Journal: BMJ Global Health

Article Title: Oxygen systems strengthening as an intervention to prevent childhood deaths due to pneumonia in low-resource settings: systematic review, meta-analysis and cost-effectiveness

doi: 10.1136/bmjgh-2021-007468

Figure Lengend Snippet: Description of interventions of included studies

Article Snippet: Duke , Equipment and maintenance Design and installation of solar power system including battery backup system for 3 days Airsep Elite 5 L/min concentrators (two or three concentrators per facility) and Lifebox pulse oximeters Project teams spent 2–3 days at each facility to instal solar system and commission oxygen equipment Healthcare workers trained to conduct preventative maintenance and monitoring of equipment performance using Maxtec O2 analysers Province and district technicians and engineers provided spare parts and trained on repair and maintenance Capacity building Curriculum based on the WHO guidelines for Clinical Use of Oxygen in Children and WHO Hospital Care for Children Clinical and technical content delivered through 5-day workshop-based training sessions that include direct facilitator and peer-to-peer teaching modalities Follow-up site visits used to reinforce both clinical and technical skills and knowledge Leadership and oversight Continuous quality improvement approach taken by provincial supervisory teams consisting of a paediatrician and a technician conducting site reviews every 4–6 months. Visits included on-site training, data collection and troubleshooting of problems identified and feedback given to facility and provincial staff Evaluations and assessments Health facility admission and discharge registers were reviewed, and mortality rates estimated between preintervention and postintervention period.

Techniques: Produced, Control, Biomarker Discovery, Battery