Reach, implementation fidelity, and safety of bubble continuous positive airway pressure (bCPAP) therapy in children with severe pneumonia in Pakistan
This prospective cohort study in Pakistan reveals that while bubble continuous positive airway pressure (bCPAP) was administered to 53% of children with severe pneumonia, significant gaps in implementation fidelity—particularly regarding continuous monitoring and feeding practices—were associated with a 22% treatment failure rate and highlighted the need for targeted strategies to improve reach and safety.