Experiences From an Implementation Model of ARI Diagnostic Device in Pneumonia Case Management Among Under-5 Children in Peripheral Healthcare Centers in India.
Objectives: To address pneumonia, a major killer of under-5 children in India, a multimodal pulse oximeter was implemented in Health and Wellness Centers. Given the evidence of pulse oximetry in effective pneumonia management and taking into account the inadequate skills of front-line healthcare wor...
| Publicado en: | Clinical Medicine Insights: Pediatrics Vol. 15; no. 5; pp. 1 - 11 |
|---|---|
| Autores principales: | , , , , , , , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Sage Publications Inc.
2021
|
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=162993453&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 162993453 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 11795565 B3KV jtl: Clinical Medicine Insights: Pediatrics issn: 11795565 maglogo: Y pubinfo: dt: 2021 vid: 15 iid: 5 pid: 20732 pub: Sage Publications Inc. place: Thousand Oaks, California artinfo: ui: 162993453 162993453 162993453 10.1177/11795565211056649 162993453 ppf: 1 ppct: 10 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Experiences From an Implementation Model of ARI Diagnostic Device in Pneumonia Case Management Among Under-5 Children in Peripheral Healthcare Centers in India. aug: au: Kumar, Harish Sarin, Enisha Saboth, Prasant Jaiswal, Avinash Chaudhary, Nidhi Mohanty, Jaya Swarup Bisht, Nitin Tomar, Shailendra Singh Gupta, Anil Panda, Ranjan Patel, Rachana Kumar, Arvind Gupta, Sachin Alwadhi, Varun affil: IPE Global, New Delhi, India sug: subj: Implementation Science Pulse Oximeters Pneumonia Diagnosis Case Management India Primary Health Care Human India Male Female Infant Child, Preschool Pulse Oximetry Antibiotics Therapeutic Use Pneumonia Drug Therapy Structured Questionnaires Interview Guides Audiorecording Thematic Analysis Health Resource Utilization Trust Parental Attitudes Infant: 1-23 months Child, Preschool: 2-5 years Male Female ab: Objectives: To address pneumonia, a major killer of under-5 children in India, a multimodal pulse oximeter was implemented in Health and Wellness Centers. Given the evidence of pulse oximetry in effective pneumonia management and taking into account the inadequate skills of front-line healthcare workers in case management, the device was introduced to help them readily diagnose and treat a child and to examine usability of the device. Design: The implementation was integrated with the routine OPD of primary health centers for 15 months after healthcare workers were provided with an abridged IMNCI training. Monthly facility data was collected to examine case management with the diagnostic device. Feedback on usefulness of the device was obtained. Setting: Health and Wellness Centers (19) of 7 states were selected in consultation with state National Health Mission based on patient footfall. Participants: Under-5 children presenting with ARI symptoms at the OPD. Results: Of 4846 children, 0.1% were diagnosed with severe pneumonia and 23% were diagnosed with pneumonia. As per device readings, correct referrals were made of 77.6% of cases of severe pneumonia, and 81% of pneumonia cases were correctly given antibiotics. The Pulse oximeter was highly acceptable among health workers as it helped in timely classification and treatment of pneumonia. It had no maintenance issue and battery was long-lasting. Conclusion: Pulse oximeter implementation was doable and acceptable among health workers. Together with IMNCI training, PO in primary care settings is a feasible approach to provide equitable care to under-5 children. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
|---|