Journal article
Cost-effectiveness and sustainability of improved hospital oxygen systems in Nigeria
HR Graham, AA Bakare, AI Ayede, J Eleyinmi, O Olatunde, OR Bakare, B Edunwale, EFG Neal, S Qazi, B McPake, D Peel, AZ Gray, T Duke, AG Falade
BMJ Global Health | BMJ PUBLISHING GROUP | Published : 2022
Open access
Abstract
Introduction Improving hospital oxygen systems can improve quality of care and reduce mortality for children, but we lack data on cost-effectiveness or sustainability. This study evaluated medium-term sustainability and cost-effectiveness of the Nigeria Oxygen Implementation programme. Methods Prospective follow-up of a stepped-wedge trial involving 12 secondary-level hospitals. Cross-sectional facility assessment, clinical audit (January-March 2021), summary admission data (January 2018-December 2020), programme cost data. Intervention: pulse oximetry introduction followed by solar-powered oxygen system installation with clinical and technical training and support. Primary outcomes: (i) pro..
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Awarded by Bill and Melinda Gates Foundation
Funding Acknowledgements
This work was supported by the Bill and Melinda Gates Foundation (OPP1123577) and the World Health Organization. HRG received salary support from the RCH Foundation and University of Melbourne Faculty Fellowship. Funding organisations were not involved in the manuscript's writing or the decision to submit it for publication. As the corresponding author, I had full access to the data and have final responsibility for the decision to submit for publication.