title: Pediatric pathology services in Africa.
abstract: BACKGROUND
  Like other pathology services in developing settings, pediatric pathology in Africa is faced with major challenges such as limited access to resources and few opportunities for professional advancement. Additionally, the discrepancy between the large burden of pediatric diseases, many of which individually are rare enough to prove challenging to the general pathologist, and the amount of specialized training available compounds the underlying problems and makes the provision of a high-quality service difficult. Pediatric neoplasms in particular are a chief cause for concern among general pathologists practicing in Africa.
  
  
  OBJECTIVE
  To provide relevant pediatric pathology information with an emphasis on pediatric malignancies to pathologists practicing in Africa, where children represent a very high proportion of the population and training in pediatric pathology is incomplete.
  
  
  METHODS
  Authors' experience and relevant literature.
  
  
  CONCLUSIONS
  The limitations inherent in working within a low-resource setting may be reduced by thoughtful and purposeful triaging of specimens, prudent use of cytology in facilitating rapid and inexpensive diagnoses, and collaboration within and outside of the continent. Increased investment in and advocacy for child health, including the creation of additional hospitals dedicated to the care of children, are likely necessary to significantly advance children's health in the region.
authors.affiliation: Department of Pathology, Massachusetts General Hospital, Boston, MA, USA.
authors.forename: Darcy A
authors.initials: DA
authors.lastname: Kerr
authors.forename: Ronald Otto Christian
authors.initials: RO
authors.lastname: Kaschula
mesh_terms: D000349:Africa / Q000453:epidemiology; D002648:Child; D002675:Child, Preschool; D003906:Developing Countries; D006801:Humans; D007223:Infant; D009369:Neoplasms / Q000175:diagnosis* / Q000401:mortality; D010336:Pathology / Q000458:organization & administration* / Q000592:standards; D010372:Pediatrics; D015996:Survival Rate; D000078329:Workforce