Oxygen Access Scale Up (2025)

Oxygen Access Scale Up (1)

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

Oxygen

Clinical management of COVID-19

WHO Respiratory Support Research

Health Care Readiness

Foundations of medical oxygen systems

Oxygen Access Scale Up (2)

17 February 2023

Foundations of medical oxygen systems

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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

Oxygen Access Scale Up (3)

17 February 2023

Developing key performance indicators for the medical oxygen ecosystem through Delphi...

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...

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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

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Oxygen Access Scale Up (4)

5 February 2025

National medical oxygen scale-up plan: Development guidance

In line with WHA resolution 76.3 Increasing access to medical oxygen, WHO, Member States and partners, co-developed a guidance to strengthen the medical...

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Oxygen Access Scale Up (5)

31 December 2024

WHO Technical specifications for health facility based medical oxygen systems

The Clinical Management and Operations Unit (Country Readiness Strengthening Department) in collaboration with the Medical Devices and Diagnostics Unit...

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Oxygen Access Scale Up (6)

10 December 2024

National oxygen scale-up framework: road to oxygen access: meeting report, Dakar, Senegal, 14–16 May...

The World Health Organization (WHO) convened a meeting in Dakar, Senegal, from May 14 to 16, 2024 to produce a template for developing evidence-based,...

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Oxygen Access Scale Up (7)

8 March 2024

Summary of WHO symposium on meeting the global needs for oxygen and respiratory care

Global access to oxygen and options to deliver respiratory support are limited, and patient needs in low- and middle-income countries (LMICs) are unmet....

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Tools and resources for health care workers

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Oxygen Access Scale Up (8)

27 June 2024

National Oxygen Scale-Up Framework Meeting: Road to Oxygen Access- Brochure

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Oxygen Access Scale Up (9)

22 June 2023

Statement on access to quality and safe medical oxygen

It is estimated that fewer than half of all health facilities in low- and middle-income countries haveuninterrupted access to medical oxygen, contributing...

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Oxygen Access Scale Up (10)

14 November 2022

TRS 1044 - Annex 5: WHO good manufacturing practices for medicinal gases

Arising from an increased demand for medicinal gases, in particular theuse of oxygen in the treatment of patients with coronavirus disease 2019(COVID-19),...

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Oxygen Access Scale Up (11)

29 April 2021

Oxygen Cylinder Safety

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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Operational updates

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Oxygen Access Scale Up (12)

25 February 2025

WHO's Operational Update on Health Emergencies - January 2025

WHO's Operational Update on Health Emergencies, published monthly, highlights WHO’s work on preparedness and emergency response, combating health...

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Oxygen Access Scale Up (13)

10 February 2025

WHO's Operational Update on Health Emergencies - December 2024

WHO's Operational Update on Health Emergencies, published monthly, highlights WHO’s work on preparedness and emergency response, combating health...

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Oxygen Access Scale Up (14)

30 November 2024

WHO's Operational Update on Health Emergencies - November 2024

WHO's Operational Update on Health Emergencies, published monthly, highlights WHO’s work on preparedness and emergency response, combating health...

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Oxygen Access Scale Up (15)

14 November 2024

WHO's Operational Update on Health Emergencies - October 2024

WHO's Operational Update on Health Emergencies, published monthly, highlights WHO’s work on preparedness and emergency response, combating health...

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Open calls

Contact

Oxygen regulations and standards

Events

Special webinar: Oxygen scale-up initiatives 13 February 2025 13:30 – 15:00 CET
WHO virtual workshop series for developing national medical oxygen scale-up plans 26 November 2024 – 30 June 2025
Webinar: The crucial role of oxygen in global health 2 October 2024 13:30 – 14:30 CET

News

21 December 2023 Donors making a difference: thank you, contributors
25 May 2023 Donors making a difference: Setting goals, producing results
24 April 2023 Ministry of Health, WHO and EU partner to boost access to medicinal oxygen in Vanuatu
14 February 2023 Donors making a difference in earthquakes and other complex health emergencies

Other resources

Oxygen Access Scale Up (2025)
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