Assessing the feasibility and acceptability of a wearable device for early detection and monitoring of pediatric sepsis among healthcare workers and health facility managers in a peri-urban hospital in Dhaka, Bangladesh: a scenario-based exploration

Abstract

Background: Sepsis remains a leading cause of morbidity and mortality in under-five children globally, particularly in low-resource settings, with early detection playing a critical role in improving outcomes. This study explores the feasibility and acceptability of a wearable device designed for early sepsis detection and monitoring in a peri-urban hospital setting in Bangladesh, where such technology is not yet widely used. Methods: A qualitative approach was used involving key informant interviews (KII) with nurses and doctors working in the pediatric department and the health facility managers at Sajida Foundation Hospital. Participants were asked about their perceptions of the wearable device, its usability, and potential barriers to its acceptance. The study applied the Theoretical Framework of Acceptability (TFA) and the data was analyzed thematically to identify key themes. Results: Participants highlighted the device's ease of use, remote monitoring capabilities, ability to provide real-time updates, and potential to improve workflow efficiency and neonatal sepsis management. Concerns include infection control, cost, and the need for comprehensive training. The device was perceived as a valuable tool, particularly in resource-limited settings, provided that these challenges were addressed. Suggestions for integration with existing hospital systems and pilot testing were emphasized. Conclusion: The findings demonstrate that wearable device technology for under five children sepsis monitoring is feasible and acceptable. Recommendations include pilot testing, healthcare provider training, and public awareness efforts. With careful implementation and ongoing evaluation, this technology has the potential to significantly improve early sepsis detection and outcomes in pediatric care settings in low-resource environments.