scholarly journals Strengthening Weak Healthcare Systems for Maternal and Neonatal Care in Low and Middle Income Countries: The Missing Link

2022 ◽  
Vol 12 (01) ◽  
pp. 18-33
Author(s):  
Paul Nyongesa ◽  
Faith Yego ◽  
Philiph Tonui ◽  
Peter Itsura ◽  
Bennad Sorre ◽  
...  
Keyword(s):  
Healthcare Systems ◽  
Neonatal Care ◽  
Middle Income ◽  
Missing Link ◽  
Middle Income Countries ◽  
Low And Middle Income

scholarly journals Comparative Performance of Private and Public Healthcare Systems in Low- and Middle-Income Countries: A Systematic Review

PLoS Medicine ◽  
2012 ◽  
Vol 9 (6) ◽  
pp. e1001244 ◽  
Author(s):  
Sanjay Basu ◽  
Jason Andrews ◽  
Sandeep Kishore ◽  
Rajesh Panjabi ◽  
David Stuckler
Keyword(s):  
Systematic Review ◽  
Healthcare Systems ◽  
Public Healthcare ◽  
Comparative Performance ◽  
Middle Income ◽  
Middle Income Countries ◽  
Private And Public ◽  
Low And Middle Income

scholarly journals A Landscape Study Highlights the Urgent Need for Evidence Based Strategies to Enable Electronic Health Records Integration in the National Healthcare Systems of Low- and Middle-Income Countries

2021 ◽  
Vol 16 (3) ◽  
pp. 140-142
Author(s):  
Joanne M. Muellenbach
Keyword(s):  
Electronic Health Records ◽  
Grey Literature ◽  
Healthcare Systems ◽  
Health Records ◽  
Middle Income ◽  
Middle Income Countries ◽  
National Healthcare ◽  
Electronic Health ◽  
International Experts ◽  
Low And Middle Income

A Review of: Kumar, M., & Mostafa, J. (2020). Electronic health records for better health in lower- and middle-income countries: A landscape study. Library Hi Tech, 38(4), 751–767. https://doi.org/10.1108/LHT-09-2019-0179  Abstract Objective – To identify how low- and middle-income countries (LMICs) approached the development of national and subnational electronic health records (EHRs) and to understand the challenges related to EHR research priorities and sustainability. Design – Landscape study consisting of a review of the scientific literature, country-focused grey literature, and consultation with international experts.   Setting – Hospitals and healthcare systems within LMICs.  Subjects – The 402 publications retrieved through a systematic search of four scientific electronic databases along with 49 publications found through a country-focused analysis of grey literature and 14 additional publications found through consultation with two international experts.  Methods – On 15 May 2019, the authors comprehensively searched four major scientific databases: Global Health, PubMed, Scopus, and Web of Science. They also searched the grey literature and repositories in consultation with country-based international digital health experts. The authors subsequently used Mendeley reference management software to organize and remove duplicate publications. Peer-reviewed publications that focused on developing national EHRs within LMIC healthcare systems were included for the title and abstract screening. Data analysis was mainly qualitative, and the results were organized to highlight stakeholders, health information architecture (HIA), and sustainability. Main Results – The results were presented in three subsections. The first two described critical stakeholders for developing national and subnational EHRs and HIA, including country eHealth foundations, EHRs, and subsystems. The third section presented and discussed pressing challenges related to EHR sustainability. The findings of the three subsections were further explored through the presentation of three LMIC case studies that described stakeholders, HIA, and sustainability challenges. Conclusion – The results of this landscape study highlighted the scant evidence available to develop and sustain national and subnational EHRs within LMICs. The authors noted that there appears to be a gap in understanding how EHRs impact patient-level and population outcomes within the LMICs. The study revealed that EHRs were primarily designed to support monitoring and evaluating health programs focused on a particular disease or group of diseases rather than common health problems. While national governments and international donors focused on the role of EHRs to improve patient care, the authors highlighted the urgent need for further research on the development of EHRs, with a focus on efficiency, evaluation, monitoring, and quality within the national healthcare enterprise.

scholarly journals Assessing the Effect of mHealth Interventions in Improving Maternal and Neonatal Care in Low- and Middle-Income Countries: A Systematic Review

PLoS ONE ◽  
2016 ◽  
Vol 11 (5) ◽  
pp. e0154664 ◽  
Author(s):  
Stephanie Felicie Victoria Sondaal ◽  
Joyce Linda Browne ◽  
Mary Amoakoh-Coleman ◽  
Alexander Borgstein ◽  
Andrea Solnes Miltenburg ◽  
...  
Keyword(s):  
Systematic Review ◽  
Neonatal Care ◽  
Middle Income ◽  
Middle Income Countries ◽  
Low And Middle Income

scholarly journals COVID-19 preparedness—a survey among neonatal care providers in low- and middle-income countries

2021 ◽  
Author(s):  
Claus Klingenberg ◽  
◽  
Sahil K. Tembulkar ◽  
Anna Lavizzari ◽  
Charles C. Roehr ◽  
...  
Keyword(s):  
Low Income ◽  
Care Delivery ◽  
Neonatal Care ◽  
Sub Saharan Africa ◽  
World Health ◽  
Care Providers ◽  
Clinical Practices ◽  
Middle Income ◽  
Middle Income Countries ◽  
Low And Middle Income

Abstract Objective 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. Study design Cross-sectional, web-based survey administered between May and June, 2020. Results 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. Conclusions 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.

scholarly journals Strategies for neonatal care during the COVID-19 pandemic: a lower middle-income country perspective

2021 ◽  
Vol 8 (5) ◽  
pp. 950
Author(s):  
Rajat Grover ◽  
Shantanu Shubham ◽  
Sriparna Basu
Keyword(s):  
Developed Countries ◽  
Neonatal Care ◽  
Limited Resources ◽  
Middle Income ◽  
Middle Income Countries ◽  
Patient Load ◽  
Level 3 ◽  
Neonates And Infants ◽  
Precarious Situation ◽  
Low And Middle Income

COVID-19 has transformed into an all-encompassing pandemic affecting all levels of healthcare throughout the globe. The strains on healthcare systems have been evident even in the most developed countries. Low and middle income countries (LMICs), especially India, find themselves in a precarious situation due to limited resources, poor healthcare worker population ratios and a bigger population. Multiple factors can exponentially increase the actual effect of a pandemic on the vulnerable neonates and infants even though the disease itself may be less lethal for them. The situation was complicated by the implementation of lockdowns. We discuss the implications for neonatal care that such a pandemic has in LMICs and elucidate the strategies we have implemented to provide continuity of care during the pandemic. We also share our experience of providing neonatal care and summarise the patient load witnessed in a specific context of a level-3 NICU in a government multi-speciality hospital of an LMIC. Keywords: Covid-19 pandemic; Low- and middle-income countries; Neonatal care

scholarly journals Current burden on healthcare systems in low- and middle-income countries: recommendations for emergency care of COVID-19

2020 ◽  
Vol 36 (10) ◽  
pp. 466-468
Author(s):  
Husnain Hamid ◽  
Zubia Abid ◽  
Attiya Amir ◽  
Touseef Ur Rehman ◽  
Waqas Akram ◽  
...  
Keyword(s):  
Emergency Care ◽  
Healthcare Systems ◽  
Middle Income ◽  
Middle Income Countries ◽  
Low And Middle Income

scholarly journals A Missing Link: HIV-/AIDS-Related mHealth Interventions for Health Workers in Low- and Middle-Income Countries

2018 ◽  
Vol 15 (6) ◽  
pp. 414-422 ◽  
Author(s):  
Sarah Gimbel ◽  
Nami Kawakyu ◽  
Hallie Dau ◽  
Jennifer A. Unger
Keyword(s):  
Health Workers ◽  
Middle Income ◽  
Missing Link ◽  
Middle Income Countries ◽  
Low And Middle Income ◽  
Hiv Aids
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