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

Arch Dis Child. 2016 Jan;101(1):85-90. doi: 10.1136/archdischild-2015-308307. Epub 2015 Sep 14.

Abstract

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.

Keywords: Adolescent Health; Health Service; Palliative Care.

Publication types

  • Review

MeSH terms

  • Child
  • Child Health Services / organization & administration
  • Child Health Services / standards*
  • Delivery of Health Care / organization & administration
  • Delivery of Health Care / standards*
  • Developing Countries
  • Evidence-Based Medicine
  • Humans
  • Indonesia
  • Malawi
  • Models, Organizational
  • Palliative Care / organization & administration
  • Palliative Care / standards*
  • Poverty
  • Republic of Belarus