First UNICEF Oxygen Plant-in-a-Box heads to Uganda to help with COVID-19 response

UNICEF has developed an innovative Oxygen Plant-in-a Box package in response to COVID-19 to help countries rapidly increase their oxygen producing capacity at hospitals and health clinics.

UNICEF
A health care worker inspects a new oxygen plant installed at Kamuzu Central Hospital in Malawi to respond to COVID-19 and support future health needs.
UNICEF/UN0461922/Nyirenda
15 September 2021

Access to oxygen can be the difference between life and death for patients with severe COVID-19. It is also a critical treatment for many of the 30 million small and sick newborns born every year as well as children with severe pneumonia, which remains the leading infectious killer of children under 5 years.

However, the COVID-19 pandemic has turned an existing oxygen gap in many low- and middle-income countries (LMICs) into a crisis: over half a million COVID-19 patients in LMICs need oxygen therapy every day. Even before the pandemic, this life-saving medical gas was out of reach for far too many who desperately needed it.

Innovative solutions in the wake of COVID-19

In response, UNICEF teams have worked with industry to rapidly develop an innovative emergency solution, the Oxygen Plant-in-a-Box package.

The fully functional oxygen plant package includes everything needed to produce large volumes of medical grade oxygen for patients, including accessories supplied in the right quantities, installation of equipment, and pre-planned maintenance services.

The plant packages are designed to support a medium to large health facility and can be operational within days of arriving.

Each plant has the capacity to produce up to 720,000 litres of oxygen per day, capable of supplying the oxygen needs of about 50-60 COVID-19 patients round the clock or more than 100 children with severe pneumonia.

“Oxygen plants are complex goods that can take six months or longer to design and order,” said Kristoffer Gandrup-Marino, Chief of Product Innovation at UNICEF Supply Division.

“That is why we developed this off-the-shelf package. Pre-designed plants make these products cheaper, and able to arrive in country much, much faster, ultimately meaning we can save more lives at this critical time."

“The Oxygen Plant-in-a-box will play a crucial role in increasing access to medical oxygen, for COVID-19 patients as well as young children with severe pneumonia – a disease which still kills a child every 39 seconds, despite being preventable and treatable,” said Kristoffer Gandrup-Marino, Chief of Product Innovation at UNICEF Supply Division.

People suffering from breathing difficulty receive oxygen assistance at a Gurdwara, a place of assembly and worship for Sikhs, in Ghaziabad, in the Indian state Uttar Pradesh.
UNICEF/UN0456953/Singh
The first UNICEF Plant-in-a-Box heads to Uganda

The first four Oxygen Plant-in-a-Box packages have been ordered by UNICEF Uganda and will soon be on their way to health facilities across the country, including in the cities of Masaka, Kabale and Jinja.

Like much of the world, the overwhelming number of COVID-19 patients in need of oxygen therapy has far outstripped existing capacity at many facilities in Uganda.

“COVID-19 has put enormous pressure on health care facilities across Uganda, particularly in terms of oxygen production capacity. Without available oxygen we know COVID-19 patients are not surviving who otherwise could be saved,” said Laura Siegrist Fouché, Deputy Representative, Operations, UNICEF Uganda.

“Even major hospitals in the country have not been able to provide enough oxygen in recent months. There have been reports of many patients needing to be taken off oxygen so the scarce supplies could be given to patients in more critical conditions.”

“These plants will be crucial to help the Government meet oxygen needs for COVID-19, with the country needing an estimated 8,000 cylinders of oxygen daily. Long term, we know they will also be able to be integrated into the health system to provide medical care for children with pneumonia, premature newborns, or patients undergoing surgery, saving thousands of lives.”

The plants were partially funded by contributions made to UNICEF’s ACT-A Supplies Financing Facility (ACT-A SFF), a pooled fund that supports low- and middle-income countries to access COVID-19 health supplies.

Many more plants are expected to be ordered by other countries globally within the coming months, with the ACT-A SFF continuing to support equitable access to COVID-19 supplies, including life-saving oxygen.

Increasing access to oxygen

Since the outbreak of the pandemic, UNICEF has been working to urgently expand access to oxygen in different contexts.

So far, UNICEF has shipped over 30,000 oxygen concentrators, is providing support to countries to strengthen and plan national-level oxygen systems, and, with the Oxygen Plant-in-a-Box, is now also able to offer a solution that is quick to have delivered and easy to maintain to provide oxygen at medium sized health facilities.

An oxygen plant is an onsite oxygen generating system using pressure swing adsorption technology, which supplies high-pressure oxygen throughout a facility via a central pipeline system, or via cylinders refilled by the plant.
UNICEF/UNI285887/
The UNICEF Oxygen-Plant-in-a-Box

The UNICEF Oxygen-Plant-in-a-Box has been modified to be more robust, able to operate in high heat and altitudes, and resilient to voltage fluctuations. Plants also store a backup supply of oxygen in large cylinders, so patients continue to receive life-saving treatment in the event of an electrical power outage or fault.

If no indoor space is available to house the equipment, the plant can come pre-installed inside a shipping container, expected to be of use in conflict settings where constructing a site for a plant would be too challenging.

All UNICEF Oxygen Plant-in-a-Box packages are also able to be integrated into a health facility’s piping network, should one be available or be installed in the future. In this way, the plant is future proofed to become a sustainable solution and will help make oxygen therapy a standard part of health systems.

With oxygen a critical treatment for COVID-19, as well as children with pneumonia, mothers with birth complications and sick newborns, this innovative product has the potential to save thousands of lives and help countries to ‘build back better’ after the pandemic.

UNICEF