Acceptability of the routine use of pulse oximetry by healthcare workers and caregivers within primary healthcare in West Africa: mixed-methods study
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View abstract on PubMed
Summary
This summary is machine-generated.Pulse oximetry use in primary care improved healthcare worker confidence and diagnostic accuracy for childhood illnesses. Despite initial challenges, pulse oximetry was accepted by healthcare workers and families in West Africa.
Area Of Science
- Global Health
- Pediatric Medicine
- Health Systems Strengthening
Background
- Severe hypoxemia is a critical risk factor for childhood illnesses in children under 5.
- The Améliorer l'Identification des détresses Respiratoires chez l'Enfant (AIRE) project integrated pulse oximetry into Integrated Management of Childhood Illness (IMCI) guidelines.
- Routine pulse oximetry use was implemented in primary health centers (PHCs) across Burkina Faso, Guinea, Mali, and Niger.
Purpose Of The Study
- To assess the acceptability of pulse oximeter (PO) use among healthcare workers (HCWs) and children's families (CFs).
- To understand the factors influencing the adoption and integration of PO technology in primary healthcare settings.
- To evaluate the impact of PO use on diagnostic confidence and clinical decision-making for pediatric patients.
Main Methods
- A convergent mixed methods study was employed, utilizing quantitative surveys and qualitative interviews.
- Repeated cross-sectional surveys assessed HCW acceptability at four time points: pre-training, post-training, 6 months post-introduction, and 2 months post-project completion.
- Semistructured interviews were conducted with 100 HCWs and 59 CFs to explore perceptions and experiences with PO use.
Main Results
- HCW acceptability of PO use increased significantly from 23% strongly acceptable pre-training to 51% post-project.
- PO training was consistently associated with improved HCW acceptability, confidence, and diagnostic accuracy.
- While HCWs reported benefits like better diagnosis, challenges included increased workload and referral difficulties; CFs generally had positive perceptions despite not always understanding the device.
Conclusions
- Pulse oximetry integrated into IMCI consultations demonstrated acceptance among both HCWs and CFs.
- PO use enhances diagnostic capabilities and confidence in managing sick children in primary care settings.
- Sustained implementation of pulse oximetry requires addressing challenges related to workload and referral systems.
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