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10.7189/jogh.10.020425

http://scihub22266oqcxt.onion/10.7189/jogh.10.020425
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33274064!7698571!33274064
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suck abstract from ncbi


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pmid33274064      J+Glob+Health 2020 ; 10 (2): 020425
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  • The development and implementation of an oxygen treatment solution for health facilities in low and middle-income countries #MMPMID33274064
  • Howie SR; Ebruke BE; Gil M; Bradley B; Nyassi E; Edmonds T; Boladuadua S; Rasili S; Rafai E; Mackenzie G; Cheng YL; Peel D; Vives-Tomas J; Zaman SM
  • J Glob Health 2020[Dec]; 10 (2): 020425 PMID33274064show ga
  • BACKGROUND: 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. METHODS: 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. RESULTS: 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. CONCLUSIONS: 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.
  • |*Developing Countries[MESH]
  • |Electric Power Supplies[MESH]
  • |Fiji[MESH]
  • |Gambia[MESH]
  • |Health Facilities[MESH]
  • |Humans[MESH]
  • |Oxygen/*supply & distribution/therapeutic use[MESH]
  • |Pneumonia/*therapy[MESH]
  • |Reproducibility of Results[MESH]


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