Global development of children’s palliative care: the picture in 2017

Clelland, D. , van Steijn, D., Macdonald, M. E., Connor, S., Centeno, C. and Clark, D. (2020) Global development of children’s palliative care: the picture in 2017. Wellcome Open Research, 5, 99. (doi: 10.12688/wellcomeopenres.15815.3)

Abstract

Background: The growing interest in tracking the global development of palliative care provision is not matched by research on the development of palliative care services specifically for children. Yet it is estimated that worldwide, 21 million children annually could benefit from the provision of palliative care. We report on a global study of children’s palliative care development and offer suggestions for further improvement in design and method. Methods: Primary data on the level of children’s palliative care development in 2017 was collected from in-country experts through a specific question in an online questionnaire that sought to measure the overall level of palliative care provision globally. Countries were assigned to one of six categories on the basis of the responses obtained. Conflicting responses from the same country were resolved with reference to a hierarchy of preferred respondents. Results: Our data allowed the categorisation of 113 countries, accounting for 65% of the global population aged under 20. Number of countries (% of global child population) in each category were as follows: 1) no known activity, 21 (4%); 2) capacity-building, 16 (24%); 3a) isolated provision, 55 (30%); 3b) generalized provision, 5 (1%); 4a) preliminary integration into mainstream provision, 14 (8%); 4b) advanced integration, 7 (2%). Conclusions: Children’s palliative care at the highest level of provision is available in just 21 countries, accounting for fewer than 10% of the global population aged under 20. It is concentrated in high income settings, whilst the majority of the global need for such care is in low- and middle-income countries. Our study is a useful tool for global advocacy relating to children’s palliative care and a stimulus for the creation of improved indicators to measure it at the country level.

• Item Type: Articles
• Additional Information: Version 3; peer review: 1 approved, 2 approved with reservations, 1 not approved.
• Status: Published
• Refereed: Yes
• Glasgow Author(s) Enlighten ID: Clark, Professor David and Clelland, Dr David

Creator Roles

Clelland, D.: Visualization, Writing – original draft, Writing – review and editing
Clark, D.: Conceptualization, Funding acquisition, Methodology, Writing – original draft, Writing – review and editing

• Authors: Clelland, D., van Steijn, D., Macdonald, M. E., Connor, S., Centeno, C., and Clark, D.
• College/School: College of Social Sciences > School of Social & Environmental Sustainability
• Journal Name: Wellcome Open Research
• Publisher: F1000Research
• ISSN: 2398-502X
• ISSN (Online): 2398-502X
• Published Online: 20 May 2020
• Copyright Holders: Copyright © 2020 Clelland D et al.
• First Published: First published in Wellcome Open Research 5: 99
• Publisher Policy: Reproduced under a Creative Commons License
• Data DOI: 10.5525/gla.researchdata.995

Project Code	Award No	Project Name	Principal Investigator	Funder's Name	Funder Ref	Lead Dept
170345		Interventions at the end of life: social, historical and comparative analysis to promote global improvement.	David Clark	Wellcome Trust (WELLCOTR)	103319/Z/13/Z	IS - Interdisciplinary Studies