Experiences From an Implementation Model of ARI Diagnostic Device in Pneumonia Case Management Among Under-5 Children in Peripheral Healthcare Centers in India

Objectives: To address pneumonia, a major killer of under-5 children in India, a multimodal pulse oximeter was implemented in Health and Wellness Centers. Given the evidence of pulse oximetry in effective pneumonia management and taking into account the inadequate skills of front-line healthcare wor...

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Autores principales:	Harish Kumar, Enisha Sarin, Prasant Saboth, Avinash Jaiswal, Nidhi Chaudhary, Jaya Swarup Mohanty, Nitin Bisht, Shailendra Singh Tomar, Anil Gupta, Ranjan Panda, Rachana Patel, Arvind Kumar, Sachin Gupta, Varun Alwadhi
Formato:	article
Lenguaje:	EN
Publicado:	SAGE Publishing 2021
Materias:	Pediatrics RJ1-570
Acceso en línea:	https://doaj.org/article/ec86da77024f4c0f9e7bbbef8f6e6ae9
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spelling	oai:doaj.org-article:ec86da77024f4c0f9e7bbbef8f6e6ae92021-11-16T22:33:22ZExperiences From an Implementation Model of ARI Diagnostic Device in Pneumonia Case Management Among Under-5 Children in Peripheral Healthcare Centers in India1179-556510.1177/11795565211056649https://doaj.org/article/ec86da77024f4c0f9e7bbbef8f6e6ae92021-11-01T00:00:00Zhttps://doi.org/10.1177/11795565211056649https://doaj.org/toc/1179-5565Objectives: To address pneumonia, a major killer of under-5 children in India, a multimodal pulse oximeter was implemented in Health and Wellness Centers. Given the evidence of pulse oximetry in effective pneumonia management and taking into account the inadequate skills of front-line healthcare workers in case management, the device was introduced to help them readily diagnose and treat a child and to examine usability of the device. Design: The implementation was integrated with the routine OPD of primary health centers for 15 months after healthcare workers were provided with an abridged IMNCI training. Monthly facility data was collected to examine case management with the diagnostic device. Feedback on usefulness of the device was obtained. Setting: Health and Wellness Centers (19) of 7 states were selected in consultation with state National Health Mission based on patient footfall. Participants: Under-5 children presenting with ARI symptoms at the OPD. Results: Of 4846 children, 0.1% were diagnosed with severe pneumonia and 23% were diagnosed with pneumonia. As per device readings, correct referrals were made of 77.6% of cases of severe pneumonia, and 81% of pneumonia cases were correctly given antibiotics. The Pulse oximeter was highly acceptable among health workers as it helped in timely classification and treatment of pneumonia. It had no maintenance issue and battery was long-lasting. Conclusion: Pulse oximeter implementation was doable and acceptable among health workers. Together with IMNCI training, PO in primary care settings is a feasible approach to provide equitable care to under-5 children.Harish KumarEnisha SarinPrasant SabothAvinash JaiswalNidhi ChaudharyJaya Swarup MohantyNitin BishtShailendra Singh TomarAnil GuptaRanjan PandaRachana PatelArvind KumarSachin GuptaVarun AlwadhiSAGE PublishingarticlePediatricsRJ1-570ENClinical Medicine Insights: Pediatrics, Vol 15 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Pediatrics RJ1-570
spellingShingle	Pediatrics RJ1-570 Harish Kumar Enisha Sarin Prasant Saboth Avinash Jaiswal Nidhi Chaudhary Jaya Swarup Mohanty Nitin Bisht Shailendra Singh Tomar Anil Gupta Ranjan Panda Rachana Patel Arvind Kumar Sachin Gupta Varun Alwadhi Experiences From an Implementation Model of ARI Diagnostic Device in Pneumonia Case Management Among Under-5 Children in Peripheral Healthcare Centers in India
description	Objectives: To address pneumonia, a major killer of under-5 children in India, a multimodal pulse oximeter was implemented in Health and Wellness Centers. Given the evidence of pulse oximetry in effective pneumonia management and taking into account the inadequate skills of front-line healthcare workers in case management, the device was introduced to help them readily diagnose and treat a child and to examine usability of the device. Design: The implementation was integrated with the routine OPD of primary health centers for 15 months after healthcare workers were provided with an abridged IMNCI training. Monthly facility data was collected to examine case management with the diagnostic device. Feedback on usefulness of the device was obtained. Setting: Health and Wellness Centers (19) of 7 states were selected in consultation with state National Health Mission based on patient footfall. Participants: Under-5 children presenting with ARI symptoms at the OPD. Results: Of 4846 children, 0.1% were diagnosed with severe pneumonia and 23% were diagnosed with pneumonia. As per device readings, correct referrals were made of 77.6% of cases of severe pneumonia, and 81% of pneumonia cases were correctly given antibiotics. The Pulse oximeter was highly acceptable among health workers as it helped in timely classification and treatment of pneumonia. It had no maintenance issue and battery was long-lasting. Conclusion: Pulse oximeter implementation was doable and acceptable among health workers. Together with IMNCI training, PO in primary care settings is a feasible approach to provide equitable care to under-5 children.
format	article
author	Harish Kumar Enisha Sarin Prasant Saboth Avinash Jaiswal Nidhi Chaudhary Jaya Swarup Mohanty Nitin Bisht Shailendra Singh Tomar Anil Gupta Ranjan Panda Rachana Patel Arvind Kumar Sachin Gupta Varun Alwadhi
author_facet	Harish Kumar Enisha Sarin Prasant Saboth Avinash Jaiswal Nidhi Chaudhary Jaya Swarup Mohanty Nitin Bisht Shailendra Singh Tomar Anil Gupta Ranjan Panda Rachana Patel Arvind Kumar Sachin Gupta Varun Alwadhi
author_sort	Harish Kumar
title	Experiences From an Implementation Model of ARI Diagnostic Device in Pneumonia Case Management Among Under-5 Children in Peripheral Healthcare Centers in India
title_short	Experiences From an Implementation Model of ARI Diagnostic Device in Pneumonia Case Management Among Under-5 Children in Peripheral Healthcare Centers in India
title_full	Experiences From an Implementation Model of ARI Diagnostic Device in Pneumonia Case Management Among Under-5 Children in Peripheral Healthcare Centers in India
title_fullStr	Experiences From an Implementation Model of ARI Diagnostic Device in Pneumonia Case Management Among Under-5 Children in Peripheral Healthcare Centers in India
title_full_unstemmed	Experiences From an Implementation Model of ARI Diagnostic Device in Pneumonia Case Management Among Under-5 Children in Peripheral Healthcare Centers in India
title_sort	experiences from an implementation model of ari diagnostic device in pneumonia case management among under-5 children in peripheral healthcare centers in india
publisher	SAGE Publishing
publishDate	2021
url	https://doaj.org/article/ec86da77024f4c0f9e7bbbef8f6e6ae9
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Experiences From an Implementation Model of ARI Diagnostic Device in Pneumonia Case Management Among Under-5 Children in Peripheral Healthcare Centers in India

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