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[Neonatal and pediatirc intensive care in developing countries. Myth or reality? Luxury or necessity? From theory to
1Service d'anesthésie-réanimation, Hôpital d'Enfants, Centre Hospitalo-universitaire Ibnou Sina, Rabat, Maroc. idalaoui@menara.ma
Insights
Neonatal and pediatric intensive care is challenging in developing nations due to limited resources. This study surveys intensive care unit (ICU) capabilities in these settings, using Morocco as a case study.
Area of Science:
- Pediatric critical care medicine
- Global health equity
- Neonatal intensive care
Context:
- Developing countries face significant challenges in providing neonatal and pediatric intensive care.
- Low socio-economic levels and limited healthcare resources exacerbate these challenges.
- The high prevalence and severity of serious diseases in newborns and infants necessitate advanced care.
Purpose:
- To assess the status and challenges of neonatal and pediatric intensive care units (NICUs/PICUs) in developing countries.
- To provide insights into the feasibility and requirements for establishing and maintaining critical care services for children.
- To analyze 25 years of experience in Morocco to understand long-term trends and outcomes.
Summary:
- The study surveys the state of neonatal and pediatric intensive care in developing countries, focusing on Morocco's 25-year experience.
- It highlights the critical need for effective disease prevention and timely treatment to reduce the severity of cases.
- Findings address the question of whether intensive care units can be effectively implemented and sustained in resource-limited settings.
Impact:
- Provides a framework for understanding and improving pediatric critical care in resource-limited environments.
- Highlights the importance of tailored strategies for neonatal and pediatric intensive care in developing nations.
- Offers valuable data for policymakers and healthcare providers aiming to enhance child survival rates and critical care access.
Abstract:
Neonatal and pediatric intensive care poses a major challenge in developing countries where the socio-economic level is low and health care resources are limited. Given the large size of the pediatric population as well as of great socio-cultural and symbolic importance of the child, there is a natural, compelling need for management of serious diseases in newborns and infants. The lack of timely disease prevention and treatment accounts in part for the frequency and severity of cases. Thus the status of intensive care units can exist in this setting is a pertinent question. The purpose of this study was to attempt to answer this question by surveying neonatal and pediatric care in developing countries based on experience in Morocco over the last 25 years.
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