Oxygen systems and quality of care for children with pneumonia, malaria and diarrhoea: Analysis of a stepped-wedge trial in Nigeria.

ABSTRACT:

Objectives

To evaluate the effect of improved hospital oxygen systems on quality of care (QOC) for children with severe pneumonia, severe malaria, and diarrhoea with severe dehydration.

Design

Stepped-wedge cluster randomised trial (unblinded), randomised at hospital-level.

Setting

12 hospitals in south-west Nigeria.

Participants

7,141 children (aged 28 days to 14 years) admitted with severe pneumonia, severe malaria or diarrhoea with severe dehydration between January 2014 and October 2017.

Interventions

Phase 1 (pulse oximetry) introduced pulse oximetry for all admitted children. Phase 2 (full oxygen system) (i) standardised oxygen equipment package, (ii) clinical education and support, (iii) technical training and support, and (iv) infrastructure and

SUBMITTER: Graham HR 

PROVIDER: S-EPMC8266122 | biostudies-literature | 2021

REPOSITORIES: biostudies-literature