Published: 2021-04-27

Strategies for neonatal care during the COVID-19 pandemic: a lower middle-income country perspective

Rajat Grover, Shantanu Shubham, Sriparna Basu


COVID-19 has transformed into an all-encompassing pandemic affecting all levels of healthcare throughout the globe. The strains on healthcare systems have been evident even in the most developed countries. Low and middle income countries (LMICs), especially India, find themselves in a precarious situation due to limited resources, poor healthcare worker population ratios and a bigger population. Multiple factors can exponentially increase the actual effect of a pandemic on the vulnerable neonates and infants even though the disease itself may be less lethal for them. The situation was complicated by the implementation of lockdowns. We discuss the implications for neonatal care that such a pandemic has in LMICs and elucidate the strategies we have implemented to provide continuity of care during the pandemic. We also share our experience of providing neonatal care and summarise the patient load witnessed in a specific context of a level-3 NICU in a government multi-speciality hospital of an LMIC.


Keywords: Covid-19 pandemic; Low- and middle-income countries; Neonatal care


COVID-19 pandemic, Low and middle income countries, Neonatal care

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