Quality improvement work prioritising oxygen therapy in government-funded district general hospitals should focus on oxygen supply and delivery issues on a site-specific level and sensitizing communities to the potential benefits of oxygen.Īlongside general protection, prevention and treatment strategies, including feeding, vaccination and reducing household air pollution, for those who develop severe pneumonia oxygen therapy has been identified as a key area for development in the integrated Global Action Plan for Pneumonia and Diarrhoea (GAPPD). Healthcare professionals reported lack of facilities and training to effectively deliver oxygen therapy. ConclusionĪccording to healthcare providers in three Eastern Ugandan DGHs, numerous barriers exist to oxygen therapy for paediatric patients. Local populations were reportedly fearful of oxygen therapy and reluctant to consent for oxygen therapy to be administered to their children. The healthcare professionals reported that erratic electricity supplies, few and/or malfunctioning oxygen cylinders and concentrators, limited or no access to pulse oximetry, inadequate staffing and lack of continued professional training were key barriers to the delivery of oxygen therapy. MAXQDA qualitative data software was used to assist with response analysis. Site visits to DGHs during March 2017 involved semi-structured interviews with medical officers, clinical officers, paediatric nurses and non-clinical staff ( n = 29). This study aimed to assess on-the-ground barriers to the provision of oxygen therapy for paediatric patients in three government-funded Eastern Ugandan district general hospitals (DGHs).
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