{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"institution":[{"name":"Research Square"}],"indexed":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T21:13:37Z","timestamp":1789074817547,"version":"build-2803163510"},"posted":{"date-parts":[[2026,9,10]]},"group-title":"In Review","reference-count":0,"publisher":"Springer Science and Business Media LLC","license":[{"start":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T00:00:00Z","timestamp":1788998400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"accepted":{"date-parts":[[2026,6,23]]},"abstract":"<title>Abstract<\/title>\n                <p>Objectives:\n Given the significant burden of critical illness and high mortality in Low-Middle Income Countries (LMICs), ICU care could substantially improve patient outcomes in LMICs. No systematic approach is available to identify the perceived and actual challenges of developing and maintaining high-quality intensive care units in LMICs.  This study aimed to use community-based group model building (GMB) as an intervention to evaluate the barriers and facilitators of establishing a Paediatric Intensive Care Unit (PICU) in LMIC.\nDesign:\n A GMB workshop was conducted with 27 participants, representing all the stakeholders.  The workshop objectives were: assess GMB as a tool for implementation planning in a lower resource clinical care setting; assess barriers and facilitators of PICU implementation as perceived by conference attendees; develop a shared vision for goals, processes, and challenges for the PICU.\nSetting:\n  PICU at the Mercy James Center for Paediatric Surgery and Critical Care (MJC) within the established system of Queen Elizabeth Central Hospital (QECH) in Blantyre, Malawi<\/p>","DOI":"10.21203\/rs.3.rs-10133341\/v1","type":"posted-content","created":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T21:05:13Z","timestamp":1789074313000},"source":"Crossref","is-referenced-by-count":0,"title":["Paediatric Critical Care Implementation in Lower-Resource Settings: Application of Community-Based Group Model Building"],"prefix":"10.21203","author":[{"given":"Yudy","family":"Fonseca","sequence":"first","affiliation":[{"name":"University of Maryland School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Terrie","family":"Taylor","sequence":"additional","affiliation":[{"name":"Michigan State University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Josephine","family":"Langton","sequence":"additional","affiliation":[{"name":"Queen Elizabeth Central Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emma","family":"Thomson","sequence":"additional","affiliation":[{"name":"Queen Elizabeth Central Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tiyamike","family":"Kapalamula","sequence":"additional","affiliation":[{"name":"Queen Elizabeth Central Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adrian","family":"Holloway","sequence":"additional","affiliation":[{"name":"University of Maryland School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adnan","family":"Bhutta","sequence":"additional","affiliation":[{"name":"Indiana University School of Medicine and Riley Children's Health"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fiona","family":"Muttalib","sequence":"additional","affiliation":[{"name":"BC Children's Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicole","family":"O'Brien","sequence":"additional","affiliation":[{"name":"Nationwide Children's Hospital, The Ohio State University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Douglas","family":"Postels","sequence":"additional","affiliation":[{"name":"George Washington University\/Children's National Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Allan","family":"Doctor","sequence":"additional","affiliation":[{"name":"University of Maryland School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ellis","family":"Ballard","sequence":"additional","affiliation":[{"name":"Washington University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kenneth E.","family":"Remy","sequence":"additional","affiliation":[{"name":"Rainbow Babies and Children's Hospital, University Hospitals of Cleveland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","container-title":[],"original-title":[],"link":[{"URL":"https:\/\/www.researchsquare.com\/article\/rs-10133341\/v1","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.researchsquare.com\/article\/rs-10133341\/v1.html","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T21:05:13Z","timestamp":1789074313000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.researchsquare.com\/article\/rs-10133341\/v1"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,10]]},"references-count":0,"URL":"https:\/\/doi.org\/10.21203\/rs.3.rs-10133341\/v1","relation":{},"subject":[],"published":{"date-parts":[[2026,9,10]]},"subtype":"preprint"}}