Pulse oximetry and oxygen services for the care of children with pneumonia attending frontline health facilities in Lagos, Nigeria (INSPIRING-Lagos): study protocol for a mixed-methods evaluation. Issue 5 (2nd May 2022)

• Record Type: Journal Article
• Authors: Graham, Hamish R; Olojede, Omotayo E; Bakare, Ayobami Adebayo A; McCollum, Eric D; Iuliano, Agnese; Isah, Adamu; Osebi, Adams; Seriki, Ibrahim; Ahmed, Tahlil; Ahmar, Samy; Cassar, Christine; Valentine, Paula; Olowookere, Temitayo Folorunso; MacCalla, Matt; Uchendu, Obioma; Burgess, Rochelle Ann; Colbourn, Timothy; King, Carina; Falade, Adegoke G
• Other Names: author non-byline.; King Carina author non-byline.; Colbourn Tim author non-byline.; Burgess Rochelle Ann author non-byline.; Iuliano Agnese author non-byline.; Graham Hamish R author non-byline.; McCollum Eric D author non-byline.; Ahmed Tahlil author non-byline.; Ahmar Samy author non-byline.; Cassar Christine author non-byline.; Valentine Paula author non-byline.; Isah Adamu author non-byline.; Osebi Adams author non-byline.; Haruna Ibrahim author non-byline.; Magama Abdullahi author non-byline.; Olowookere Temitayo Folorunso author non-byline.; MacCalla Matt author non-byline.; Falade Adegoke G author non-byline.; Bakare Ayobami Adebayo author non-byline.; Uchendu Obioma author non-byline.; Salako Julius author non-byline.; Shittu Funmilayo author non-byline.; Bakare Damola author non-byline.; Olojede Omotayo author non-byline.
• Is Part Of: BMJ open. Volume 12:Issue 5(2022)
• Publication Date: 2022-05-02
• Subjects: COVID-19 -- education & training (see medical education & training) -- health economics -- health services administration & management -- paediatric A&E and ambulatory care -- paediatric infectious disease & immunisation; Medicine -- Research -- Periodicals; 610.72
• DOI: 10.1136/bmjopen-2021-058901
• Languages: English
• ISSNs: 2044-6055

Abstract

Abstract : Introduction: The aim of this evaluation is to understand whether introducing stabilisation rooms equipped with pulse oximetry and oxygen systems to frontline health facilities in Ikorodu, Lagos State, alongside healthcare worker (HCW) training improves the quality of care for children with pneumonia aged 0–59 months. We will explore to what extent, how, for whom and in what contexts the intervention works. Methods and analysis: Quasi-experimental time-series impact evaluation with embedded mixed-methods process and economic evaluation. Setting: seven government primary care facilities, seven private health facilities, two government secondary care facilities. Target population: children aged 0–59 months with clinically diagnosed pneumonia and/or suspected or confirmed COVID-19. Intervention: 'stabilisation rooms' within participating primary care facilities in Ikorodu local government area, designed to allow for short-term oxygen delivery for children with hypoxaemia prior to transfer to hospital, alongside HCW training on integrated management of childhood illness, pulse oximetry and oxygen therapy, immunisation and nutrition. Secondary facilities will also receive training and equipment for oxygen and pulse oximetry to ensure minimum standard of care is available for referred children. Primary outcome: correct management of hypoxaemic pneumonia including administration of oxygen therapy, referral and presentation to hospital. Secondary outcome: 14-day pneumonia case fatality rate. Evaluation period: August 2020 to September 2022. Ethics and dissemination: Ethical approval from University of Ibadan, Lagos State and University College London. Ongoing engagement with government and other key stakeholders during the project. Local dissemination events will be held with the State Ministry of Health at the end of the project (December 2022). We will publish the main impact results, process evaluation and economic evaluation results as open-access academic publications in international journals. Trial registration number: ACTRN12621001071819; Registered on the Australian and New Zealand Clinical Trials Registry.