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Pediatric Palliative Care Program Implementation in LMICs: A Systematic Review using SWOT Analysis.
Sarah Ann Kenneson1, Alexzandra Hughes-Visentin2, Jordan Wrigley3
1College of Medicine (S.A.K., D.M.), University of Tennessee Health Science Center, Memphis, Tennessee, USA.
Pediatric palliative care (PPC) programs are being implemented in low-resource settings, but access remains limited. Sharing successes and challenges is crucial for expanding essential PPC initiatives globally.
Area of Science:
- Global Health
- Palliative Care Medicine
Background:
- An estimated 21 million children worldwide require pediatric palliative care (PPC), with 97% residing in low- and middle-income countries (LMIC).
- Access to and implementation strategies for PPC programs in LMIC remain understudied.
Approach:
- A systematic review following PRISMA guidelines was conducted to analyze the strengths, weaknesses, opportunities, and threats (SWOT) of PPC program implementation in LMIC.
- Searches of key databases and manual reference reviews identified 78 relevant items describing 82 unique PPC programs across various income-level countries.
Key Points:
- Common strengths include multidisciplinary teams and psychosocial support.
- Weaknesses identified were a lack of PPC training and research infrastructure.
- Opportunities involve inter-institutional collaboration and government support, while threats include limited access to services and medications.
Conclusions:
- Pediatric palliative care programs can be successfully implemented in resource-limited settings.
- Hospice and palliative medicine organizations should encourage clinicians to disseminate detailed program implementation successes and challenges to foster growth in LMIC.
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