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Children 2018, 5(2), 27;

Paediatric Palliative Care in Resource-Poor Countries

International Children’s Palliative Care Network, Assagay 3624, South Africa
Author to whom correspondence should be addressed.
Received: 30 November 2017 / Revised: 9 February 2018 / Accepted: 12 February 2018 / Published: 19 February 2018
(This article belongs to the Special Issue Pediatric Palliative Care)
PDF [6361 KB, uploaded 22 February 2018]


There is a great need for paediatric palliative care (PPC) services globally, but access to services is lacking in many parts of the world, particularly in resource-poor settings. Globally it is estimated that 21.6 million children need access to palliative care, with 8.2 needing specialist services. PC has been identified as important within the global health agenda e.g., within universal health coverage, and a recent Lancet commission report recognised the need for PPC. However, a variety of challenges have been identified to PPC development globally such as: access to treatment, access to medications such as oral morphine, opiophobia, a lack of trained health and social care professionals, a lack of PPC policies and a lack of awareness about PPC. These challenges can be overcome utilising a variety of strategies including advocacy and public awareness, education, access to medications, implementation and research. Examples will be discussed impacting on the provision of PPC in resource-poor settings. High-quality PPC service provision can be provided with resource-poor settings, and there is an urgent need to scale up affordable, accessible, and quality PPC services globally to ensure that all children needing palliative care can access it. View Full-Text
Keywords: palliative care; paediatric/pediatric/children; low-resource settings; advocacy; education; access to medicines palliative care; paediatric/pediatric/children; low-resource settings; advocacy; education; access to medicines

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Downing, J.; Boucher, S.; Daniels, A.; Nkosi, B. Paediatric Palliative Care in Resource-Poor Countries. Children 2018, 5, 27.

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