Bridging the Gaps to Pediatric Emergency Care Providers in Low-Resource Settings: Challenges and Pathways to Progress

Abstract Background Pediatric emergency care in low- and middle-income countries (LMICs) faces significant challenges, particularly in rural areas with scarce morbidity and mortality data. Purpose of Review This literature review was conducted to identify and address critical gaps in pediatric emergency care in low-resource settings, focusing on sustainable and culturally sensitive solutions. Methods A comprehensive literature search was conducted using the Scopus database with no restriction on publication date, targeting pediatric emergency care providers in low-resource settings. Eligible studies were published in English and presented either qualitative or quantitative data. Two independent reviewers conducted data extraction, synthesis, and narrative discussion, with a third reviewer resolving discrepancies. Recent findings The review uncovered significant challenges in the infrastructure and training for pediatric emergency care in LMICs, especially in rural areas. Training programs like Advanced Pediatric Life Support (APLS) and Jamaican Primary Trauma Care (JPTC) have enhanced healthcare personnel skills. However, high costs, limited accessibility, and inadequate funding hinder widespread adoption. Despite these barriers, innovative initiatives like Helping Babies Breathe (HBB) and Emergency Triage, Assessment, and Treatment (ETAT) programs show promise. The study highlights the need for targeted training to address pediatric emergencies. Improving infrastructure, implementing culturally sensitive methods, and developing sustainable solutions are imperative for advancing pediatric emergency care and reducing child mortality in LMICs. Summary A robust and practical approach is essential, incorporating training programs that utilize culturally sensitive methods and interpreter services to ensure effective communication and adherence to medical protocols. Strengthening infrastructure and fostering sustainable, collaborative efforts are crucial for bridging gaps in pediatric emergency care in low-resource settings.