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Children's palliative care: a global concern
J Downing1, D Birtar, L Chambers
1Makerere University, Kampala, Uganda. julia.downing792@btinternet.com
Insights
Children's palliative care (CPC) is a vital medical specialty, yet it remains inaccessible globally. Integrating CPC services into existing health structures using a public health approach is crucial for its development.
Area of Science:
- Pediatrics
- Palliative Care
- Public Health
Background:
- Children's palliative care (CPC) is a distinct specialty, closely linked to adult palliative care.
- CPC globally has a low profile and limited accessibility, despite a significant number of children requiring its services.
- High-quality pediatric palliative care is a global concern, with millions of children worldwide needing care annually.
Purpose of the Study:
- To highlight the global need for accessible children's palliative care.
- To emphasize the importance of a public health approach in developing CPC services.
- To advocate for integrated models of CPC within existing healthcare systems.
Main Methods:
- Literature review on the status of global children's palliative care.
- Analysis of demographic data regarding the pediatric population requiring palliative care.
- Examination of public health strategies and service integration models for CPC.
Main Results:
- A significant global population of children requires palliative care annually.
- Current CPC provision is inadequate and inaccessible in many parts of the world.
- A public health approach and service integration are identified as key strategies for CPC development.
Conclusions:
- Children's palliative care requires increased global attention and accessibility.
- A public health framework is essential for the effective development and delivery of CPC.
- Integrating CPC into existing health structures is vital for meeting the needs of children requiring palliative care.
Abstract:
Children's palliative care (CPC) is a specialty in itself, albeit closely related to adult palliative care (World Health Organization (WHO), 2002). However, although there are many children who require palliative care, in much of the world CPC has a poor profile and is inaccessible to those who need it (Downing et al, 2010; Knapp et al, 2011). The provision of high-quality palliative care for children is a global concern, with 27% of the world population being under the age of 15, rising to as many as 49% in countries such as Uganda (WHO, 2010). It has been estimated that as many as 7 million of these children around the world will need palliative care each year (Rushton et al, 2002), although the true figure is likely to be higher. The public health approach to palliative care is key to the development of CPC services, as is the development of models that integrate services into existing health structures.
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