Understanding pulse oximetry adoption in primary healthcare facilities in Nigeria: a realist process evaluation of the INSPIRING-Lagos stabilisation room project.

ABSTRACT:

Introduction

The Integrated Sustainable Childhood Pneumonia and Infectious diseases Reduction in Nigeria-Lagos project introduced pulse oximetry and oxygen as part of a 'stabilisation room' intervention in primary healthcare facilities (PHCs) in Lagos state, Nigeria. However, impact evaluation found minimal effects on treatment and referral practices for children with pneumonia, largely attributed to persistently low pulse oximetry use. We aimed to understand how the stabilisation room intervention worked (or did not work) to improve pulse oximetry practices, for whom, and in what contexts.

Methods

We conducted a preplanned mixed-methods realist evaluation. We used an initial programme theory to guide data collection and analysis, focusing on pulse oximetry adoption. We desc

SUBMITTER: Olojede OE 

PROVIDER: S-EPMC12581006 | biostudies-literature | 2024 Dec

REPOSITORIES: biostudies-literature