Pulse oximetry hybrid implementation effectiveness study

This project is based at icddr,b in Bangladesh.

Overview

Project title: Use of pulse oximetry in child pneumonia: a nation-wide hybrid effectiveness- implementation study in collaboration with Bangladesh Ministry of Health

Programme: Infectious Diseases

Based at: International Centre for Diarrhoeal Disease Research, Bangladesh

Start date:

End date:

Principal investigator:

Project team: Harish Nair, Shams El Arifeen, Steve Cunningham, Ahmed Ehsanur Rahman

Background

This project follows on from our initial RESPIRE (2016-2021) collaboration with the Ministry of Health (MOH) in Bangladesh to assess the feasibility of introducing pulse oximetry in routine child health (IMCI) services. The study included forming a national multiagency technical working committee and a series of technical workshops to develop an implementation package which was introduced (as a pilot) in 10 demonstration facilities in 2020.

Based on this experience, MOH Bangladesh decided to scale up pulse oximetry use throughout Bangladesh in phases providing an opportunity to evaluate the national phased scale-up as a natural experiment (stepped wedge design) to generate evidence on implementation challenges and effectiveness at scale.

Aim and Impact

This project aims to support MOH Bangladesh in its national implementation of pulse oximetry and to assess the effectiveness of introducing pulse oximetry in routine child health services in Bangladesh.

The partnership will enable a unique assessment of the policy change at a national scale, and will help inform other Asian countries on the effectiveness of similar programmes.