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SIOP Standards Framework for Pediatric Oncology Units in Low- and Middle-Income Countries

Ramandeep Singh Arora1, Alan Davidson2, Gloria Gonzalez3

  • 1Department of Paediatric Oncology, Max Super Speciality Hospital, New Delhi, India.

Pediatric Blood & Cancer
|July 30, 2026
PubMed

Insights

Developing new pediatric oncology unit (POU) standards for low- and middle-income countries (LMICs) is crucial. This framework aims to improve care quality and reduce disparities in childhood cancer treatment globally.

Area of Science:

  • Global Health
  • Pediatric Oncology
  • Healthcare Standards

Background:

  • Existing pediatric oncology unit (POU) standards are often not applicable in low- and middle-income countries (LMICs).
  • There is a need for practical, scalable, and evidence-informed standards tailored for LMICs to address healthcare disparities.
  • The World Health Organization (WHO) Global Initiative for Childhood Cancer aims to improve childhood cancer survival rates globally.

Purpose of the Study:

  • To develop a practical, scalable, and implementable standards framework for pediatric oncology units (POUs) in low- and middle-income countries (LMICs).
  • To prioritize key areas of POU practice, including infrastructure, clinical care, medication safety, research, and multidisciplinary coordination.
  • To reduce practice variation and advance equitable childhood cancer care in LMICs.

Main Methods:

  • Convening a multidisciplinary global expert group led by the International Society of Pediatric Oncology (SIOP).
  • Developing an evidence-informed standards framework specifically designed for the context of LMICs.
  • Focusing on key areas essential for effective pediatric cancer care delivery.

Main Results:

  • A practical, scalable, and implementable standards framework for POUs in LMICs has been developed.
  • The framework addresses critical aspects of pediatric cancer care, including infrastructure, clinical practice, medication safety, research, and coordination.
  • The standards are designed to reduce variation and promote equitable care for children with cancer in resource-limited settings.

Conclusions:

  • The developed standards provide a vital framework for improving pediatric cancer care in LMICs.
  • Implementation of these standards can help achieve the WHO Global Initiative for Childhood Cancer's goal of 60% survival by 2030.
  • This initiative represents a significant step towards ensuring equitable access to high-quality pediatric oncology services worldwide.

Keywords:
low‐ and middle‐income countriesnursingpediatric oncology unitsqualityresearchstandards

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