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Arch Dis Child. 2016 Jan;101(1):85-90. doi: 10.1136/archdischild-2015-308307. Epub 2015 Sep 14.

Children's palliative care in low- and middle-income countries.

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International Children's Palliative Care Network, London, UK Makerere University, Kampala, Uganda.
Global Health Researcher, Nairobi, Kenya.
International Children's Palliative Care Network, Bloemfontein, South Africa.
Palliative Care Support Trust, Queen Elizabeth Central Hospital, Blantyre, Malawi.
Rachel House, Jakarta, Indonesia.
Belarusian Children's Hospice, Minsk Region, Belarus.
Department of Palliative Care, Policy and Rehabilitation, Cicely Saunders Institute, King's College London, London, UK.


One-third of the global population is aged under 20 years. For children with life-limiting conditions, palliative care services are required. However, despite 80% of global need occurring in low- and middle-income countries (LMICs), the majority of children's palliative care (CPC) is provided in high-income countries. This paper reviews the status of CPC services in LMICs--highlighting examples of best practice among service models in Malawi, Indonesia and Belarus--before reviewing the status of the extant research in this field. It concludes that while much has been achieved in palliative care for adults, less attention has been devoted to the education, clinical practice, funding and research needed to ensure children and young people receive the palliative care they need.


Adolescent Health; Health Service; Palliative Care

[Indexed for MEDLINE]

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