving a population with 1.3 ICU beds per million.
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.
JOURNAL PUBLICATION | Published in Open Access Emergency Medicine, this study identifies major gaps in emergency drugs and equipment in Ethiopian ICUs, especially in pediatric care and equipment for intubation management.
REPORT | This report presents findings of a Health Facility Survey in 2017, which assessed the quality, availability, and accessibility of health services in the country.
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.
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.
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.
JOURNAL PUBLICATION | Published in Anesthesia & Analgesia, this study evaluates anesthesia capacity in Bangladesh, revealing a modest increase in anesthesiologists and improvements in infrastructure since 2012.
JOURNAL PUBLICATION | Published in BMC Health Services Research, the study found that facility readiness and health worker knowledge in rural southern Nepal were inadequate for providing quality maternal and newborn care.
DATA DASHBOARD | The child pneumonia data visualizer toolkit can be used to explore and visualize data related to pneumonia incidence, mortality, prevention, and treatment.
TOOL | All U.S. hospitals need to be prepared for patients with suspected or confirmed 2019-nCoV. This checklist highlights some key areas for hospitals to review in preparation.
REPORT | This brief report presents the causes of pneumonia, the ways to prevent and treat it, and the resources needed to end pneumonia-related deaths.
REPORT | The SARA 2018 survey evaluated the availability and operational capacity of health services in Mozambique, providing essential data for health system strengthening.
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.
TOOL | The purpose of this checklist is to help hospital managers prepare for COVID-19 patient management by optimizing each hospital’s capacities.
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.
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.
JOURNAL PUBLICATION | Published in Trials, this study aims to demonstrate the efficacy of SpO2 in children hospitalized with acute hypoxemic respiratory illness across Uganda.
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.
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.
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.
JOURNAL PUBLICATION | Published in PLoS One, this observational study found that clinical consultations for respiratory illness in young children were often too brief to guide accurate diagnoses.
REPORT | Additional attention and investment needs to be given to pneumonia to reverse trends in global health and childhood deaths.
JOURNAL PUBLICATION | This study in eClinical Medicine evaluates the epidemiology of hypoxemia and oxygen use in hospitalized neonates and children in Nigeria.
INFORMATION BRIEF | The National Scale Up of Medical Oxygen Implementation Plan is the first policy of its kind to coordinate oxygen stakeholders and provide long-term guidance for scaling oxygen access in Uganda.
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.
REPORT | This report presents findings of the 2018-19 Afghanistan Service Provision Assessment which evaluates the quality, availability, and accessibility of health services in the country.
JOURNAL PUBLICATION | Published in the New England Journal of Medicine, this study assessed adult patients anticipated to require mechanical ventilation in the ICU to receive conservative or usual oxygen therapy.
JOURNAL PUBLICATION | The study, published in the Eastern Mediterranean Health Journal, found that targeted interventions improved midwives’ management of postpartum hemorrhage in rural Iran.
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.
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.
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.
INFORMATION BRIEF | This factsheet highlights a PATH project that aims to build capacity in support of oxygen scale up at the country level.
JOURNAL PUBLICATION | Published in Seminars in Perinatology, the Neonatal Oxygenation Prospective Meta-analysis collaboration reported analysis of five trials of oxygen saturation targeting in very preterm infants.
TOOL | Brian Turyabagye is a Ugandan engineer and a co-inventor of a ‘biomedical smart jacket’ which detects pneumonia faster than a doctor.
JOURNAL PUBLICATION | Published in the Journal of the American College of Surgeons, this study assessed the surgical capacity of 4 states in Nigeria based on The Lancet Commission on Global Surgery Indicators.
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.
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.
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.
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.
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.
JOURNAL PUBLICATION | Published in Paediatric International Child Health, this review identified key components for designing bubble CPAP circuits for children in low-resource settings.
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.
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.
JOURNAL PUBLICATION | This prospective validation study in BMJ evaluated the effectiveness of intermittent pulse oximetry in guiding oxygen therapy in neonates in a low-resource setting—focusing on three hospitals in southwest Nigeria.
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.
GUIDANCE | Published by WHO and PAHO, this guide provides evaluators with a detailed methodology for assessing hospital safety and preparedness using the Safe Hospitals Checklist.
JOURNAL PUBLICATION | Published in BMJ Global Health, this review highlights substantial gaps between crude and quality-adjusted coverage in RMNCH+N services, emphasizing the need to assess service effectiveness.
JOURNAL PUBLICATION | Published in Maternal Health, Neonatology and Perinatology, this study assesses facility readiness in LMICs to care for high-risk, small, and sick newborns, highlighting significant variability and the need for improvements.
JOURNAL PUBLICATION | Published in BMC Health Services Research, this study explores the management of childhood pneumonia in South Ethiopia, revealing gaps in healthcare system support and health workers’ knowledge.
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.
REPORT | The Service Availability and Readiness Assessment (SARA) and Data Quality Review in 2018 assessed the availability and ability of health care facilities to provide essential services in Uganda.
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.
JOURNAL PUBLICATION | Published in BMC Health Services Research, this study examines barriers to pediatric oxygen therapy in three Eastern Ugandan hospitals, focusing on supply issues, staff training, and equipment maintenance.
REPORT | Published by the Haitian Ministry of Public Health, this report provides a comprehensive evaluation of healthcare services in Haiti, focusing on infrastructure, service availability, and quality in 2017-2018.
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.
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.
REPORT | This report assesses the availability and operational capacity of health services in Mauritania, providing insights into infrastructure, service readiness, and health system gaps.
JOURNAL PUBLICATION | This study in the journal International Health evaluates the quality of oxygen therapy in 12 secondary-level Nigerian hospitals.
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.
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.
JOURNAL PUBLICATION | Published in PLoS One, this study tested a low-pressure oxygen storage system to ensure continuous oxygen delivery during power outages in Uganda.
GUIDANCE | This guide was created in response to insufficient knowledge about decommissioning medical device and is part of the WHO medical device technical series.
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.
REPORT | Published by the Ministry of Health of Kenya, this report evaluates the availability and readiness of healthcare services across Kenya, focusing on infrastructure, quality, and service delivery in 2018-2019.
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.
REPORT | This 2017-18 Democratic Republic of the Congo Service Provision Assessment assesses the quality, availability, and accessibility of health services in the country.
JOURNAL PUBLICATION | Published in British Journal of Surgery, this study assesses surgical capacity in Ethiopia, focusing on infrastructure, equipment, and training gaps, and calls for investment to improve surgical care.
JOURNAL PUBLICATION | Published in Tropical Doctor, this letter advocates for universal implementation of newborn pulse oximetry in India to improve early detection of congenital heart disease and reduce neonatal mortality.
JOURNAL PUBLICATION | Published in BMJ Global Health, this study systematically reviews the evidence on the relationship between user charges and health outcomes in LMICs and explores underlying mechanisms of this relationship.
GUIDANCE | This interagency publication provides harmonized product specifications for a wide range of products for delivering oxygen therapy and guidance on the selection, procurement, use, and maintenance of these products.
REPORT | The SARA+QoC 2018 survey in Burkina Faso evaluated the availability and operational capacity of health services, providing essential data for health system strengthening and quality of care improvement.
REPORT | This 2017 Service Availability and Readiness Assessment (SARA) Plus integrated a Data Quality Review and Quality of Care assessment of service delivery at health facilities in Sierra Leone.
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.
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.
JOURNAL PUBLICATION | Published in PLoS One, this study used clinical cascades to assess neonatal care readiness in Kenya and Uganda, revealing low overall readiness and significant loss across stages of care.
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.
GUIDANCE | This publication explains the fire hazards resulting from handling oxygen and the relevant protective measures that should be taken.
INFORMATION BRIEF | This document provides a snapshot of oxygen-related work that has been done in Ethiopia and Nigeria from United4Oxygen Alliance partners.
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.
REPORT | This report urges national governments to adopt pneumonia control strategies, identify the most vulnerable populations, and ensure that they are fully protected with the necessary vaccines, diagnosis, and treatments.
DATA DASHBOARD | The WHO International Registry for Trauma and Emergency Care is a web-based platform for aggregation and analysis of case-based data from emergency care visits.
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.
JOURNAL PUBLICATION | Published in BMJ Global Health, this study evaluates emergency care capacity in Africa using the Emergency Care Assessment Tool, highlighting key gaps and barriers to effective emergency care delivery.
JOURNAL PUBLICATION | Published in World Journal of Surgery, this study assesses the relationship between surgical capacity and output in Ghana, highlighting the limitations of current capacity assessments.
GUIDANCE | Efforts to scale up essential interventions to achieve the health-related targets of the SDGs and universal health coverage will be greatly impacted by the availability of health workers in LMICs.
JOURNAL PUBLICATION | Published in Critical Care, this research paper argues for the need of establishing a new global focus on essential emergency and critical care (EECC) within the universal health coverage agenda.
REPORT | This survey provides information on the delivery of services and the functioning of the various elements of the health system in Senegal in 2017, including those related to oxygen delivery.
JOURNAL PUBLICATION | Published in World Journal of Surgery, this study found that Uganda’s public hospital system falls short of global surgical care targets, with limited surgical capacity and workforce shortages.
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.
JOURNAL PUBLICATION | This study, published in Journal of Public Health Policy, found that energy poverty in sub-Saharan African healthcare facilities hampers healthcare quality and calls for effective policies to improve access.
REPORT | The SARA-DQR-QOC 2017 survey in Guinea evaluated the availability and operational capacity of health services, providing essential data for health system strengthening and quality of care improvement.
TOOL | Key stakeholders convened to generate a list of recommended additions to main data sources to include pneumonia and hypoxemia indicators.
JOURNAL PUBLICATION | Published in Thorax, this descriptive, cross-sectional study describes SpO2 measurements at 15 locations from sea level up to the highest permanent human habitation.
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.
REPORT | This report summarizes the A2O2: Accelerating Access to Oxygen Convening, which aimed to foster information sharing and active dialogue around improving access to oxygen.
JOURNAL PUBLICATION | The study, published in Open Journal of Nursing, found significant gaps in the contents and records of emergency trolleys in the maternity sections of state hospitals in Namibia.
MULTIMEDIA | The HO2PE campaign provides resources to increase awareness about the importance of oxygen treatment and its impact on saving precious breath and life around the world.
REPORT | This report summarizes public and philanthropic investment for pneumonia-related research by the G20 countries between 2000 and 2015.
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.
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.
JOURNAL PUBLICATION | This study obtained baseline data about maternal-neonatal care capacity and health outcomes in a remote, mountainous area of Nepal to identify opportunities for improving care delivery.
JOURNAL PUBLICATION | Published in Expert Review of Pharmacoeconomics & Outcomes Research, this study found that high-flow oxygen therapy in ICU settings was cost-saving compared to standard oxygen and noninvasive ventilation.
REPORT | The Ethiopian Public Health Institute and the Ministry of Health implemented the 2018 Service Availability and Readiness Assessment (SARA) to assess the availability, readiness, and quality of essential health services.
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.
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.
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.
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.
JOURNAL PUBLICATION | Published in The Lancet, this study systematically reviewed the efficacy and safety of liberal versus conservative oxygen therapy in acutely ill adults.
JOURNAL PUBLICATION | Published in Journal of Tropical Pediatrics, this study evaluates oxygen availability and nursing capacity for oxygen therapy in Ugandan pediatric wards, highlighting gaps in training and equipment.
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.
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.
JOURNAL PUBLICATION | Published in Pediatric Surgery International, this study characterizes pediatric surgical capacity in the eastern DRC, highlighting critical gaps in personnel, infrastructure, and equipment.
JOURNAL PUBLICATION | Published in American Journal of Respiratory and Critical Care Medicine, this article lays out areas for future research including improving understanding of the mechanisms of supplemental oxygen, etc.
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.
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.
JOURNAL PUBLICATION | Published in Journal of Paediatrics and Child Health, this two-part prospective study examined the hypoxemia prevalence and explored clinical risk factors of neonates in Nairobi, Kenya.
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.
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.
JOURNAL PUBLICATION | Published in PLoS One, this study found that the maternal signal functions model overestimated emergency obstetric readiness by 55%, with many facilities lacking the resources to manage maternal emergencies.
REPORT | This report calls for strong cooperation among governments, businesses, health providers, communities, and families to give every newborn a fair chance to survive.
JOURNAL PUBLICATION | This article in the Journal of Perinatology describes a prospective cohort study investigating if the Silverman Andersen respiratory severity score is associated with a need for increased respiratory support.
JOURNAL PUBLICATION | Published in PLoS One, this study aimed to assess the preparedness of lower-level health facilities for outpatient primary care of hypertension in Tanzania.
JOURNAL PUBLICATION | Published in Pediatrics, this study demonstrates that the ETAT+ intervention significantly reduced hospital mortality among children under five in Rwanda.
JOURNAL PUBLICATION | Published in Telemedicine and e-Health, the article evaluates the cost-effectiveness of the NHS Direct Pilot Telehealth Program for patients with chronic obstructive pulmonary disease.
JOURNAL PUBLICATION | Published in BMJ Open, this study evaluates the feasibility of pediatric pulse oximetry for pneumonia in Malawi and Bangladesh, identifying barriers and calling for improvements in infrastructure.
REPORT | The 2017 Service Availability and Readiness Assessment (SARA) for Sri Lanka assesses the availability, readiness, and quality of essential health services in the country.
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.
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.
JOURNAL PUBLICATION | Published in World Neurosurgery, this study piloted a new tool to assess neurosurgical capacity and describes its use adapting the Surgeons OverSeas PIPES (personnel, infrastructure, procedures, equipment, and supplies) assessment.
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.
REPORT | The Service Availability and Readiness Assessment (SARA) in 2017 assessed service availability, readiness, and the quality of Eswatini health services provided in all public and private facilities.
REPORT | The 2017 Service Availability and Readiness Assessment (SARA) aimed to provide reliable information on availability and readiness of health services delivery in Libya.
JOURNAL PUBLICATION | Published in Implementation Science, the study evaluated a multi-modal intervention using the WHO “Quick Check” triage tool in four Ugandan hospitals.
ARTICLE | CHAI is working with the Government of Nigeria to expand access to life-saving oxygen therapy – especially for children.
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.
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.
JOURNAL PUBLICATION | Published in BMC Pregnancy and Childbirth, this study assesses key challenges in providing safe obstetric anesthesia in Uganda, highlighting resource constraints and their impact on maternal and neonatal health.
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.
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.
JOURNAL PUBLICATION | Published in Journal of the American College of Surgeons, the study reviewed the state of pediatric surgical care in Mongolia, highlighting gaps in resources and recommending improvements.
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.
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.
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.
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.
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.
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.
GUIDANCE | This publication outlines WHO recommendations on adolescent health in one easy-to-access document for WHO staff, policymakers, program managers, and health professionals.
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.
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.
JOURNAL PUBLICATION | Published in Cost Effectiveness and Resource Allocation, this study evaluates the impact of emerging health innovations on maternal, newborn, and child health to save lives by 2030.
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.
JOURNAL PUBLICATION | Published in the Bulletin of the World Health Organization, this study assesses the availability of basic surgical resources at selected facilities in a number of countries.
JOURNAL PUBLICATION | Published in Anesthesia & Analgesia, an assessment of Madagascar’s anesthesia capacity found critical shortages in trained providers, infrastructure, and equipment.
REPORT | This report focuses on what is now the single biggest cause of child deaths through infectious disease – pneumonia.
GUIDANCE | ISO 80601-2-61:2017 applies to the basic safety and essential performance of pulse oximeter equipment intended for use on humans.
JOURNAL PUBLICATION | Published in Anaesthesia, this study determined whether the introduction of pulse oximetry with training was feasible and could reduce the incidence of oxygen desaturation during anesthesia in Malawi.
JOURNAL PUBLICATION | In Clinical Infectious Diseases, this article recommends the WHO IMCI guidelines to consider additional referral or daily monitoring criteria for children with chest indrawing pneumonia in low-resource settings.
REPORT | This survey provides detailed information on the delivery of services and the functioning of the various elements of the health system in Senegal in 2016, including those related to oxygen...
JOURNAL PUBLICATION | This study examined whether drugs and equipment in primary health centers are adequate per Indian Public Health Standards and if there is any effect of their availability on maternal mortality.
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.
COURSE / TRAINING VIDEO | In this video, Dr. Wolbrink discusses indications and contraindications for using bubble continuous positive airway pressure (CPAP).
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.
GUIDANCE | This publication outlines WHO recommendations on child health in one easy-to-access document for WHO staff, policymakers, program managers, and health professionals.
GUIDANCE | This publication outlines WHO recommendations on maternal health in one easy-to-access document for WHO staff, policymakers, program managers, and health professionals.
GUIDANCE | This publication outlines WHO recommendations on newborn health in one easy-to-access document for WHO staff, policymakers, program managers, and health professionals.
JOURNAL PUBLICATION | Published in Anaesthesia, this article highlights the introduction of Lifebox pulse oximeters combined with appropriate training in Malawi.
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.
REPORT | The SARA 2017 survey evaluated the availability and operational capacity of health services in Burundi, providing essential data for health system strengthening.
JOURNAL PUBLICATION | Published in Pan African Medical Journal, this study evaluates the management and outcomes of traumatic brain injury patients at Muhimbili Orthopaedic Institute, highlighting challenges in neurosurgical care in low-income settings.
JOURNAL PUBLICATION | Published in PLoS One, this study assessed the extent to which Rwandan district hospitals are prepared to provide pediatric advanced life support management with the introduction of ETAT+.
JOURNAL PUBLICATION | Published in BMJ Open, the purpose of this study was to assess surgical availability and readiness in 8 African countries using the WHO’s Service Availability and Readiness Assessment (SARA) tool.
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.
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.
JOURNAL PUBLICATION | Published in the International Journal of Chronic Obstructive Pulmonary Disease, this study compares the incidence of burn injury that required contact with a health care specialist, between Sweden and Denmark.
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.
JOURNAL PUBLICATION | Published in Anesthesia & Analgesia, this study found that East African hospitals face significant shortages of both anesthesia personnel and equipment, hindering safe obstetric anesthesia.
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.
JOURNAL PUBLICATION | Published in PLoS One, this study assesses the effectiveness of an intervention package in improving the management and outcomes of neonatal and early childhood sepsis in rural Bangladesh.
REPORT | This report presents the 2015 Nepal Health Facility Survey findings, covering infrastructure, resource availability, service readiness, and quality of care in the country’s health facilities.
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.
REPORT | The Ethiopian Public Health Institute and the Ministry of Health implemented the 2016 Service Availability and Readiness Assessment (SARA) to assess the availability, readiness, and quality of essential health services.
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.
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.
GUIDANCE | This guidance document, developed by the India Ministry of Commerce & Industry, outlines the rules for the use of static and mobile pressure vessels.
INFORMATION BRIEF | This summary document highlights PATH’s proposed inclusion of oxygen as a medical gas on the WHO Model List of Essential Medicines (for Children) to clarify its importance as a medicine.
REPORT | The SARA III 2016 survey in Burkina Faso evaluated the availability and operational capacity of health services, providing essential data for health system strengthening and quality of care improvement.
GUIDANCE | This guidance document, developed by the India Ministry of Commerce & Industry, outlines the rules for the use of gas cylinders.
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.
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.
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.
REPORT | This survey provides information on service delivery and the functioning of the various elements of the health system in Senegal in 2015, including those related to oxygen delivery.
TOOL | This document published by WHO outlines an assessment tool to help hospitals evaluate and improve the quality of maternal, neonatal, and pediatric care using interviews, checklists, and observations.
JOURNAL PUBLICATION | Published in Pan African Medical Journal, this study assessed the readiness of Ghana’s health facilities to implement the WHO-PEN intervention for NCDs, identifying gaps in workforce and equipment.
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.
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.
GUIDANCE | WHO’s pediatric emergency triage, assessment and treatment guidelines aim to identify children presenting with airway obstruction and other breathing problems.
JOURNAL PUBLICATION | Published in Anesthesia & Analgesia, this study found severe shortages in pulse oximeters across 40 hospitals in Niger. The Lifebox initiative increased oximeter availability and provided critical training.
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.
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.
REPORT | Published by the Ministry of Health and WHO, this report assesses the availability and operational capacity of health services in Mauritania, providing insights into health system readiness and service delivery.
JOURNAL PUBLICATION | Published in JAMA Surgery, this study aims to identify the number of trauma hospitals operating in Syria and to delineate their capacities.
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.
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.
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.
JOURNAL PUBLICATION | Published in the International Journal of Tuberculosis and Lung Disease, this article examines the success and impact of an uninterrupted oxygen supply system in a Gambian hospital over eight years.
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.
JOURNAL PUBLICATION | Published in Anesthesia & Analgesia, this study evaluated the accuracy of 6 low-cost finger pulse oximeters during stable arterial oxygen saturations (SaO2) between 70% and 100% in 22 healthy subjects.
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.
REPOSITORY / TOOLKIT | This toolkit is intended to help with quantifying commodity needs, developing effective procurement plans, and writing specifications for national tenders.
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.
JOURNAL PUBLICATION | Published in the Journal of Surgical Research, this study sought to determine the optimal number of persons associated with an expedient initial evaluation of a trauma patient.
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.
GUIDANCE | This guide is an in-depth resource on reprocessing of basic neonatal resuscitation equipment.
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.
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.
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.
GUIDANCE | This chapter summarizes the findings of a systematic search of the cost-effectiveness literature on RMNCH, which builds on previous work.
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.
REPORT | This report presents findings of a Health Facility Survey in 2014 which assessed the quality, availability, and accessibility of health services in Bangladesh.
GUIDANCE | Published by the World Health Organization, this document outlines a global strategy to ensure equitable access to health workers, with a focus on improving health outcomes and strengthening health systems.
REPORT | Published by the Ministry of Public Health and WHO, this report assesses the availability and readiness of healthcare services across Chad, focusing on essential health services and system readiness.
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.
COURSE / TRAINING VIDEO | This video informs viewers on how to identify clinical signs and symptoms of respiratory distress in a pediatric patient.
JOURNAL PUBLICATION | Published in JAMA Surgery, this study compared the availability of trauma care resources in Ghana between 2004 and 2014 to assess a decade of change in the landscape.
REPORT | This report presents the findings of the 2014-15 Tanzania Service Provision Assessment Survey, providing up-to-date information on the delivery of health care services in Tanzania.
GUIDANCE | The aim of this manual is to provide guidance in improving standards in sterile services across health-care facilities worldwide.
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.
REPORT | The Directorate of Statistics of the Niger Ministry of Public Health in collaboration with the National Institute of Statistics implemented Service Availability and Readiness Assessment (SARA) survey in 2015.
JOURNAL PUBLICATION | Published in Critical Care Medicine, this conference presentation abstract sought to understand the basic intensive care unit (ICU) capacity of the province of Zambezia, Mozambique.
REPORT | The 2015 Service Availability and Readiness Assessment (SARA) survey in Benin assessed the availability and operational capacity of health services across 788 health facilities in the country.
JOURNAL PUBLICATION | The study, published in the International Journal of Emergency Medicine, found significant deficiencies in emergency care capabilities in North East Haiti.
REPORT | PATH and the Bill & Melinda Gates Foundation co-hosted a consultation focused on expanding access to pulse oximetry and oxygen concentrators in low-resource settings.
JOURNAL PUBLICATION | This study in Nature uses a deterministic compartmental model to assess the impact of introducing pulse oximetry as a prognostic tool to distinguish severe from non-severe pneumonia in children.
JOURNAL PUBLICATION | Published in BMJ Open, this study assesses capacity to provide essential surgical services including emergency, obstetric, and anesthesia care in PNG, in order to support planning for relevant post-2015 SDGs.
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.
JOURNAL PUBLICATION | Published in the Journal of Pediatric Medicine, this study aimed to assess the availability of pediatric trauma care items and factors contributing to deficiencies in Ghana.
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.
TOOL | The WHO Safe Childbirth Checklist was designed as a tool to improve the quality of care provided to women giving birth.
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.
INFORMATION BRIEF | PATH sets out to determine the necessary technical inputs to accelerate the development of reliable, robust, and scalable oxygen concentrator systems for use in low-resource settings.
JOURNAL PUBLICATION | Published in the World Journal of Surgery, this study aimed to assess availability of trauma care technology in Ghana and evaluate factors contributing to deficiencies.
JOURNAL PUBLICATION | Published in Health Policy and Planning, this study, in partnership with the Malawi Ministry of Health, quantified government hospitals’ surgical capacity through workforce, infrastructure and health service delivery components.
TOOL | This table shows the landscape of commercially available stationary and portable oxygen concentrators and related devices.
JOURNAL PUBLICATION | Published in Injury, this study finds significant deficiencies in trauma care technology in Nepal, including shortages of pulse oximeters and ventilators due to maintenance issues.
JOURNAL PUBLICATION | Published in the World Journal of Surgery, the study reviewed the surgical capacity in Haiti, identifying significant deficiencies in infrastructure and resources, and recommending task-sharing to improve surgical care.
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.
JOURNAL PUBLICATION | Published in The Lancet, this study assessed whether the 90% or higher target for oxygen supplementation was equivalent to a normoxic 94% or higher target for infants with viral bronchiolitis.
TOOL | The Service Availability and Readiness Assessment (SARA) is a health facility assessment tool designed to assess and monitor the service availability and readiness of the health sector.
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.
JOURNAL PUBLICATION | Published in Canadian Journal of Surgery, this study highlights the severe impact of caustic soda ingestion in children, a growing issue due to its use in local soap production.
JOURNAL PUBLICATION | Published in The Lancet, this article highlights that the need for surgical services in LMICs will continue to rise substantially from now until 2030.
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.
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.
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.
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.
COURSE / TRAINING VIDEO | Chest indrawing is a sign of severe pneumonia. It means the child need to be treated immediately. This video highlights the key signs of chest indrawing in children.
COURSE / TRAINING VIDEO | Children with pneumonia breathe faster than normal. This video highlights the steps to properly count breaths for pneumonia diagnosis and when to seek medical attention.
GUIDANCE | This guidance document supports the selection, procurement, utilization, and maintenance of oxygen concentrators.
GUIDANCE | This document provides guidance to developers and manufacturers on the key performance requirements and potential design for a reliable, robust, and scalable oxygen concentrator.
REPORT | This report presents findings from the 2014 Service Availability and Readiness Assessment (SARA) in DRC, focusing on healthcare services and infrastructure across the country.
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.
JOURNAL PUBLICATION | Published in the East African Medical Journal, this observational cross-sectional survey evaluated the current status of intensive care unit setups and facilities in Kenya.
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.
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.
JOURNAL PUBLICATION | Published in The Lancet Global Health, this study estimates the minimum global volume of surgical need to address prevalent diseases in 21 epidemiological regions from the GBD Study 2010.
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.
JOURNAL PUBLICATION | Published in Journal of Epidemiology and Global Health, this study found critical deficiencies in surgical and anesthesia capacity across nine hospitals in Guyana, with district hospitals experiencing the greatest limitations.
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.
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.
JOURNAL PUBLICATION | Published in Health and Technology, this study found that oxygen concentrators in low-resource settings can remain functional for over seven years with routine preventive maintenance.
JOURNAL PUBLICATION | Published in World Journal of Surgery, this study identifies significant deficiencies in trauma care technology in Gujarat, India, including shortages of key equipment like ventilators.
JOURNAL PUBLICATION | The study, published in BMC Emergency Medicine, found significant deficiencies in emergency care capacity in Freetown, Sierra Leone, particularly in public hospitals.
JOURNAL PUBLICATION | Published in Archives of Disease in Childhood, this study found that while basic neonatal resources were available in Kenyan hospitals, there were deficiencies in equipment and documentation.
REPORT | The Zimbabwe Ministry of Health and Child Care implemented the 2014 Service Availability and Readiness Assessment (SARA) to assess the availability, readiness, and quality of essential health services.
REPORT | The EN-PSQD/SARA II 2014 survey in Burkina Faso evaluated the availability and operational capacity of health services, providing essential data for health system strengthening and quality of care improvement.
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.
JOURNAL PUBLICATION | Published in American Journal of Obstetrics & Gynecology, this study found that while many LMICs have facilities for cesarean delivery, barriers persist like a lack of anesthesia providers and equipment.
REPORT | This report presents the findings of the 2013-14 Malawi Service Provision Assessment, evaluating healthcare service availability and quality across the country.
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.
JOURNAL PUBLICATION | Published in Journal of Critical Care, this study assesses extent and variation of critical care services in Sri Lanka, and results showed all facilities had piped oxygen and most had...
JOURNAL PUBLICATION | Published in World Journal of Surgery, this study assessed the compliance of district hospitals in Cameroon with trauma care guidelines.
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.
JOURNAL PUBLICATION | Published in BMC Pregnancy and Childbirth, the study highlights deficiencies in facility readiness and provider preparedness for managing critical maternal complications in northern Karnataka, India.
JOURNAL PUBLICATION | The study, published in BMJ Open, found significant gaps in emergency and urgent care capacity in western Kenya, with many facilities lacking basic supplies, essential equipment, and clinical guidelines.
JOURNAL PUBLICATION | Published in World Journal of Surgery, this article assesses the reliability of the PIPES tool in measuring surgical capacity in resource-limited settings, highlighting areas for improvement.
JOURNAL PUBLICATION | Published in the Bulletin of the World Health Organization, this study aimed to evaluate the cost-effectiveness of pulse oximetry, compared with no peri-operative monitoring, during surgery in low-income countries.
JOURNAL PUBLICATION | Published in Cad Saude Publica, this study highlighted poor compliance with optimal clinical practices in the care of healthy full-term newborns in Brazil, with widespread overuse of certain interventions.
JOURNAL PUBLICATION | Published in JAMA, this study examined if Canadian infants with bronchiolitis who displayed artificially elevated oximetry measurements experience lower hospitalization rates compared with control infants.
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.
JOURNAL PUBLICATION | Published in Journal of Clinical Anesthesia, this article analyzes the root causes of hospital fires in India and provides recommendations for preventing these incidents, with a focus on oxygen safety.
JOURNAL PUBLICATION | Published in Journal of Surgical Research, this study examines the International Assessment of Capacity for Trauma (INTACT) index as a standardized way of assessing trauma care in Sierra Leone.
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.
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.
REPORT | The Ministry of Health implemented the 2013 Service Availability and Readiness Assessment Mapping (SARAM) for Kenya to assess the availability, readiness, and quality of essential health services.
REPORT | This survey provides detailed information on the delivery of services and the functioning of the various elements of the health system in Senegal, including those related to oxygen delivery.
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.
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.
JOURNAL PUBLICATION | Published in Archives of Disease in Childhood, this study found resource availability in Kenyan hospitals improved over a decade, but critical gaps persist in diagnostics and technologies like pulse oximetry.
JOURNAL PUBLICATION | Published in Paediatrics International Child Health, this article examines a quality improvement project in rural Papua New Guinea hospitals to enhance pediatric and neonatal care, including oxygen therapy.
REPORT | Published by the Haitian Ministry of Public Health, this report provides an in-depth evaluation of healthcare service provision in Haiti, highlighting key challenges and opportunities for improvement.
TOOL | This chart booklet, which provides an overview of the integrated management of childhood illness, belongs to a set of distance learning courses from the World Health Organization (WHO).
JOURNAL PUBLICATION | Published in The Lancet Global Health, this study assessed changes in company performance over time to complement the relative rankings of 20 companies in the Access to Medicine Index.
JOURNAL PUBLICATION | This study in Tropical Medicine & International Health surveyed Cambodian clinicians to better understand the availability of oxygen and pulse oximetry, barriers to use, and clinician perceptions and practices.
JOURNAL PUBLICATION | Published in Surgery, this study compares the operative capacities of multiple low- and middle-income countries and identify critical gaps in surgical infrastructure.
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.
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.
JOURNAL PUBLICATION | A randomized controlled trial recently demonstrated that CPAP effectively decreases respiratory rate in children presenting to Ghanaian district hospitals with respiratory distress.
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.
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%).
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.
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.
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.
REPORT | This Service Availability and Readiness Assessment (SARA) survey assessed health service availability and readiness in Uganda, focusing on essential health services such as maternal, child, and HIV care.
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.
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.
JOURNAL PUBLICATION | Published in World Journal of Surgery, this study assesses the surgical and anesthesia infrastructure in Nicaraguan hospitals, highlighting capacity variations across hospital types and reliance on NGOs to address gaps.
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.
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.
JOURNAL PUBLICATION | Published in Anaesthesia, this study evaluates seven models of oxygen concentrators for use in resource-limited countries, identifying key performance issues under high temperature and humidity conditions.
JOURNAL PUBLICATION | Published in Global Health Action, this article investigates the challenges and enablers of IMCI strategy implementation at primary healthcare facilities in Sindh, Pakistan, aiming to improve childhood health outcomes.
JOURNAL PUBLICATION | This paper in the Annals of Tropical Pediatrics is a practical and up-to-date guide for all involved in purchasing, using, and maintaining oxygen concentrators in developing countries.
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.
JOURNAL PUBLICATION | This article in the Annals of Tropical Pediatrics reviews pulse oximetry, its technical basis, and its application to the medical management of childhood illness to reduce mortality in developing countries.
REPORT | The Tanzania Ministry of Health and Social Welfare implemented the 2012 Service Availability and Readiness Assessment (SARA) to assess the availability, readiness, and quality of essential health services.
REPORT | This Service Availability and Readiness Assessment (SARA) in 2013 assessed the availability, readiness, and quality of essential health services in Yemen.
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.
GOVERNMENT POLICY / STRATEGY | The integrated Global Action Plan for the Prevention and Control of Pneumonia and Diarrhea (GAPPD) proposes a cohesive approach to ending preventable pneumonia and diarrhea deaths.
JOURNAL PUBLICATION | Published in Journal of Pediatric Surgery, this study identifies the range of pediatric surgery available, barriers to provision, and safety of surgery performed for the entire pediatric population in Zambia.
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.
REPORT | This survey assesses the delivery of services and the functioning of the various elements of the health system in Senegal in 2013, including those related to oxygen delivery.
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.
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.
JOURNAL PUBLICATION | Published in Transactions of the Royal Society of Tropical Medicine and Hygiene, this study reveals routine use of pulse oximetry remains limited for hospitalized children in Malawi.
JOURNAL PUBLICATION | Published in BMJ Open, this study aimed to assess the structural capacity for, and quality of, immediate and essential newborn care (ENC) in health facilities in rural Ghana.
JOURNAL PUBLICATION | The study, published in BMC Health Services Research, surveyed ten Tanzanian hospitals and found significant gaps in emergency and critical care infrastructure and training.
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.
JOURNAL PUBLICATION | Published in World Journal of Surgery, this study assesses the surgical and anesthesia infrastructure in Liberia’s county hospitals, identifying gaps in personnel, equipment, and outcomes tracking.
JOURNAL PUBLICATION | Published in the Journal of Near-Patient Testing & Technology, this study examined point-of-care testing and O2 saturation monitoring in Phang Nga to develop preparedness strategies for low-resource small-world networks.
GUIDANCE | The U.S. Food and Drug Administration has developed this guidance document to assist industry in preparing premarket notifications (510(k)s) for pulse oximeters.
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.
TOOL | This handbook provides troubleshooting flowcharts for various medical equipment, including respiratory equipment like oxygen concentrators, pulse oximeters, respiratory monitors, etc.
JOURNAL PUBLICATION | Published in BMC Health Services Research, this study describes staff experiences of providing maternal and neonatal care in rural health facilities in Southern Tanzania.
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.
JOURNAL PUBLICATION | Published in PLoS One, this study describes the design and technical evaluation of a new, rugged bCPAP system that can be made in small volume for approximately $350.
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.
JOURNAL PUBLICATION | Published in World Journal of Surgery, this study surveys surgical and anesthesia infrastructure in Bangladesh, revealing critical shortages in skilled personnel, infrastructure, and equipment, especially in district 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.
JOURNAL PUBLICATION | Published in Respiratory Care, this article emphasizes that contracted vendors can deliver oxygen to alternate care facilities in disaster areas, in the form of concentrators, gas cylinders, or liquid oxygen.
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).
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.
REPORT | This 2013 Service Availability and Readiness Assessment (SARA) for Benin assessed the availability and operational capacity of health services and the quality of health data.
JOURNAL PUBLICATION | Published in Respiratory Care, this article outlines the history of oxygen from discovery to clinical application for patients with chronic lung disease.
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.
JOURNAL PUBLICATION | Published in the World Journal of Surgery, this study quantified the surgical capacity of health facilities in rural southern Nigeria in five areas: workforce, infrastructure, skill, equipment, and supplies.
JOURNAL PUBLICATION | Published in BMC Pediatrics, this study found significant gaps in pediatric hospital care in Bangladesh, including inadequate triage, limited essential drugs, and poor infrastructure.
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.
REPORT | The 2012 Service Availability and Readiness Assessment (SARA) assessed the current status of infrastructure, service delivery and system resources, including those relevant to medical oxygen.
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.
JOURNAL PUBLICATION | Published in World Journal of Surgery, this study revealed severe deficiencies in pediatric surgical capacity in Sierra Leone’s government hospitals, including a lack of essential equipment.
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.
JOURNAL PUBLICATION | Published in International Journal of Hypertension, this study evaluates the capacity of primary care in low-resource settings to manage noncommunicable diseases, highlighting key gaps in infrastructure and resources.
GUIDANCE | This guidance outlines the infrastructure and supply needs at the different levels of a healthcare system to ensure adequate emergency and essential surgical 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.
JOURNAL PUBLICATION | Published in World Journal of Surgery, this study assessed surgical and anesthesia capacity in Bolivia as part of a larger study assessing capacity in Africa, Latin America, and South Asia.
JOURNAL PUBLICATION | Published in World Journal of Surgery, this study assessed surgical and anesthesia infrastructure and human resources in Ethiopia as part of a larger study examining capacity in ten African countries.
TOOL | A new oxygen concentrator technology uses electrolytic oxygen transfer through a ceramic, monolithic wafer—capable of producing high-purity (>99.9%) pressurized (200 psig) oxygen without a mechanical compressor.
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.
JOURNAL PUBLICATION | This review presents and compares four different medical oxygen system configurations across a wide range of criteria relevant to low-resource settings.
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.
TOOL | Published by the World Health Organization, this checklist outlines the essential equipment needed for resuscitation and emergency surgical care at first referral health facilities.
JOURNAL PUBLICATION | Published in Anaesthesia, the project aimed to improve anesthetic safety at a hospital in Addis Ababa, Ethiopia, through targeted interventions like pulse oximetry, pre-anesthetic assessments, etc.
JOURNAL PUBLICATION | This study presents a model for comparing the cost-effectiveness of different oxygen technology systems specifically designed for health centers with intermittent power, using The Gambia as an example.
JOURNAL PUBLICATION | Daily temperature and humidity data were collected at a health center in The Gambia, where a battery system has been installed as back-up power for a medical oxygen system.
JOURNAL PUBLICATION | Published in World Journal of Surgery, this study found improvements in surgical capacity across 10 Sierra Leonean hospitals using the PIPES assessment tool.
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.
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.
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.
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.
JOURNAL PUBLICATION | Published in Anesthesia & Analgesia, this study reveals that many Chinese hospitals, particularly smaller and economically disadvantaged ones, lack essential anesthesia equipment.
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.
JOURNAL PUBLICATION | Published in Journal of the Joint Commission on Quality and Patient Safety, this study analyzes the impact of the WHO Surgical Safety Checklist on surgical care in Liberia.
JOURNAL PUBLICATION | Published in World Journal of Surgery, this study found significant deficiencies in surgical and anesthesia capacity in Uganda’s public hospitals.
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.
JOURNAL PUBLICATION | Published in Journal of Anesthesia & Clinical Research, this study evaluates anesthesia capacity in 22 low- and middle-income countries, revealing that 35% of hospitals lacked oxygen.
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.
JOURNAL PUBLICATION | Published in British Journal of Surgery, this study analyzes Rwanda’s emergency surgical capacity, uncovering severe shortages in resources, including trained surgeons and essential equipment.
JOURNAL PUBLICATION | Published in Respiration, this study aimed to test the hypothesis that in healthy volunteers, normal arterial hemoglobin oxygen saturation at moderate altitude is lower than that at almost sea level.
JOURNAL PUBLICATION | The study, published in BMJ Open, found significant gaps in Tanzania’s first-referral health facilities’ capacity to perform basic surgical procedures, with major deficits in infrastructure, human resources, and essential equipment.
JOURNAL PUBLICATION | Published in Ethiopian Medical Journal, this study found significant gaps in Ethiopia’s neonatal resuscitation capacity, especially in health centers.
JOURNAL PUBLICATION | This study aimed to assess the capacity for delivery of emergency and surgical services in the United Republic of Tanzania.
JOURNAL PUBLICATION | This study in Journal of Tropical Pediatrics surveyed clinicians in resource-limited countries to better understand the availability of oxygen and pulse oximetry, barriers to use, and clinician perceptions and practices.
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.
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.
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.
JOURNAL PUBLICATION | Published in Pediatrics, this review describes the physiologic principles and limitations of pulse oximetry, discusses normal values, and highlights its importance in common pediatric diseases.
JOURNAL PUBLICATION | Published in Journal of Cardiopulmonary Rehabilitation and Prevention, this study develops a VO₂max prediction equation for the Indian population.
GUIDANCE | This manual describes how oximeters work and how to use them so that all anesthesia providers who are not experienced in using pulse oximetry.
JOURNAL PUBLICATION | The study, published in the Bulletin of the World Health Organization, found significant deficits in emergency and essential surgical care capacity in The Gambia.
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.
GUIDANCE | Published by Acare Technology Co., Ltd., this manual outlines the usage, setup, and safety guidelines for the AH-M1 handheld pulse oximeter, including features like alarms and maintenance procedures.
GUIDANCE | This document is part of a series of reference documents on medical equipment and health technology being developed for use at the country level.
COURSE / TRAINING VIDEO | This video highlights the considerations of administering oxygen therapy in acute illness.
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.
JOURNAL PUBLICATION | Published in the World Journal of Surgery, this study aimed to assess the ability to provide surgical care to the people living on outer islands in the Solomon Islands.
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.
REPORT | This report presents findings from the 2010 Kenya Service Provision Assessment, focusing on healthcare infrastructure, services, and resources to enhance health systems in Kenya.
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.
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.
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.
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.
JOURNAL PUBLICATION | This study aimed to determine the capacity of Uganda’s highway hospitals to manage mass surgical casualties.
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.
JOURNAL PUBLICATION | Published in Health Policy, this study assessed the facilities and resources available to support internationally endorsed standards of asthma care at tertiary hospitals in Nigeria.
JOURNAL PUBLICATION | Published in Journal of Paediatrics and Child Health, this study assesses neonatal resuscitation capacity in Nepal, identifying equipment gaps and emphasizing the need for training and resources.
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.
JOURNAL PUBLICATION | Published in World Journal of Surgery, this study determined the test-retest reliability of the WHO Tool for Situational Analysis to Assess Emergency and Essential Surgical Care in 10 Ghanaian hospitals.
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.
JOURNAL PUBLICATION | Published in the World Journal of Surgery, this study aimed to characterize the availability of surgical and anesthetic services at primary level health facilities in Mongolia.
JOURNAL PUBLICATION | Published in Archives of Surgery, this article assesses emergency and surgical care infrastructure in Liberia, identifying gaps in resources and manpower that hinder progress toward poverty reduction.
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.
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.
GUIDANCE | These documents look at how to plan, manage, and successfully execute a maintenance program for medical devices.
REPORT | This quality of care (QoC) survey conducted during the first six months of 2010 assessed the care received by mothers and newborns during antenatal and delivery care.
JOURNAL PUBLICATION | This study in the Papua New Guinea Medical Journal reviews the methods for providing oxygen in Papua New Guinea.
JOURNAL PUBLICATION | Published in Bulletin of the World Health Organization, this study compared pediatric surgery rates in southwestern Uganda to England, and determined if surgical facilities and workforce meet WHO standards.
REPORT | This SAM survey in the Central region of Burkina Faso mapped health facilities, pharmacies, and laboratories, evaluating their capacity, services, and resources.
JOURNAL PUBLICATION | As highlighted in this article in the International Journal of Tuberculosis and Lung Disease, the cost-effectiveness of an oxygen systems strategy compares favorably with other higher profile child survival interventions.
JOURNAL PUBLICATION | Published in World Journal of Surgery, this study evaluated the usefulness of the Guidelines for Essential Trauma Care to assess trauma care capabilities in the South American region.
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.
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.
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.
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.
JOURNAL PUBLICATION | Published in World Journal of Surgery, this study compares the surgical care infrastructure in Sierra Leone with that of U.S. Civil War hospitals.
JOURNAL PUBLICATION | Published in Journal of Infection in Developing Countries, this article discusses the state of oxygen availability and delivery systems in 12 African countries.
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.
JOURNAL PUBLICATION | Published in Paediatric Anaesthesia, this retrospective study examined the practice of pediatric anesthesia at two hospitals in Benin.
JOURNAL PUBLICATION | Published in The Lancet, this article explores the global distribution of operating theatres and the availability of pulse oximeters in hospitals, revealing significant disparities between regions.
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.
TOOL | This WHO tool can be used to assess the gaps in the availability of emergency and essential surgical care at resource-constrained health facilities.
JOURNAL PUBLICATION | Published in Canadian Journal of Anesthesia, this study compared inspired oxygen settings of the ventilator/anesthetic machine and actual circuit oxygen levels when using oxygen 99 and 93.
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.
JOURNAL PUBLICATION | The study, published in World Journal of Surgery, found severe shortages in emergency surgical services in Afghanistan, including limited oxygen supply, running water, and continuous power.
JOURNAL PUBLICATION | Published in the World Journal of Surgery, this study quantifies the current status of capacity to deliver emergency, anesthesia, and surgical interventions in the conflict affected areas of Sri Lanka.
JOURNAL PUBLICATION | Published in Archives of Surgery, this study found widespread deficiencies in surgical and anesthetic capacity across district-level hospitals in eight LMICs, with critical shortages in infrastructure and essential procedures.
GUIDANCE | This handbook is structured around the six HSS building blocks: service delivery, health workforce, health information systems, access to essential medicines, financing, and leadership/governance.
JOURNAL PUBLICATION | Published in the American Journal of Surgery, this study assessed the effectiveness of an Acute Trauma Care (ATC) course adapted for Kenya’s resource-limited healthcare system.
JOURNAL PUBLICATION | Published in Anaesthesia, this article discusses the international anaesthesia quality improvement project focused on expanding the availability and use of pulse oximetry in hospitals across low-resource settings.
JOURNAL PUBLICATION | Published in Bulletin of the World Health Organization, this study compares oxygen supply options for health facilities in The Gambia and presents a decision-making algorithm for oxygen systems.
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.
JOURNAL PUBLICATION | Published in Health Affairs, this article presents seven findings about processes that shape access, based on analysis of six case histories.
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.
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.
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.
JOURNAL PUBLICATION | The study, published in the Bulletin of the World Health Organization, found that 6.4% of neonates and young children admitted to a Kenyan hospital had hypoxemia.
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.
GUIDANCE | These guidelines provide the knowledge for operational teams to work together effectively to minimize life-threatening complications to surgical patients.
JOURNAL PUBLICATION | Published in Archives of Surgery, this study combines information quantifying infrastructure, human resources, and supplies for resuscitation, and surgical procedures offered at hospitals in Sierra Leone.
JOURNAL PUBLICATION | Published in The New England Journal of Medicine, this study found that implementing a 19-item Surgical Safety Checklist across eight hospitals worldwide reduced surgical mortality.
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.
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.
REPORT | The 2007 Rwanda Service Provision Assessment (RSPA) assessed the strengths and weaknesses of the infrastructure and systems supporting health services in the country.
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.
JOURNAL PUBLICATION | Published in BMC Emergency Medicine, this study evaluated emergency medical care in Pakistani district hospitals, revealing severe deficiencies in infrastructure, equipment, and budgeting.
JOURNAL PUBLICATION | Worldwide, surgical mortality is in excess of 1 million deaths per year. WHO’s Safe surgery saves lives checklist is a welcome resource to address this challenge.
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.
JOURNAL PUBLICATION | Published in Bulletin of the World Health Organization, this review identifies challenges in improving pneumonia case management in resource-limited settings.
JOURNAL PUBLICATION | Published in Bulletin of the World Health Organization, this article details the successful implementation of oxygen concentrators in Malawi’s pediatric wards to combat hypoxemia in severely ill children.
JOURNAL PUBLICATION | Published in São Paulo Medical Journal, this study evaluates the material and human resources available for neonatal resuscitation in public hospitals across Brazil’s state capitals.
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.
JOURNAL PUBLICATION | Published in Bulletin of the World Health Organization, a study in north-east Tanzania found poor clinical assessment practices in pediatric wards.
GUIDANCE | This book looks at lack of access to health technologies through a comprehensive analytical framework and examines six case studies based on: Architecture, Availability, Affordability, and Adoption.
JOURNAL PUBLICATION | Published in Bulletin of the World Health Organization, this study highlights the challenges faced by a Gambian hospital after receiving incompatible oxygen concentrators.
GUIDANCE | Published by WHO, this document provides strategies and frameworks for improving pediatric care in small hospitals within developing countries, with a focus on child survival and IMCI.
JOURNAL PUBLICATION | This study in Anesthesia and Analgesia looks at the relationship between skin pigment and oximeter accuracy in 36 subjects (19 males, 17 females) of a range of skin tones.
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.
JOURNAL PUBLICATION | Published in Injury, this study assesses trauma care resources in Hanoi and Khanh Hoa, Vietnam, revealing deficiencies in district and commune hospitals.
JOURNAL PUBLICATION | Published in Medicina (Buenos Aires), this study assessed the adherence to national guidelines for community-acquired pneumonia care in Argentina.
REPORT | The Service Availability and Mapping (SAM) 2005 survey for Ghana was implemented by Ghana Ministry of Health to collect information on the availability and coverage of health services and resources.
REPORT | This Service Availability Mapping (SAM) 2006 provides Tanzania with information on the distribution of facilities, human resources, and basic health services.
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.
JOURNAL PUBLICATION | Published in Journal of Paediatrics and Child Health, this article assesses hospital services for children in the Solomon Islands, particularly on the efforts to rebuild after the civil conflict.
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.
REPORT | The SAM survey in Albania aimed to assess the availability and coverage of key health services and resources across the country.
JOURNAL PUBLICATION | Published in World Journal of Surgery, this study assesses trauma care capabilities in Mexico, Vietnam, India, and Ghana using the WHO-IATSIC Guidelines for Essential Trauma Care.
JOURNAL PUBLICATION | Published in International Journal of Injury Control and Safety Promotion, this article evaluates the improvements in trauma care in Vietnam following the introduction of the WHO-IATSIC guidelines.
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.
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.
JOURNAL PUBLICATION | Published in Revista Panamericana de Salud Pública, this study assesses trauma care capabilities in Mexico using the WHO’s Guidelines for Essential Trauma Care, identifying key deficiencies and suggesting improvements.
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.
REPORT | Service Availability Mapping (SAM) in Uganda was conducted by Uganda’s Ministry of Health to collect information on the availability and distribution of key health services.
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.
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.
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.
REPORT | Published by WHO, this report discusses a workshop held in Kyrgyzstan to improve emergency surgical care at primary health facilities, integrating WHO’s IMEESC toolkit to strengthen healthcare and meet MDGs.
JOURNAL PUBLICATION | The study in the journal Anesthesiology showed that the three tested pulse oximeters overestimated arterial oxygen saturation during hypoxia in dark-skinned individuals.
REPORT | This report presents findings of the 2004 Egypt Service Provision Assessment which assessed the quality, availability, and accessibility of health services in the region.
GUIDANCE | Published by the UK Department for International Development, this guide provides a detailed process for procuring and commissioning healthcare technology, covering preparation, procurement, distribution, and installation.
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.
JOURNAL PUBLICATION | Published in The Lancet, this study assessed pediatric care at district hospitals in Kenya, highlighting variability in care quality and resource availability.
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.
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.
JOURNAL PUBLICATION | Published in Resuscitation, the aim of this study was to determine the predictive value of selected abnormal clinical observations in a ward population for subsequent in-hospital mortality in Australia.
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.
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.
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.
JOURNAL PUBLICATION | Published in Anesthesiology, this article reports an oxygen supply tank failure at a medical institution in Birmingham, Alabama.
REPORT | This report presents findings of the 2002 Egypt Service Provision Assessment which assessed the quality, availability, and accessibility of health services in the region.
JOURNAL PUBLICATION | Published in Bulletin of the World Health Organization, this study highlights challenges faced by first-level health facilities in sub-Saharan Africa in managing severely ill children.
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.
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.
JOURNAL PUBLICATION | Published in American Journal of Emergency Medicine, this study evaluated the prediction of life-threatening disease or death among transported patients with acute chest pain or other symptoms in Sweden.
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.
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.
ARTICLE | The European Commission has fined seven producers of industrial and medical gases for participating in a secret cartel in the Netherlands between September 1993 and December 1997.
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.
JOURNAL PUBLICATION | Published in Archives of Disease in Childhood, this study explores hypoxemia in children with both ALRI and non-ALRI illnesses in Papua New Guinea.
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.
JOURNAL PUBLICATION | Published in the International Journal of Tuberculosis and Lung Disease, this study reviewed the prevalence and risk factors of hypoxemia in children under 5 with acute lower respiratory infections.
JOURNAL PUBLICATION | Published in International Journal of Tuberculosis and Lung Disease, this study explores hypoxemia severity in children with pneumonia in Papua New Guinea.
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.
REPORT | Published by the World Health Organization, this report provides insights into and recommendations for improving pediatric care quality in small hospitals in developing countries, based on a consultation in 2000.
JOURNAL PUBLICATION | Published in Tropical Doctor, this study assessed anesthesia services in rural Tanzania, identifying critical shortages of essential equipment and oxygen supplies.
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.
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.
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.
JOURNAL PUBLICATION | Published in the Canadian Journal of Anesthesia, this article reviews ten years experience with oxygen concentrators (OCs) in Canada used as a primary hospital oxygen supply.
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.
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.
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.
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.
JOURNAL PUBLICATION | Published in Canadian Journal of Anaesthesia, this study highlights the resource challenges in delivering anesthesia at Barbados’ Queen Elizabeth Hospital.
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.
JOURNAL PUBLICATION | Published in Annals of Emergency Medicine, this study showed that clinical evaluation alone was insufficient to detect low oxygen saturation in pediatric patients.
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.
JOURNAL PUBLICATION | Published in BMJ, this study examines the prevalence and clinical predictors of hypoxemia in young children with acute respiratory infections in Kenya.
JOURNAL PUBLICATION | The oxygen supply in West Africa has been irregular for decades. Korle Bu Hospital, Accra, Ghana has been producing its own oxygen within the hospital since 1986.
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.
TOOL | Published by the Pan American Health Organization, this document discusses the role of health technology assessment in improving healthcare efficiency, safety, and cost-effectiveness in developing countries.
JOURNAL PUBLICATION | Published in Chest, this article makes the case for oxygen saturation (SpO2) measured by pulse oximetry as an essential fifth vital sign in all sick children.
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.
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.
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.