COVID-19 preparedness-a survey among neonatal care providers in low- and middle-income countries.
COVID-19
/ epidemiology
Cross-Sectional Studies
Developing Countries
Guideline Adherence
/ statistics & numerical data
Guidelines as Topic
Health Care Surveys
Health Resources
/ supply & distribution
Humans
Infant
Infant Mortality
Infant, Newborn
Intensive Care, Neonatal
/ organization & administration
Poverty
Journal
Journal of perinatology : official journal of the California Perinatal Association
ISSN: 1476-5543
Titre abrégé: J Perinatol
Pays: United States
ID NLM: 8501884
Informations de publication
Date de publication:
05 2021
05 2021
Historique:
received:
23
11
2020
accepted:
17
02
2021
revised:
23
01
2021
pubmed:
15
4
2021
medline:
27
5
2021
entrez:
14
4
2021
Statut:
ppublish
Résumé
To evaluate COVID-19 pandemic preparedness, available resources, and guidelines for neonatal care delivery among neonatal health care providers in low- and middle-income countries (LMICs) across all continents. Cross-sectional, web-based survey administered between May and June, 2020. Of 189 invited participants in 69 LMICs, we received 145 (77%) responses from 58 (84%) countries. The pandemic provides significant challenges to neonatal care, particularly in low-income countries. Respondents noted exacerbations of preexisting shortages in staffing, equipment, and isolation capabilities. In Sub-Saharan Africa, 9/35 (26%) respondents noted increased mortality in non-COVID-19-infected infants. Clinical practices on cord clamping, isolation, and breastfeeding varied widely, often not in line with World Health Organization guidelines. Most respondents noted family access restrictions, and limited shared decision-making. Many LMICs face an exacerbation of preexisting resource challenges for neonatal care during the pandemic. Variable approaches to care delivery and deviations from guidelines provide opportunities for international collaborative improvement.
Identifiants
pubmed: 33850282
doi: 10.1038/s41372-021-01019-4
pii: 10.1038/s41372-021-01019-4
pmc: PMC8042838
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
988-997Références
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