Pilot implementation of ‘outsourced oxygen to the bedside’ models in five countries: a mixed methods impact assessment
Rattachement africain : se, Ouganda, Tanzanie, gb, Nigéria, Kenya, be, ca, us, au. Niveau de preuve : code pays fourni par la source.
Le résumé fourni par la source
Background: Medical oxygen is an essential medicine that is often unavailable for patients when they need it. We explored if 'outsourced oxygen to the bedside' (O2B) pilots, where private providers deliver a package of services, were successful in ensuring reliable oxygen access at the patient bedside. Methods: We conducted a sequential explanatory mixed-methods assessment of O2B pilots in Kenya, Nigeria, India, Tanzania and Uganda from September 2024 to January 2025. A quantitative cross-sectional facility audit described facility contexts, tested equipment functionality and assessed healthcare worker (HCW) oxygen knowledge. Qualitative interviews with HCWs and managers explored experiences of O2B pilots. Results: We studied 28 of the 80 facilities participating in the pilots, 179 HCWs completed the knowledge survey and 59 qualitative interviews were conducted. In the audit, we found O2B provided oxygen equipment more functional and usable than non-O2B equipment: 64.5% vs 40.9%, p<0.001 for cylinders, 95.0% vs 25.7% (p<0.001) for concentrators and 84.0% vs 70.0% (p value=0.172) for pulse oximeters. Overall, 21.8% (39/179) of HCWs had received training from O2B providers, and their oxygen knowledge was slightly higher than those who had not (mean score 15.3/24 vs 13.9/24, p value=0.002). Qualitative interviews highlighted positive changes in oxygen access and the ability to treat patients, but also mixed understandings of the O2B services being provided, and requests for additional services. Conclusion: O2B pilots appear to improve medical oxygen access, with effective maintenance and repair services being a key mechanism. However, tailoring to local needs and remaining gaps in HCW capacity need to be addressed.
Ce résumé expose les affirmations des auteurs. BNTIC ne l’interprète pas comme une validation indépendante des résultats.
Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Pilot implementation of ‘outsourced oxygen to the bedside’ models in five countries: a mixed methods impact assessment
- Date Crossref
- 01/07/2026
- Éditeur
- BMJ
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
-
Uppsala University Department of Women’s and Children’s Health pays non établi dans la noticeUniversité ou école supérieure
-
Makerere University Department of Community Health and Behavioural Sciences Makerere University, Ouganda (code pays fourni par la source)Université ou école supérieure
-
Karolinska Institutet Department of Global Public Health pays non établi dans la noticeUniversité ou école supérieure
-
Karolinska University Hospital Astrid Lindgren Children's Hospital pays non établi dans la noticeÉtablissement de santé
-
Muhimbili University of Health and Allied Sciences Department of Emergency Medicine Dar es Salaam, Tanzanie (code pays fourni par la source)Université ou école supérieure
-
Queen Mary University of London pays non établi dans la noticeUniversité ou école supérieure
-
London School of Hygiene & Tropical Medicine pays non établi dans la noticeUniversité ou école supérieure
-
University College Hospital Department of Community Medicine Ibadan, Nigéria (code pays fourni par la source)Établissement de santé
-
Kenya Medical Research Institute Kenya (code pays fourni par la source)Structure de recherche
-
KEMRI-Wellcome Trust Research Programme Kenya (code pays fourni par la source)Structure de recherche
-
Instituut voor Tropische Geneeskunde pays non établi dans la noticeOrganisme public
-
Kabale Hospital Kabale Hospital, Ouganda (code pays fourni par la source)Établissement de santé
Department of Women’s and Children’s Health — Uppsala University, Department of Community Health and Behavioural Sciences — Makerere University (Makerere University, Ouganda) et Department of Global Public Health — Karolinska Institutet, avec 9 autres affiliations. Pays d’affiliation : Ouganda, Tanzanie, Nigéria, Kenya.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.