ArticleBMJ public health2024
Pulse oximetry and oxygen services for under-five children with community-acquired pneumonia attending primary and secondary level health facilities in Lagos, Nigeria (INSPIRING-Lagos): a pre-implementation and post implementation study.
Article in BMJ public health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed.
- Added value of routine pulse oximetry use within Integrated Management of Childhood Illness guidelines in primary care in West Africa: insight from AIRE.BMJ global health · 2026Article
- Outcome and management of 2-59-month-old Nigerian children with chest indrawing pneumonia at primary-level healthcare facilities: a prospective cohort study.Journal of global health · 2026Observational
- Knowledge of pulse oximetry, indications for oxygen therapy, and integrated management of childhood illness among health care workers in Nigerian primary and secondary health facilities: a cross-sectional survey.Frontiers in public health · 2026Article
- Rethinking medical oxygen investments in primary health care in Nigeria.Frontiers in public health · 2026Article
- Care management and determinants of day 14 mortality in severely ill children aged under 5 years subsequent to hypoxaemia diagnosed using routine pulse oximetry in primary care: evidence from the AIRE project.BMJ global health · 2025Article
- Reducing global inequities in medical oxygen access: the Lancet Global Health Commission on medical oxygen security.The Lancet. Global health · 2025Review
- Understanding pulse oximetry adoption in primary healthcare facilities in Nigeria: a realist process evaluation of the INSPIRING-Lagos stabilisation room project.BMJ public health · 2024Article
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Authors and funding
20 authors.
Funding
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Abstract
Introduction: Childhood pneumonia is a leading cause of child mortality in Nigeria and poor quality of care is a persistent issue. We aimed to understand whether introducing primary care stabilisation rooms equipped with pulse oximetry and oxygen systems alongside healthcare worker (HCW) training improved the quality of care for children with pneumonia in Lagos State. Methods: Results: We screened 20 158 children, of which 160 children with hypoxaemic pneumonia (SpO Conclusion: Equipping primary care stabilisation rooms with pulse oximetry and oxygen increased oxygen use for children with hypoxaemia but did not improve referral or hospital admission rates. Persistent failure to assess children with pulse oximetry likely contributed to under-recognition of hypoxaemia and therefore failure to initiate correct care. Further work to improve initial triage, assessment and treatment of children with severe pneumonia in Lagos is urgently needed. Trial registration number: ACTRN12621001071819.
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