COVID-19 preparedness-a survey among neonatal care providers in low- and middle-income countries

International Neonatal COVID-19 Consortium, Claus Klingenberg, Sahil K. Tembulkar, Anna Lavizzari, Charles C. Roehr, Danielle E.Y. Ehret, Nestor Eduardo Vain, Gonzalo Luis Mariani, Omer Erdeve, Victor Javier Lara-Diaz, Sithembiso Velaphi, Hon Kin Cheong, Surender Singh Bisht, Khawaja Ahmad Irfan Waheed, Alexander G. Stevenson, Nisreen Al-Kafi, Jean Michel Roue, Alejandra Barrero-Castillero, Eleanor J. Molloy, John A.F. ZupancicJochen Profit

Research output: Contribution to journalArticlepeer-review


OBJECTIVE: To evaluate COVID-19 pandemic preparedness, available resources, and guidelines for neonatal care delivery among neonatal health care providers in low- and middle-income countries (LMICs) across all continents. STUDY DESIGN: Cross-sectional, web-based survey administered between May and June, 2020. RESULTS: Of 189 invited participants in 69 LMICs, we received 145 (77%) responses from 58 (84%) countries. The pandemic provides significant challenges to neonatal care, particularly in low-income countries. Respondents noted exacerbations of preexisting shortages in staffing, equipment, and isolation capabilities. In Sub-Saharan Africa, 9/35 (26%) respondents noted increased mortality in non-COVID-19-infected infants. Clinical practices on cord clamping, isolation, and breastfeeding varied widely, often not in line with World Health Organization guidelines. Most respondents noted family access restrictions, and limited shared decision-making. CONCLUSIONS: Many LMICs face an exacerbation of preexisting resource challenges for neonatal care during the pandemic. Variable approaches to care delivery and deviations from guidelines provide opportunities for international collaborative improvement.

Original languageEnglish
Pages (from-to)988-997
Number of pages10
JournalJournal of perinatology : official journal of the California Perinatal Association
Issue number5
Publication statusPublished - May 1 2021

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Obstetrics and Gynaecology


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