Experiences of health professionals in Fiji with the provision of medical oxygen during the COVID-19 pandemic

aim: Access to timely medical oxygen is a global concern. During the COVID‑19 pandemic, oxygen demand increased substantially in Fiji. This study examined health professionals’ experiences of medical oxygen availability in Fiji’s health system during the COVID‑19 pandemic, drawing on frontline staff perspectives to identify lessons for strengthening oxygen systems and pandemic preparedness. methods: Semi‑structured interviews were conducted with 17 health professionals, including doctors, nurses, and biomedical and logistics staff, working across Fiji. Transcripts were analysed using inductive reflexive thematic analysis. Coding by multiple researchers was refined through two triangulation workshops. results: Four inter-related themes were identified. The theme of “oxygen” itself captured challenges related to access, clinical use, pulse oximetry and lack of policy guidance. “Health systems” reflected constraints in logistics and planning, data management, human resources, guidelines and training, leadership and governance, and communication. “Professional impacts” described effects on patient management and ethical dilemmas during extreme demand. “Personal impacts” highlighted stress, grief and loss alongside gratitude, solidarity and resilience. conclusion: Oxygen is an essential medicine. Challenges remain in ensuring equitable access during crises. The findings underscore significant frontline staff impacts and resilience, and the need for planning and investment to strengthen oxygen access and health system preparedness in resource constrained settings.