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Challenges and Opportunities Facing Pediatric Anesthesia Providers in Low- and Middle-Income Countries (LMICs), India

Nandini Dave1, Elsa Varghese2,3, Rebecca Jacob2,4,5,6

  • 1Department of Paediatric Anaesthesiology, NH SRCC Children's Hospital, Mumbai, India.

Paediatric Anaesthesia
|October 29, 2020
PubMed

Insights

India

Area of Science:

  • Pediatric Anesthesia
  • Healthcare Systems in India
  • Anesthesiology Workforce Challenges

Background:

  • India's healthcare system exhibits significant disparities between urban and rural areas.
  • Children constitute 40% of India's population, driving demand for pediatric surgical and anesthesia services.
  • Specialized pediatric anesthesia training is underdeveloped, with general anesthesiologists often providing care.

Purpose of the Study:

  • To review the challenges in India's healthcare system contributing to a shortage of pediatric anesthesiologists.
  • To explore the difficulties faced by anesthesiologists in their daily practice.
  • To identify opportunities for improving pediatric perioperative care in underserved regions.

Main Methods:

  • This is a review article, synthesizing existing information.
  • Discussion of challenges based on reported experiences and observations.
  • Analysis of the current state of pediatric anesthesia training and practice.

Main Results:

  • Anesthesiologists face challenges including inadequate infrastructure, limited medications/equipment, lack of trained staff, and poor pay, leading to work-related stress.
  • Despite challenges, a shortage of anesthesiologists presents opportunities to serve rural populations and enhance perioperative care.
  • A significant lack of data on anesthesia, surgery, and related work issues hinders comprehensive analysis.

Conclusions:

  • Addressing the shortage of pediatric anesthesiologists requires focused efforts from professional bodies.
  • Encouraging data collection, documentation, and improved standards in teaching and practice are crucial.
  • Improving pediatric anesthesia services is vital for enhancing healthcare quality in rural India.

Keywords:
IndiaLMIC’sstandards of careurban and rural

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