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Project ECHO Paediatric Palliative Care

​The potential impact of this project is significant. The Project ECHO PPC will develop the first group of clinicians who have enhanced training in pediatric palliative care in Bangladesh. These clinicians will be able to provide an expanded scope of palliative care services for children receiving services from Spoke Facilities and will be equipped to increase awareness about palliative care in the medical profession. These physicians will understand the importance of palliative care and pain relief for children and will be able to advocate for these services to be available for all children in Bangladesh. Additional emphasis of the importance of medical care which reduces suffering and improves the quality of life for children and families will occur among clinicians throughout Dhaka. Spoke Facilities will become a model for PPC in Bangladesh.

For more information about joining Project ECHO Pediatric Palliative Care, please contact CPCIB Programme Coordinator, Ms Rizwana Hussain (rizwana.hussain@worldchildcancer.org).

More Information
Project Management 
Inputs

Spoke Facilities will provide in-direct input to cover the following:

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  1. Allocation of space, office equipment (tables, chairs), WiFi internet (uninterrupted, high speed), and use of Spoke facilities to carry out the training activities

  2. Remuneration of staff involved in the project, as part of their normal duties.

  3. Several key physicians must be identified who will be encouraged to attend all ECHO sessions (staff will be relieved of their clinical duties to attend the sessions). Nurses and other clinical staff (social workers and others) will be welcome to attend the sessions as well.

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World Child Cancer and Two Worlds Cancer Collaboration will provide human and financial resources including:

 

  1. Providing pediatric palliative care experts to give training sessions

  2. Information technology support for all ECHO sessions

  3. ECHO training for ECHO participant staff

  4. Design and development of teaching materials including education packages, surveys and evaluations

  5. Participation in different committees related to the development of education in pediatric palliative care

  6. Travel costs of international and local consultants and other professionals working on this project

  7. Miscellaneous

Potential Impact 

​Project ECHO is a model for providing specialty training in areas without access to local experts through a hub-and-spoke knowledge-sharing network. At the hub, the expert team uses multi-point videoconferencing to conduct virtual training with providers. ECHO has been shown to improve care and the confidence of clinical staff.

​There is an opportunity to expand the scope of the palliative care educational activities at the Spoke Health Care Facilities, as administrative and clinical staff recognize the importance of palliative care and are eager provide increased training for clinical staff.

Specific Opportunities
Objectives of the Project 

Improve the quality of life for children with life-threatening and life-limiting illnesses through the provision of high quality of pediatric palliative care, through the provision of high quality, expert lead education and training in pediatric palliative care for staff of Spoke Health Care Facilities.

  1. Spoke Health Care Facilities will join Project ECHO Pediatric Palliative Care (PPC), as a participant sites.

   2. A Certificate of Enhanced Competence in Pediatric Palliative Care will be provided to all physicians and nurses who complete Project ECHO Pediatric Palliative Care (PPC) training, as per the requirements of this certificate.

Programme 

1. Project ECHO Pediatric Palliative Care (PPC)

Staff from Spoke Health Care Facilities will be invited to participate in the Project ECHO PPC, which will be coordinated by Two Worlds Cancer Collaboration. The Project ECHO PPC hub will be in Hyderabad, India with international experts in PPC participating as faculty members. This project will consist of twice monthly clinical teaching and case discussion using an online teleconferencing platform called Zoom. The sessions will be 90-120 minutes in duration.

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2.. Evaluations of Clinicians’ Knowledge in PPC

Staff knowledge about PPC will be monitored and evaluated throughout the duration of Project ECHO PPC. These evaluations will be incorporated into the ECHO sessions.

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3. Certificate of Enhanced Competence in Pediatric Palliative Care

This certificate will be awarded to all clinical staff who participate in a minimum of 80% of ECHO sessions over the course of 1 year.

Anticipated Results

  1. Improved knowledge and skills in pediatric palliative care among clinical staff (physicians and nurses).

  2. Strengthening of the confidence and capabilities of clinical staff (physician and nurses) to provide palliative care to children and their families.

  3. Increased awareness and advocacy efforts by staff from Spoke Health Care Facilities to colleagues, the general public, administrators and policy makers.

​Project ECHO PPC will be managed and supported by Two Worlds Cancer Collaboration and World Child Cancer.
 

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