Feasibility of integration of a novel bCPAP system into the NICU of a Public Referral Hospital in Mysuru, India

This study aimed to evaluate the feasibility of integrating a novel bCPAP device into the NICU of a public referral hospital in India. We conducted an explanatory sequential prospective mixed-methods study. Eight bCPAP devices were introduced into the NICU in June 2023. Demographic and clinical data were collected prospectively over 12 months. A health worker survey was administered and focus group discussions were conducted. Interviews were transcribed, coded and systematically analyzed to identify emergent themes. Ninety-nine newborns were treated with a novel bCPAP device between June 2023 and June 2024. Of the 70 healthcare workers surveyed, most found integrating it into the NICU feasible (67%) or very feasible (19%). Four themes emerged that affected integration of the bCPAP device: hospital ecosystem, device features, intervention operationalization and clinical acceptability and outcomes. Integrating a novel bCPAP device into a public referral hospital NICU in India was feasible.