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Indian Society of Hematology and Blood Transfusion (ISHBT) Consensus Document on Hematological Practice During
Rakhee Kar1, Tuphan Kanti Dolai2, Prakash Singh Shekhawat3
1Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India.
Insights
The COVID-19 pandemic disrupted essential hematology care, particularly in India, due to lockdowns and strained resources. This review outlines challenges and offers recommendations for improving hematology services in lower and middle-income countries.
Area of Science:
- Medicine
- Public Health
- Hematology
Background:
- The COVID-19 pandemic presented unprecedented challenges to global healthcare systems.
- Hematology services faced significant disruptions due to public health measures and resource strain.
Purpose of the Study:
- To review the challenges in providing hematology care during the COVID-19 pandemic in India.
- To propose recommendations for mitigating the impact on hematology services, especially in LMICs.
Main Methods:
- This is a review article.
- It synthesizes information on the impact of the pandemic on hematology practice.
- Focuses on challenges specific to India and LMICs.
Main Results:
- Movement restrictions hindered patient access to care and disrupted blood services.
- Overstretched medical services and frontline workers exacerbated the problems.
- Hematology care in India experienced disproportionately high disruption due to its concentration in urban centers.
Conclusions:
- The COVID-19 pandemic significantly impacted hematology care delivery.
- Recommendations are needed to ensure continuity of care, particularly in resource-limited settings like LMICs.
- Adapting hematology services is crucial for future public health emergencies.
Abstract:
The SARS-CoV-2 (COVID-19) pandemic is a worldwide public health emergency with widespread impact on health care delivery. Unforeseen challenges have been noted during administration of usual haematology care in these unusual COVID-19 times. Medical services have been overstretched and frontline health workers have borne the brunt of COVID-19 pandemic. Movement restrictions during lockdown prevented large sections of population from accessing health care, blood banks from holding blood drives, and disrupted delivery of diagnostic hematology services. The disruption in hematology care due to COVID-19 pandemic in India has been disproportionately higher compared to other subspecialities as hematology practice in India remains restricted to major cities. In this review we chronicle the challenges encountered in caring for hematology patients during the COVID-19 pandemic in India and put forth recommendations for minimizing their impact on provision of hematology care with special emphasis on hematology practice in lower and middle income countries (LMICs).
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