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Paediatric Palliative Care in Resource-Poor Countries

Julia Downing1, Sue Boucher2, Alex Daniels3

  • 1International Children's Palliative Care Network, Assagay 3624, South Africa. julia.downing@icpcn.org.

Children (Basel, Switzerland)
|February 22, 2018
PubMed

Insights

Millions of children worldwide need pediatric palliative care (PPC), but access is limited, especially in poorer regions. Strategies exist to overcome barriers and improve global access to essential PPC services.

Area of Science:

  • Global Health
  • Palliative Care
  • Pediatric Care

Background:

  • Paediatric palliative care (PPC) is crucial for children globally, with millions needing services, yet access is severely limited, particularly in resource-poor settings.
  • The Lancet has recognized the importance of PPC within the global health agenda, including universal health coverage.

Purpose of the Study:

  • To highlight the global need for paediatric palliative care (PPC) services.
  • To identify challenges hindering PPC development worldwide.
  • To discuss strategies for overcoming these challenges and improving access to PPC, especially in resource-poor settings.

Main Methods:

  • Review of global statistics on the need for paediatric palliative care.
  • Identification and analysis of barriers to PPC development.
  • Exploration of strategies to enhance PPC provision.

Main Results:

  • An estimated 21.6 million children globally require palliative care (PC), with 8.2 million needing specialist services.
  • Key challenges include limited access to treatment and medications (like oral morphine), opiophobia, workforce shortages, policy gaps, and lack of awareness.
  • Effective strategies involve advocacy, public awareness, education, improved medication access, implementation efforts, and research.

Conclusions:

  • High-quality PPC can be delivered even in resource-poor settings.
  • There is an urgent global need to scale up affordable, accessible, and quality PPC services.
  • Ensuring all children requiring palliative care can access it is a critical global health imperative.

Keywords:
access to medicinesadvocacyeducationlow-resource settingspaediatric/pediatric/childrenpalliative care

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