OBJECTIVE: To better understand the availability of oxygen and pulse oximetry, barriers to use, clinician perceptions and practices regarding their role in the management of childhood pneumonia, and the formal education and training regarding these technologies received by student clinicians in Cambodia. METHODS: In the clinician survey, we surveyed 81 clinicians practising at all national paediatric, provincial and district referral hospitals throughout Cambodia. Respondents were primarily physicians whose scope of practice included paediatrics, and most reported the presence of oxygen (93% (95% confidence interval (CI) [87, 98])) but less availability of pulse oximetry (51% (95% CI [39, 61])). RESULTS: Common barriers to use included a lack of policies and guidelines, as well as a lack of training. In the student clinician survey, 332 graduating medical and nursing students were surveyed, and most reported learning about oxygen (96% (95% CI [94, 98])) and pulse oximetry (72% (95% CI [67, 77])) during their training. CONCLUSIONS: Data from both surveys indicate that despite their utility, oxygen and pulse oximetry may be underused in Cambodia. The reported barriers and perceptions of the tools indicate a clear role for improved training for clinicians and students on the use of oxygen and pulse oximetry, the value of oxygen and pulse oximetry for managing childhood pneumonia, and the need for improved policies and guidelines governing their use.
OBJECTIVE: To better understand the availability of oxygen and pulse oximetry, barriers to use, clinician perceptions and practices regarding their role in the management of childhood pneumonia, and the formal education and training regarding these technologies received by student clinicians in Cambodia. METHODS: In the clinician survey, we surveyed 81 clinicians practising at all national paediatric, provincial and district referral hospitals throughout Cambodia. Respondents were primarily physicians whose scope of practice included paediatrics, and most reported the presence of oxygen (93% (95% confidence interval (CI) [87, 98])) but less availability of pulse oximetry (51% (95% CI [39, 61])). RESULTS: Common barriers to use included a lack of policies and guidelines, as well as a lack of training. In the student clinician survey, 332 graduating medical and nursing students were surveyed, and most reported learning about oxygen (96% (95% CI [94, 98])) and pulse oximetry (72% (95% CI [67, 77])) during their training. CONCLUSIONS: Data from both surveys indicate that despite their utility, oxygen and pulse oximetry may be underused in Cambodia. The reported barriers and perceptions of the tools indicate a clear role for improved training for clinicians and students on the use of oxygen and pulse oximetry, the value of oxygen and pulse oximetry for managing childhood pneumonia, and the need for improved policies and guidelines governing their use.
Authors: Hamish R Graham; Ayobami A Bakare; Amy Gray; Adejumoke Idowu Ayede; Shamim Qazi; Barbara McPake; Rasa Izadnegahdar; Trevor Duke; Adegoke G Falade Journal: BMJ Glob Health Date: 2018-06-26
Authors: Carina King; Tisungane Mvalo; Kristen Sessions; Iain Wilson; Isabeau Walker; Beatiwel Zadutsa; Charles Makwenda; Tambosi Phiri; Nicholas Boyd; Mike Bernstein; Eric D McCollum Journal: Pediatr Pulmonol Date: 2019-03-25
Authors: Ayobami A Bakare; Hamish Graham; Adejumoke I Ayede; David Peel; Olatayo Olatinwo; Oladapo B Oyewole; Kayode R Fowobaje; Shamim Qazi; Rasa Izadnegahdar; Trevor Duke; Adegoke G Falade Journal: Int Health Date: 2020-01-01 Impact factor: 2.473
Authors: Eduardo Jf Lima; Maria Jg Mello; Maria Fpm Albuquerque; Maria Il Lopes; George Hc Serra; Maria Az Abreu-Lima; Jailson B Correia Journal: Pediatric Health Med Ther Date: 2015-08-24