The aim of the project is to assess the feasibility of introducing pulse oximetry (PO) in the Integrated Management of Childhood Illness (IMCI) programme in Pune and explore barriers to and facilitators of effective implementation with assessment of the readiness of the public health system.

Pneumonia is a leading cause of childhood mortality, accounting for 16% of under-five deaths globally – with the majority occurring in low- and middle-income countries.

For the management of common childhood illnesses, including pneumonia, in low-resource settings, adoption of Integrated Management of Childhood Illness (IMCI) is globally recommended. IMCI classifications depend on the clinical assessment skills of service providers and this subjectivity might lead to misclassification and inappropriate referral/treatment.

Hypoxemia (low levels of oxygen in the blood) is one of the strongest predictors of pneumonia mortality. Hypoxemia can be measured simply and effectively using pulse oximetry (PO).

The latest IMCI guidelines, from the World Health Organization (WHO), include the use of PO to classify severity of pneumonia in children and manage accordingly. Current IMCI practices in Pune district do not include PO in the treatment algorithms.

The aim of the project is to assess the feasibility of introducing PO in the IMCI programme in Pune and explore barriers to and facilitators of effective implementation with assessment of the readiness of the public health system.

For further information, see: https://www.ed.ac.uk/usher/respire/acute-respiratory-disorders/pulse-oximetry-india"