| Titre : | Implementing High-Flow Nasal Oxygen Therapy in Pediatric Wards: An Adapted Action Plan for Low-Resource and Humanitarian Settings |
| Auteurs : | Upoma Raisa Nazim ; Ecole des hautes études en santé publique (EHESP) (Rennes, FRA) |
| Type de document : | Mémoire |
| Année de publication : | 2025 |
| Description : | 42p. |
| Langues: | Anglais |
| Classement : | MPH/ (Mémoires MPH à partir de 2024) |
| Mots-clés : | Oxygénothérapie ; Infection respiratoire aiguë ; Pédiatrie ; Enfant ; Médecine humanitaire ; Médecins sans frontières |
| Résumé : | Pediatric acute lower respiratory tract infections (ALRTIs) are one of the leading causes of mortality among children under five in low- and middle-income countries (LMICs). While High Flow Nasal Oxygen (HFNO) therapy has demonstrated clinical efficacy in higher-resource contexts, its use in fragile, conflict-affected, or humanitarian settings remains limited due to infrastructure, training, and contextual adaptation barriers. This thesis addresses that gap by proposing a structured, evidence-based, and context-sensitive action plan for HFNO implementation based on Médecins Sans Frontières (MSF) field experience in Yemen and Bangladesh and adapted for Afghanistan and Sierra Leone. The action plan was developed using the UK Medical Research Council (MRCUK Framework). It includes four iterative phases: development, piloting, evaluation, and scale-up. Core interventions include modular staff training, integration of solar power systems, context specific clinical protocols, and culturally appropriate caregiver engagement. In practice, we faced major issues - such as unstable electricity and high staff turnover, thus the recommendations stemming from this research focus on these critical areas. Investing in interdisciplinary training and empowering local clinical staff and biomedical teams is also important. This plan also needs to enhance caregiver involvement by using visual communication tools. Finally, it is stressed that protocols must be in line with national policies. In conclusion, this framework is a blueprint for Médecins Sans Frontières (MSF) and similar humanitarian organizations to effectively integrate high-flow nasal oxygen (HFNO) therapy into pediatric care. The aim is to reduce mortality rates and improve sustainability in environments that face significant challenges. |
| Diplôme : | Master MPH of public health |
| Plan de classement simplifié : | Master of Public Health - master international de Santé Publique (MPH) |
| En ligne : | https://documentation.ehesp.fr/memoires/2025/mph/upoma_raiza_nazim.pdf |
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