Pneumonia kills more children than any other infectious disease. Each year, more than 7 million children under 5 require oxygen as a means of treatment for this. In 2020, UNICEF launched its Oxygen Plant-in-a-Box Project. This cost-effective project supplies hospitals with life-saving gas, a means of preventing millions of deaths from pneumonia.

Before 2020 – The Situation

As of 2018, pneumonia was responsible for 16% of child deaths, with the majority amongst children below the age of 2. It killed more children than diarrhea and malaria combined. Almost all cases of pneumonia can be prevented through early diagnosis and access to antibiotics and oxygen treatment. The problem lay and continues to lie with access to this healthcare.

Pneumonia does not have a single cause, it is an acute respiratory infection of the lungs, developing from either viruses or bacteria in the air. Once infected lungs become inflamed which causes difficulty breathing. The most common symptoms are coughing, fever and difficulty breathing.

The Role of Oxygen

When pneumonia develops, inflammation of the lungs stops enough oxygen from entering the bloodstream and circulating through the body. Access to oxygen in these cases becomes lifesaving. However, it has previously been unavailable to those in countries without strong health systems, only available in higher-level facilities and hospitals.

As the leading cause of preventable child deaths, pneumonia is more deadly to children in 124 low to middle-income countries who have limited or no access to health care. It leaves around 4.2 million children under 5 with dangerously low oxygen levels. This group is more vulnerable due to exposure to polluted air and higher rates of malnutrition and diarrhea, which leaves immune systems weaker.

UNICEF’s Oxygen Plant-in-a-Box Project.

Since the COVID-19 pandemic, UNICEF and partners have worked to improve basic oxygen access, coming up with their innovative Oxygen Plant-in-a-Box Project. The Oxygen-Plant in a box produces enough oxygen to treat up to 100 children with severe pneumonia. The package contains everything necessary to install and operate a pressure swing adsorption (PSA) oxygen plant which is fully functional within days of being implemented at a health facility.

By December 2021, over 16 countries had ordered this product and were on the path to developing stronger health care systems. That month patients at the Soroti Regional Referral Hospital in Uganda were the first to receive life-saving oxygen from this project.

More about the Box

The package includes everything to produce large volumes of medical-grade oxygen for patients, with each plant holding the capacity to produce up to 720,000 litres of oxygen each day. These packages aim to support medium to large health facilities.

Kristoffer Gandrup-Marino, Chief of Product Innovation at UNICEF Supply Division, stated these plants could take up to six months to design and order, so they developed the pre-designed plants making the product cheaper and faster to manufacture and arrive, saving lives in the process.

Real Life Implementation

In Uganda, 6-month-old Constance suffered from a cough, fever and difficulty breathing. She went to her local hospital where they diagnosed her with pneumonia. Here, she was immediately provided with antibiotics and oxygen. UNICEF reports.

A few months prior this would not have been the case. Due to a deteriorating infrastructure, the Kayunga Regional Referral Hospital held very limited access to oxygen therefore constricting its ability to treat the increasing numbers of pneumonia cases in children. Now, with the Oxygen Pant-in-a-Box running, Constance is one of hundreds of children supplied with the proper medical care. The new plant covers an area of 2.8 million people, according to UNICEF.

Pneumonia is still the biggest infectious killer of children, with millions of children still contracting the infection. However, local and sustainable solutions will continue to be found to prevent more deaths from pneumonia. The Oxygen Plant-in-a-Box Project contributes to this goal, supplying oxygen to healthcare facilities and treatment to those who need it.

– Amelia Short

Amelia is based in Bradford, UK and focuses on Global Health for The Borgen Project.

Photo: Flickr