Document Type
Article
Department
School of Nursing and Midwifery, East Africa
Abstract
Background Comprehensive pain management in children requires a specialized skillset, with a limited number of clinicians possessing the level of expertise required to successfully navigate the complexities of holistic care. The emergence of pediatric anesthesia fellowship programs in sub-Saharan Africa presents an opportunity to embed a pediatric pain curriculum for trainees, improving the availability of specialist skill and knowledge in the field. Existing pain curricula fall short in addressing the sociocultural aspects of pediatric pain identified through research as being unique to the African context, and do not include elements of leadership and advocacy training required to navigate the complexities of resource-constrained healthcare settings.
Methods A Delphi survey including literature review, iterative rounds of surveys and expert consensus was used to establish a pediatric pain curriculum for pediatric anesthesia fellows undertaking advanced training in sub-Saharan Africa. The 22-member expert panel included anesthetists, nurses, surgeons, pharmacists, pediatricians, a physiotherapist and a patient-caregiver dyad with a lived experience of pain. After completing three rounds of surveys, a steering committee of five members was assembled to resolve outstanding items to achieve the final curriculum.
Results The process yielded a curriculum containing 20 knowledge items and 23 skills items. Attitudes are a key component of the curriculum and were grouped into six themes. A further aspect of the process was the identification of foundational knowledge with which trainees should enter a fellowship training program. This was termed the foundational curriculum.
Conclusion Using a Delphi method, consensus has been achieved on a pediatric pain curriculum for pediatric anesthesia fellows in sub-Saharan Africa with potential to meet the identified need for transformative pain care in this patient population.
Publication (Name of Journal)
Paediatric anaesthesia
DOI
https://doi.org/10.1002/pan.70193
Recommended Citation
Bhettay, A.,
Gray, R.,
Parker, R.,
Allorto, N.,
Amponsah, A.,
Anderson, B.,
Baranzila, L.,
Carapinha, C.,
Carolus, S.,
Kyololo, O.
(2026). Developing a pediatric pain curriculum for pediatric anesthesia fellows in Sub-Saharan Africa: A delphi study. Paediatric anaesthesia, 1-13.
Available at:
https://ecommons.aku.edu/eastafrica_fhs_sonam/598
Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial-No Derivative Works 4.0 International License.