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Barriers to neonatal care in developing countries: parents' and providers' perceptions
Alma M Martinez1, Dung Thi Khanh Khu, Nem Yun Boo
1Departments of Pediatrics, University of California, San Francisco, California 94110, United States.
Journal of Paediatrics and Child Health
|September 14, 2012
Summary
Barriers to neonatal care in developing countries include distance, cost, and poor hospital conditions. Improving cleanliness and communication can help, but infrastructure and staffing issues require more significant solutions.
Area of Science:
- Global Health
- Neonatal Medicine
- Healthcare Accessibility
Background:
- Advanced neonatal care technologies are expanding globally.
- Access to essential neonatal care remains a challenge in many developing nations.
Purpose of the Study:
- To characterize parental and healthcare provider perceptions of barriers to neonatal care in developing countries.
- To identify key obstacles hindering access to and provision of neonatal medical services.
Main Methods:
- Interviews with 198 parents of hospitalized neonates in Cambodia, Malaysia, Laos, and Vietnam.
- Surveys with 212 healthcare providers (physicians, nurses, trainees) on barriers to care provision.
Main Results:
- Parents reported significant hardships due to out-of-pocket expenses for newborn care.
- Key parental-reported barriers included hospital distance (39%), lack of cleanliness (46%), poor medication availability (42%), and communication issues (44%).
- Providers identified lack of equipment (74%), inadequate staff training (61%), and poor infrastructure (51%) as major obstacles.
Conclusions:
- Enhancing hospital cleanliness, staff communication, and friendliness can mitigate some neonatal care barriers.
- Addressing fundamental issues like hospital infrastructure, staffing shortages, medication access, and transportation costs is crucial for improving neonatal care outcomes.
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