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Level 1 = This fundamental material is intended for a broad audience of learners, of multiple cadres, who may provide care for patients with severe or critical illness, but may have little or no experience caring for severe or critically-ill patients and are usually not the primary decision maker for guiding care.
Level 2 = This intermediate material is intended for a more advanced audience of learners than level 1, with some experience caring for patients with severe or critical illness, and may not be essential for all practitioners who provide this level of care.
Level 3 = This advanced material is intended for an audience with significant experience caring for patients with severe and critical illness, including those who guide care decisions these patients.
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This planning guide offers high-level guidance to ministries of health (MOHs), hospital administrators and managers in low- and middle-income countries, and relevant NGOs to plan steps for setting up a system of liquid oxygen (LOX) in hospitals. This resource was developed by the EpiC project in consultation with PATH and Clinton Health Access Initiative (CHAI) as a high-level tool to help take the first step in planning a facility-based LOX implementation journey, particularly for countries without previous experience with LOX systems. This guide is designed to be used in addition to other more technical, LOX-specific tools.
Medical oxygen is critical for the treatment of severe cases of COVID-19 and other life-threatening conditions such as severe pneumonia, severe malaria, sepsis, trauma, and complications of birth or pregnancy. While there are multiple modalities for oxygen delivery, this planning guide focuses on LOX because, depending on the context and setting, LOX can offer an affordable cost-per-liter option to deliver oxygen to facilities with sufficient demand (or pooled demand across facilities if distribution patterns allow), high purity of medical oxygen, and good elasticity in the face of fluctuating demand.