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Directorate of Public Health Services Ministry of Health and Social Welfare, The Gambia Paediatric palliative care services in low income countries compete for resources with many other priorities both in paediatric health services, and within the whole health system. Their provision is desirable and the development of a sustainable service that would include advocacy, training health and community care workers, policy development and mentorship, requires a substantial budget which at present the Gambian Ministry of Health (MoH) is unable to provide.  Lyn Gould – Butterfly Children’s Hospices – China When I heard Mrs Lyn Gould from the Butterfly Hospice in China give a presentation on caring for children with palliative care needs this inspired me to explore ways of starting up a palliative care service in The Gambia which has a large unmet need of children living with life-threatening and life-limiting conditions.  On enquiring about the process of initiating such a servi

United kingdomCity ofThe gambiaDeborah shanksLyn gouldMansur soweLamin makaloMalcom macraeJulia downingUniversity of edinburgh global health academyWorld health organizationUniversity of edinburghGambian ministry of health moInternational children palliative care networkProtein energy malnutritionPaediatric association