Usability and acceptability of a multimodal respiratory rate and pulse oximeter device in case management of children with symptoms of pneumonia: A cross-sectional study in Ethiopia.

Acta Paediatrica
Kevin BakerKarin Källander

Abstract

Pneumonia is the leading infectious cause of death among children under five globally. Many pneumonia deaths result from inappropriate treatment due to misdiagnosis of signs and symptoms. This study aims to identify whether health extension workers (HEWs) in Ethiopia, using an automated multimodal device (Masimo Rad-G), adhere to required guidelines while assessing and classifying under five children with cough or difficulty breathing and to understand device acceptability. A cross-sectional study was conducted in three districts of Southern Nations, Nationalities, and Peoples' Region, Ethiopia. Between September and December 2018, 133 HEWs were directly observed using Rad-G while conducting 599 sick child consultations. Usability was measured as adherence to the World Health Organization requirements to assess fast breathing and device manufacturer instructions for use. Acceptability was assessed using semi-structured interviews with HEWs, first-level health facility workers and caregivers. Adherence using the Rad-G routinely for 2 months was 85.3% (95% CI 80.2, 89.3). Health workers and caregivers stated a preference for Rad-G. Users highlighted a number of device design issues. While demonstrating high levels of acceptabilit...Continue Reading

References

Jan 8, 2003·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Alexander K RoweMichael S Deming
Feb 4, 2006·Transactions of the Royal Society of Tropical Medicine and Hygiene·Karin KällanderStefan Peterson
Mar 28, 2009·The Lancet Infectious Diseases·Rami SubhiUNKNOWN Hypoxaemia in Developing Countries Study Group
Aug 20, 2009·Annals of Tropical Paediatrics·T DukeB Frey
Jul 6, 2014·Lancet·Jennifer Harris RequejoCesar G Victora
Aug 12, 2014·The Lancet Global Health·Amy Sarah GinsburgKeith P Klugman
Dec 4, 2014·The Lancet. Respiratory Medicine·Karin KällanderShamim Qazi
Nov 20, 2016·Tropical Medicine & International Health : TM & IH·Florida MuroJim Todd
Jan 28, 2017·BMC Health Services Research·Mandeep SekhonJill J Francis
Mar 27, 2019·Pediatric Pulmonology·Carina KingEric D McCollum

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Software Mentioned

MAXQDA
CommCare
Rad
Dimagi
Masimo Extraction
Lifebox
Masimo Rad G
Masimo SET

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