The World Health Organization identifies palliative care as a basic human right, yet access to services remains limited for children with the greatest need globally. This capstone project will examine pediatric service provision through two avenues. The purpose of the systematic review will be to examine the prevalence of pediatric palliative care programs, interventions, and outcomes for children with terminal illnesses in sub-Saharan Africa. Secondary analysis will be completed during the experiential component of the capstone in Blantyre, Malawi. This work will comprise of a comprehensive quality improvement assessment of the non-profit organization Open Arms Malawi's programs and services.