Abstract:
Background: This study aimed to assess on-the-ground barriers to the provision of oxygen therapy for paediatric
patients in three government-funded Eastern Ugandan district general hospitals (DGHs).
Methods: Site visits to DGHs during March 2017 involved semi-structured interviews with medical officers, clinical
officers, paediatric nurses and non-clinical staff (n = 29). MAXQDA qualitative data software was used to assist with
response analysis.
Results: The healthcare professionals reported that erratic electricity supplies, few and/or malfunctioning oxygen
cylinders and concentrators, limited or no access to pulse oximetry, inadequate staffing and lack of continued
professional training were key barriers to the delivery of oxygen therapy. Local populations were reportedly fearful of
oxygen therapy and reluctant to consent for oxygen therapy to be administered to their children.
Conclusion: According to healthcare providers in three Eastern Ugandan DGHs, numerous barriers exist to oxygen
therapy for paediatric patients. Healthcare professionals reported lack of facilities and training to effectively deliver
oxygen therapy. Quality improvement work prioritising oxygen therapy in government-funded district general hospitals
should focus on oxygen supply and delivery issues on a site-specific level and sensitizing communities to the potential
benefits of oxygen.
