Evaluation of the routine implementation of pulse oximeters into integrated management of childhood illness (IMCI) guidelines at primary health care level in West Africa: the AIRE mixed-methods research protocol
Abstract Background The AIRE operational project will evaluate the implementation of the routine Pulse Oximeter (PO) use in the integrated management of childhood illness (IMCI) strategy for children under-5 in primary health care centers (PHC) in West Africa. The introduction of PO should promote t...
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| Format: | Article |
| Language: | English |
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BMC
2022-12-01
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| Series: | BMC Health Services Research |
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| Online Access: | https://doi.org/10.1186/s12913-022-08982-4 |
| _version_ | 1797977559769546752 |
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| author | Gildas Boris Hedible Sarah Louart Désiré Neboua Laura Catala Gildas Anago Abdoul-Guaniyi Sawadogo G. Désiré Kargougou Bertrand Meda Jacques Séraphin Kolié Adama Hema Sory Keita Mactar Niome Abdoul Salam Savadogo Lucie Peters-Bokol Honorat Agbeci Zineb Zair Severin Lenaud Marine Vignon Solange Ouedraogo Yugbare Hannatou Abarry Abdoul Aziz Diakite Ibrahima Sory Diallo Franck Lamontagne Valérie Briand Désiré Lucien Dahourou Anthony Cousien Valéry Ridde Valériane Leroy for the AIRE Research Study Group |
| author_facet | Gildas Boris Hedible Sarah Louart Désiré Neboua Laura Catala Gildas Anago Abdoul-Guaniyi Sawadogo G. Désiré Kargougou Bertrand Meda Jacques Séraphin Kolié Adama Hema Sory Keita Mactar Niome Abdoul Salam Savadogo Lucie Peters-Bokol Honorat Agbeci Zineb Zair Severin Lenaud Marine Vignon Solange Ouedraogo Yugbare Hannatou Abarry Abdoul Aziz Diakite Ibrahima Sory Diallo Franck Lamontagne Valérie Briand Désiré Lucien Dahourou Anthony Cousien Valéry Ridde Valériane Leroy for the AIRE Research Study Group |
| author_sort | Gildas Boris Hedible |
| collection | DOAJ |
| description | Abstract Background The AIRE operational project will evaluate the implementation of the routine Pulse Oximeter (PO) use in the integrated management of childhood illness (IMCI) strategy for children under-5 in primary health care centers (PHC) in West Africa. The introduction of PO should promote the accurate identification of hypoxemia (pulse blood oxygen saturation Sp02 < 90%) among all severe IMCI cases (respiratory and non-respiratory) to prompt their effective case management (oxygen, antibiotics and other required treatments) at hospital. We seek to understand how the routine use of PO integrated in IMCI outpatients works (or not), for whom, in what contexts and with what outcomes. Methods The AIRE project is being implemented from 03/2020 to 12/2022 in 202 PHCs in four West African countries (Burkina Faso, Guinea, Mali, Niger) including 16 research PHCs (four per country). The research protocol will assess three complementary components using mixed quantitative and qualitative methods: a) context based on repeated cross-sectional surveys: baseline and aggregated monthly data from all PHCs on infrastructure, staffing, accessibility, equipment, PO use, severe cases and care; b) the process across PHCs by assessing acceptability, fidelity, implementation challenges and realistic evaluation, and c) individual outcomes in the research PHCs: all children under-5 attending IMCI clinics, eligible for PO use will be included with parental consent in a cross-sectional study. Among them, severe IMCI cases will be followed in a prospective cohort to assess their health status at 14 days. We will analyze pathways, patterns of care, and costs of care. Discussion This research will identify challenges to the systematic implementation of PO in IMCI consultations, such as health workers practices, frequent turnover, quality of care, etc. Further research will be needed to fully address key questions such as the best time to introduce PO into the IMCI process, the best SpO2 threshold for deciding on hospital referral, and assessing the cost-effectiveness of PO use. The AIRE research will provide health policy makers in West Africa with sufficient evidence on the context, process and outcomes of using PO integrated into IMCI to promote scale-up in all PHCs. Trial registration Trial registration number: PACTR202206525204526 retrospectively registered on 06/15/2022. |
| first_indexed | 2024-04-11T05:08:53Z |
| format | Article |
| id | doaj.art-b934993c19d944a7a3c7132597c87df6 |
| institution | Directory Open Access Journal |
| issn | 1472-6963 |
| language | English |
| last_indexed | 2024-04-11T05:08:53Z |
| publishDate | 2022-12-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Health Services Research |
| spelling | doaj.art-b934993c19d944a7a3c7132597c87df62022-12-25T12:09:40ZengBMCBMC Health Services Research1472-69632022-12-0122112010.1186/s12913-022-08982-4Evaluation of the routine implementation of pulse oximeters into integrated management of childhood illness (IMCI) guidelines at primary health care level in West Africa: the AIRE mixed-methods research protocolGildas Boris Hedible0Sarah Louart1Désiré Neboua2Laura Catala3Gildas Anago4Abdoul-Guaniyi Sawadogo5G. Désiré Kargougou6Bertrand Meda7Jacques Séraphin Kolié8Adama Hema9Sory Keita10Mactar Niome11Abdoul Salam Savadogo12Lucie Peters-Bokol13Honorat Agbeci14Zineb Zair15Severin Lenaud16Marine Vignon17Solange Ouedraogo Yugbare18Hannatou Abarry19Abdoul Aziz Diakite20Ibrahima Sory Diallo21Franck Lamontagne22Valérie Briand23Désiré Lucien Dahourou24Anthony Cousien25Valéry Ridde26Valériane Leroy27for the AIRE Research Study GroupInserm, University Paul Sabatier Toulouse 3, CERPOP, UMR 1295ALIMAALIMAInserm, University Paul Sabatier Toulouse 3, CERPOP, UMR 1295ALIMATerre des hommes-Lausanne (Tdh)ALIMASOLTHISALIMATerre des hommes-Lausanne (Tdh)ALIMASOLTHISALIMAInserm, University Paul Sabatier Toulouse 3, CERPOP, UMR 1295Inserm, University Paul Sabatier Toulouse 3, CERPOP, UMR 1295Inserm, University Paul Sabatier Toulouse 3, CERPOP, UMR 1295Program PACCIALIMACHU de BogodogoMinistère de la santé, des populations et des affaires socialesCHU Gabriel TouréInstitut de Nutrition et Santé de l’Enfant (INSE)SOLTHISUniversity of Bordeaux, Inserm UMR 1219, IRD EMR 271, Bordeaux Population Health CentreInserm, University Paul Sabatier Toulouse 3, CERPOP, UMR 1295Université Paris Cité and Université Sorbonne Paris Nord, Inserm, IAMEIRD, CEPEDInserm, University Paul Sabatier Toulouse 3, CERPOP, UMR 1295Abstract Background The AIRE operational project will evaluate the implementation of the routine Pulse Oximeter (PO) use in the integrated management of childhood illness (IMCI) strategy for children under-5 in primary health care centers (PHC) in West Africa. The introduction of PO should promote the accurate identification of hypoxemia (pulse blood oxygen saturation Sp02 < 90%) among all severe IMCI cases (respiratory and non-respiratory) to prompt their effective case management (oxygen, antibiotics and other required treatments) at hospital. We seek to understand how the routine use of PO integrated in IMCI outpatients works (or not), for whom, in what contexts and with what outcomes. Methods The AIRE project is being implemented from 03/2020 to 12/2022 in 202 PHCs in four West African countries (Burkina Faso, Guinea, Mali, Niger) including 16 research PHCs (four per country). The research protocol will assess three complementary components using mixed quantitative and qualitative methods: a) context based on repeated cross-sectional surveys: baseline and aggregated monthly data from all PHCs on infrastructure, staffing, accessibility, equipment, PO use, severe cases and care; b) the process across PHCs by assessing acceptability, fidelity, implementation challenges and realistic evaluation, and c) individual outcomes in the research PHCs: all children under-5 attending IMCI clinics, eligible for PO use will be included with parental consent in a cross-sectional study. Among them, severe IMCI cases will be followed in a prospective cohort to assess their health status at 14 days. We will analyze pathways, patterns of care, and costs of care. Discussion This research will identify challenges to the systematic implementation of PO in IMCI consultations, such as health workers practices, frequent turnover, quality of care, etc. Further research will be needed to fully address key questions such as the best time to introduce PO into the IMCI process, the best SpO2 threshold for deciding on hospital referral, and assessing the cost-effectiveness of PO use. The AIRE research will provide health policy makers in West Africa with sufficient evidence on the context, process and outcomes of using PO integrated into IMCI to promote scale-up in all PHCs. Trial registration Trial registration number: PACTR202206525204526 retrospectively registered on 06/15/2022.https://doi.org/10.1186/s12913-022-08982-4ChildrenIntegrated management of childhood illnessPulse oximeterPrimary health careWest AfricaImplementation research |
| spellingShingle | Gildas Boris Hedible Sarah Louart Désiré Neboua Laura Catala Gildas Anago Abdoul-Guaniyi Sawadogo G. Désiré Kargougou Bertrand Meda Jacques Séraphin Kolié Adama Hema Sory Keita Mactar Niome Abdoul Salam Savadogo Lucie Peters-Bokol Honorat Agbeci Zineb Zair Severin Lenaud Marine Vignon Solange Ouedraogo Yugbare Hannatou Abarry Abdoul Aziz Diakite Ibrahima Sory Diallo Franck Lamontagne Valérie Briand Désiré Lucien Dahourou Anthony Cousien Valéry Ridde Valériane Leroy for the AIRE Research Study Group Evaluation of the routine implementation of pulse oximeters into integrated management of childhood illness (IMCI) guidelines at primary health care level in West Africa: the AIRE mixed-methods research protocol BMC Health Services Research Children Integrated management of childhood illness Pulse oximeter Primary health care West Africa Implementation research |
| title | Evaluation of the routine implementation of pulse oximeters into integrated management of childhood illness (IMCI) guidelines at primary health care level in West Africa: the AIRE mixed-methods research protocol |
| title_full | Evaluation of the routine implementation of pulse oximeters into integrated management of childhood illness (IMCI) guidelines at primary health care level in West Africa: the AIRE mixed-methods research protocol |
| title_fullStr | Evaluation of the routine implementation of pulse oximeters into integrated management of childhood illness (IMCI) guidelines at primary health care level in West Africa: the AIRE mixed-methods research protocol |
| title_full_unstemmed | Evaluation of the routine implementation of pulse oximeters into integrated management of childhood illness (IMCI) guidelines at primary health care level in West Africa: the AIRE mixed-methods research protocol |
| title_short | Evaluation of the routine implementation of pulse oximeters into integrated management of childhood illness (IMCI) guidelines at primary health care level in West Africa: the AIRE mixed-methods research protocol |
| title_sort | evaluation of the routine implementation of pulse oximeters into integrated management of childhood illness imci guidelines at primary health care level in west africa the aire mixed methods research protocol |
| topic | Children Integrated management of childhood illness Pulse oximeter Primary health care West Africa Implementation research |
| url | https://doi.org/10.1186/s12913-022-08982-4 |
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