Barriers and facilitators to implementing bubble CPAP to improve neonatal health in sub-saharan Africa : a systematic review

The review evaluates the barriers and facilitators of bubble CPAP (continuous positive airway pressure) implementation, utilization and sustainability for newborn care at sub-Saharan African health facilities. It illustrates how different facility levels and types of bubble CPAP systems may impact utilization. Seventeen studies are included in the review. Reliable availability of equipment, effectively informing and engaging caregivers, and staffing shortages were frequently mentioned barriers to the implementation of bubble CPAP. Understaffed neonatal units and the high turnover of nurses and doctors compromises effective training