title: Children's palliative care in low- and middle-income countries.
abstract: 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.
authors.affiliation: International Children's Palliative Care Network, London, UK Makerere University, Kampala, Uganda.
authors.forename: Julia
authors.initials: J
authors.lastname: Downing
authors.affiliation: Global Health Researcher, Nairobi, Kenya.
authors.forename: Richard A
authors.initials: RA
authors.lastname: Powell
authors.affiliation: International Children's Palliative Care Network, Bloemfontein, South Africa.
authors.forename: Joan
authors.initials: J
authors.lastname: Marston
authors.affiliation: Palliative Care Support Trust, Queen Elizabeth Central Hospital, Blantyre, Malawi.
authors.forename: Cornelius
authors.initials: C
authors.lastname: Huwa
authors.affiliation: Rachel House, Jakarta, Indonesia.
authors.forename: Lynna
authors.initials: L
authors.lastname: Chandra
authors.affiliation: Belarusian Children's Hospice, Minsk Region, Belarus.
authors.forename: Anna
authors.initials: A
authors.lastname: Garchakova
authors.affiliation: Department of Palliative Care, Policy and Rehabilitation, Cicely Saunders Institute, King's College London, London, UK.
authors.forename: Richard
authors.initials: R
authors.lastname: Harding
mesh_terms: D002648:Child; D002662:Child Health Services / Q000458:organization & administration / Q000592:standards*; D003695:Delivery of Health Care / Q000458:organization & administration / Q000592:standards*; D003906:Developing Countries; D019317:Evidence-Based Medicine; D006801:Humans; D007214:Indonesia; D008295:Malawi; D017146:Models, Organizational; D010166:Palliative Care / Q000458:organization & administration / Q000592:standards*; D011203:Poverty; D002094:Republic of Belarus
keywords: Adolescent Health; Health Service; Palliative Care