Estimated Cost-effectiveness of Solar-Powered Oxygen Delivery for Pneumonia in Young Children in Low-Resource

Yiming Huang1, Qaasim Mian1,2, Nicholas Conradi1,2

  • 1University of Alberta, Edmonton, Canada.

JAMA Network Open
|June 24, 2021
PubMed

Insights

Solar-powered oxygen delivery is a cost-effective solution for treating childhood pneumonia in low-resource settings. This technology saves lives by providing essential oxygen therapy where access is limited.

Area of Science:

  • Global Health
  • Pediatric Medicine
  • Health Economics

Background:

  • Pneumonia is the leading cause of death in children globally.
  • Severe pneumonia requires oxygen therapy, but access is often limited in low- and middle-income countries (LMICs).
  • Solar-powered oxygen (solar-powered O2) offers a reliable solution for medical oxygen delivery in resource-limited settings.

Purpose of the Study:

  • To evaluate the cost-effectiveness of solar-powered O2 for treating children with severe pneumonia in LMICs.
  • To provide economic data to guide the implementation of solar-powered O2 technology.

Main Methods:

  • Economic evaluation conducted from January 2020 to February 2021, adhering to WHO-CHOICE guidelines.
  • Analysis of solar-powered O2 implementation costs for pediatric patients (<5 years) requiring supplemental oxygen.
  • Calculation of incremental cost-effectiveness ratio (ICER) per disability-adjusted life-year (DALY) saved, with sensitivity analyses.

Main Results:

  • The ICER for solar-powered O2 was estimated at $20 per DALY saved compared to no oxygen.
  • Alternative costings included $26 per patient treated and $542 per life saved.
  • Solar-powered O2 was found to be cost-effective versus grid-powered systems and cost-saving versus generator-powered systems.

Conclusions:

  • Solar-powered O2 is a cost-effective intervention for treating childhood hypoxemia in LMICs.
  • Implementation should target areas with high pediatric pneumonia admission and mortality rates.
  • The study supports the expansion of solar-powered O2 and further research into its efficacy and mortality benefits.
Abstract

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