Telemedicine across the continuum of neonatal-perinatal care

Chuo, John; Makkar, Abhishek; Machut, Kerri Z.; Zenge, Jeanne; Jagarapu, Jawahar; Azzuqa, Abeer; Savani, Rashmin C.

doi:10.1016/j.siny.2022.101398

Cited by 7 publications

(2 citation statements)

References 65 publications

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“…Telemedicine has many applications to support pediatric care in LMIC. It can enhance neonatal care in low-income countries as neonatal causes are the leading etiologies of under-five mortality [51,52]. Scope of telemedicine in neonatal-perinatal medicine can be expanded [51] to include resuscitation of newborns via programs such as the Neonatal Resuscitation Program (NRP) or Helping Baby Breathe [53,54].…”

Section: How Can Telemedicine Support Lmic Pediatric Providers?mentioning

confidence: 99%

“…It can enhance neonatal care in low-income countries as neonatal causes are the leading etiologies of under-five mortality [51,52]. Scope of telemedicine in neonatal-perinatal medicine can be expanded [51] to include resuscitation of newborns via programs such as the Neonatal Resuscitation Program (NRP) or Helping Baby Breathe [53,54]. In the Neonatal Intensive Care Unit (NICU) it has also been used for 'tele-rounding', where the neonatologist does not need to be physically present in the unit, but rounds via a remotely controlled robot, this can be used to help staff and manage neonatal units around the world [55].…”

Section: How Can Telemedicine Support Lmic Pediatric Providers?mentioning

confidence: 99%

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Telemedicine and Pediatric Care in Rural and Remote Areas of Middle-and-Low-Income Countries: Narrative Review

Alnasser,

Proaño,

Loock

et al. 2024

J Epidemiol Glob Health

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Objectives Caring for children in low- and middle-income countries (LMIC) can be challenging. This review article aims to explore role of telemedicine in supporting pediatric care in LMIC. Methodology A narrative review of existing English and Spanish literature was conducted to assess role of telemedicine to support pediatric care in LMIC. Results Beside medical education and direct pediatric care, telemedicine can provide sub-specialties consultations without extra burden on families. Additionally, telemedicine can help in lowering under-5 mortality by supporting neonatal care, infectious illnesses, and non-communicable diseases (NCDs). Telemedicine can be a gate for universal coverage for all children at a lower cost. For over a decade, it has been implemented successfully and sustained in a few LMIC. However, challenges in implementing telemedicine are enormous. Still, opportunities arise by using simpler technology, low-width band internet, smartphones, instant messaging applications and solar energy. COVID-19 pandemic facilitated acceptance and applicability of telemedicine worldwide including LMIC. Nevertheless, governments must regulate telemedicine by issuing policies and ensuring employment of local experts when possible to meet local resources and cultural competency. Conclusion Telemedicine has proven successful in improving pediatrics care. Many LMIC should take advantage of this innovation to promote equity and access to high quality pediatric care.

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