Health Systems and Policy Contexts of Medical Oxygen

Summary

This is a mixed-methods program evaluation from a health systems and policy perspective, involving (i) stakeholder analysis, (ii) policy-implementation gap analysis, and (iii) comparative country case studies. This study aims to understand how national oxygen strategies achieve impact at national, and subnational level, across country contexts, at what cost.

The the investigators seek to:

1. Involve policymakers, implementers (including private sector), and medical oxygen users in identifying challenges and understanding potential solutions to medical oxygen access;
2. Generate new data on how medical oxygen systems work and can be improved from multiple perspectives;
3. Draw lessons on medical oxygen that can directly inform national and global practice and policy.

This study will be conducted in 6 of the 9 countries participating in the Clinton Health Access Initiative (CHAI) led Medical Oxygen Implementation (MOXY) program (Uganda, Nigeria, Rwanda, Liberia, Lao PDR, Cambodia).

Key informants will be selected representing government, non-governmental agencies, professional associations, private sector, and civil society. This study will be completed over 4 years, with timelines varying between country study sites.

Conditions

• Hypoxemia
• Morality
• Pneumonia

Interventions

OTHER

No intervention

No intervention

Sponsors & Collaborators

• University of Ibadan

  collaborator OTHER

• University of Health Sciences, Lao People's Democratic Republic (PDR)

  collaborator UNKNOWN

• University of Health Sciences, Cambodia

  collaborator UNKNOWN

• Makerere University

  collaborator OTHER

• Ministry of Health, Liberia

  collaborator OTHER

• Ministry of Health, Rwanda

  collaborator OTHER_GOV

• Karolinska Institutet

  collaborator OTHER

• Murdoch Childrens Research Institute

  lead OTHER

Principal Investigators

• Hamish Graham, PhD · Murdoch Childrens Research Institute

• Carina King, PhD · Karolinska Institutet

Eligibility

Min Age

18 Years

Sex

ALL

Healthy Volunteers

No

Timeline & Regulatory

Start

2024-07-31

Primary Completion

2027-12-31

Completion

2027-12-31

Countries

• Cambodia
• Laos
• Liberia
• Nigeria
• Rwanda
• Uganda

Study Locations