Small and sick newborn care during the COVID-19 pandemic: global survey and thematic analysis of healthcare providers' voices and experiences.
SARS
cross-sectional survey
paediatrics
public health
Journal
BMJ global health
ISSN: 2059-7908
Titre abrégé: BMJ Glob Health
Pays: England
ID NLM: 101685275
Informations de publication
Date de publication:
03 2021
03 2021
Historique:
received:
02
11
2020
revised:
05
12
2020
accepted:
09
12
2020
entrez:
15
3
2021
pubmed:
16
3
2021
medline:
10
4
2021
Statut:
ppublish
Résumé
The COVID-19 pandemic is disrupting health systems globally. Maternity care disruptions have been surveyed, but not those related to vulnerable small newborns. We aimed to survey reported disruptions to small and sick newborn care worldwide and undertake thematic analysis of healthcare providers' experiences and proposed mitigation strategies. Using a widely disseminated online survey in three languages, we reached out to neonatal healthcare providers. We collected data on COVID-19 preparedness, effects on health personnel and on newborn care services, including kangaroo mother care (KMC), as well as disruptors and solutions. We analysed 1120 responses from 62 countries, mainly low and middle-income countries (LMICs). Preparedness for COVID-19 was suboptimal in terms of guidelines and availability of personal protective equipment. One-third reported routine testing of all pregnant women, but 13% had no testing capacity at all. More than 85% of health personnel feared for their own health and 89% had increased stress. Newborn care practices were disrupted both due to reduced care-seeking and a compromised workforce. More than half reported that evidence-based interventions such as KMC were discontinued or discouraged. Separation of the mother-baby dyad was reported for both COVID-positive mothers (50%) and those with unknown status (16%). Follow-up care was disrupted primarily due to families' fear of visiting hospitals (~73%). Newborn care providers are stressed and there is lack clarity and guidelines regarding care of small newborns during the pandemic. There is an urgent need to protect life-saving interventions, such as KMC, threatened by the pandemic, and to be ready to recover and build back better.
Identifiants
pubmed: 33716220
pii: bmjgh-2020-004347
doi: 10.1136/bmjgh-2020-004347
pmc: PMC7959239
pii:
doi:
Types de publication
Journal Article
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Subventions
Organisme : World Health Organization
ID : 001
Pays : International
Organisme : NICHD NIH HHS
ID : K23 HD092611
Pays : United States
Organisme : Medical Research Council
ID : MR/S004971/1
Pays : United Kingdom
Investigateurs
Helen Brotherton
(H)
Abdou Gai
(A)
Irene Agyeman
(I)
Gyikua Plange-Rhule
(G)
Sam Newton
(S)
Naana Wireko-Brobby
(N)
Sugandha Arya
(S)
Rani Gera
(R)
Harish Chellani
(H)
Queen Dube
(Q)
Kondwani Kawaza
(K)
Ebunoluwa Adejuyigbe
(E)
Henry Anyabolu
(H)
Osagie Ugowe
(O)
Augustine Massawe
(A)
Helga Naburi
(H)
David Gathara
(D)
Grace Irimu
(G)
Msandeni Chiume
(M)
Elizabeth Molyneux
(E)
Chinyere Ezeaka
(C)
Nahya Salim
(N)
Josephine Shabini
(J)
James Cross
(J)
Eric Ohuma
(E)
Joy E Lawn
(JE)
Ivan Mambule
(I)
Melissa Medvedev
(M)
Cally Tann
(C)
Victor Tumukunde
(V)
Peter Waiswa
(P)
Lamesgin Alamineh
(L)
Abiy Seifu Estifanos
(AS)
Abebe Gebremariam Gobezayehu
(AG)
Amanuel Hadgu
(A)
Araya Abrha Medhanyie
(AA)
Henok Tadele
(H)
Fitsum Woldegebriel
(F)
Arun Singh Jadaun
(AS)
Sarmila Mazumder
(S)
Nita Bhandari
(N)
P N Suman Rao
(PN)
Troy Cunningham
(T)
Prathibha Rai
(P)
Y N Prashantha
(YN)
Aarti Kumar
(A)
Rashmi Kumar
(R)
Ved Prakash
(V)
Vinay Pratap Singh
(VP)
Vishwajeet Kumar
(V)
Rajiv Bahl
(R)
Rajesh Mehta
(R)
Nicole Minckas
(N)
Alfrida Camelia Silitonga
(AC)
Sachiyo Yoshida
(S)
Informations de copyright
© Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY. Published by BMJ.
Déclaration de conflit d'intérêts
Competing interests: None declared.
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