Abstract:
Objective To assess the feasibility, usability and
acceptability of two non-invasive, multiparameter,
continuous physiological monitoring (MCPM) technologies
for use in neonates within a resource-constrained
healthcare setting in sub-Saharan Africa.
Design A qualitative study using in-depth interviews
and direct observations to describe healthcare
professional and caregiver perspectives and experiences
with investigational MCPM technologies from
EarlySense and Sibel compared with selected reference
technologies.
Setting Pumwani Maternity Hospital is a public, high volume, tertiary hospital in Nairobi, Kenya.
Participants In-depth interviews were conducted with
five healthcare administrators, 12 healthcare providers
and 10 caregivers. Direct observations were made
of healthcare providers using the technologies on 12
neonates overall.
Results Design factors like non-invasiveness, portability,
ease-of-use and ability to measure multiple vital signs
concurrently emerged as key themes supporting
the usability and acceptability of the investigational
technologies. However, respondents also reported
feasibility challenges to implementation, including
overcrowding in the neonatal unit, lack of reliable access
to electricity and computers, and concerns about cost and
maintenance needs. To improve acceptability, respondents
highlighted the need for adequate staffing to appropriately
engage caregivers and dispel misconceptions about the
technologies.
Conclusion Study participants were positive about
the usefulness of the investigational technologies to
strengthen clinical care quality and identification of at risk neonates for better access to timely interventions.
These technologies have the potential to improve equity
of access to appropriate healthcare services and neonatal
outcomes in sub-Saharan African healthcare facilities.
However, health system strengthening is also critical to
support sustainable uptake of technologies into routine
care
