Access to Oxygen Initiative

Access to Oxygen Initiative

Medical oxygen is a life-saving medicine that is used to treat many conditions throughout the care continuum. Despite the clinical importance of medical oxygen and inclusion on the WHO Essential Medicines List, it remains a hard to access resource in health care settings.  

The COVID-19 pandemic highlighted inequities in availability and access to this life-saving medicine and the inherent challenges in the process of generation, distribution, and delivery of oxygen to patients.  

The WHO Access to Oxygen Initiative provides technical and operational support to Member States.  This includes identifying and implementing holistic solutions to enable a resilient oxygen ecosystem. 

A suite of online tools support decisions and maintenance of these oxygen systems, and can be found here: Oxygen tools. These web-based applications are also independently accessible, allowing users to: estimate ongoing energy costs, and total cost of ownership; convert units of oxygen; assess oxygen plant component performance (booster compressor); plan preventative maintenance. The user can easily download the results for offline use, and no information or data are stored by the apps. Individual tools can be found here:

Quantifying oxygen needs-gap at the facility level

Estimating electrical operational costs of an on-site oxygen generation system

Estimate total cost of ownership, including capital and operational costs, of a newly acquired oxygen generation system along its lifespan

Generate a preventive maintenance calendar and estimate the time to next required maintenance for an on-site oxygen generation system, including the diesel generator

Assess the actual and expected operational performance of the booster compressor, determine the volume of oxygen produced and translate to number of cylinders filled

Conversion and equivalence of common metrics / units used when measuring oxygen volume

Foundations of medical oxygen systems

Foundations of medical oxygen systems has been complied to capture definitions, technical requirements, tools and resources related to medical oxygen systems based on information available in January 2023. This publication aims to make relevant and practical material accessible for Member States, policy makers, implementing partners, practitioners, biomedical engineers and technicians.  

Key performance indicators for medical oxygen systems

The COVID-19 pandemic has highlighted the importance of and inequities in access to life-saving medical oxygen. However, no consolidated list of Key Performance Indicators (KPI) exist to date to monitor these investments. 

WHO lead a study to define the KPIs for monitoring global investments in medical oxygen.  

These indicators can be used at global and national levels to measure performance and identify areas for improvement within the global medical oxygen response.  This report summarizes the outcome of the survey and discusses next steps for the operationalization of the KPIs.  

 

Operational guidance

Foundations of 
medical oxygen 
systems

Foundations of medical oxygen systems has been complied to capture definitions, technical requirements, tools and resources related to medical oxygen systems...

Foundations of medical oxygen systems: web annex D: commissioning report for oxygen generator plants, 17 February 2023  [‎rev. ed.]‎

This is a revision to a document published on 17 February 2023 and available at https://iris.who.int/handle/10665/366137. The changes were based on feedback...

Technical specifications for Pressure Swing Adsorption(PSA) Oxygen Plants

Oxygen is an essential medicine required at all levels of the health care system; only high quality, medical-grade oxygen should be given to patients. ...

Priority medical devices list for the COVID-19 response and associated technical specifications

This document describes the medical devices required for the clinical management of COVID-19, selected and prioritized according to the...

biomed equipment

Access the tool:Biomedical equipment for COVID-19 case management: toolUse and content Countries can use this tool to collect in-depth facility inventories...

Tools and resources for health care workers

Bilevel or two-level Positive Airway Pressure (BiPAP). Continuous Positive Airway Pressure (CPAP) During non-invasive ventilation and between patients Always...

During non-invasive ventilation and between patientsAlways read and follow the instructions and recommendations of the manufacturer`s manualConsumables...

Consumables associated with oxygen delivery are generally intended as single use devices. They should be treated as infectious1 material and disposed...

During ventilation and between patientsAlways read and follow the instructions and recommendations of the manufacturer`s manual Consumables associated...

During monitoring and between patients Always read and follow the instructions and recommendations of the manufacturer`s manual The device must be...

This collection of posters are intended for health care workers, biomedical engineers and staff of health facilities in charge of caring, cleaning, decontaminating...

This collection of posters are intended for health care workers, biomedical engineers and staff of health facilities in charge of caring, cleaning, decontaminating...

This collection of posters are intended for health care workers, biomedical engineers and staff of health facilities in charge of caring, cleaning, decontaminating...

This poster is intended for health workers and other personnel on the safety and mitigation measures that need to be adhered to when dealing with medical...

This poster is intended for health workers and other personnel on the safety and mitigation measures that need to be adhered to when dealing with medical...

This poster is intended for health workers and other personnel on the safety and mitigation measures that need to be adhered to when dealing with medical...

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