A question for CHIFA: How can LMIC NICUs improve feeding outcomes without high-tech tools? Open to collaboration

18 February, 2026

Dear CHIFA colleagues,

Preterm feeding readiness remains a major challenge in neonatal care, particularly in LMIC settings where technology-intensive support may not always be feasible. Strengthening low-cost, caregiver-driven interventions can contribute toward SDG 3.2 by improving breastfeeding efficiency, growth, and discharge readiness among vulnerable newborns.

In our recent NICU-based study, we explored a combined developmental approach integrating structured oral-motor stimulation with Kangaroo Mother Care to support early feeding outcomes. I am sharing the paper here mainly to open discussion around practical, scalable strategies rather than to highlight the publication itself:

https://www.researchgate.net/publication/400109498_Effectiveness_of_Pret...

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.

I would be happy to connect.

Warm regards,

Jeevarathinam Thirumalai.

CHIFA profile:

Jeevarathinam Thirumalai is a Scientific Research Officer at SMAART Healthcare, UK, in India. Professional interests: Evidence-based research and translating scientific insights into meaningful clinical and policy outcomes. Interdisciplinary research, innovation in rehabilitation, and improving health outcomes for pediatric, differently-abled, and neurorehabilitation populations; Collaborative research initiatives. Email: jeevarathinam.thirumalaiATsmaarthealthcare.com

Author: 
Jeevarathinam Thirumalai