Critical Care for Children in Low- and Middle-Income Countries: Issues Barriers and Opportunities

2015 ◽  
pp. 265-278
Author(s):  
Andrew C. Argent ◽  
Niranjan Kissoon
Keyword(s):  
Critical Care ◽  
Middle Income ◽  
Middle Income Countries ◽  
Barriers And Opportunities ◽  
Low And Middle Income

scholarly journals Formulating Design Recommendations for the Acceptance of the Use and Results of Point-of-Care Testing in Low- and Middle-Income Countries: A Literature Review

2019 ◽  
Vol 1 (1) ◽  
pp. 2795-2804
Author(s):  
Yvonne Jolanda Melanie Licher ◽  
Jan Simon Visser ◽  
G-Young Van ◽  
Jan Carel Diehl
Keyword(s):  
Healthcare Workers ◽  
Point Of Care ◽  
Waiting Times ◽  
Point Of Care Testing ◽  
Middle Income ◽  
Future Design ◽  
Middle Income Countries ◽  
Barriers And Opportunities ◽  
Point Of Care Tests ◽  
Low And Middle Income

AbstractIn low- and middle-income countries (LMIC), diagnostics are not always available in remote areas. Hospitals and healthcare centres are often too far from the community, and waiting times are up to a few hours even for relatively simple procedures. Moreover, travelling to the healthcare centre and taking the diagnostic test is frequently unaffordable. Point of Care Tests (POCTs) can improve the availability, accessibility and affordability of the diagnostics by providing the test at the time and place of patient care. Although many POCTs have been developed already, there remain challenges to enable the healthcare workers (HCW) and the patients to use the device in practice. In this paper, we aim to provide a systemic overview of the barriers and opportunities for the adoption of use and acceptance of the results of POCTs based on the literature. The barriers and opportunities were clustered into six themes and used to draw out recommendations for the future design.

The Impact of COVID-19 Pandemic on Critical Care Systems in Low- and Middle-Income Countries

2021 ◽  
Vol 15 (1) ◽  
pp. 1-5
Author(s):  
Ged Williams ◽  
Elizabeth Kusi-Appiah ◽  
Elizabeth Papathanassoglou
Keyword(s):  
Critical Care ◽  
Middle Income ◽  
Middle Income Countries ◽  
Care Systems ◽  
The Impact ◽  
Low And Middle Income

A Survey on Critical Care Resources and Practices in Low- and Middle-Income Countries

Global Heart ◽  
2014 ◽  
Vol 9 (3) ◽  
pp. 337 ◽  
Author(s):  
Marija Vukoja ◽  
Elisabeth Riviello ◽  
Srdjan Gavrilovic ◽  
Neill K.J. Adhikari ◽  
Rahul Kashyap ◽  
...  
Keyword(s):  
Critical Care ◽  
Middle Income ◽  
Middle Income Countries ◽  
Low And Middle Income

scholarly journals Performance of critical care prognostic scoring systems in low and middle-income countries: a systematic review

Critical Care ◽  
2018 ◽  
Vol 22 (1) ◽  
Author(s):  
Rashan Haniffa ◽  
Ilhaam Isaam ◽  
A. Pubudu De Silva ◽  
Arjen M. Dondorp ◽  
Nicolette F. De Keizer
Keyword(s):  
Systematic Review ◽  
Critical Care ◽  
Scoring Systems ◽  
Middle Income ◽  
Middle Income Countries ◽  
Prognostic Scoring Systems ◽  
Low And Middle Income

scholarly journals Leveraging a Cloud-Based Critical Care Registry for COVID-19 Pandemic Surveillance and Research in Low- and Middle-Income Countries (Preprint)

2020 ◽  
Author(s):  
◽  
Madiha Hashmi ◽  
Abi Beane ◽  
Srinivas Murthy ◽  
Arjen M Dondorp ◽  
...  
Keyword(s):  
Health Care ◽  
Critical Care ◽  
Intensive Care ◽  
Real Time ◽  
Sub Saharan Africa ◽  
Common Data Model ◽  
Middle Income ◽  
Middle Income Countries ◽  
Severe Acute Respiratory Infection ◽  
Low And Middle Income

UNSTRUCTURED The COVID-19 pandemic has revealed limitations in real-time surveillance needed for responsive health care action in low- and middle-income countries (LMICs). The Pakistan Registry for Intensive CarE (PRICE) was adapted to enable International Severe Acute Respiratory and emerging Infections Consortium (ISARIC)–compliant real-time reporting of severe acute respiratory infection (SARI). The cloud-based common data model and standardized nomenclature of the registry platform ensure interoperability of data and reporting between regional and global stakeholders. Inbuilt analytics enable stakeholders to visualize individual and aggregate epidemiological, clinical, and operational data in real time. The PRICE system operates in 5 of 7 administrative regions of Pakistan. The same platform supports acute and critical care registries in eleven countries in South Asia and sub-Saharan Africa. ISARIC-compliant SARI reporting was successfully implemented by leveraging the existing PRICE infrastructure in all 49 member intensive care units (ICUs), enabling clinicians, operational leads, and established stakeholders with responsibilities for coordinating the pandemic response to access real-time information on suspected and confirmed COVID-19 cases (N=592 as of May 2020) via secure registry portals. ICU occupancy rates, use of ICU resources, mechanical ventilation, renal replacement therapy, and ICU outcomes were reported through registry dashboards. This information has facilitated coordination of critical care resources, health care worker training, and discussions on treatment strategies. The PRICE network is now being recruited to international multicenter clinical trials regarding COVID-19 management, leveraging the registry platform. Systematic and standardized reporting of SARI is feasible in LMICs. Existing registry platforms can be adapted for pandemic research, surveillance, and resource planning.

scholarly journals Challenges and Priorities for Pediatric Critical Care Clinician-Researchers in Low- and Middle-Income Countries

2017 ◽  
Vol 5 ◽  
Author(s):  
Amelie O. von Saint André-von Arnim ◽  
Jonah Attebery ◽  
Teresa Bleakly Kortz ◽  
Niranjan Kissoon ◽  
Elizabeth M. Molyneux ◽  
...  
Keyword(s):  
Critical Care ◽  
Pediatric Critical Care ◽  
Middle Income ◽  
Middle Income Countries ◽  
Low And Middle Income

scholarly journals Leveraging a Cloud-Based Critical Care Registry for COVID-19 Pandemic Surveillance and Research in Low- and Middle-Income Countries

10.2196/21939 ◽  
2020 ◽  
Vol 6 (4) ◽  
pp. e21939
Author(s):  
◽  
Madiha Hashmi ◽  
Abi Beane ◽  
Srinivas Murthy ◽  
Arjen M Dondorp ◽  
...  
Keyword(s):  
Health Care ◽  
Critical Care ◽  
Intensive Care ◽  
Real Time ◽  
Sub Saharan Africa ◽  
Common Data Model ◽  
Middle Income ◽  
Middle Income Countries ◽  
Severe Acute Respiratory Infection ◽  
Low And Middle Income

The COVID-19 pandemic has revealed limitations in real-time surveillance needed for responsive health care action in low- and middle-income countries (LMICs). The Pakistan Registry for Intensive CarE (PRICE) was adapted to enable International Severe Acute Respiratory and emerging Infections Consortium (ISARIC)–compliant real-time reporting of severe acute respiratory infection (SARI). The cloud-based common data model and standardized nomenclature of the registry platform ensure interoperability of data and reporting between regional and global stakeholders. Inbuilt analytics enable stakeholders to visualize individual and aggregate epidemiological, clinical, and operational data in real time. The PRICE system operates in 5 of 7 administrative regions of Pakistan. The same platform supports acute and critical care registries in eleven countries in South Asia and sub-Saharan Africa. ISARIC-compliant SARI reporting was successfully implemented by leveraging the existing PRICE infrastructure in all 49 member intensive care units (ICUs), enabling clinicians, operational leads, and established stakeholders with responsibilities for coordinating the pandemic response to access real-time information on suspected and confirmed COVID-19 cases (N=592 as of May 2020) via secure registry portals. ICU occupancy rates, use of ICU resources, mechanical ventilation, renal replacement therapy, and ICU outcomes were reported through registry dashboards. This information has facilitated coordination of critical care resources, health care worker training, and discussions on treatment strategies. The PRICE network is now being recruited to international multicenter clinical trials regarding COVID-19 management, leveraging the registry platform. Systematic and standardized reporting of SARI is feasible in LMICs. Existing registry platforms can be adapted for pandemic research, surveillance, and resource planning.

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