Building Capacity for Paediatric Cancer and Palliative Care in Papua New Guinea

Abstract

Background and Aims: In Papua New Guinea (PNG), childhood cancer outcomes remain poor, hampered by cultural beliefs, delayed detection, inadequate medical facilities, and a lack of trained health professionals. Recognising the urgent need for capacity building, we implemented a targeted educational initiative to equip PNG healthcare providers and pastoral care teams, with specialised knowledge in paediatric oncology and palliative care. Methods: A multidisciplinary team, including Australian paediatric palliative care, oncology, nursing, pharmacy, and orthoptics specialists, partnered with PNG-based healthcare leaders to codeliver a week-long, face-to-face training program. Fifty-two participants attended-comprising paediatricians, nurses, allied health professionals, and chaplains-from 11 provinces across PNG. Sessions focused on essential palliative care principles and approaches to pain and symptom relief, psychosocial support, and oncology care, adapted to PNG's unique healthcare context. Posttraining surveys evaluated participants' perceptions of content relevance, knowledge/skill improvement, and priorities for future training/development. Results: High overall program satisfaction was reported, with 96% of attendees rating the workshop as “good” or “very good.” Participants identified key ongoing challenges as limited workforce capacity, insufficient interdisciplinary collaboration, and the emotional toll on healthcare providers. They also noted structural obstacles, including scarce resources and the need for greater institutional/organisational support to apply new skills. Conclusions: This initiative marks a critical step towards elevating paediatric palliative and cancer care standards in PNG. It has laid the groundwork for sustained educational efforts that are responsive to local needs. Moving forward, priorities include establishing long-term training frameworks, broadening multidisciplinary care, and embedding palliative care within routine paediatric oncology practice.