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      Taking Paediatrics Abroad: Working with low‐ and middle‐income countries in a global pandemic

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          Abstract

          Children and young people around the world face challenges to their health and wellbeing. In particular, in low‐ and middle‐income countries they experience a higher burden of disease, exacerbated by global inequity limiting access to quality health care. According to the inverse care law, the availability of quality health care varies inversely to the need of the population, and hardworking health‐care professionals in under‐resourced countries may face impediments to continued education or subspecialty training. In line with the Sustainable Development Goals, collaborations have been developed between high‐income and low‐ and‐middle‐income countries to address global disparities in health. These collaborations face challenges of high financial costs, difficulties creating long‐term sustainable change, and with the emergence of the COVID‐19 pandemic, border closures preventing fly‐in volunteers. In this paper, we describe the development of an innovative, paediatric‐specific model of care for training and support between high‐ and low‐income countries – Taking Paediatrics Abroad Ltd. Taking Paediatrics Abroad supports the development of mutually beneficial relationships between Australian paediatric health‐care professionals and paediatric health‐care professionals in developing countries and remote, underserved Australian Aboriginal communities. Since May 2020, there have been over 100 sessions covering a vast array of paediatric specialties. This article explores Taking Paediatrics Abroad's model of care, its implementation and challenges, and opportunities for the future.

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          Telehealth.

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            A future for the world's children? A WHO–UNICEF–Lancet Commission

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              Determinants of successful telemedicine implementations: a literature study.

              Telemedicine implementations often remain in the pilot phase and do not succeed in scaling-up to robust products that are used in daily practice. We conducted a qualitative literature review of 45 conference papers describing telemedicine interventions in order to identify determinants that had influenced their implementation. The identified determinants, which would influence the future implementation of telemedicine interventions, can be classified into five major categories: (1) Technology, (2) Acceptance, (3) Financing, (4) Organization and (5) Policy and Legislation. Each category contains determinants that are relevant to different stakeholders in different domains. We propose a layered implementation model in which the primary focus on individual determinants changes throughout the development life cycle of the telemedicine implementation. For success, a visionary approach is required from the multidisciplinary stakeholders, which goes beyond tackling specific issues in a particular development phase. Thus the right philosophy is: 'start small, think big'.
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                Author and article information

                Contributors
                k.currow@takingpaediatricsabroad.org.au
                Journal
                J Paediatr Child Health
                J Paediatr Child Health
                10.1111/(ISSN)1440-1754
                JPC
                Journal of Paediatrics and Child Health
                John Wiley & Sons Australia, Ltd. (Australia )
                1034-4810
                1440-1754
                04 June 2021
                : 10.1111/jpc.15598
                Affiliations
                [ 1 ] Discipline of Paediatrics, School of Women's and Children's Health, Faculty of Medicine University of New South Wales Sydney New South Wales Australia
                [ 2 ] Taking Paediatrics Abroad Advisory Group Taking Paediatrics Abroad Ltd Sydney New South Wales Australia
                [ 3 ] National Paediatric Hospital Phnom Penh Cambodia
                [ 4 ] Discipline of Paediatrics University of Health Sciences of Cambodia Phnom Penh Cambodia
                [ 5 ] Department of Paediatrics National Referral Hospital Honiara Solomon Islands
                [ 6 ] Department of Paediatrics Port Vila Central Hospital Port Vila Vanuatu
                [ 7 ] Department of Paediatrics Vaiola Hospital Nuku'alofa Tonga
                [ 8 ] Department of Cardiology Royal Prince Alfred Hospital Sydney Australia
                [ 9 ] Sydney Children's Hospitals Network Sydney New South Wales Australia
                [ 10 ] Faculty of Medicine University of Notre Dame Sydney New South Wales Australia
                Author notes
                [*] [* ] Correspondence: Dr Kathryn Currow, PO Box 19, Stockton 2295. email: k.currow@ 123456takingpaediatricsabroad.org.au

                Author information
                https://orcid.org/0000-0003-4796-2533
                Article
                JPC15598
                10.1111/jpc.15598
                8242619
                34085347
                2f025722-b51d-4aa6-892d-7d1deeb5123d
                © 2021 Paediatrics and Child Health Division (The Royal Australasian College of Physicians)

                This article is being made freely available through PubMed Central as part of the COVID-19 public health emergency response. It can be used for unrestricted research re-use and analysis in any form or by any means with acknowledgement of the original source, for the duration of the public health emergency.

                History
                : 06 May 2021
                : 15 April 2021
                : 23 May 2021
                Page count
                Figures: 1, Tables: 0, Pages: 5, Words: 3947
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                Converter:WILEY_ML3GV2_TO_JATSPMC version:6.0.2 mode:remove_FC converted:30.06.2021

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