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COMMENTARY
Year : 2021  |  Volume : 65  |  Issue : 1  |  Page : 82-84

Meeting oxygen requirements of rural India: A self-contained solution


1 Additional Professor, Department of Hospital Administration, AIIMS, New Delhi, India
2 Senior Resident, Department of Hospital Administration, AIIMS, New Delhi, India
3 Director, AIIMS, New Delhi, India

Correspondence Address:
Nirupam Madaan
Room No. 4A, Ground Floor, Old Private Ward, AIIMS, New Delhi - 110 029
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijph.IJPH_1405_20

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Addressing oxygen requirements of rural India should aim at using a safe, low-cost, easily available, and replenishable source of oxygen of moderate purity. This may be possible with the provision of a self-sustaining oxygen concentrator (pressure swing adsorption with multiple molecular sieve technology) capable of delivering oxygen at high-flow rates, through a centralized distribution system to 100 or more bedded rural hospitals, with back up from an oxygen bank of 10 × 10 cylinders. This will provide a 24 × 7 supply of oxygen of acceptable purity (~93%) for the treatment of hypoxemic conditions and will enable hospitals to specifically provide for high-flow oxygen in at least 15% of the beds. It may also serve as a facility for a local refill of oxygen cylinders for emergency use within the hospital as well as to subsidiary primary health centers, subcenters, and ambulances, thereby nudging our health-care system toward self-sufficiency in oxygen generation and utilization.


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