Models of lifelong care for children and adolescents with chronic conditions in low-income and middle-income countries: a scoping review
- PMID: 35787510
- PMCID: PMC9255401
- DOI: 10.1136/bmjgh-2021-007863
Models of lifelong care for children and adolescents with chronic conditions in low-income and middle-income countries: a scoping review
Abstract
Globally, non-communicable diseases (NCDs) or chronic conditions account for one-third of disability-adjusted life-years among children and adolescents under the age of 20. Health systems must adapt to respond to the growing burden of NCDs among children and adolescents who are more likely to be marginalised from healthcare access and are at higher risk for poor outcomes. We undertook a review of recent literature on existing models of chronic lifelong care for children and adolescents in low-income and middle-income countries with a variety of NCDs and chronic conditions to summarise common care components, service delivery approaches, resources invested and health outcomes.
Keywords: Health systems; Paediatrics; Review.
© Author(s) (or their employer(s)) 2022. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.
Conflict of interest statement
Competing interests: None declared.
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References
-
- United Nations Inter-Agency Group for Child Mortality Estimation (UN IGME) . ‘Levels & Trends in Child Mortality: Report 2021, Estimates developed by the United Nations Inter-Agency Group for Child Mortality Estimation’, United Nations Children’s Fund, New York, 2021
-
- , Reiner RC, Olsen HE, et al. , GBD 2017 Child and Adolescent Health Collaborators . Diseases, injuries, and risk factors in child and adolescent health, 1990 to 2017: findings from the global burden of diseases, injuries, and risk factors 2017 study. JAMA Pediatr 2019;173:e190337. 10.1001/jamapediatrics.2019.0337 - DOI - PMC - PubMed
-
- , Kassebaum N, Kyu HH, et al. , Global Burden of Disease Child and Adolescent Health Collaboration . Child and adolescent health from 1990 to 2015: findings from the global burden of diseases, injuries, and risk factors 2015 study. JAMA Pediatr 2017;171:573–92. 10.1001/jamapediatrics.2017.0250 - DOI - PMC - PubMed
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