# Provider Survey on Burn Care in India

## TL;DR

A survey of Indian burn care providers reveals gaps in resources and training, with government hospitals offering more affordable care but facing challenges in staff training and infection control.

## Contribution

This study provides insights into burn care challenges in India from healthcare providers' perspectives, highlighting disparities between government and non-government facilities.

## Key findings

- Government hospitals offer burn care at lower costs and have more dedicated burn units compared to non-government facilities.
- Many patients first seek treatment from traditional healers, leading to delayed care and worse outcomes.
- Key challenges include insufficient staff training, lack of intensive care monitoring, and poor infection prevention practices.

## Abstract

Background: Burns result in approximately 180,000 deaths annually, with the majority occurring in rural regions of Africa and Southeast Asia. This study aimed to assess the available resources, key challenges, and potential solutions in burn care from the perspective of healthcare providers in India. Methods: An online survey was conducted among burn care professionals across India. The survey was disseminated via social media platforms, burn care networks, and hospital representatives. Results: A total of 105 respondents, primarily from tertiary care centers, participated in the survey. Of these, 64.2% were affiliated with government hospitals, and 40.1% served catchment areas extending beyond 300 km. Dedicated burn units were present in 88.0% of government hospitals, compared to 66.9% in non-government facilities. Treatment costs were significantly lower in government hospitals, with 88.8% offering care either free of charge or at minimal cost (p ≤ 0.00001). Conclusions: The findings reveal significant gaps in staff training, intensive care monitoring, and infection prevention. Many patients initially seek help from traditional healers, often delaying appropriate treatment and worsening outcomes. Enhancing education, implementing standard monitoring practices, and ensuring adherence to clinical protocols are critical steps toward improving burn care outcomes in India.