1. Pulse oximetry in Nigeria
A.A Bakare
H.R Graham
A.G Falade
5/19/2019
4th WHO GLOBAL FORUM ON MEDICAL DEVICES

2. 4th WHO GLOBAL FORUM ON MEDICAL DEVICES
Disclosure
Funding: Bill and Melinda Gates Foundation Conflict of Interest: None
5/19/2019
4th WHO GLOBAL FORUM ON MEDICAL DEVICES

3. 4th WHO GLOBAL FORUM ON MEDICAL DEVICES
Introduction
Oxygen is life. It is critical to patients survival
Pulse oximetry
A simple device that has been in existence for about 2 decades
New to many health workers in low resource settings
Introducing pulse oximetry and oxygen system may be challenging in real world setting, most especially in developing countries
5/19/2019
4th WHO GLOBAL FORUM ON MEDICAL DEVICES

4. 4th WHO GLOBAL FORUM ON MEDICAL DEVICES
5/19/2019
Oxygen equipment
Oxygen concentrators
Flow meter
Reliable power supply
Oxygen tubing and nasal prongs
Pulse oximetry, paediatric sensors
Protocols for use of oxygen
Training
Maintenance and spare parts
Oxygen analyser (flow, %)
Recording and monitoring
5/19/2019
4th WHO GLOBAL FORUM ON MEDICAL DEVICES

5. 4th WHO GLOBAL FORUM ON MEDICAL DEVICES
5/19/2019
Central stakeholders meeting very good. Helped to garner support for project buy in. But key people may be left out. There was wrong perception from other staff
5/19/2019
4th WHO GLOBAL FORUM ON MEDICAL DEVICES

6. Pulse oximetry in Nigeria
4th WHO GLOBAL FORUM ON MEDICAL DEVICES
5/19/2019
Pulse oximetry in Nigeria
Perspectives from nurses/doctors
Perspectives from caregivers
HCWs’ perspectives
It makes our works easier: know who needs oxygen, aids patients monitoring i.e HR.
Helps to convince parents on need for oxygen therapy
Patients/caregivers perspectives:
1. HCWs provide adequate care
5/19/2019
4th WHO GLOBAL FORUM ON MEDICAL DEVICES

7. 4th WHO GLOBAL FORUM ON MEDICAL DEVICES
Pulse oximetry adoption 12 secondary-level facilities in southwest Nigeria
5/19/2019
4th WHO GLOBAL FORUM ON MEDICAL DEVICES

8. 4th WHO GLOBAL FORUM ON MEDICAL DEVICES
Our approaches
Stakeholders identification
Administrators, accountants, head nurses
Vision sharing
Promotion of local ownership
Training (Practical)
Supportive supervision and feedback
5/19/2019
4th WHO GLOBAL FORUM ON MEDICAL DEVICES

9. Pulse oximetry training
Communicates ‘why’ learners should change practice, not just ‘what’ they should do, and articulates this as a shared vision that learners can ‘own’.
Connects new knowledge and practices with existing knowledge and practices.
Is hands-on and enhances problem-solving abilities so that learners can understand the real-world application
5/19/2019
4th WHO GLOBAL FORUM ON MEDICAL DEVICES

10. Pulse oximetry training
Includes practical application for learners to apply newly acquired knowledge, including ongoing support to re-enforce learning and support the gradual process of change.
Involves clinical leaders who will have ongoing influence through supervision, recognising their role, expertise, and relationships with other staff.
Builds team-work through joint learning and problem-solving with colleagues.
5/19/2019
4th WHO GLOBAL FORUM ON MEDICAL DEVICES

11. Sustainable financing for pulse oximetry and oxygen services
Every patient pays a token
Charge is facility dependent
Promote pulse oximetry service
Record keeping by facility nurses
5/19/2019
4th WHO GLOBAL FORUM ON MEDICAL DEVICES

12. 4th WHO GLOBAL FORUM ON MEDICAL DEVICES
Acknowledgements
BMGF
University College Hospital, Ibadan, Nigeria
University of Melbourne, Melbourne, Australia
University of Ibadan, Ibadan, Nigeria
Clinton Health Access Initiative Nigeria
5/19/2019
4th WHO GLOBAL FORUM ON MEDICAL DEVICES