Feasibility, usability and acceptability of paediatric lung ultrasound among healthcare providers and caregivers for the diagnosis of childhood pneumonia in resource-constrained settings: a qualitative study

BMJ Open. 2021 Mar 11;11(3):e042547. doi: 10.1136/bmjopen-2020-042547.

ABSTRACT

OBJECTIVES: Paediatric pneumonia burden and mortality are highest in low-income and middle-income international locations (LMIC). Paediatric lung ultrasound (LUS) has emerged as a promising diagnostic device for pneumonia in LMIC. Regardless of a rising proof base for LUS use in paediatric pneumonia prognosis, little is understood about its potential for profitable implementation in LMIC. Our targets had been to judge the feasibility, usability and acceptability of LUS within the prognosis of paediatric pneumonia.

DESIGN: Potential qualitative research utilizing semistructured interviews SETTING: Two referral hospitals in Mozambique and Pakistan PARTICIPANTS: A complete of 21 healthcare suppliers (HCPs) and 20 caregivers had been enrolled.

RESULTS: HCPs highlighted themes of restricted useful resource availability for the feasibility of LUS implementation, together with perceived excessive price of kit, upkeep calls for, time constraints and restricted skilled employees. HCPs emphasised the significance of policymaker assist and caregiver acceptance for long-term success. HCP views of usability highlighted ease of use and integration into current workflow. HCPs and caregivers had optimistic attitudes in the direction of LUS with few exceptions. Each HCPs and caregivers emphasised the potential for speedy, improved prognosis of paediatric respiratory circumstances utilizing LUS.

CONCLUSIONS: This was the primary research to judge HCP and caregiver views of paediatric LUS by way of qualitative evaluation. Crucial elements impacting feasibility, usability and acceptability of LUS for paediatric pneumonia prognosis in LMIC had been recognized for preliminary deployment. Future analysis ought to discover LUS sustainability, with a specific give attention to high quality management, gadget upkeep and performance and adoption of the brand new know-how inside the well being system. This research highlights the necessity to interact each customers and recipients of recent know-how early with a purpose to adapt future interventions to the native context for profitable implementation.

TRIAL REGISTRATION NUMBER: NCT03187067.

PMID:33707268 | DOI:10.1136/bmjopen-2020-042547