In South Africa we have a challange of paediatric doctors and centres. Forinstance we only have one Hospital with enough mordern medical equipment for special needs of children, which is Red Cross Hospital in Cape town. The fact that this Hospital is not only catering for the children in South Africa only but the SADAC and Sub Sharan African region it shows how we lack behind interms of infrustructure. When it comes to the care of children in our health care sector we still lack behind the palliative care for children. In many cases one would notice that children do not get the hollistic care because of our constitutional barriers, eg the participation in decision making of the treatment by children it is disregarded by many health care workers. From the above point I also value the age appropriateness but one woul rarelly see this happening. I also find it very interesting that when it comes to mourning greaving and bereavement care, children are regarded as people who do not feel the loss but this is not true they feel everything we feel but the difference is expression. I think what we need is to seat down and challange our health care system as they have signed the agreement of the WHO and the UN health care standards to include palliative care in our universities. It does not matter where one prctices as a professional we are all affected by palliative care issues.