APCA Atlas of Palliative Care in Africa
| Autor: | Rhee, J.Y. (John Y.), Luyirika, E. (Emmanuel), Namisango, E. (Eve), Powell, R.A. (Richard A.), Garralda, E. (Eduardo), Pons-Izquierdo, J.J. (Juan José), Lima, L. (Liliana) de, Centeno, C. (Carlos) |
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| Jazyk: | angličtina |
| Rok vydání: | 2017 |
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| Zdroj: | Dadun. Depósito Académico Digital de la Universidad de Navarra instname |
| Popis: | 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 |
| Databáze: | OpenAIRE |
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