Improving fidelity of implementation of self-administered pulse oximetry and remote patient monitoring in Honduras during the COVID-19 pandemic

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Honduras' Secretariat of Health implemented remote patient monitoring and self-administered pulse oximetry during the COVID-19 pandemic.
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The intervention achieved high fidelity with 98.9% coverage and 97.7% daily monitoring call completion among eligible patients.
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Participant satisfaction was reported at 99.2%, with minimal withdrawal (0.3%) and loss to follow-up (2.0%).
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Only 28% of participants sought additional care when referred for warning signs, indicating a gap in referral adherence.
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The analysis highlights the potential of remote monitoring to enhance healthcare access in lower-middle-income settings during emergencies.

Frontiers In Medicine

by Kathryn W. Roberts, Berta Alvarez, Omar Diaz, Michael de St. Aubin, Salomé Garnier, Saul Cruz, Lorenzo Pavon, Rachel See, Anthony D. So, Ligia Paina, Tara Kirk Sell, Shiony Midence, Angela Ochoa, Homer Mejía Santos, Jonatán Ochoa, Sogeiry Solis, Devan Dumas, Margaret Baldwin, C. Daniel Schnorr, Alcides Martinez, Avi J. Hakim, Eric Nilles
July 1, 2026

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