Work

Overcoming barriers to pediatric intensive care in low-resource settings: an institutional experience from Northeast India

Year: 2025

Type: article

Abstract: Developing pediatric intensive care units (PICUs) in resource-limited regions presents several challenges, including significant resource constraints, a shortage of trained personnel, and a lack of standardized care protocols. Prioritizing skills and knowledge development for healthcare professionals, selecting effective yet affordable equipment, and strong leadership have been identified as essential for establishing sustainable pediatric critical care services in low- and middle-income countries (LMICs). In this article, we describe the practical, phased approach undertaken in a charitable hospital setting in Northeast India to establish a PICU, highlighting adaptability, institutional commitment, patient team building, and systematic record-keeping in overcoming these challenges. The lessons drawn from this experience can offer valuable insights for similar healthcare settings in LMICs, demonstrating that high-quality pediatric critical care can be achieved even in resource-constrained environments.

Source: Health Policy and Planning

DOI: 10.1093/heapol/czaf092

Authors: Wonashi R Tsanglao, Sulanthung Kikon, Tenukala Aier

Institution: Christian Institute of Health Sciences and Research Hospital

Language: English

Topic: Global Health and Surgery

Subfield: Public Health, Environmental and Occupational Health

Field: Medicine

Domain: Health Sciences

SDGs: Good health and well-being, Industry, innovation and infrastructure, Reduced inequalities

Open Access status: gold

Estimated APC paid: $3,195