An analysis of palliative care development in Africa: a ranking based on region-specific macro-indicators

CONTEXT: To date, there is no study comparing palliative care (PC) development among African countries. OBJECTIVE: To analyze comparatively PC development in African countries based on region-specific indicators. METHODS: Data were obtained from the APCA Atlas of PC in Africa and a comparative analy...

Descripción completa

Detalles Bibliográficos
Autores: Rhee, J.Y. (John Y.)|||/items/226e65ec-b384-4820-8ca9-6fb7f2587d3c, Garralda-Domezain, E. (Eduardo)|||/items/4889891c-a97b-47ad-841f-f3285703cac3, Namisango, E. (Eve)|||/items/eb7262a6-21b3-4c62-b84d-5fe5a48b6c02, Luyirika, E. (Emmanuel)|||/items/b9e9a86b-c728-426e-9e91-4ec1d45f08bd, Lima, L. (Liliana) de|||/items/17852ed9-dd01-42bf-9b79-29dd51c3627e, Powell, R.A. (Richard A.)|||/items/69cebe40-bc21-4861-a279-cb83b4baa0f9, López-Fidalgo, J.F. (Jesús Fernando)|||/items/169ec035-21e6-475f-be38-215b04163b04, Centeno, C. (Carlos)|||/items/51b2dfa8-5e18-4188-a2f8-410672dce680
Tipo de recurso: artículo
Fecha de publicación:2018
País:España
Institución:Universidad de Navarra
Repositorio:Dadun. Depósito Académico Digital de la Universidad de Navarra
Idioma:inglés
OAI Identifier:oai:dadun.unav.edu:10171/53281
Acceso en línea:https://hdl.handle.net/10171/53281
Access Level:acceso abierto
Palabra clave:Africa
Atlas
Palliative care development
Public health
Ranking
Materias Investigacion::Ciencias de la Salud
Medicina paliativa
Descripción
Sumario:CONTEXT: To date, there is no study comparing palliative care (PC) development among African countries. OBJECTIVE: To analyze comparatively PC development in African countries based on region-specific indicators. METHODS: Data were obtained from the APCA Atlas of PC in Africa and a comparative analysis conducted. Nineteen indicators were developed and defined through qualitative interviews with African PC experts and a two-round modified Delphi consensus process with international experts on global PC indicators. Indicators were grouped by the WHO public health strategy for PC dimensions. These indicators were then sent as a survey to key informants in 52/54 African countries. Through an expert weighting process and ratings from the modified Delphi, weights were assigned to each indicator. RESULTS: Surveys were received from 89% (48/54) of African countries. The top three countries in overall PC development were, in order, Uganda, South Africa, and Kenya. Variability existed by dimension. The top three countries in specialized services were Uganda, South Africa, and Nigeria; in policies, it was Botswana followed by parity among Ethiopia, Rwanda, and Swaziland; in medicines, it was Swaziland, South Africa, then Malawi; in education, it was equivalent between Uganda and Kenya, then Ghana and Zambia. CONCLUSION: Uganda, South Africa, and Kenya are the highest performing countries and were the only ones with composite scores greater than 0.5 (50%). However, not one country universally supersedes all others across all four PC dimensions. The breakdown of rankings by dimension highlights where even high-performing African countries can focus their efforts to further PC development.

Similares en LA Referencia