APCA Atlas of Palliative Care in Africa

BACKGROUND Since Wright & Clark’s book on palliative care in Africa in 2006, there has not been a comprehensive overview describing the state of palliative care development in African countries. AIMS To describe the current state of palliative care (PC) development in Africa according to the WHO...

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Autores: Rhee, J.Y. (John Y.)|||/items/226e65ec-b384-4820-8ca9-6fb7f2587d3c, Luyirika, E. (Emmanuel)|||/items/b9e9a86b-c728-426e-9e91-4ec1d45f08bd, Namisango, E. (Eve)|||/items/eb7262a6-21b3-4c62-b84d-5fe5a48b6c02, Powell, R.A. (Richard A.)|||/items/69cebe40-bc21-4861-a279-cb83b4baa0f9, Garralda-Domezain, E. (Eduardo)|||/items/4889891c-a97b-47ad-841f-f3285703cac3, Pons-Izquierdo, J.J. (Juan José)|||/items/d351a355-e670-4f39-addf-acef083bc8de, Lima, L. (Liliana) de|||/items/17852ed9-dd01-42bf-9b79-29dd51c3627e, Centeno, C. (Carlos)|||/items/51b2dfa8-5e18-4188-a2f8-410672dce680
Formato: livro
Fecha de publicación:2017
País:España
Recursos:Universidad de Navarra
Repositorio:Dadun. Depósito Académico Digital de la Universidad de Navarra
Idioma:inglés
OAI Identifier:oai:dadun.unav.edu:10171/43301
Acesso em linha:https://hdl.handle.net/10171/43301
Access Level:acceso abierto
Palavra-chave:Palliative care
Cuidados paliativos
Africa
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spelling APCA Atlas of Palliative Care in AfricaRhee, J.Y. (John Y.)|||/items/226e65ec-b384-4820-8ca9-6fb7f2587d3cLuyirika, E. (Emmanuel)|||/items/b9e9a86b-c728-426e-9e91-4ec1d45f08bdNamisango, E. (Eve)|||/items/eb7262a6-21b3-4c62-b84d-5fe5a48b6c02Powell, R.A. (Richard A.)|||/items/69cebe40-bc21-4861-a279-cb83b4baa0f9Garralda-Domezain, E. (Eduardo)|||/items/4889891c-a97b-47ad-841f-f3285703cac3Pons-Izquierdo, J.J. (Juan José)|||/items/d351a355-e670-4f39-addf-acef083bc8deLima, L. (Liliana) de|||/items/17852ed9-dd01-42bf-9b79-29dd51c3627eCenteno, C. (Carlos)|||/items/51b2dfa8-5e18-4188-a2f8-410672dce680Palliative careCuidados paliativosAfricaBACKGROUND Since Wright & Clark’s book on palliative care in Africa in 2006, there has not been a comprehensive overview describing the state of palliative care development in African countries. AIMS To describe the current state of palliative care (PC) development in Africa according to the WHO’s Public Health Strategy for integrating PC: policies, availability and access to medicines, education, and service provision. METHODS Qualitative interviews were conducted with 16 Country Experts (March-August 2016). From those interviews, 367 indicators were derived, 130 after exclusion criteria and content analysis were performed. The Country Experts rated the indicators for validity & feasibility, a 14-member international committee of experts participated in a two-round modified UCLA-RAND Delphi consensus, and the co-authors (November-December 2016) ranked the indicators. The final 19 indicators were further defined and sent to 66 Key Country Informants from 51 African countries (January-March 2017). RESULTS Surveys were received from 89% (48/54) of African countries. Uganda, South Africa, and Kenya have the highest number of specialised hospice and PC services (71% of identified PC services); 19% (9/48) have no identified hospice and PC services. 22% (12/48) indicated having stand-alone PC policies, and 42% (20/48) reported having a dedicated person for PC in the Ministry. Zambia, Uganda, South Africa, Kenya, Ghana, and Egypt reported some official form of physician accreditation. Opioid consumption per capita was low (75% countries had <1 mg consumption/capita/year) compared to the global average (43mg/capita/year), with highest consumption in Mauritius, South Africa, Namibia, and Morocco. 54% (26/48) reported having a national PC association. CONCLUSIONS This study shows that there is limited PC development in Africa, but there is also a significant improvement in the number of countries with hospice and PC services, compared to previous reports. Improvements in advocacy were identified, with more than half of countries reporting a national PC association. Governments need to take the steps to improve education, increase the number of services, and ensure safe access to opioids.AHPC PressDadun. Depósito Académico Digital Universidad de Navarra20172017-05-1720172017-01-0120172017-01-01bookhttp://purl.org/coar/resource_type/c_2f33info:eu-repo/semantics/bookapplication/pdfhttps://hdl.handle.net/10171/43301reponame:Dadun. Depósito Académico Digital de la Universidad de Navarrainstname:Universidad de NavarraInglésengopen accesshttp://purl.org/coar/access_right/c_abf2info:eu-repo/semantics/openAccessoai:dadun.unav.edu:10171/433012026-06-21T12:47:57Z
dc.title.none.fl_str_mv APCA Atlas of Palliative Care in Africa
title APCA Atlas of Palliative Care in Africa
spellingShingle APCA Atlas of Palliative Care in Africa
Rhee, J.Y. (John Y.)|||/items/226e65ec-b384-4820-8ca9-6fb7f2587d3c
Palliative care
Cuidados paliativos
Africa
title_short APCA Atlas of Palliative Care in Africa
title_full APCA Atlas of Palliative Care in Africa
title_fullStr APCA Atlas of Palliative Care in Africa
title_full_unstemmed APCA Atlas of Palliative Care in Africa
title_sort APCA Atlas of Palliative Care in Africa
dc.creator.none.fl_str_mv Rhee, J.Y. (John Y.)|||/items/226e65ec-b384-4820-8ca9-6fb7f2587d3c
Luyirika, E. (Emmanuel)|||/items/b9e9a86b-c728-426e-9e91-4ec1d45f08bd
Namisango, E. (Eve)|||/items/eb7262a6-21b3-4c62-b84d-5fe5a48b6c02
Powell, R.A. (Richard A.)|||/items/69cebe40-bc21-4861-a279-cb83b4baa0f9
Garralda-Domezain, E. (Eduardo)|||/items/4889891c-a97b-47ad-841f-f3285703cac3
Pons-Izquierdo, J.J. (Juan José)|||/items/d351a355-e670-4f39-addf-acef083bc8de
Lima, L. (Liliana) de|||/items/17852ed9-dd01-42bf-9b79-29dd51c3627e
Centeno, C. (Carlos)|||/items/51b2dfa8-5e18-4188-a2f8-410672dce680
author Rhee, J.Y. (John Y.)|||/items/226e65ec-b384-4820-8ca9-6fb7f2587d3c
author_facet Rhee, J.Y. (John Y.)|||/items/226e65ec-b384-4820-8ca9-6fb7f2587d3c
Luyirika, E. (Emmanuel)|||/items/b9e9a86b-c728-426e-9e91-4ec1d45f08bd
Namisango, E. (Eve)|||/items/eb7262a6-21b3-4c62-b84d-5fe5a48b6c02
Powell, R.A. (Richard A.)|||/items/69cebe40-bc21-4861-a279-cb83b4baa0f9
Garralda-Domezain, E. (Eduardo)|||/items/4889891c-a97b-47ad-841f-f3285703cac3
Pons-Izquierdo, J.J. (Juan José)|||/items/d351a355-e670-4f39-addf-acef083bc8de
Lima, L. (Liliana) de|||/items/17852ed9-dd01-42bf-9b79-29dd51c3627e
Centeno, C. (Carlos)|||/items/51b2dfa8-5e18-4188-a2f8-410672dce680
author_role author
author2 Luyirika, E. (Emmanuel)|||/items/b9e9a86b-c728-426e-9e91-4ec1d45f08bd
Namisango, E. (Eve)|||/items/eb7262a6-21b3-4c62-b84d-5fe5a48b6c02
Powell, R.A. (Richard A.)|||/items/69cebe40-bc21-4861-a279-cb83b4baa0f9
Garralda-Domezain, E. (Eduardo)|||/items/4889891c-a97b-47ad-841f-f3285703cac3
Pons-Izquierdo, J.J. (Juan José)|||/items/d351a355-e670-4f39-addf-acef083bc8de
Lima, L. (Liliana) de|||/items/17852ed9-dd01-42bf-9b79-29dd51c3627e
Centeno, C. (Carlos)|||/items/51b2dfa8-5e18-4188-a2f8-410672dce680
author2_role author
author
author
author
author
author
author
dc.contributor.none.fl_str_mv Dadun. Depósito Académico Digital Universidad de Navarra
dc.subject.none.fl_str_mv Palliative care
Cuidados paliativos
Africa
topic Palliative care
Cuidados paliativos
Africa
description BACKGROUND Since Wright & Clark’s book on palliative care in Africa in 2006, there has not been a comprehensive overview describing the state of palliative care development in African countries. AIMS To describe the current state of palliative care (PC) development in Africa according to the WHO’s Public Health Strategy for integrating PC: policies, availability and access to medicines, education, and service provision. METHODS Qualitative interviews were conducted with 16 Country Experts (March-August 2016). From those interviews, 367 indicators were derived, 130 after exclusion criteria and content analysis were performed. The Country Experts rated the indicators for validity & feasibility, a 14-member international committee of experts participated in a two-round modified UCLA-RAND Delphi consensus, and the co-authors (November-December 2016) ranked the indicators. The final 19 indicators were further defined and sent to 66 Key Country Informants from 51 African countries (January-March 2017). RESULTS Surveys were received from 89% (48/54) of African countries. Uganda, South Africa, and Kenya have the highest number of specialised hospice and PC services (71% of identified PC services); 19% (9/48) have no identified hospice and PC services. 22% (12/48) indicated having stand-alone PC policies, and 42% (20/48) reported having a dedicated person for PC in the Ministry. Zambia, Uganda, South Africa, Kenya, Ghana, and Egypt reported some official form of physician accreditation. Opioid consumption per capita was low (75% countries had <1 mg consumption/capita/year) compared to the global average (43mg/capita/year), with highest consumption in Mauritius, South Africa, Namibia, and Morocco. 54% (26/48) reported having a national PC association. CONCLUSIONS This study shows that there is limited PC development in Africa, but there is also a significant improvement in the number of countries with hospice and PC services, compared to previous reports. Improvements in advocacy were identified, with more than half of countries reporting a national PC association. Governments need to take the steps to improve education, increase the number of services, and ensure safe access to opioids.
publishDate 2017
dc.date.none.fl_str_mv 2017
2017-05-17
2017
2017-01-01
2017
2017-01-01
dc.type.none.fl_str_mv book
http://purl.org/coar/resource_type/c_2f33
dc.type.openaire.fl_str_mv info:eu-repo/semantics/book
format book
dc.identifier.none.fl_str_mv https://hdl.handle.net/10171/43301
url https://hdl.handle.net/10171/43301
dc.language.none.fl_str_mv Inglés
eng
language_invalid_str_mv Inglés
language eng
dc.rights.none.fl_str_mv open access
http://purl.org/coar/access_right/c_abf2
dc.rights.openaire.fl_str_mv info:eu-repo/semantics/openAccess
rights_invalid_str_mv open access
http://purl.org/coar/access_right/c_abf2
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv AHPC Press
publisher.none.fl_str_mv AHPC Press
dc.source.none.fl_str_mv reponame:Dadun. Depósito Académico Digital de la Universidad de Navarra
instname:Universidad de Navarra
instname_str Universidad de Navarra
reponame_str Dadun. Depósito Académico Digital de la Universidad de Navarra
collection Dadun. Depósito Académico Digital de la Universidad de Navarra
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