2020
DOI: 10.4103/ijmm.ijmm_20_125
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Healthcare Facilities in Low- and Middle-Income Countries affected by COVID-19: Time to Upgrade Basic Infection Control and Prevention Practices

Abstract: COVID-19 as a pandemic has spanned across all continents. With the increasing numbers in cases worldwide, even the countries with the best of healthcare facilities are reeling under the burden of the disease. Therefore, in countries with limited access to resources and poor healthcare infrastructure, the low and middle-income countries (LMICs), limiting spread becomes even more challenging. Low- and middle-income countries (LMICs) are severely hit by any outbreak and pandemics and face the lack of infrastructu… Show more

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Cited by 19 publications
(23 citation statements)
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“… 12 , 22 Therefore, our findings that institutions in these countries report greater supply shortages, specifically resulting in treatment modification and a lack of supportive care, are not surprising. These institutions are less likely to have excess supply stores, 23 and border restrictions during the pandemic have affected supply chains and further reduced access to medication. 24 Limited shared resources, including PPE and supportive care medications such as antibiotics, have been diverted to the care of patients with COVID-19.…”
Section: Discussionmentioning
confidence: 99%
“… 12 , 22 Therefore, our findings that institutions in these countries report greater supply shortages, specifically resulting in treatment modification and a lack of supportive care, are not surprising. These institutions are less likely to have excess supply stores, 23 and border restrictions during the pandemic have affected supply chains and further reduced access to medication. 24 Limited shared resources, including PPE and supportive care medications such as antibiotics, have been diverted to the care of patients with COVID-19.…”
Section: Discussionmentioning
confidence: 99%
“…Risk of infection and exhaustion is a unique challenge during this pandemic while providing health care services everywhere because of workplace risk to exposure of the virus (27). The infection prevention and control in outpatient settings of public hospitals of low-income countries during this pandemic were reported to be inadequate because of low compliance in hand hygiene, glove use, disinfection of reusable equipments, and in waste management procedures (39,40).…”
Section: Discussionmentioning
confidence: 99%
“…Individuals who required access to routine medical services such as pregnant women and people with chronic conditions experienced mental health issues such as stress, depression and reduced emotional well-being [14][15][16][17]. The emotional well-being of parents and children also suffered due to the lack of educational and food resources and the enhanced stress and financial problems due to restricted and insufficient healthcare facilities, especially in less-developed countries [18][19][20][21][22]. Due to the overwhelming number of positive cases and the limited availability of medical devices, the pressure on healthcare workers (HCWs) has significantly increased and placed them at higher risk of contracting the contagion.…”
Section: Introductionmentioning
confidence: 99%