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Taking Paediatrics Abroad: Working with low- and middle-income countries in a global pandemic
Anneka Parker1,2, Eap Tek Chheng3,4, Titus Nasi5
1Discipline of Paediatrics, School of Women's and Children's Health, Faculty of Medicine, University of New South Wales, Sydney, New South Wales, Australia.
Insights
Taking Paediatrics Abroad Ltd. enhances global child health equity by fostering international training partnerships. This innovative model supports healthcare professionals in low-resource settings, improving pediatric care access worldwide.
Area of Science:
- Global Health
- Pediatric Medicine
- Health Equity
Background:
- Children globally face health disparities, particularly in low- and middle-income countries due to unequal access to quality healthcare.
- The inverse care law highlights reduced healthcare availability where need is greatest, hindering professional development in under-resourced regions.
- Existing international collaborations for health equity face financial, sustainability, and logistical challenges, amplified by the COVID-19 pandemic.
Purpose of the Study:
- To describe the development and implementation of an innovative, pediatric-specific international training and support model.
- To establish mutually beneficial relationships between healthcare professionals in high-income and low-income countries.
- To address global disparities in pediatric healthcare access and quality.
Main Methods:
- Development of Taking Paediatrics Abroad Ltd., a pediatric-focused international collaboration model.
- Facilitation of virtual training and support sessions between Australian and international pediatric healthcare professionals.
- Focus on developing countries and remote Australian Aboriginal communities.
Main Results:
- Over 100 virtual sessions conducted since May 2020, covering diverse pediatric specialties.
- Established mutually beneficial relationships fostering knowledge exchange and skill development.
- Demonstrated a scalable model for international pediatric healthcare support.
Conclusions:
- Taking Paediatrics Abroad offers a sustainable and adaptable solution to enhance global pediatric healthcare.
- The model effectively overcomes barriers to international collaboration, including cost and travel restrictions.
- Future opportunities exist for expanding the program's reach and impact on child health outcomes.
Abstract:
Children and young people around the world face challenges to their health and wellbeing. In particular, in low- and middle-income countries they experience a higher burden of disease, exacerbated by global inequity limiting access to quality health care. According to the inverse care law, the availability of quality health care varies inversely to the need of the population, and hardworking health-care professionals in under-resourced countries may face impediments to continued education or subspecialty training. In line with the Sustainable Development Goals, collaborations have been developed between high-income and low- and-middle-income countries to address global disparities in health. These collaborations face challenges of high financial costs, difficulties creating long-term sustainable change, and with the emergence of the COVID-19 pandemic, border closures preventing fly-in volunteers. In this paper, we describe the development of an innovative, paediatric-specific model of care for training and support between high- and low-income countries - Taking Paediatrics Abroad Ltd. Taking Paediatrics Abroad supports the development of mutually beneficial relationships between Australian paediatric health-care professionals and paediatric health-care professionals in developing countries and remote, underserved Australian Aboriginal communities. Since May 2020, there have been over 100 sessions covering a vast array of paediatric specialties. This article explores Taking Paediatrics Abroad's model of care, its implementation and challenges, and opportunities for the future.
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