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Defining the Current Deployment of Neonatal Infusion Pumps in Low- and Lower-Middle-Income Countries: A Rapid Review

Oliver Norton1, Prashant Jha1

  • 1King's College London, London, UK.

Global Pediatric Health
|January 16, 2023
PubMed

Insights

Infusion pump availability for neonates is limited in low- and lower-middle-income countries (LLMICs). Targeted deployment of specialized neonatal care packages, including infusion pumps, is crucial to reduce newborn mortality.

Area of Science:

  • Medical Devices
  • Global Health
  • Neonatal Care

Background:

  • Limited data exists on infusion pump deployment in low- and lower-middle-income countries (LLMICs).
  • Infusion pumps are critical for neonatal care, yet access is uneven globally.
  • Neonatal mortality remains a significant challenge in LLMICs.

Purpose of the Study:

  • To assess the current distribution and availability of infusion pumps for neonatal care in LLMICs.
  • To identify disparities in infusion pump access across different healthcare facilities.
  • To inform strategies for improving neonatal care in resource-limited settings.

Main Methods:

  • A rapid review methodology was employed.
  • Searches were conducted across major scientific databases: ProQuest, PubMed, Web of Science, and IEEE Xplore.
  • Inclusion criteria were applied to 26 relevant search results discussing 41 neonatal healthcare facilities.

Main Results:

  • Out of 41 facilities reviewed, 17 had available infusion pumps, 13 had limited access, and 11 had none.
  • Infusion pump utilization is notably restricted in Sub-Saharan Africa.
  • Significant gaps in essential medical technology for neonatal care were identified.

Conclusions:

  • Efforts are needed to deploy specialized neonatal care improvement packages, including appropriate infusion pumps, in LLMICs.
  • The impact of COVID-19 on neonatal care in LLMICs requires assessment to prevent setbacks.
  • Improving infusion pump access is vital for reducing global newborn mortality and enhancing neonatal outcomes.

Keywords:
developing countriesinfusion pumpmedical equipmentneonatenewborn

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