Childhood asthma in low and middle-income countries: Where are we now?

Gilberto Bueno Fischer; Edgar E Sarria; Paulo Camargos; Helena Teresinha Mocelin; Manuel Soto-Quiroz; Alvaro A Cruz; Jean Bousquet; Heather J Zar

doi:10.1016/j.prrv.2018.10.002

Childhood asthma in low and middle-income countries: Where are we now?

Paediatr Respir Rev. 2019 Aug:31:52-57. doi: 10.1016/j.prrv.2018.10.002. Epub 2018 Oct 11.

Authors

Gilberto Bueno Fischer¹, Edgar E Sarria², Paulo Camargos³, Helena Teresinha Mocelin⁴, Manuel Soto-Quiroz⁵, Alvaro A Cruz⁶, Jean Bousquet⁷, Heather J Zar⁸

Affiliations

¹ Department of Paediatrics, Universidade Federal de Ciências da Saúde de Porto Alegre (UFCSPA), Porto Alegre, Brazil; Paediatric Pulmonology Section, Hospital da Crianças Santo Antônio (HCSA), Porto Alegre, Brazil. Electronic address: gbfinter@gmail.com.
² Department of Biology and Pharmacy, School of Medicine, Universidade de Santa Cruz do Sul (UNISC), Brazil; Paediatric Pulmonology Section - HCSA, Brazil.
³ Department of Paediatrics, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil; Postgraduate Program on Health Sciences, Universidade Federal de São João del-Rei, Divinópolis, Brazil. Electronic address: pcamargs@medicina.ufmg.br.
⁴ Department of Paediatrics, Universidade Federal de Ciências da Saúde de Porto Alegre (UFCSPA), Brazil; Paediatric Pulmonology Section - HCSA, Porto Alegre, Brazil.
⁵ Pediatric Pulmology, University of Costa Rica, Hospital CIMA, San Jose, Costa Rica.
⁶ ProAR - Federal University of Bahia, School of Medicine, Bahia, Brazil.
⁷ MACVIA, France; Contre les Maladies Chroniques pour un VIeillissement Actif en France European Innovation Partnership on Active and Healthy Ageing Reference Site, Montpellier, France. Electronic address: jean.bousquet@orange.fr.
⁸ Dept Pediatrics & Child Health, Red Cross Children's Hospital and SA-MRC Unit on Child and Adolescent Health, University of Cape Town, South Africa. Electronic address: heather.zar@uct.ac.za.

PMID: 30987798
DOI: 10.1016/j.prrv.2018.10.002

Abstract

Pediatric asthma has been increasing in LMICs (Low Middle-Income Countries), leading to an important burden for both children and national health systems. Implementing measures to achieve control are influenced by the degree of organization health systems have, the availability and affordability of essential asthma medications, and the effective implementation of asthma programs and asthma guidelines. In this review authors give an updated view of the current situation of these components of asthma management in LMICs.

Keywords: Burden; Childhood asthma; Low-income.

Publication types

Review

MeSH terms

Anti-Asthmatic Agents / economics
Anti-Asthmatic Agents / supply & distribution
Anti-Asthmatic Agents / therapeutic use*
Asthma / epidemiology
Asthma / therapy*
Costs and Cost Analysis
Developing Countries*
Health Policy*
Health Services Accessibility
Humans
Patient Education as Topic*
Practice Guidelines as Topic

Substances

Anti-Asthmatic Agents