Rachel House is the first pediatric palliative care service in Indonesia established in 2006. Our vision is that no child should ever have to live or die in pain. Our core program is a home care service, provided at free of charge for children age 0-18 years living with cancer or HIV from marginalised communities in Jakarta. Without the service, many of the children would have to spend their last days without access to care. Our team of palliative care-trained nurses manage the pain and symptoms of patients, as well as providing emotional, social, and spiritual support for patients and their families. The nurses educate the parents to ensure that the best care is given to the children to improve quality of life. Being the pioneering service in Indonesia, we actively provide palliative care training to medical professionals and community health volunteers to help establish a palliative care ecosystem in Indonesia; so that one day, palliative care will be available and accessible by all.