The development and implementation of an oxygen treatment solution for health facilities in low and middle-income countries
Oxygen reduces mortality from severe pneumonia and is a vital part of case management, but achieving reliable access to oxygen is challenging in low and middle-income country (LMIC) settings. We developed and field tested two oxygen supply solutions suitable for the realities of LMIC health faciliti...
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| Veröffentlicht in: | Journal of global health 2020-12, Vol.10 (2), p.020425 |
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| creator | Howie, Stephen Rc Ebruke, Bernard E Gil, Mireia Bradley, Beverly Nyassi, Ebrima Edmonds, Timothy Boladuadua, Sainimere Rasili, Senimili Rafai, Eric Mackenzie, Grant Cheng, Yu Ling Peel, David Vives-Tomas, Joan Zaman, Syed Ma |
| description | Oxygen reduces mortality from severe pneumonia and is a vital part of case management, but achieving reliable access to oxygen is challenging in low and middle-income country (LMIC) settings. We developed and field tested two oxygen supply solutions suitable for the realities of LMIC health facilities.
A Health Needs Assessment identified a technology gap preventing reliable oxygen supplies in Gambian hospitals. We used simultaneous engineering to develop two solutions: a Mains-Power Storage (Mains-PS) system consisting of an oxygen concentrator and batteries connected to mains power, and a Solar-Power Storage (Solar-PS) system (with batteries charged by photovoltaic panels) and evaluated them in health facilities in The Gambia and Fiji to assess reliability, usability and costs.
The Mains-PS system delivered the specified ≥85% (±3%) oxygen concentration in 100% of 1-2 weekly measurements over 12 months, which was available to 100% of hypoxaemic patients, and 100% of users rated ease-of-use as at least 'good' (90% very good or excellent). The Solar-PS system delivered ≥85% ± 3%) oxygen concentration in 100% of 1-2 weekly measurements, was available to 100% of patients needing oxygen, and 100% of users rated ease-of-use at least very good.Costs for the systems (in US dollars) were: PS$9519, Solar-PS standard version $20 718. The of oxygen for a standardised 30-bed health facility using 1.7 million litres of oxygen per year was: for cylinders 3.2 cents (c)/L in The Gambia and 6.8 c/L in Fiji, for the PS system 1.2 c/L in both countries, and for the Solar-PS system 1.5 c/L in both countries.
The oxygen systems developed and tested delivered high-quality, reliable, cost-efficient oxygen in LMIC contexts, and were easy to operate. Reliable oxygen supplies are achievable in LMIC health facilities like those in The Gambia and Fiji. |
| doi_str_mv | 10.7189/jgh.10.020425 |
| format | Article |
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A Health Needs Assessment identified a technology gap preventing reliable oxygen supplies in Gambian hospitals. We used simultaneous engineering to develop two solutions: a Mains-Power Storage (Mains-PS) system consisting of an oxygen concentrator and batteries connected to mains power, and a Solar-Power Storage (Solar-PS) system (with batteries charged by photovoltaic panels) and evaluated them in health facilities in The Gambia and Fiji to assess reliability, usability and costs.
The Mains-PS system delivered the specified ≥85% (±3%) oxygen concentration in 100% of 1-2 weekly measurements over 12 months, which was available to 100% of hypoxaemic patients, and 100% of users rated ease-of-use as at least 'good' (90% very good or excellent). The Solar-PS system delivered ≥85% ± 3%) oxygen concentration in 100% of 1-2 weekly measurements, was available to 100% of patients needing oxygen, and 100% of users rated ease-of-use at least very good.Costs for the systems (in US dollars) were: PS$9519, Solar-PS standard version $20 718. The of oxygen for a standardised 30-bed health facility using 1.7 million litres of oxygen per year was: for cylinders 3.2 cents (c)/L in The Gambia and 6.8 c/L in Fiji, for the PS system 1.2 c/L in both countries, and for the Solar-PS system 1.5 c/L in both countries.
The oxygen systems developed and tested delivered high-quality, reliable, cost-efficient oxygen in LMIC contexts, and were easy to operate. Reliable oxygen supplies are achievable in LMIC health facilities like those in The Gambia and Fiji.</description><identifier>ISSN: 2047-2978</identifier><identifier>EISSN: 2047-2986</identifier><identifier>DOI: 10.7189/jgh.10.020425</identifier><identifier>PMID: 33274064</identifier><language>eng</language><publisher>Scotland: Edinburgh University Global Health Society</publisher><subject>Collaboration ; Coronaviruses ; Cost assessments ; Costs ; COVID-19 ; Design specifications ; Developing Countries ; Electric Power Supplies ; Electricity ; Field study ; Fiji ; Gambia ; Global health ; Health Facilities ; Hospitals ; Humans ; Medical research ; Mortality ; Oxygen ; Oxygen - supply & distribution ; Oxygen - therapeutic use ; Pediatrics ; Photovoltaics ; Pneumonia ; Pneumonia - therapy ; Reproducibility of Results ; Solar Energy</subject><ispartof>Journal of global health, 2020-12, Vol.10 (2), p.020425</ispartof><rights>Copyright © 2020 by the Journal of Global Health. All rights reserved.</rights><rights>Copyright © 2020 by the Journal of Global Health. All rights reserved. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>Copyright © 2020 by the Journal of Global Health. All rights reserved. 2020</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c1501-ac7f058a9db4e93aee64431fa41dba8a4e06c8a7c3083e9644426f25d05a2bc93</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7698571/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7698571/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33274064$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Howie, Stephen Rc</creatorcontrib><creatorcontrib>Ebruke, Bernard E</creatorcontrib><creatorcontrib>Gil, Mireia</creatorcontrib><creatorcontrib>Bradley, Beverly</creatorcontrib><creatorcontrib>Nyassi, Ebrima</creatorcontrib><creatorcontrib>Edmonds, Timothy</creatorcontrib><creatorcontrib>Boladuadua, Sainimere</creatorcontrib><creatorcontrib>Rasili, Senimili</creatorcontrib><creatorcontrib>Rafai, Eric</creatorcontrib><creatorcontrib>Mackenzie, Grant</creatorcontrib><creatorcontrib>Cheng, Yu Ling</creatorcontrib><creatorcontrib>Peel, David</creatorcontrib><creatorcontrib>Vives-Tomas, Joan</creatorcontrib><creatorcontrib>Zaman, Syed Ma</creatorcontrib><title>The development and implementation of an oxygen treatment solution for health facilities in low and middle-income countries</title><title>Journal of global health</title><addtitle>J Glob Health</addtitle><description>Oxygen reduces mortality from severe pneumonia and is a vital part of case management, but achieving reliable access to oxygen is challenging in low and middle-income country (LMIC) settings. We developed and field tested two oxygen supply solutions suitable for the realities of LMIC health facilities.
A Health Needs Assessment identified a technology gap preventing reliable oxygen supplies in Gambian hospitals. We used simultaneous engineering to develop two solutions: a Mains-Power Storage (Mains-PS) system consisting of an oxygen concentrator and batteries connected to mains power, and a Solar-Power Storage (Solar-PS) system (with batteries charged by photovoltaic panels) and evaluated them in health facilities in The Gambia and Fiji to assess reliability, usability and costs.
The Mains-PS system delivered the specified ≥85% (±3%) oxygen concentration in 100% of 1-2 weekly measurements over 12 months, which was available to 100% of hypoxaemic patients, and 100% of users rated ease-of-use as at least 'good' (90% very good or excellent). The Solar-PS system delivered ≥85% ± 3%) oxygen concentration in 100% of 1-2 weekly measurements, was available to 100% of patients needing oxygen, and 100% of users rated ease-of-use at least very good.Costs for the systems (in US dollars) were: PS$9519, Solar-PS standard version $20 718. The of oxygen for a standardised 30-bed health facility using 1.7 million litres of oxygen per year was: for cylinders 3.2 cents (c)/L in The Gambia and 6.8 c/L in Fiji, for the PS system 1.2 c/L in both countries, and for the Solar-PS system 1.5 c/L in both countries.
The oxygen systems developed and tested delivered high-quality, reliable, cost-efficient oxygen in LMIC contexts, and were easy to operate. 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We developed and field tested two oxygen supply solutions suitable for the realities of LMIC health facilities.
A Health Needs Assessment identified a technology gap preventing reliable oxygen supplies in Gambian hospitals. We used simultaneous engineering to develop two solutions: a Mains-Power Storage (Mains-PS) system consisting of an oxygen concentrator and batteries connected to mains power, and a Solar-Power Storage (Solar-PS) system (with batteries charged by photovoltaic panels) and evaluated them in health facilities in The Gambia and Fiji to assess reliability, usability and costs.
The Mains-PS system delivered the specified ≥85% (±3%) oxygen concentration in 100% of 1-2 weekly measurements over 12 months, which was available to 100% of hypoxaemic patients, and 100% of users rated ease-of-use as at least 'good' (90% very good or excellent). The Solar-PS system delivered ≥85% ± 3%) oxygen concentration in 100% of 1-2 weekly measurements, was available to 100% of patients needing oxygen, and 100% of users rated ease-of-use at least very good.Costs for the systems (in US dollars) were: PS$9519, Solar-PS standard version $20 718. The of oxygen for a standardised 30-bed health facility using 1.7 million litres of oxygen per year was: for cylinders 3.2 cents (c)/L in The Gambia and 6.8 c/L in Fiji, for the PS system 1.2 c/L in both countries, and for the Solar-PS system 1.5 c/L in both countries.
The oxygen systems developed and tested delivered high-quality, reliable, cost-efficient oxygen in LMIC contexts, and were easy to operate. Reliable oxygen supplies are achievable in LMIC health facilities like those in The Gambia and Fiji.</abstract><cop>Scotland</cop><pub>Edinburgh University Global Health Society</pub><pmid>33274064</pmid><doi>10.7189/jgh.10.020425</doi><oa>free_for_read</oa></addata></record> |
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| subjects | Collaboration Coronaviruses Cost assessments Costs COVID-19 Design specifications Developing Countries Electric Power Supplies Electricity Field study Fiji Gambia Global health Health Facilities Hospitals Humans Medical research Mortality Oxygen Oxygen - supply & distribution Oxygen - therapeutic use Pediatrics Photovoltaics Pneumonia Pneumonia - therapy Reproducibility of Results Solar Energy |
| title | The development and implementation of an oxygen treatment solution for health facilities in low and middle-income countries |
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