Dear Jeevarathinam Thirumalai,
Thank you for your message yesterday
https://www.hifa.org/dgroups-rss/question-chifa-how-can-lmic-nicus-impro...
Your paper reminds me of another very recent paper from India which looks at the challenge of delivering high quality intensive care for paediatric patients. Although not specifically neonatal care, it may be of interest.
CITATION: Overcoming barriers to pediatric intensive care in low-resource settings: an institutional experience from Northeast India Open Access
Wonashi R Tsanglao , Sulanthung Kikon , Tenukala Aier Author Notes
Health Policy and Planning, Volume 41, Issue 2, February 2026, Pages 359–364, https://doi.org/10.1093/heapol/czaf092
ABSTRACT
Developing pediatric intensive care units (PICUs) in resource-limited regions presents several challenges, including significant resource constraints, a shortage of trained personnel, and a lack of standardized care protocols. Prioritizing skills and knowledge development for healthcare professionals, selecting effective yet affordable equipment, and strong leadership have been identified as essential for establishing sustainable pediatric critical care services in low- and middle-income countries (LMICs). In this article, we describe the practical, phased approach undertaken in a charitable hospital setting in Northeast India to establish a PICU, highlighting adaptability, institutional commitment, patient team building, and systematic record-keeping in overcoming these challenges. The lessons drawn from this experience can offer valuable insights for similar healthcare settings in LMICs, demonstrating that high-quality pediatric critical care can be achieved even in resource-constrained environments.
"I have recently completed the JBI Evidence Synthesis module and am now initiating a systematic review and evidence synthesis, including economic evidence, focusing on feasible developmental interventions for neonatal care in LMIC contexts. If anyone is interested in collaboration or would like to contribute perspectives from their region, please feel free to email me at jeevarathinamhope@gmail.com "
Thank you. You may like to consider using the CHIFA discussion forum as a sounding board as you develop this systematic review, especially around issues of quality of care and access to reliable healthcare information. We stand by ready to help.
Best wishes, Neil
HIFA profile: Neil Pakenham-Walsh is coordinator of HIFA (Healthcare Information For All), a global health community that brings all stakeholders together around the shared goal of universal access to reliable healthcare information. HIFA has 20,000 members in 180 countries, interacting in four languages and representing all parts of the global evidence ecosystem. HIFA is administered by Global Healthcare Information Network, a UK-based nonprofit in official relations with the World Health Organization. Email: neil@hifa.org