Children's palliative care in low- and middle-income countries

One-third of the global population is aged under 20 years. For children with life-limiting conditions, palliative care services are required. However, despite 80% of global need occurring in low- and middle-income countries (LMICs), the majority of children's palliative care (CPC) is provided i...

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Bibliographic Details
Published in:Archives of disease in childhood 2016-01, Vol.101 (1), p.85-90
Main Authors: Downing, Julia, Powell, Richard A, Marston, Joan, Huwa, Cornelius, Chandra, Lynna, Garchakova, Anna, Harding, Richard
Format: Article
Language:English
Subjects:
Child
Child Health Services - organization & administration
Child Health Services - standards
Children
Company business management
Delivery of Health Care - organization & administration
Delivery of Health Care - standards
Developing Countries
Evidence-Based Medicine
Health aspects
Humans
Indonesia
Malawi
Management
Models, Organizational
Palliative care
Palliative Care - organization & administration
Palliative Care - standards
Palliative treatment
Poverty
Republic of Belarus
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Summary:One-third of the global population is aged under 20 years. For children with life-limiting conditions, palliative care services are required. However, despite 80% of global need occurring in low- and middle-income countries (LMICs), the majority of children's palliative care (CPC) is provided in high-income countries. This paper reviews the status of CPC services in LMICs--highlighting examples of best practice among service models in Malawi, Indonesia and Belarus--before reviewing the status of the extant research in this field. It concludes that while much has been achieved in palliative care for adults, less attention has been devoted to the education, clinical practice, funding and research needed to ensure children and young people receive the palliative care they need.
ISSN:0003-9888
1468-2044
DOI:10.1136/archdischild-2015-308307