Ghosh Nilanjana, Sarkar Siddhartha, Mondal Tanushree
Department of Community and Family Medicine, AIIMS, Guwahati, Assam, India.
Senior Director, Philips Image Guided Therapy, North America.
J Family Med Prim Care. 2022 Aug;11(8):4661-4666. doi: 10.4103/jfmpc.jfmpc_1553_21. Epub 2022 Aug 30.
Childhood pneumonia is one of the leading causes of mortality among under-five children. It is responsible for 15% of all deaths of children U5, killing 808,694 children in 2017 (1). Traditional visual inspection and manual count method is used to detect and classify fast-breathing, a key indicator of Pneumonia. In response to UNICEF's call for a reliable diagnostic tool, Philips was the first to respond with the Children's Automatic Respiratory Monitor for measuring fast breathing objectively.
UNICEF and Philips Foundation initiated a field study to test the acceptability, usability and efficacy of the Automatic Respiratory Monitor in Determining Fast Breathing in low resource setting environments.
Philips Foundation partnered up with the Directorate of Medical Education in West Bengal, India to conduct the field study amongst community healthcare workers and beneficiaries in a rural district of West Bengal. In collaboration with North Bengal Medical College & Hospital, a community-based study was conducted in a tribal tea garden of Naxalbari block.
Acceptability and usability of the device was assessed through structtured interviews and dialogues with community health workers (CHWs), caregivers and local healthcare practitioners. Efficacy of the device was represented by the inter-rater agreement between the traditional visual inspection and manual count method and the device reading.
A descriptive community based mixed method study was conducted. Satisfaction among community healthcare workers (CHWs) and beneficiaries was found to be promising across all study parameters.
The paper captures the study methods, statistical analysis of the data, the conclusions, areas of further research and recommends community-wide use of the device in objectively measuring fast breathing among children under the age of five years.
儿童肺炎是五岁以下儿童死亡的主要原因之一。它占五岁以下儿童所有死亡人数的15%，2017年导致808,694名儿童死亡（1）。传统的目视检查和人工计数方法用于检测和分类呼吸急促，这是肺炎的一个关键指标。为响应联合国儿童基金会对可靠诊断工具的呼吁，飞利浦率先推出了儿童自动呼吸监测仪，以客观测量呼吸急促情况。
联合国儿童基金会和飞利浦基金会发起了一项实地研究，以测试自动呼吸监测仪在资源匮乏环境中确定呼吸急促的可接受性、可用性和有效性。
飞利浦基金会与印度西孟加拉邦医学教育司合作，在西孟加拉邦一个农村地区的社区医护人员和受益者中开展实地研究。与北孟加拉医学院和医院合作，在纳萨尔巴里街区的一个部落茶园进行了一项基于社区的研究。
通过与社区卫生工作者（CHW）、照顾者和当地医护人员进行结构化访谈和对话，评估该设备的可接受性和可用性。该设备的有效性通过传统目视检查和人工计数方法与设备读数之间的评分者间一致性来体现。
进行了一项基于社区的描述性混合方法研究。发现社区医护人员（CHW）和受益者在所有研究参数方面的满意度都很可观。
本文介绍了研究方法、数据的统计分析、结论、进一步研究的领域，并建议在社区范围内使用该设备客观测量五岁以下儿童的呼吸急促情况。
