{"id":23813,"date":"2013-01-17T16:17:22","date_gmt":"2013-01-17T15:17:22","guid":{"rendered":"https:\/\/blogs.bmj.com\/bmj\/?p=23813"},"modified":"2013-01-17T16:18:39","modified_gmt":"2013-01-17T15:18:39","slug":"louise-finch-lifebox-in-uganda-following-up-on-foot","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/bmj\/2013\/01\/17\/louise-finch-lifebox-in-uganda-following-up-on-foot\/","title":{"rendered":"Louise Finch: Lifebox in Uganda\u2014following up donated pulse oximeters"},"content":{"rendered":"

\"louise_finch\"<\/a>Thousands of well intentioned donations are made to developing countries every year but many of these do not achieve what was hoped; they don\u2019t make it to the intended recipient, or they\u2019re unfit for purpose when they do. I hope I can persuade you that this is not the case for Lifebox oximeters.<\/p>\n

I was involved in one of the first donations<\/a> of Lifebox<\/a> oximeters: 80 pulse oximeters to anaesthetic officers and nurses across Uganda, delivered at a three day training workshop in June 2011. <\/p>\n

These donations have been followed-up more intensively than might be expected. Given the difficulties of getting feedback on an intervention even in the UK where we are all readily contactable, the information Lifebox has managed to gain is quite remarkable as well as reassuring. The oximeters are well used and function without problem in the resource-poor environments to which they are donated.<\/p>\n

The donation method works<\/em>
\nLifebox aims to build a relationship with the individual anaesthetic provider using the pulse oximeter, as well as with their institution. The pride the providers have in their oximeters limits the potential for it getting lost or damaged, and the sense of ownership by an individual means the oximeters are taken to where they are needed, rather than remaining in a dusty cupboard for example when hospitals stop providing surgery.<\/p>\n

The design works<\/em>
\nThe design of the oximeters is suited to the developing world environment. As I followed up the oximeters, many anaesthetic officers told me how much they valued the long battery life\u2014few of them work in facilities with more than a couple of hours of electricity a day. In recognition of the fact that nothing is indestructible and probes (the most delicate part of an oximeter), in particular, will break, Lifebox oximeters have been designed to accept generic probes which can be acquired locally, prolonging the useful life of the donated oximeter.<\/p>\n

They get well used<\/em>
\nEarly (three to six months) and late (18 month) formal follow-up found that these oximeters are being used up to twenty times a day.\u00a0 On return trips to make further donations we have been met with ongoing enthusiasm for their use both from providers who already have one and those who have heard about them from their colleagues.<\/p>\n

Do they make a difference?<\/em>
\nThere may not be academic proof of the benefits of an oximeter, but we would never anaesthetise a patient in the UK without one\u2014so can we argue their value to patients elsewhere in the world? If you want further reassurance I can offer only representative individual stories from the anaesthesia providers I spoke to:<\/p>\n