ArticleScientific reports2023
A survey of barriers and facilitators to ultrasound use in low- and middle-income countries.
Article in Scientific reports, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 47 papers, 1 of them a synthesis that pooled it.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
47 citing papers in PubMed, 1 synthesis or guideline pooled it, 57 citations in OpenAlex.
- Assessing the diagnostic accuracy of postnatal clinical scoring methods and foot length measurement for estimating gestational age and birthweight of newborns in low- and middle-income countries: a systematic review and meta-analysis.BMJ paediatrics open · 2024Pooled it
- Utility of tele-guidance for point-of-care ultrasound: a single center prospective diagnostic study.Journal of ultrasound · 2024Trial
- Comment on: "Ultrasound of the Cheek: Are We Ready for Clinical Adoption?"Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine · 2026Article
- Artificial intelligence-enabled electrocardiography for detection of left ventricular diastolic dysfunction: a systematic review and meta-analysis.European heart journal. Digital health · 2026Review
- Feasibility of point-of-care ultrasound training and remote quality assurance for community physicians in conflict-affected Syria.Journal of ultrasound · 2026Article
- The risk of late-onset fetal growth restriction and unfavorable neonatal outcomes among fetuses within the 10th-25th weight percentile: a prospective cohort study.Maternal health, neonatology and perinatology · 2026Article
- Current Gaps in Point-of-Care Ultrasound Supervision in Generalist Practice in Japan: A Nationwide Survey.Journal of general and family medicine · 2026Article
- Establishment and efficacy of a novel point-of-care ultrasound curriculum for Emergency Medicine residents in an East African program.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2026Article
- Pediatric surgical care of anorectal malformations: a global survey.Pediatric surgery international · 2026Article
- Machine Learning Predicts Hepatocellular Carcinoma Risk from Routine Clinical Data: A Large Population-Based Multicentric Study.Cancer discovery · 2026Article
- Point-of-care ultrasound in prehospital emergency care: attitudes, facilitators and barriers.BMC medical education · 2026Article
- Advancements in Ultrasound Gel Pad Technologies: Enhancing Diagnostic Precision, Procedural Efficiency, and Therapeutic Applications.Gels (Basel, Switzerland) · 2026Review
- Antenatal care and childbirth experience among parents of children with orofacial clefts: an observational study.BMC oral health · 2026Observational
- Elevated catecholamine derivatives homovanillic acid and vanillylmandelic acid in the plasma and amniotic fluid of growth-restricted fetal sheep.Pediatric research · 2026Article
- A theory-informed approach to identify barriers to utilising Point-of-Care Ultrasound (POCUS) in practice: from vicious cycles to sustainable solutions.Advances in health sciences education : theory and practice · 2026Article
- Review
- PURA-ECHO: Analysis of the evolution of Ultrasound utilization in austere health care settings in Costa Rica's Geographic Empanelment Model.BMC emergency medicine · 2026Article
- Ultrasound in Women's Health: Mechanisms, Applications, and Emerging Opportunities.Advanced materials (Deerfield Beach, Fla.) · 2026Review
- Training in lung ultrasound for the diagnosis of lower respiratory tract infections in children under five years of age in rural healthcare facilities in Guatemala.Journal of global health · 2026Observational
- Development and validation of an artificial intelligence-based model for diagnosing benign, borderline, and malignant adnexal masses.NPJ precision oncology · 2026Article
Corrections and comments
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Authors and funding
5 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Point-of-care ultrasound has the potential to help inform assessment, diagnosis, and management of illness in low- and middle-income countries (LMIC). To better understand current ultrasound use, barriers and facilitators to use, and perceptions and practices in LMIC, we conducted an anonymous online global survey targeting healthcare providers training and using ultrasound in LMIC. A total of 241 respondents representing 62 countries participated and most were physicians working in publicly-funded urban tertiary hospitals in LMIC. Most had received ultrasound training (78%), reported expertise (65%) and confidence (90%) in ultrasound use, and had access to ultrasound (88%), utilizing ultrasound most commonly for procedures and for evaluations of lungs, heart, and trauma. Access to an ultrasound machine was reported as both the top barrier (17%) and top facilitator (53%); other common barriers included access to education and training, cost, and competition for use and other common facilitators included access to a probe, gel, and electricity, and acceptance by healthcare providers, administrators, and patients. Most (80%) noted ultrasound access was important and 96% agreed that ultrasound improves quality of care and patient outcomes. Improving access to low-cost ultrasound equipment is critical to increasing ultrasound use among those who are trained.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.